PSI FNP Exam 1 Questions and Answers (Complete Solution) Graded A+

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PSI FNP Exam 1 Questions and Answers (Complete Solution) Graded A+ Which of the following laboratory tests should a nurse practitioner order when the suspected diagnosis is temporal arteritis? ✔... ✔ Erythrocyte sedimentation rate (ESR) A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to testosterone, the most appropriate diagnostic tests to order would be: ✔✔ follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and thyroid-stimulating hormone (TSH). To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient: ✔✔ the meaning of a common proverb. To assess spinal function at the S1 level, which deep tendon reflex should be tested? ✔✔ Achilles Which of the following signs/symptoms are often associated with headaches due to an intracranial tumor? ✔✔ Pain worse in supine position; focal neurological signs Which of the following laboratory tests are most widely accepted as indicators of the progression of HIV infection? ✔✔ CD4 count and viral load A 3-year-old patient presents at an inner-city clinic with fever, cough, malaise, and loss of appetite. The patient lives with several relatives, including a grandmother who also has a cough. Which of the following diagnostic tests would be most appropriate for the patient? ✔✔ Sputum culture Which of the following best describes psoriatic lesions in an elderly patient? ✔✔ Red, sharply defined plaques with silvery scales A 25-year-old presents with the chief complaint of decreased mobility and pain of the right shoulder exacerbated by movement. The patient reports that he participated in extensive house painting 24 hours prior to the onset of pain. He denies any trauma. Passive ROM is intact. No redness or ecchymosis is present. What is the next step that should be taken in order to make a diagnosis? ✔✔ Palpate structures around the shoulder. A patient who is 28 weeks pregnant reports a single episode of vaginal bleeding. History indicates normal prenatal progress to date, and the patient denies pain, vaginal itching, or discharge. Which of the following is the most appropriate intervention to aid in the diagnosis of this case? ✔✔ Ultrasound A 29-year-old male with noncomplicated Chlamydia infection may exhibit: ✔✔ no remarkable clinical symptoms. An 88-year-old patient presents with right-sided weakness after being unable to rise unassisted following a fall to the bathroom floor. History includes aphasia and noncompliance with a hypertension medication regimen. What is the most likely diagnosis? ✔✔ Left-sided stroke A patient with macular degeneration has difficulty seeing objects: ✔✔ in the center of the visual field. Which of the following is the leading cause of cancer-related deaths in the majority of women? ✔✔ Lung Cancer Which of the following would be most appropriate to perform in the initial evaluation of a patient with symptoms of acute prostatitis? ✔✔ Urinalysis and urine culture Which of the following gastrointestinal changes is associated with normal aging? ✔✔ Decreased production of gastric acid Which of the following is NOT an indication of preeclampsia? ✔✔ Gluosuria Assessment findings that would support a diagnosis of mitral regurgitation include: ✔✔ loud, high-pitched pansystolic murmur. An 18-year-old college student presents for an athletic physical. When asked about current medications, she mentions that she takes "some herb" she bought at a health food store for migraines and menstrual cramps. Which of the following herbal remedies has been commonly used for these conditions? ✔✔ Feverfew An 88-year-old patient has had a gradual onset of hearing loss in the left ear. Examination shows a large accumulation of cerumen in the external auditory canal. Assuming there is no neural loss, the nurse practitioner would expect the Weber test to: ✔✔ lateralize to the left During an employment physical examination of a 21-year-old female, bruising around the areolae on the breasts is noted. An appropriate health history for these findings should include all of the following EXCEPT: ✔✔ socioeconomic status Which of the following findings is typically a sign of acute appendicitis? ✔✔ Rebound tenderness at McBurney's point The best laboratory test to distinguish iron deficiency anemia from other anemias is: ✔✔ serum ferritin level A patient is referred with a diagnosis of diabetes mellitus, hypertension, and coronary artery disease. The patient is on both insulin and a beta blocker. Assuming that the patient will continue the beta blocker, it will be important to educate the patient on the recognition of hypoglycemia. Which symptom would be most indicative of hypoglycemia in this patient? ✔✔ sweating An 88-year-old male presents with concerns about memory loss. He feels good, takes an aspirin daily, and has no chronic diseases. He lives alone, drives his own car, and manages his financial affairs. To evaluate his memory, which of the following tests should the nurse practitioner choose? ✔✔ Folstein Mini-Mental State Examination Which of the following wet-mount results confirms a preliminary diagnosis of bacterial vaginosis? ✔✔ Squamous epithelial cells with stippling appearance and indistinct borders, no lactobacillus rods, and many white blood cells Office spirometry performed with an albuterol nebulizer treatment can confirm a diagnosis of asthma because it indicates: ✔✔ whether a patient has reversible airway obstruction. 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 in and around other joints. What is the most likely diagnosis? ✔✔ Rheumatoid arthritis A 47-year-old patient presents with complaints of upper abdominal discomfort with nausea and burning after eating. The patient does not currently take any medications. The most likely differential diagnoses would include: ✔✔ gastritis and peptic ulcer disease. A 2-month-old infant is presented for examination and immunizations. History includes an uncomplicated full-term delivery and hepatitis B virus immunization shortly after birth. Examination is unremarkable except for a diffusely erythematous (non-beet-red) macular rash in the diaper area, sparing the inguinal folds. No satellite lesions are noted. The infant's diaper rash is most likely caused by: ✔✔ contact dermatitis. A nurse practitioner is evaluating a 40-year-old patient suspected of having a pulmonary embolus. The patient complains of anxiety and cough. A stat chest X-ray is normal. Which of the following tests should the nurse practitioner perform next? ✔✔ Helical CT pulmonary angiography [Show More]

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