Family Nurse Practitioner Test Family Nurse Practitioner Skill 5

Question 1

A 10-year-old child is brought in after a bee sting. She develops urticaria, throat tightness, and hypotension. What is the first-line treatment?

Accepted Answer

Epinephrine 0.3 mg IM in the lateral thigh

Answer

Diphenhydramine 50 mg IV

Answer

Methylprednisolone 125 mg IV

Answer

Albuterol nebulizer treatment

Question 2

Which finding on urinalysis is most specific for a urinary tract infection caused by E. coli?

Accepted Answer

Positive leukocyte esterase and nitrites with WBC casts

Answer

Presence of protein

Answer

Hematuria alone

Answer

Specific gravity > 1.020

Question 3

A 68-year-old male with a history of BPH presents with acute urinary retention. What is the immediate management?

Accepted Answer

Insert a urinary catheter to decompress the bladder

Answer

Start tamsulosin and reassess in 48 hours

Answer

Order a renal ultrasound before any intervention

Answer

Administer furosemide to promote urination

Question 4

A 40-year-old woman is newly diagnosed with major depressive disorder and has no prior psychiatric history. Which class of medication is the first-line pharmacologic treatment?

Accepted Answer

Selective serotonin reuptake inhibitors (SSRIs)

Answer

Tricyclic antidepressants (TCAs)

Answer

Monoamine oxidase inhibitors (MAOIs)

Answer

Benzodiazepines

Question 5

A school-age child presents with an intensely pruritic rash with linear burrows between the fingers and on the wrists, worse at night. What is the treatment?

Accepted Answer

Topical permethrin 5% cream applied from neck to toes and washed off after 8–14 hours

Answer

Oral antihistamine for 2 weeks

Answer

Topical hydrocortisone cream

Answer

Oral prednisone burst

Question 6

Which of the following is an absolute contraindication to the use of combined oral contraceptive pills (COCPs)?

Accepted Answer

Personal history of DVT or pulmonary embolism

Answer

Age over 35 with no smoking history

Answer

History of migraines without aura

Answer

Mild controlled hypertension

Question 7

A 55-year-old male with known coronary artery disease presents with crushing chest pain radiating to the left arm, diaphoresis, and nausea. ECG shows ST elevation in leads II, III, and aVF. Which coronary artery is most likely occluded?

Accepted Answer

Right coronary artery (RCA)

Answer

Left anterior descending (LAD) artery

Answer

Left circumflex artery

Answer

Left main coronary artery