Family Nurse Practitioner Test Family Nurse Practitioner Practice 3 — Questions and Answers
Question 1: A 3-year-old child presents with inspiratory stridor, a barking cough, and low-grade fever. The symptoms worsen at night. What is the most likely diagnosis?
- Epiglottitis
- Croup (laryngotracheobronchitis) (Correct answer)
- Foreign body aspiration
- Bacterial tracheitis
Correct answer: Croup (laryngotracheobronchitis)
Viral croup classically presents with a barking cough, inspiratory stridor, and symptoms that worsen at night in young children.
Question 2: A 25-year-old woman presents with dysuria and urinary frequency. Urinalysis shows positive nitrites and leukocyte esterase. She is not pregnant. What is the first-line treatment?
- Amoxicillin-clavulanate for 7 days
- Nitrofurantoin for 5 days (Correct answer)
- Ciprofloxacin for 3 days
- Trimethoprim-sulfamethoxazole for 3 days
Correct answer: Nitrofurantoin for 5 days
Nitrofurantoin for 5 days is a first-line treatment for uncomplicated UTI due to low resistance rates and minimal systemic side effects.
Question 3: A 48-year-old man presents with a blood pressure of 158/96 mmHg on three separate visits. He has no other comorbidities. According to JNC guidelines, which is the most appropriate initial pharmacotherapy?
- Beta-blocker
- ACE inhibitor
- Thiazide diuretic (Correct answer)
- Alpha-1 blocker
Correct answer: Thiazide diuretic
Thiazide diuretics are recommended as first-line pharmacotherapy for uncomplicated hypertension by JNC guidelines.
Question 4: A 17-year-old male athlete presents with sharp left-sided chest pain that worsens with inspiration and began suddenly during practice. Breath sounds are diminished on the left. What is the most likely diagnosis?
- Costochondritis
- Spontaneous pneumothorax (Correct answer)
- Pleuritis
- Pericarditis
Correct answer: Spontaneous pneumothorax
Tall, thin young males are at risk for spontaneous pneumothorax, which presents with sudden pleuritic chest pain and decreased breath sounds.
Question 5: When counseling a patient about the Tdap vaccine, the FNP should advise that protection against pertussis typically wanes after approximately how many years?
- 2 years
- 5 years (Correct answer)
- 10 years
- 15 years
Correct answer: 5 years
Immunity from the Tdap vaccine against pertussis wanes significantly after about 5 years, which is why booster doses are recommended.
Question 6: A 62-year-old man with a 40 pack-year smoking history and COPD presents with progressive dyspnea. Spirometry shows FEV1/FVC ratio of 0.62 and FEV1 of 55% predicted. According to GOLD guidelines, what stage is his COPD?
- GOLD Stage 1 (Mild)
- GOLD Stage 2 (Moderate) (Correct answer)
- GOLD Stage 3 (Severe)
- GOLD Stage 4 (Very Severe)
Correct answer: GOLD Stage 2 (Moderate)
GOLD Stage 2 (Moderate) COPD is defined by FEV1/FVC <0.70 and FEV1 between 50-79% predicted.
Question 7: A mother brings her 9-month-old for a well-child visit. Which developmental milestone should the FNP expect this infant to have achieved?
- Walking independently
- Using a pincer grasp (Correct answer)
- Saying 2-word phrases
- Stacking 4 blocks
Correct answer: Using a pincer grasp
Pincer grasp (using thumb and forefinger) typically emerges between 9-10 months of age.
Family Nurse Practitioner Test Family Nurse Practitioner Practice 3
A 3-year-old child presents with inspiratory stridor, a barking cough, and low-grade fever.
The symptoms worsen at night.
What is the most likely diagnosis?