FNP CERTIFICATION REVIEW: Questions & Answers: Updated A+ Guide

FNP CERTIFICATION REVIEW: QUESTIONS
& Answers
An adult patient needs treatment for Chlamydia trachomatis urethritis.
Which one of the following drugs is useful as a single-dose regimen?
a. Ceftriaxone intramuscularly
b. Levofloxacin
c. Azithromycin
d. Doxycycline
(Ans- c
A patient who gave birth to an infant two months previously seems
disengaged and withdrawn. The family nurse practitioner is concerned that
the patient may have postpartum depression. Which three of the following
symptoms are characteristic of postpartum depressions?
a. Insomnia or hypersomnia
b. Disorientation and confusion
c. Feeling of worthlessness or inadequacy
d. Poor concentration and inability to make decisions
e. Delusions associated with the infant
(Ans- a, c & d
A child with fetal alcohol syndrome [FAS] is likely to exhibit which of the
following findings?
a. Growth deficiency
b. Normal IQ
c. Thickened upper lip
d. Macrocephaly
(Ans- a

To evaluate a child for esotropia, which one of the following is a rapid and
convenient diagnostic screening test?
a. Slit lamp examination
b. Corneal light reflex test
c. Snellen test
d. Fluorescein test
(Ans- b
According to Dr. Elisabeth Kubler-Ross, dying patients experience several
emotional stages during terminal illness. Which one of these emotions
persists throughout all the stages of terminal illness?
a. Anger
b. Hope
c. Denial
d. Bargaining
(Ans- b
A family nurse practitioner is assessing an 11-month-old African-American
child who was brought in by his mother for concerns about swelling in both
hands and both feet. On examination, the nurse practitioner finds
tenderness and obvious swelling of the hands and feet. Vital signs,
including temperature and blood pressure, are normal The most likely
diagnosis is:
a. osteomyelitis
b. hand-foot-mouth disease
c. glomerulonephritis
d. sickle cell disease
(Ans- d
(hand-foot syndrome) dactylitis due to sickle cell disease
A 65-year-old woman complains of urinary incontinence. She is
experiencing leakage of urine when she coughs, sneezes, or laughs. This
form of urinary incontinence is called:
a. stress incontinence
b. urge incontinence

c. overflow incontinence
d. functional incontinence
(Ans- a
A full-term newborn weighed 7 pounds, 9 ounces at birth. Three days after
hospital discharge, the family nurse practitioner is seeing the baby for his
first checkup. he now weighs 7 pounds, 4 ounces. This level of weight loss
is:
a. worrisome because it is below birth weight
b Indicative of inadequate nutrition
c. A sign of dehydration
d. Normal at this age
(Ans- d
Which of the following drugs is NOT associated with human teratogenicity?
a. Valproic acid
b. Warfarin
c. Phenytoin
d. Amoxicillin
(Ans- d
Valproic acid – neural tube defects (spina bifida, meningocele)
Phenytoin (Dilantin) – developmental defects (cleft palate, mental
deficiency, cleft lip)
Warfarin (Coumadin) – nasal deformities, brain abnormalities and stillbirth
The family nurse practitioner is assessing an infant for indications of
developmental hip dysplasia utilizing the Ortolani-Barlow maneuver. The
maneuver begins by placing the infant on the back and includes the
following steps:

  1. Grasp the infant’s knees with the thumbs over the inner thighs
  2. Slowly abduct the infant’s hips and observe for equal movement,
    resistance, or an abnormal “clunk” sound.
  3. Flex the infant’s knees and hips to 90 degrees
  4. Touch the infant’s knees together, and then press down on the one
    femur at a time, observing for dislocation
    (Ans1
    3
    4
    2
    The study of individual genes and their impact on relatively rare singlegene disorders
    (Ans- Genetics
    The study of all the genes in the human genome together, including their
    interactions with one another, the environment, and the influence of
    psychosocial and cultural factors
    (Ans- Genomics
    A transaction between the sender and the receiver. Both parties participate
    simultaneously
    (Ans- Therapeutic communication
    Requirements for therapeutic relationships
    (AnsRapport
    Trust
    Respect
    Honesty
    Empathy
    Are social systems that form interdependent and independent relationships,
    referred to as subsystems both within and outside.
    (Ans- Families

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