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

Intramuscular epinephrine in the anterolateral thigh is the first and most critical treatment for anaphylaxis due to its rapid onset and life-saving effect.

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

Positive leukocyte esterase (indicating WBCs) combined with positive nitrites (indicating gram-negative bacteria like E. coli) is most specific for bacterial UTI.

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

Acute urinary retention requires immediate bladder decompression via urethral catheterization to prevent renal damage and relieve pain.

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

SSRIs are first-line for major depressive disorder due to their favorable side effect profile, efficacy, and safety in overdose compared to older antidepressants.

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

Scabies is treated with permethrin 5% cream applied to the entire body surface from neck down and left on for 8–14 hours; all household members should be treated simultaneously.

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Family Nurse Practitioner Skill 5