FNP 1 Exam FNP1 Actual Exam

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

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? - ANSWER-Sputum culture

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? -ANSWER-Sweating

Which of the following signs/symptoms are often associated with headaches due to an intracranial tumor? -ANSWER-Pain worse in supine position; focal neurological signs

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? -ANSWER-Left sided stroke

Which of the following gastrointestinal changes is associated with normal aging? -ANSWER-Decreased production of gastric acid

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: -ANSWER-socioeconomic status.

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? -ANSWER-Palpate structures around the shoulder.

Which of the following would be most appropriate to perform in the initial evaluation of a patient with symptoms of acute prostatitis? - ANSWER-Urinalysis and urine culture

A patient who is 28 weeks pregnant reports a single episode of vaginal Indicates normal prenatal and the patient denies pain, vaginal itching. progress to date, bleeding. History or discharge. Which of the following is the most appropriate intervention to aid in the diagnosis of this case? -ANSWER-Ultrasound

A 10-month-old presents with a rash, runny nose, and cough.Examination reveals a cluster of tiny white papules with an erythematous base on the buccal mucosa. What does this suggest? - ANSWER-Measles

A 72-year-old female presents with a medical history unremarkable except for the occasional headache. She enjoyed emotional health throughout marriage and childrearing, although her family history is significant for strokes and nervous breakdowns. Since her husband

died a year ago, however, she has been waking every morning at 3:00

A.M., is reluctant to go out although she has family members living nearby, and feels a continual urge to sleep. She cannot discuss her

late husband without crying. Differential diagnoses would include: -

ANSWER-depression, unresolved grief, and hypothyroidism.

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? -ANSWER-Rheumatoid arthritis

A 38-year-old male experiences a sudden onset of acute abdominal pain radiating to his groin. He is having difficulty walking and is nauseated. He denies any trauma or previous groin injuries.Examination reveals diffuse swelling of the left testicle and negative

cremasteric reflex. The most likely diagnosis is: -ANSWER-testicular

torsion.

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: -ANSWER-contact

dermatitis.

A 14-year-old patient who fell on an pad sign, and the patient is unable to fully forearm pain. X-ray reveals a positive fat outstretched hand complains of proximal extend the elbow. No definitive bony

changes are seen on X-ray. The most likely working diagnosis is: -

ANSWER-radial head fracture.

A 70-year-old male presents with paresthesia of the lower extremities.On examination, the patient appears pale and shows a decreased vibratory sense. Laboratory tests reveal elevated indirect bilirubin; Hct

• 30%; mean corpuscular volume (MCV) - 120 um' (normal %3D - 87-

103 umJ. The most likely diagnosis is: -ANSWER-pernicious anemia.

An 85-year-old patient relates that on the way to an annual physical examination, the patient suffered a sudden loss of vision in the right eye characterized by "a bunch.of lights" and a feeling that "a curtain

came down." The most likely diagnosis is: -ANSWER-retinal

detachment.

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? -ANSWER-Helical CT pulmonary angiography

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: -ANSWER-gastritis and peptic ulcer disease.

A 66-year-old patient presents with bilateral otitis media with effusion and white patches in the mouth that do not rub off when wiped with a

4 x 4. The patient should be evaluated for: -ANSWER-HIV infection.

A 20-year-old male presents with a 1- month history of a "bump on my testicle." He reports being sexually active, with frequent episodes of unprotected Intercourse with multiple partners. Which condition should be suspected? -ANSWER-Cancer of the testicles