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FNP PRACTICE QUESTIONS AND
CORRECT ANSWERS LATEST
VERSION GUARANTEED PASS
"A patient who has experienced a stroke with hemiparesis and is now participating in occupational therapy is practicing what type of prevention? A. Tertiary prevention B. Secondary prevention C. Primary prevention D. Disease mitigation - CORRECT ANSWER=> A. Tertiary prevention" "The CDC reports that the costliest healthcare expenditures in the U.S. are attributed to: A. Ebola and dengue fever B. Chronic, preventable diseases C. Tick-borne diseases, such as Lyme disease D. Motor vehicle accidents - CORRECT ANSWER=> B. Chronic, preventable diseases" "The term prevalence refers to: A. Health conditions required through statute, ordinance, or administrative rule to be reported to a public health agency when diagnosed in an individual B. A group of cases of a specific disease or illness clearly in excess of what one would normally expect in a particular geographic area C. Illness or lack of health caused by disease, disability, or injury D. The proportions of people in a population who have some attribute or condition at a given point in time, or during a specified time period - CORRECT ANSWER=> D. The proportions of people in a population who have some attribute or condition at a given point in time, or during a specified time period"
"Which of the following tests carries a grade A recommendation for a 67-year-old male who has smoked a pack of cigarettes every day for the last 25 years? A. Abdominal ultrasound B. Chest CT C. PSA D. Pulmonary function test - CORRECT ANSWER=> A. Abdominal ultrasound" "The ability of a test to correctly identify whose with the disease (true positive rate) is known as: A. False positivity B. Incidence rate C. Sensitivity D. Specificity - CORRECT ANSWER=> C. Sensitivity" “The ability of a test to correctly identify those with-out the disease (true negative rate) is known as: A. Mortality rate B. Prevalence rate C. Sensitivity D. Specificity - CORRECT ANSWER=> D. Specificity" “According to the USPSTF, which population has the highest risk of contracting HIV and should be screened? A. A 25-year-old patient with a negative HIV test last year B. A 35-year-old patient recently diagnosed with hepatitis B contracted from IV drug use C. A 42-year-old patient with a 10-year history of smoking marijuana D. A 72-year-old patient in a monogamous sexual relationship - CORRECT ANSWER=> B. A 35- year-old patient recently diagnosed with hepatitis B contracted from IV drug use" "Which of the following is not a permanent contraindication to vaccination? A. Systemic allergic reaction to a vaccine component B. Encephalopathy following pertussis immunization C. Pregnancy in a younger female
"4-3. Which of the following describes and agonist? A. A chemical that has a harder time crossing the blood-brain barrier B. A chemical that binds to a receptor and stimulates cellular activity C. A chemical that binds to a receptor and blocks or inhibits cellular activity D. A chemical that has a longer half-life than a competing chemical - CORRECT ANSWER=> B. A chemical that binds to a receptor and stimulates cellular activity" "4-4. Chirality refers to: A. The shape of the medication molecule B. The shape of a drug receptor C. A drug that blocks a matching receptor D. A drug that shows affinity for certain receptors - CORRECT ANSWER=> A. The shape of the medication molecule" "4-5. The P450 enzyme system affects the way medications are metabolized. Which of the following is an example of the P450 system in action? A. The ease that a medication is bound by plasma binding proteins B. A bigger molecule having a harder time crossing membranes C. Grapefruit juice interacting with a medication's metabolism D. The need to lower the dose of a medication because of poor kidney function - CORRECT ANSWER=> C. Grapefruit juice interacting with a medication's metabolism" "4-6. An 88-year-old male is being treated for complicated pyelonephritis with gentamicin IM daily. His wife called the office to report that he didn't hear his alarm clock go off this morning. In addition, when their granddaughter called earlier that day, he had to hand the phone to his wife because he couldn't understand what she was saying. Based on this information, you are most concerned about which possible serious adverse effect of gentamicin? A. Dementia B. Hepatotoxicity C. Xerophthalmia D. Ototoxicity - CORRECT ANSWER=> D. Ototoxicity" "4-7. A 56-year-old male presents to the office as a new patient. When reviewing his medical history you notice "medication-induced tendonitis with subsequent tendon rupture" listed
under past problems. Even though he connote remember the medication, you know that it is a serious adverse effect of which of the following drugs? A. ceftriaxone (Rocephin) B. ciprofloxacin (Cipro) C. darifenacin (Enablex) D. phenazopyridine (Pyridium) - CORRECT ANSWER=> B. ciprofloxacin (Cipro)" "4-8. A 33-year-old female presents to the office with complaints of urinary urgency, frequency, pressure, and dysuria. You would like to prescribe nitrofurantoin (Macrobid) 100mg PO BID X 5 days for her uncomplicated UTI. Which medical information would cause you to choose a different antibiotic? A. She reports bright orange urine after taking Pyridium earlier today B. She sometimes takes diphenhydramine to sleep at night C. She has a history of an allergic reaction to amoxicillin D. She is currently 39 weeks pregnant - CORRECT ANSWER=> D. She is currently 39 weeks pregnant" "4-9. Edith L. is a 36-year-old pregnant woman who presents at the clinic with symptoms of fever, chills, and body aches. Symptoms started last night, and she tests positive for influenza A. Which of the following would you prescribe? A. oseltamivir (Tamiflu) B. zanamivir (Relenza) C. peramivir (Rapivab) D. amantadine (Symmetrel) - CORRECT ANSWER=> A. oseltamivir (Tamiflu)" "4-10. Phillip R. is a 42-year-old male who presents to the clinic with recurrent genital herpes. Which of the following is recommended for the treatment of genital herpes in this individual? A. ganciclovir (Zirgan) B. atazanavir (Reyataz) C. valacyclovir (Valtrex) D. ribavirin (Virazole) - CORRECT ANSWER=> C. valacyclovir (Valtrex)"
D. Oral candidiasis - CORRECT ANSWER=> D. Oral candidiasis" "4-15. Which of the following is a chemotherapeutic (anti-cancer) dosing principle? A. Drugs should be administered at low doses but with increased frequency B. Drugs are more beneficial if major toxicities are nonoverlapping C. Drugs should be administered infrequently to minimize side effects D. Drugs are rarely effective in combination - CORRECT ANSWER=> C. Drugs should be administered infrequently to minimize side effects" "4-16. Which of the following is an antineoplastic drug that is also used to treat psoriasis and rheumatoid arthritis? A. methotrexate (Trexall) B. mercaptopurine (Purixan) C. allopurinol (Zyloprim) D. procarbazine (Matulane) - CORRECT ANSWER=> A. methotrexate (Trexall)" "4-17. While performing patient education about drug-food interactions, the nurse practitioner cautions a patient to avoid grapefruit juice because he takes which of the following medications? A. lisinopril (Zestril) B. verapamil (Calan) C. warfarin (Coumadin) D. timolol (Timoptic) - CORRECT ANSWER=> B. verapamil (Calan)" "4-18. Mrs. K. comes to the clinic because she has experienced nausea, vomiting, and diarrhea for three days. She has lost two pounds. Her medications include rosuvastatin, lisinopril, vitamin D, digoxin, and zolpidem. Which lab is most critical for the nurse practitioner to draw? A. Lipid profile B. Urinalysis C. Vitamin D level D. Digoxin level - CORRECT ANSWER=> D. Digoxin level"
"4-19. Daria is a 27-year-old female who is being started on propranolol for migraine prophylaxis. In addition, she is taking metformin and glipizide for diabetes. It is important to include what information when teaching her about this new medication? A. Signs and symptoms of low blood sugar may not be as apparent B. It is okay to stop the propranolol if her migraines don't improve C. If a rash occurs, it is a minor side effect and should go away D. She should expect her total cholesterol and LDL levels to improve - CORRECT ANSWER=> A. Signs and symptoms of low blood sugar may not be as apparent" "4-20. Which patient is a candidate for warfarin (Coumadin) following a diagnosis of DVT? A. 45-year-old on Irbesartan and fluvastatin B. 34-year-old with coffee ground emesis C. 18-year-old who is 36 weeks pregnant D. 29-year-old female with von Willebrand disease - CORRECT ANSWER=> " "4-21. Which calcium channel blocker has little to no effect on conduction through the SA and AV nodes? A. procainamide (Pronestyl) B. verapamil (Calan) C. amlodipine (Norvasc) D. diltiazem (Cardizem) - CORRECT ANSWER=> C. amlodipine (Norvasc)" "The nurse practitioner is seeing a patient for acute exacerbation of asthma. The patient reports increasing shortness of breath and wheezing the last two days. He ran out of his albuterol inhaler and has been using his grandmother's inhaler (formoterol) with no improvement. What is the best rationale for the ineffectiveness of the formoterol? A. His grandmother nay have used all of the medicine in her inhaler B. formoterol is a long-acting beta agonist and is not effective for acute symptoms C. formoterol is an inhaled corticosteroid and is not effective for acute symptoms D. He is not using the inhaler correctly - CORRECT ANSWER=> B. formoterol is a long-acting beta agonist and is not effective for acute symptoms" "Which medication has the following mechanism of action: decreases inflammation and mucus production and causes bronchodilation by selectively binding leukotriene receptors?
"What is the mechanism of action of sulfonylureas used for type 2 diabetes? A. Decrease hepatic production of glucose B. Enhance insulin secretion by binding to pancreatic beta cell receptor sites C. Mimic endogenous insulin by binding to cell wall receptors D. Stimulate insulin secretion in a short-acting manner - CORRECT ANSWER=> B. Enhance insulin secretion by binding to pancreatic beta cell receptor sites" "The nurse practitioner is caring for a patient with Addison disease with low aldosterone levels. Which medication will the nurse practitioner prescribe for aldosterone replacement? A. cortisone (Cortone) B. fludrocortisone (Florinef) C. hydrocortisone (Cortef) D. prednisone (Deltasone) - CORRECT ANSWER=> B. fludrocortisone (Florinef)" "Which type of insulin should be prescribed specifically to cover insulin needs for about half the day or overnight? A. Intermediate-acting insulin B. Long-acting insulin C. Rapid-acting insulin D. Short-acting insulin - CORRECT ANSWER=> A. Intermediate-acting insulin" "The nurse practitioner is prescribing antipyrine and benzocaine for a child with otitis externa. Which is the correct prescription? A. Fill affected ear canal and repeat daily B. 2 drops to affected ear canal twice daily C. 2 drops to affected ear canal 4 times daily D. Fill affected ear canal, repeat every 2 hours as needed - CORRECT ANSWER=> D. Fill affected ear canal, repeat every 2 hours as needed" "Which medication should be discontinued if eye pain or irritation occurs? A. cyclosporin B. ocular lubricants C. brimonidine
D. gentamicin - CORRECT ANSWER=> B. ocular lubricants" "For which of the following medications is the patient required to keep the eyes closed for 2- minutes without blinking or squinting? A. cyclosporin (Restasis) B. brimonidine (Alphagan) C. pilocarpine (Salagen) D. carbachol (Miostat) - CORRECT ANSWER=> A. cyclosporin (Restasis)" "Which next step should be included in the instructions following the administration of carbamide peroxide? A. Keep the eyes closed for 2-3 minutes B. Wait 15 minutes prior to inserting contact lenses C. Gently irrigate the ear canal with warm water D. Make sure vision is clear before driving - CORRECT ANSWER=> C. Gently irrigate the ear canal with warm water" "The nurse practitioner is prescribing medication for a patient with gastroesophageal reflux disease (GERD). Which of the following medication classes would be an inappropriate choice? A. Antacids B. Antispasmodics C. H2 blockers D. Proton pump inhibitors - CORRECT ANSWER=> B. antispasmodics" "A child has recently been diagnosed with giardiasis. Which of the following medications will the nurse practitioner prescribe? A. ivermectin (Stromectal) B. mesalamine (Apriso) C. metoclopramide (Reglan) D. metronidazole (Flagyl) - CORRECT ANSWER=> D. metronidazole (Flagyl)" "Which of the following medications may cause hypohidrosis? A. lactulose (Cephulac)
"An 18-year-old female presents to the office for insertion of the Skyla LNG IUD. As you prepare for the procedure, which information in her chart would cause you to reschedule her appointment for a later date? A. She was recently diagnosed with a right-sided ovarian cyst B. She is currently being treated for pelvic inflammatory disease C. She has poorly controlled type 1 diabetes mellitus D. She takes amphetamine/dextroamphetamine for attention deficit disorder - CORRECT ANSWER=> B. She is currently being treated for pelvic inflammatory disease" "A 33-year-old presents to the office with the desire to start combined oral contraceptives. This method is contraindicated if which of the following is part of her health history? A. First-degree relative with breast cancer B. Gestational hypertension during her second pregnancy C. Smoking five cigarettes per day D. Factor V Leiden - CORRECT ANSWER=> D. Factor V Leiden" "Which statement is true regarding the use of backup contraception following the initial start of combined oral contraceptives (COC)? A. Backup contraception should be used for the first seven days of the menstrual cycle after a Sunday start B. Backup contraception is not needed with the quick start method C. Backup contraception is needed for the first full menstrual cycle following the first day start method D. Backup contraception should be used for the first 14 days of the menstrual cycle with the Sunday start method - CORRECT ANSWER=> A. Backup contraception should be used for the first seven days of the menstrual cycle after a Sunday start" "Which complaint would not be of concern in a patient newly started on norethindrone/ethinyl estradiol? A. Headache B. Abdominal pain C. Diplopia D. Irregular bleeding - CORRECT ANSWER=> D. Irregular bleeding"
"The nurse practitioner (NP) is evaluating a teenager who reports having taken 42 extra-strength acetaminophen (Tylenol) caplets. What will the NP order as an antidote? A. magnesium sulfate (Epsom salt) B. Calcium gluconate (Kalcinate) C. acetylsalicylic acid (Aspirin) D. acetylcysteine (Mucomyst) - CORRECT ANSWER=> D. acetylcysteine (Mucomyst)" "Which of the following medications is least likely to be associated with Stevens-Johnson syndrome? A. acetaminophen (Tylenol) B. allopurinol (Zyloprim) C. morphine (Roxanol) D. naproxen (Anaprox) - CORRECT ANSWER=> C. morphine (Roxanol)" "A patient has had repeat attacks of gout over a one-to two-year period. Which medication should the nurse practitioner choose for long-term treatment for this patient? A. ibuprofen (Motrin) B. allopurinol (Zyloprim) C. hydrocortisone (Cortef) D. colchicine (Colcrys) - CORRECT ANSWER=> B. allopurinol (Zyloprim)" "The nurse practitioner has just diagnosed a patient with mild rheumatoid arthritis. Which medication will the nurse practitioner likely prescribe? A. Corticosteroid B. Disease-modifying anti-rheumatic drug (DMARD) C. Nonsteroidal anti-inflammatory drug (NSAID) D. Opioid - CORRECT ANSWER=> C. Nonsteroidal anti-inflammatory drug (NSAID)" "Which testing is needed prior to initiation of biologic response modifiers for rheumatoid arthritis? A. Complete blood count B. Chest x-ray C. Hepatitis B and C
C. Dopamine D. Acetylcholine - CORRECT ANSWER=> D. Acetylcholine" "Which of the following medications is the only one FDA-approved for the management of amyotrophic lateral sclerosis (ALS)? A. pramipexole (Mirapex) B. riluzole (Rilutek) C. tetrabenazine (Xenazine) D. topiramate (Topamax) - CORRECT ANSWER=> B. riluzole (Rilutek)" "Opal calls the clinic to ask for advice about OTC medications. She is complaining of runny nose and sneezing with no other symptoms. Past medical history is remarkable for hypertension. You would intervene if you over heard the office nurse tell her which of the following? A. "You may take an over-the-counter antihistamine like diphenhydramine or loratadine." B. "If your symptoms don't improve in 7 to 10 days, or if they get worse, come into the clinic." C. "You can take any of the over-the-counter cold remedies." D. "Be sure to wash your hands after sneezing or blowing your nose." - CORRECT ANSWER=> C. "You can take any of the over-the-counter cold remedies."" "A 5-month-old infant is diagnosed with influenza A. Her mother asks for information about keeping her fever down. Based on your knowledge of OTC antipyretics, which of the following statements by the nurse practitioner is best? A. "You may use acetaminophen for her fever." B. "You may use aspirin for her fever." C. "You may use ibuprofen for her fever." D. "You may use a combination of acetaminophen and ibuprofen for her fever." - CORRECT ANSWER=> A. "You may use acetaminophen for her fever."" "A patient that has been taking ranitidine and omeprazole for 2 years is at risk of ________________ deficiency? A. potassium B. vitamin C C. calcium D. vitamin B12 - CORRECT ANSWER=> D. vitamin B12"
"A patient with LLQ abdominal pain, fever, nausea, vomiting, and diarrhea, presents to the primary care clinic. Your initial workup includes a urinalysis and CBC with differential. The patient wants symptomatic relief while awaiting a diagnosis. Which medication would be contraindicated? A. acetaminophen (Tylenol) B. ibuprofen (Advil) C. loperamide (Imodium A-D) D. promethazine (Phenergan) - CORRECT ANSWER=> C. loperamide (Imodium A-D)" "The "Five Rights" of medication administration can help the nurse practitioner remember how to safely write a prescription. It is prudent to remember which additional two "rights" to ensure best prescribing practices? A. Pharmacy and location B. Rationale and documentation C. Nurse practitioner and patient's addresses D. Response and follow-up - CORRECT ANSWER=> B. Rationale and documentation" "Which of the following is true about Schedule II controlled substances? A. A prescription may only be called into the pharmacy in the event of an emergency B. They are highly addictive, and currently do not have any medical use C. Refills may be written, faxed, or called in to the pharmacy D. The patient will need a new prescription after five refills or six months - CORRECT ANSWER=> A. A prescription may only be called into the pharmacy in the event of an emergency" "According to the rule of prescribing scheduled medications, refills for schedule IV drugs such as lorazepam: A. Are allowed, and a new Rx is needed after one year of treatment B. Are allowed, and a new Rx is needed after three months of treatment C. Are allowed, and a new Rx is needed after six months of treatment D. Are not allowed - CORRECT ANSWER=> C. Are allowed, and a new Rx is needed after six months of treatment"
"The FNP is assessing a young child and notes a 2mm pustule on the left lower eyelid margin accompanied by erythema, swelling, and a small amount of purulent discharge. This finding is most consistent with which condition? A. Blepharitis B. Chalazion C. Conjunctivitis D. Hordeolum - CORRECT ANSWER=> D. Hordeolum" "What should the FNP prescribe for acute dacryocystitis? A. Antiviral medication B. Dacryocystorhinostomy C. Antimicrobial medication D. Cold compresses - CORRECT ANSWER=> C. Antimicrobial medication" "What is a key diagnostic finding in open-angle glaucoma? A. Papilledema B. Increased intraocular pressure C. Eye pain D. Sluggish pupils - CORRECT ANSWER=> B. Increased intraocular pressure" "Which of the following would the NP use to determine hearing loss? A. Audiogram B. Tympanogram C. Pneumatic otoscopy D. Computed tomography - CORRECT ANSWER=> A. Audiogram" "In a child with ototis media with effusion (OME), which characteristic will the tympanic membrane have upon otoscopic examination? A. Erythematous B. Bulging C. Retracted D. Vascular in appearance - CORRECT ANSWER=> C. Retracted"
"When educating a patient with Meniere disease about prevention of episodes, the NP teaches the patient to restrict all of the following except: A. Sodium B. Nicotine C. Fluid intake D. Caffeine - CORRECT ANSWER=> C. Fluid intake" "Of the following measures, which is recommended for preventing otitis media? A. Allowing supine bottle feeding B. Avoiding secondhand smoke C. Placing in a day care setting D. Allowing pacifier use - CORRECT ANSWER=> B. Avoiding secondhand smoke" "The NP has diagnosed an older adult patient with benign paroxysmal positional vertigo (BPPV). Which of the following tests aids in diagnosis? A. Positive Epley maneuver B. Pneumatic otoscopy C. Computed tomography D. Positive Dix-Hallpike test - CORRECT ANSWER=> D. Positive Dix-Hallpike test" "Which of the following objective findings would be consistent with the diagnosis of otitis externa? A. Bullae on the tympanic membrane B. Red, bulging tympanic membrane C. Increased pain with tragus palpation D. Tympanic membrane immobility - CORRECT ANSWER=> C. Increased pain with tragus palpation" "Which of the following is not a preventive measure for epistaxis? A. Using a water-based lubricant in the nares B. Not taking hot showers C. Avoiding forceful nose blowing D. Using a humidifier - CORRECT ANSWER=> B. Not taking hot showers"
