PSI Family Nurse Practitioner (FNP) Practice Exam

Browse all practice questions for the PSI Family Nurse Practitioner (FNP) Practice Exam. Search by topic, open any question and review its full explanation, then test yourself in the practice quiz.

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How Meniere’s disease is diagnosed: the role of ruling out other conditionsHow is the diagnosis of Meniere's disease primarily established?Is the Psoas Sign the Key to Understanding Abdominal Pain?What clinical sign involves increased abdominal pain when a patient raises their thigh against resistance?Trace protein in urine at 30 weeks and leukocytes: what it suggests about preeclampsiaA 37-year-old primigravida at 30 weeks gestation has trace leukocytes and 2+ protein in her urinalysis. What condition is MOST likely indicated?Understand the Follow-Up Plan for a Child with Ear Fluid After Otitis Media TreatmentWhat should be the follow-up plan for a 12-month old child with fluid levels in one ear after prior otitis media treatment?Understanding Daily Treatment Options for Moderate Persistent AsthmaA patient with moderate persistent asthma should be managed with which daily treatment?Understanding Emotional Distress in Seniors Following LossWhat is a likely differential diagnosis for a 72-year-old female presenting with persistent emotional distress after her husband's death?Understanding Key Indicators of Malnutrition and Weight Loss in PatientsWhat is a key indicator of malnutrition and weight loss in patients?Understanding Polymyalgia Rheumatica and Its Key SymptomsWhat is the most likely diagnosis for a 65-year-old female with shoulder and pelvic girdle pain, weight loss, and elevated SED rate?Understanding the Key Examination Finding of Cerumen ImpactionWhat physical examination finding is commonly associated with cerumen impaction?What not to do for a child’s second-degree burn—and the right first aid stepsWhat is an inappropriate instruction for caring for a child with a 2nd degree burn?What to Avoid When Caring for a Second-Degree BurnWhat should be avoided when caring for a second-degree burn?What’s the hallmark clue of juvenile rheumatoid arthritis in kids? Joint swelling and stiffness that’s often worse after inactivityWhat is a typical presentation for juvenile rheumatoid arthritis?Why tricyclic antidepressants are linked to weight gain—and what it means for patient careWhat type of drugs are commonly associated with weight gain?
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  • A woman has dyspareunia, atrophic squamous epithelial cells, and a vaginal pH of 4.0. What is the most likely diagnosis?
  • A 10-month-old child shows a cluster of tiny white papules on the buccal mucosa. What condition might this indicate?
  • Which of the following is NOT true regarding the S3 heart sound?
  • What condition should be suspected in a 20-year-old male with a 1-month history of a testicular bump and multiple sexual partners?
  • What is a characteristic of the obturator sign?
  • What is an essential health education topic for a male with a history of cryptorchidism?
  • What test is used to evaluate for peripheral arterial disease (PAD)?
  • What is a key symptom that may suggest progression of hypothyroidism in elderly patients?
  • What does spirometry performed after an albuterol nebulizer treatment primarily confirm in a patient suspected of asthma?
  • For an 18-year-old patient with a Mycoplasma pneumoniae infection, which alternative treatment is appropriate if erythromycin cannot be used?
  • During treatment planning for an 84-year-old with hypothyroidism, which concern should the nurse practitioner be most mindful of?
  • What is the most urgent complication associated with celiac disease in infants?
  • What is a common secondary cause of hyperlipidemia that should be evaluated during diagnosis?
  • Which heart condition does the 'C' in CHADS2 represent?
  • Which of the following is indicative of a positive finding for protein in the urine during pregnancy?
  • For an 88-year-old male experiencing memory loss, which test is most appropriate for evaluating his memory function?
  • Which sign indicates acute cholecystitis?
  • A patient with a history of hyperlipidemia is found to have elevated triglycerides. Which dietary change is most beneficial?
  • In a patient suspected of acute bacterial prostatitis, which specimen collection method is least appropriate?
  • Which physical exam finding would NOT be associated with emphysema?
  • The visual fields by confrontation test evaluates which aspect of vision?
  • Which condition is characterized by painful intercourse and atrophic squamous epithelial cells?
  • What effect can the development of a fever have on a child diagnosed with seizure disorder?
  • When should full-term infants begin oral iron supplementation?
  • A patient with macular degeneration has difficulty seeing objects:
  • In which area is the use of lidocaine with epinephrine contraindicated?
  • Which of the following interventions is inappropriate for pediatric patients?
  • Weight gain in a pregnant woman with urine findings of protein may indicate which of the following conditions?
  • What is a classic sign of acute appendicitis?
  • What is a common physiological change during pregnancy that may cause light-headedness upon standing?
  • During an employment physical exam, bruising around the areola on a 21-year-old female is noted. Which health history aspect is least relevant?
  • In managing asthma in children, which medication class is primarily used as a quick-relief treatment during exacerbations?
  • Which of the following is the most common type of skin malignancy?
  • Which laboratory finding is most indicative of a myocardial infarction?
  • Which diagnostic imaging is typically unnecessary when diagnosing uncomplicated migraine headaches?
  • What condition is often linked to an increased risk of testicular cancer?
  • In which patient demographic should atenolol be avoided?
  • An 88-year-old patient presents with right-sided weakness after a fall. What is the most likely diagnosis?
  • If a woman has missed two oral contraceptive pills, what should she be advised to do?
  • Which of the following reflexes is primarily associated with the S1 nerve root?
  • For a patient presenting with unexplained weight loss and fatigue, which lab test is critical to rule out malignancy?
  • What condition might be indicated by the presence of white patches in the mouth that do not rub off?
  • Which symptom is part of the classic triad of preeclampsia?
  • A 4-year-old girl reports inappropriate behavior from her brother. What is the nurse practitioner's responsibility?
  • What role does education play in managing light-headedness in pregnant women?
  • A nurse practitioner orders pulmonary rehabilitation for a 75-year-old patient with COPD. What is an expected outcome that is NOT typically associated with this program?
  • The Posterior drawer sign is used to assess which ligament injury?
  • Why should beta-adrenergic blockers be avoided in patients with diabetes?
  • In the context of routine management, what is a critical factor to monitor in diabetic patients prescribed beta blockers?
  • A nurse practitioner suspects a pulmonary embolus in a 40-year-old patient. What test should be performed next?
  • Which cranial nerve is primarily involved in controlling tongue movements?
  • Cranial nerve XI is known as which of the following?
  • Which symptom requires the nurse practitioner to consider the effects of medication on ejaculation in a male patient?
  • In a case of acute pharyngitis with a sandpaper textured rash, what is the most likely diagnosis?
  • What is the leading cause of cancer-related deaths among women?
  • In a woman with heavy vaginal bleeding due to multiple uterine leiomyomas, what is the most appropriate next step in her treatment?
  • What is the purpose of the Tinel's sign?
  • A 14-year-old male with bronchitis presents with a fever, right pleuritic chest pain, and green sputum. Which examination result would most likely be found?
  • What is an effective first intervention for a 2nd degree burn?
  • A 29-year-old male with a noncomplicated Chlamydia infection is likely to exhibit which symptom?
  • When caring for burns, which of the following is important to remember about oil application?
  • A teenage girl complains of burning on urination after treatment for trichomonas vaginitis. What diagnostic test should be done immediately?
  • What function is associated with cranial nerve IX?
  • Which complication is the most serious outcome of Barrett's esophagus?
  • A 65-year-old male exhibits signs of jugular venous distension and cardiomegaly. What is the most likely diagnosis?
  • A woman with varicose veins complains of aching legs. What is the best intervention to relieve her symptoms?
  • To assess spinal function at the S1 level, which deep tendon reflex should be tested?
  • A 25-year-old with shoulder pain after house painting has intact passive ROM with no trauma noted. What should the next step be to reach a diagnosis?
  • What would the Weber test indicate in a patient with cerumen impaction in the left ear?
  • For a patient with pneumonia who is a non-smoker with no comorbidities, which antibiotic is typically recommended?
  • In which disease might you expect to see decreased thumb movement?
  • Which activity is unlikely to be characteristic of preschool children?
  • When assessing for appendicitis, which sign indicates pain in the right lower quadrant during left-sided pressure?
  • Finkelstein's test is used to diagnose which condition?
  • An 18-year-old patient with facial pain and yellow nasal discharge for 14 days may best be treated with which medication initially?
  • What primary symptom characterizes a patient with heart failure?
  • Which condition should education targeted toward the adolescent age group first focus on?
  • What is the first-line treatment for polymyalgia rheumatica?
  • At what age do most children start to erupt their first permanent teeth?
  • A 70-year-old male shows parathesia of the lower extremities and decreased vibratory sense. What is the most likely diagnosis?
  • What does Cranial Nerve X primarily support in the body?
  • At what level of prevention would lung cancer screening currently be classified?
  • Which treatment option is recommended to improve longevity in COPD patients?
  • In a case of radial head subluxation in a 2-year-old, which sign indicates successful treatment after manipulation?
  • Which condition is most likely indicated by an 8-month-old male presenting with hemarthrosis and hematuria with no history of trauma?
  • What is the main characteristic of chronic bronchitis compared to emphysema?
  • A 68-year-old female's headache with sudden visual spots is likely due to which condition?
  • Which herbal remedy is commonly used for migraines and menstrual cramps?
  • A patient presents with upper abdominal discomfort and nausea after eating. What are the most likely differential diagnoses?
  • What frequent checks are necessary for patients on warfarin to ensure therapeutic levels?
  • What is a common rule for prescribing medications to the elderly?
  • Which lab test should a nurse practitioner order when the suspected diagnosis is temporal arteritis?
  • What is the primary characteristic of subconjunctival hemorrhage?
  • Which of the following best describes the nature of fibrocystic breast disease?
  • An 85 year old patient experiences sudden loss of vision in the right eye, described as "a curtain came down". What is the most likely diagnosis?
  • What is the most common cause of Cushing's syndrome?
  • What symptom may accompany prostate gland abnormalities noted during a DRE?
  • A 50-year-old male presents with delayed ejaculation while on multiple medications. What is the most likely causative agent?
  • Which wet-mount result confirms a preliminary diagnosis of bacterial vaginosis?
  • What is the risk assessment tool for stroke called?
  • Which symptoms are commonly associated with headaches due to an intracranial tumor?
  • Which condition is NOT a known cause of weight loss?
  • What is a common initial assessment finding in patients with hypothyroidism?
  • Which lab test is least likely to be monitored in a patient with diabetes and multiple medications?
  • Which cranial nerves are responsible for voice and speech?
  • A 17-year-old female at Tanner stage III of sexual development has never had her menses. What is the most likely diagnosis?
  • Which tests are used to evaluate an Anterior Cruciate Ligament (ACL) injury?
  • Which reflex is associated with nerve roots C5 and C6?
  • What is the threshold for normal PSA levels in adults?
  • Which symptom is considered a moderate sign of heart failure?
  • At what age is mammography recommended to start for women?
  • What is the long-term prognosis for most children diagnosed with juvenile rheumatoid arthritis (JRA)?
  • What is the best laboratory test to distinguish iron deficiency anemia from other types?
  • What type of intervention is most effective for managing pain in pediatric patients?
  • Which diagnostic test is most appropriate for a 3-year-old presenting with fever and cough in a family setting where relatives also have similar symptoms?
  • What is the first line treatment option for a patient diagnosed with bacterial pneumonia?
  • What additional diagnostic tests are appropriate for a 17-year-old suspected of having polycystic ovary syndrome?
  • What is a common finding in patients diagnosed with polymyalgia rheumatica?
  • A 65-year-old male with heart failure presents with a systolic murmur. What is a common underlying cause?
  • Which medication is considered a mainstay for managing moderate persistent asthma?
  • What is the initial treatment for a 19-year-old female with iron deficiency anemia from heavy menstrual bleeding?
  • Which statement regarding a medication regimen for a 67-year-old with multiple conditions is correct?
  • What dietary advice should be given to women with fibrocystic breast disease regarding caffeine?
  • How can psoriatic lesions in the elderly be best described?
  • What is the recommended treatment duration for chronic bacterial prostatitis?
  • Which of the following criteria can differentiate a Transient Ischemic Attack (TIA) from a stroke?
  • What is an appropriate management approach for someone with daily asthma symptoms?
  • What is a major complication of untreated chronic emphysema?
  • In managing a target lesion with central clearing and accompanying severe headache, malaise, and muscle pain, which medication is indicated?
  • What is the primary risk factor to evaluate for in a patient experiencing chest pain consistent with myocardial infarction?
  • What condition is suggested by sudden onset testicular pain with a negative cremasteric reflex?
  • Which organisms are most commonly found in fresh dog bite wounds?
  • What dietary change can help manage gastroesophageal reflux disease in infants?
  • Which of the following is a common symptom of pediatric patients with hemophilia?
  • A patient on warfarin should report all of the following to their healthcare provider EXCEPT?
  • Assessing the posterior drawer sign helps evaluate which aspect of knee stability?
  • What is the most common side effect of the opioid analgesics?
  • Which test is used to evaluate a meniscal tear?
  • What is the initial therapy for a 3-week-old infant with symptoms of gastroesophageal reflux disease?
  • Which medication or medication class does NOT have dizziness or vertigo as potential adverse side effects?
  • Which population is at a higher risk for developing vitamin D deficiency?
  • Which condition is known for visible edema from extravascular fluid retention?
  • A 70-year-old male with a bright red spot in his left eye for 2 days, denies pain and visual changes. What is the most likely condition?
  • Which situation may require supplemental iron for an infant before the age of 4-6 months?
  • Which class of antihypertensive agents is contraindicated in patients with bilateral renal artery stenosis?
  • Cranial Nerve VII is primarily responsible for which action?
  • In evaluating an 11-year-old with a target lesion and systemic symptoms, what crucial history detail should be assessed?
  • Which activity is NOT classified as an activity of daily living (ADL)?
  • To assess a patient's ability to think abstractly, which question could a nurse practitioner ask?
  • What physical examination finding typically accompanies a diagnosis of pneumonia?
  • Which group is at risk and should be tested with a PPD greater than 10 mm?
  • What population is immediately considered for further assessment if a PPD test measures at 15 mm or more?
  • When can symptoms of congenital heart disorders present?
  • A 32 year old patient reports a 6-month history of intermittent symmetrical swelling of the wrists and daily morning stiffness lasting 1 hour or more. What is the most likely diagnosis?
  • Which of the following is NOT an indication of preeclampsia?
  • A college student presents with purulent discharge from her eye. What condition should be suspected?
  • What condition may a nurse practitioner consider in an elderly female experiencing sadness and morning waking disruptions?
  • A 16-year-old female on Ortho-Novum 7/7/7 experiences midcycle spotting. What is the appropriate management?
  • Which physical exam finding would indicate a serious infection requiring immediate attention in a patient with potential cystitis?
  • What maneuver is part of the carpal tunnel syndrome assessment?
  • Which of the following symptoms could be related to diabetes?
  • Cranial Nerve II is associated with which sensory function?
  • Using the height-weight formula, what is the ideal body weight for a female who is 5 feet 7 inches tall?
  • A 12-year-old with a family history of thalassemia has a normal CBC. What additional test should be ordered?
  • For a patient presenting with symptoms of pharyngitis, which investigation is appropriate if strep throat is suspected?
  • Description of an effective communication strategy with patients typically includes which of the following aspects?
  • A 25-year-old woman presents with scant nipple discharge and no palpable mass. What is the most likely diagnosis?
  • Which sign should be assessed first when suspecting appendicitis?
  • An 18-month-old child presents with a bulging tympanic membrane and fever. After treating for otitis media, what is the next appropriate intervention?
  • What are the first permanent teeth to erupt in children around age 6?
  • A newly diagnosed diabetic patient is taught about blood glucose monitoring. What is the recommended frequency for checking blood glucose for non-insulin-dependent diabetes?
  • Assessment findings that would support a diagnosis of mitral regurgitation typically include:
  • Which symptom is primarily associated with trigeminal neuralgia?
  • What is the most likely diagnosis for a 21-year-old patient exhibiting rebound tenderness at McBurney's point?
  • What skin condition features a rash and can follow a viral upper respiratory infection?
  • In managing diabetes, which hormone should be balanced to maintain blood glucose levels?
  • What underlying condition might predispose a woman to frequent candidal vaginal infections?
  • A 2-month-old infant presents for an examination with a diffusely erythematous macular rash in the diaper area. What is the most likely cause of this rash?
  • According to the American Diabetes Association, the standard fasting plasma sugar level for diagnosing diabetes mellitus is:
  • What is the leading cause of death among adolescents aged 15-24 related to substance use?
  • What prophylactic medication is recommended for individuals under 35 years with a positive PPD?
  • What type of cancer is several times more common than squamous cell cancer?
  • A 66-year-old patient has bilateral otitis media with effusion and white patches in the mouth. What should the patient be evaluated for?
  • What is the most likely diagnosis for a 12-month-old infant who had a high fever that resolved, followed by a maculopapular rash?
  • What spirometry reading is expected in a patient with chronic emphysema?
  • Which laboratory test is most useful for diagnosing spontaneous abortion?
  • What is considered a positive PPD test at 5 millimeters for which population?
  • A patient with suspected gonococcal conjunctivitis requires which immediate action?
  • For patients with hyperlipidemia, which test should be performed to rule out hypothyroidism?
  • Which bacterium is commonly responsible for pneumonia in older adults in the community?
  • What age group is most affected by motor vehicle accidents related to alcohol?
  • Which condition is NOT typically associated with erectile dysfunction?
  • A 40-year-old male has a 2-week history of rectal pain and finding blood on toilet paper. What action should the nurse practitioner take?
  • A 28-week pregnant patient reports a single episode of vaginal bleeding. What is the most appropriate diagnostic intervention?
  • A patient with acute bronchitis presents with foul-smelling sputum. What should the nurse practitioner prescribe?
  • A patient with Type 1 diabetes on NPH and regular insulin experiences early morning high blood glucose. What phenomenon does this exemplify?
  • What condition is considered an absolute contraindication to breastfeeding?
  • What symptom would most indicate hypoglycemia in a patient taking insulin and a beta blocker?
  • Which risk group is particularly advised to be alert for skin lesions indicative of melanoma?
  • Which cranial nerve is responsible for hearing and balance?
  • What is the next step for a 17-year-old female who has never menstruated and is at Tanner stage III?
  • Which term describes the test used to identify a meniscal tear?
  • Which laboratory tests are the most accepted indicators of HIV infection progression?
  • What skin condition is characterized by the appearance of silver scales?
  • What is considered an early sign of heart failure in elderly patients?
  • The primary function of Cranial Nerve V is associated with which of the following?
  • What gastrointestinal change is associated with normal aging?
  • What is assessed with the Abduction (Valgus) stress test?
  • What is the most appropriate initial test for a patient suspected of having acute prostatitis?
  • What does a negative nitrite result on a urinalysis indicate?
  • A patient with diverticulosis presents with localized left lower quadrant discomfort and mild leukocytosis. What is the appropriate management option?
  • Which symptom should be monitored specifically when a patient with diabetes is on beta blockers?
  • What is the most widely accepted recommendation for skin cancer prevention?
  • What is a common rule when prescribing medications for elderly patients?
  • What pharmacotherapeutic is most important for a patient with a corneal abrasion?
  • When should TSH levels be checked after starting thyroid hormone replacement therapy?
  • To evaluate a patient's ability to think abstractly, which question could a nurse practitioner ask?
  • What is the primary role of a nurse practitioner (NP) who provides primary health care according to the ANA?
  • A child with fever and productive cough presents with respiratory distress. Which finding is characteristic?
  • The Adduction (Varus) stress test evaluates which ligament?
  • Koplik's spots are associated with which disease?
  • Cranial Nerve I is responsible for which function?
  • Which statement is true regarding dizziness and vertigo in relation to medications?
  • A patient is suspected of having hypertension. What is the primary diagnostic tool to confirm hypertension?
  • Cranial Nerves III, IV, and VI are primarily involved in which function?
  • What underlying condition is associated with chronic infections and weight loss?
  • A 14-year-old has forearm pain after falling on an outstretched hand. What is the likely diagnosis based on a positive fat pad sign?
  • A young male experiences acute abdominal pain with testicular swelling. What is the most likely diagnosis?
  • Which of the following is a normal response when assessing the cremasteric reflex in males?
  • In a sudden case of maculopapular rash following high fever in an infant, which cause is least likely?
  • Where are Heberden's nodes typically found?
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