Practice Quiz

FNP Family Nurse Practitioner Exam Prep - Question List

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66.

Your patient is 33 weeks pregnant.  She has painless, bright red vaginal bleeding. The vital signs were obtained and the external monitor has been applied. What of the following is a sensible next action of the nurse practitioner?

  1. Develop a nursing care plan for an emergency caesarean delivery.
  2. Place the client on her left side.
  3. Perform vaginal examination.
  4. Insert a urinary catheter.
  5. All of the above
See answer
67.

A 37-year-old female comes to see you and reports severe labial pain. She tells you the pain began a few days ago and has worsened steadily.

On exam, vital signs show blood pressure 120/75, pulse 75, temperature 98.6, respiratory rate 20, and oxygen saturation of 99% on room air. The patient appears well. Examination of the labia reveals a 3 cm fluctuant mass on the right side.

What is the best next step in management?

  1. Administer cephalexin plus metronidazole and discharge with return precautions
  2. Placement of a Word catheter and discharge with return precautions
  3. Administer ceftriaxone, metronidazole and azithromycin and discharge with return precautions
  4. Ultrasound of the mass
  5. Culture, administer vancomycin IV, and admit to hospital
See answer
68.
Your patient is a 17-year old teenage girl with Type I diabetes.  She has erratic blood glucose levels. She is on the school track team and works out in the afternoons for 1 ½ hours. Her meal plan consists of 3 meals, a pre-exercise snack of one fruit, and a bedtime snack of ½ cup of cereal and 1 cup of milk. Her insulin regimen is three units of regular insulin before breakfast and two units of regular insulin before dinner, and equal amounts of NPH mid-morning and bedtime. Lately, her pre-dinner blood glucose levels have been low. What would be the most effective nutrition intervention for her?
  1. Reduce the mid-morning NPH insulin by one unit and add a protein exchange to the afternoon snack.
  2. Increase the bedtime insulin and add another bread exchange to the bedtime snack.
  3. Reduce the afternoon exercise to 45 minutes and have her carry fruit juice with her in case she feels dizzy or weak.
  4. A & B
  5. None of the above
See answer
69.

Which IV solution should be used in treating a female patient with gynecological trauma?

  1. Lactated Ringer’s
  2. D5W
  3. 0.45 NS
  4. 0.9 NS
See answer
70.

You are working at an urgent care. An elderly female patient has slipped on ice and is displaying classic symptoms of a fractured rib.

The patient’s GCS level is 15, and oxygen saturation on room air is 93%. Heart rate is 112, blood pressure is 142/102.

What is the most appropriate course of treatment for this patient?

  1. Use rib binders for comfort, apply high flow O2, transport to a trauma center
  2. Apply supplemental O2 via nasal cannula, monitor for ventilatory changes, transport to a trauma center
  3. Bind the ribs for comfort, apply nebulized albuterol for dyspnea, give 324mg aspirin for chest pain, transport to a trauma center
  4. Give nitroglycerine 0.4mg sublingual for chest pain, apply high flow O2, transport to a cardiac center
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