FNP 2 Actual Exam FNP2 Latest

FNP 2 Actual Exam FNP2 Latest Update Questions and Correct Answers Rated A+

Which of the following is associated with Vitamin B-12 anemia?

• Spoon shaped nails and Pica
• An abnormal neuro exam
• Vegan diet
• Tingling/ numbness in both feet -ANSWER-D. Tingling and

numbness in both feet: B12 can cause nerve damage if left untreated,

also dementia, memory loss, difficulty walking, mood changes, depression also

A 70 yr. male c/o bright red spot in his left eye for 2 days. He denies pain, visual changes, or headaches. New onset cough from recent viral illness. The only med he was on was Bayer Aspirin 1 tablet daily.Which of the following is most likely?

• Corneal Abrasion
• Acute bacterial conjunctivitis
• Acute uveitis

D. Sub conjunctival hemorrhage -ANSWER-D: sub conjunctival

hemorrhage: caused by increased intraocular pressure due to

straining, coughing, heavy lifting etc. Self-limiting- disappears in 1-3 weeks

RMSF is caused by bite of:

• Mosquito
• Tick
• Insect

D. Flea -ANSWER-B: Tick with parasite Rickettsia rickettsia

• yr. female comes in after just starting pre school complaining of

burning/ itching in both eyes along with runny nose. Child's eyes appear injected bilaterally, the throat is red and her inferior nasal turbinate’s are swollen. Which is most likely?

• Herpes Keratitis
• Corneal Ulcer
• Viral Conjunctivitis

D. Bacterial conjunctivitis -ANSWER-C: Viral- no signs of infection but

pts often complains of red/ itchy/ swollen eyes

What test would you use on a 7 yr. to screen for color blindness?

• Snellen chart
• Ishihara chart
• Cover/uncover test

D. Red Reflex -ANSWER-B: Ishihara chart

Koplik's spots are associated with:

• Poxvirus infections
• Measles
• Kawasaki's disease

D. Reye's syndrome -ANSWER-B. Measles: S/S of the measles

includes 3 C's! Cough, coryza, conjunctivitis, rash, fever over 101F and Koplik's spots in buccal mucosa

An elderly pt with productive cough + fever diagnosed with pneumonia. All of the following organisms are capable of causing CAP

except:

• Haemophilus influenza
• Mycoplasma pneumonia
• Treponema pallidum
• Strep Pneumonia -ANSWER-C. Treponema pallidum is a

spirochete that causes syphilis

You would advise an 18 yr. at the student health clinic who just got

an MMR booster which of the following:

• She may have low grade fever over next 24-48 hrs.
• Not to get pregnant within the next 4 weeks
• Her arm will be very sore for the next 48 hrs. at injection site
• Her arm will have some induration at IM site for 48 hrs. -ANSWER-
• Women should not get MMR while pregnant, and need at least 28

days between vaccination and conception, preferably at least 4 weeks

An NP is giving dietary counseling to an alcoholic male who has been recently diagnosed with folic acid deficiency anemia. Which of the following foods should the NP recommend?

• Tomatoes, oranges, bananas
• Cheese, yogurt, milk
• Lettuce, beef, dairy products.

D. Spinach, liver, and whole wheat bread -ANSWER-D: Spinach liver

and whole wheat

67 yr. female presents to the clinic with 50 pk year hx of smoking for physical. C/o being easily short of breath/ frequent fatigue. Physical reveals diminished breath sounds, hyperresonance and hypertrophied resp muscles. Her CBC shows that her hematocrit level is slightly elevated. Her pulmonary function test shows increased total lung capacity. What is most likely DX for this pt?

• Bronchogenic carcinoma

B. COPD

• Chronic bronchitis
• CHF -ANSWER-B: COPD: results in polycythemia (Increased

Hematocrit) due to chronic hypoxia. Also you may note digital clubbing, dyspnea on exertion, accessory muscle use

a 28 yr male nurse of Hispanic descent reports hx of a cold that resolved two weeks ago except for a dry cough, and pain in his cheek that worsens when he bends down. Pt denies fever, tells NP he is very

allergic to keflex and erythromycin. Vitals: Temp 99.2F, HR: 72, and

RR: 12 breaths/min. Which of the following is most likely?

• Acute sinusitis
• Acute bronchitis
• Fever 2ndary to recent URI

D. Munchausen's syndrome -ANSWER-A. Acute Sinusitis: acute

sinusitis sx include facial pain, cough, and low grade fever

All of the following are implicated in causing chronic cough except:

• Chronic bronchitis
• Allergic rhinitis
• Acute viral URI

D. GERD -ANSWER-C Acute viral URI: The key in this question is

where it says what causes "CHRONIC COUGH." An acute viral illness will resolve, while chronic bronchitis, GERD, and allergic rhinitis can all cause chronic coughs.

Which of the following viral infections is associated with occasional abnormal forms of lymphocytes during an acute infection?

• Cytomegalovirus (CMV)
• Epstein-Barr virus (EBV)

C. HPV

D. Coxsackie Virus -ANSWER-B: Epstein Barr Virus (EBV)

A high school teacher complains of cough X6 weeks. Worse when lying down. He has episodes of heartburn, which he treats with OTC TUMS. He chews mints for his "bad breath" which is most likely causing his cough?

• Asthma
• Gastroesophageal Reflux
• Pneumonia