Practice Quiz

FNP Family Nurse Practitioner Exam Prep - Question List

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171.

A 44-year-old woman who is overweight comes in for an urgent care/ visit.  She with abdominal pain and nausea. The patient says the symptoms started suddenly about two hours ago and describes the pain as severe, sharp, and localized to the right upper quadrant.

On exam, vital signs show blood pressure of 110/85, pulse 85, temperature 98.6, respiratory rate 22, and oxygen saturation of 99% on room air. There is tenderness to palpation in the right upper quadrant, no rebound or guarding.

Laboratory findings are unremarkable.

Right upper quadrant ultrasound shows stones present in the gallbladder. There is no evidence of gallbladder wall thickening or pericholecystic fluid. A sonogram is negative for the Murphy sign. EKG is normal.

Fluid resuscitation, NSAID, and ondansetron are given. What is the next best step in management?

  1. Administer IV ceftriaxone 1 g, IV metronidazole 15 mg/kg, and consult general surgery for immediate laparoscopic cholecystectomy.
  2. Observe until pain remits. Then discharge home with strict return precautions and referral for cholecystectomy.
  3. Administer IV ceftriaxone 1 g, IV metronidazole 15 mg/kg , admit to hospital, and consult for MRCP.
  4. Obtain abdominal and pelvis CT with contrast.
  5. Perform technetium 99m HIDA.
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172.

Your new primary care patient, a 24 year old woman, has seizures.  The seizures include staring and some movements, but no convulsion, loss of consciousness, or postictal symptoms.  What are these types of seizures called?

  1. Absence
  2. Clonic
  3. Tonic
  4. Simple
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173.

Your primary care patient is a 47-year-old man diagnosed with thromboangiitis obliterans (Buerger’s disease). What is important to communicate to the patient that he manages carefully?

  1. Vitamin K Intake
  2. Cigarette smoking
  3. Excessive stress
  4. Diet low in vitamin C and iron
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174.

Your patient, a 20-year-old pre-medical student, whispers to you that he needs help with balanitis. He is indicating he is suffering from inflammation of:

  1. Inflammation of the lips
  2. Inflammation of the eye lids
  3. Inflammation of the glans penis
  4. Inflammation of the male mammary gland
  5. None of the above
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175.

Your family practice patient, Michael, is a 16-year-old boy with Down syndrome. His mother would like him to be independent with dressing in the morning. But she says she must still help him zip his coat and get his shoes on. Sometimes, she even has to help him snap his jeans after using the bathroom. What do you tell her?

  1. “Michael and I will work harder on fine motor skills. I will ask OT to revise his goals.”
  2. “Michael still has a hard time with fine motor skills, even though we’ve been working on them for a long time. We might want to consider adapting those tasks for him, so he can be independent.”
  3. “Michael is lazy. He is a teenage boy, and he does not want to work on OT anymore. All he wants to do is talk about are trucks and girls.”
  4. “You shouldn’t help Michael so much. Let him struggle with these tasks, so he will learn that he has to do them himself.”
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