FNP 1 Actual Exam FNP1 Exam

FNP 1 Actual Exam FNP1 Exam Latest Update Questions and Correct Answers Rated A+

A patient who is at high risk for skin cancer should -ANSWER- examine his skin monthly for changes

Which of the following symptoms is typical of GERD?Chest pain Cough Sore throat Pyros is -ANSWER-Pyros is (heartburn) Typical symptoms for GERD is Pyrosis (heartburn). Other symptoms are atypical. Patient who present with atypical symptoms of GERD, especially if older than 50 years, should be considered for endoscopy.

A side effect of Dtap that should be reported is: -ANSWER-

Temperature of 103F.

A 70 year-old African American male complains of pain in his back and trunk. Cardiovascular disease is rule out. He has a normocytic

normochromic anemia with hypercalcemia. A likely diagnosis is: -

ANSWER-Multiple myeloma Multiple myeloma is a neoplastic proliferation in the bone marrow which results in skeletal destruction. It is more common in older adult (avg. 66yo)

Common clinical findings of Multiple myeloma are -ANSWER-pain in the long bones, especially those of the trunk and back.

Accompanying findings are anemia usually normocytic/normochromic, hypercalcemia, and renal insufficiency.

A patient with testicular torsion will have -ANSWER-a negative cremasteric reflex on the affected site.Testicular swelling and pain.

Contraindication on giving MMR is -ANSWER-Encephalopathy within

• days after immunization

An elderly adult with an appendicitis is unlikely to exhibit -ANSWER- initial WBC elevation Very young children and elderly are not likely to have initial WBC elevation.Consequently appendicitis can be easily missed in these populations.

Which medication listed below could potentially exacerbate CHF in a susceptible individual?Naproxen HCTZ Lovastatin Loratadine -ANSWER-Naproxen Naproxen is an nsaids. Nsaids cause sodium retention and thus, water retention.

The pneumococcal immunization in infants has -ANSWER-shifted the pathogenesis to fewer cases of S. Pneumonia

The heptavalent pneumococcal conjugate vaccine (PCV7), pruner, protects children from the seven most common strains of Streptococcus pneumonia (S.pneumo) -ANSWER-it has reduce the

incidence of ear infections caused by S.pneumo and has reduce the incidence of ear infection and tube placement by 10-20%.

Hepatitis A: ( -) igm ( -) igg what does this mean -ANSWER-He has no

immunity to hepatitis A. As evidence by the negative igg. It is not currently infected as evidence by the negative igm.

A male patient has epididymitis. His most likely complaint will be - ANSWER-Scrotal pain It develops acutely and will be accompanied by fever, chills and very ill appearing patient.

A patient with diarrhea has a stool specimen positive for webs. What does this indicate? -ANSWER-A viral infection Webs found in stool specimens, it is indicative of infection or inflammation.

A microscopic examination of the sample taken from a skin lesion indicates hyphae. What type of infection might this indicate? - ANSWER-Fungal Hyphae are typical in tinea pedals, tinea curries, and tinea corpora’s.

An NP examines a screaming 2 year-old. A common finding is: -

ANSWER-Pink tympanic membrane This is probably due to flushing and hyperemia of the face that occurs with crying.

The most common factor for developing hepatitis B is: -ANSWER-

Heterosexual activity

A 50 year old male patient reports that he has a sensation of scrotal heaviness. He reports that the sensation is worse at the end of the

day. He denies pain. What is the likely etiology of these symptoms? - ANSWER-Inguinal hernia (Scrotal heaviness --worse at the end of day-- no pain)

Severe scrotal pain -ANSWER-the hernia may have become strangulated. This require immediate referral.

A patient who abuse alcohol will probably exhibit: -ANSWER-elevated

ALT, AST, GGT

ALT and AST are frequently elevated when alcohol abuse occur. - ANSWER-Especially the AST is usually the higher of the two enzymes and can signify alcohol abuse when it is more than 2 times higher than the ALT

In patient who abuse alcohol daily -ANSWER-the ALT and AST may be normal. GGT, gamma-glut amyl transferase, is often elevated even when ALT and AST are normal. It can help identify damage to the liver as a result of alcohol abuse.

A three-year child presents with hematuria, petechial, and a platelet count of 50000 (normal=150,000 - 450,000) the rest of his CBC is normal. He had an upper respiratory infection about 2 weeks ago. On exam today, he is found to have petechial and bruises. The most likely

diagnosis is: -ANSWER-Idiopathic thrombocytopenia purpura (ITP)

This child's platelet count is below normal. The term used to describe this is thrombocytopenia.ITP most common in between 2-4 years.

Nosebleeds and bleeding gums, especially with bruising of teeth - ANSWER-are common in ITP (idiopathic thrombocytopenia purpura)