FREE Family Nurse Practitioner Knowledge Questions and Answers

Question 1

Jerry, 35, has dermatosis and uses a high-potency corticosteroid cream. He also has tinea corporis. Tell him about the cream:

Accepted Answer

It may exacerbate your concurrent tinea corporis.

Answer

Be sure to use it daily.

Answer

You must use this for an extended period of time for it to be effective.

Answer

It will work better if you occlude the area.

Question 2

When your thyroid-stimulating hormone (TSH) is low, it can cause ______.

Accepted Answer

Osteoporosis

Answer

Weight gain

Answer

Brittle hair

Answer

Weight gain

Question 3

Two days ago, a 21-year-old woman presented to the clinic for evaluation of urine frequency and urgency. She has also observed little vaginal discharge. Symptoms are new to the patient. Urinalysis and culture are done on a urine sample. Which further results suggest pyelonephritis?

Accepted Answer

White blood cell casts

Answer

Microscopic hematuria

Answer

Bacteriuria

Answer

Leukocytosis

Question 4

In the middle of the night, after having a steak meal with friends, a 55-year-old man with type 2 diabetes mellitus appears with significant right foot discomfort. The first metatarsophalangeal joint is swollen and painful during physical examination. During a joint aspiration, monosodium urate crystals were seen in the synovial fluid under a microscope. Which of the following offers the most effective first care?

Accepted Answer

Non-steroidal anti-inflammatory drugs (NSAIDs)

Answer

Prednisone

Answer

Allopurinol

Answer

Probenecid

Question 5

A 50-year-old guy arrives for a hypersomnolence assessment. The patient routinely nods off while watching TV at home and has even fallen asleep at his desk at work. He regularly gets 8 hours of sleep each night while working a standard 40-hour workweek as a systems analyst. The patient claims to have a daily cup of coffee to help him "wake up" on his way to work in the morning and another in the late afternoon. Hypertension is present in the medical past. BMI is 38 kg/m2, and blood pressure is 160/100 mm Hg. Normal results from heart, lung, and neurological exams. Which of the following is the ideal course of management to take next?

Accepted Answer

Nocturnal polysomnography

Answer

CT scan of the head

Answer

Sleep hygiene education

Answer

Ambulatory ECG monitoring

Question 6

A 45-year-old man visits the clinic for a regular preventive checkup. Although he claims to be in good health, he does admit to having some dark spots on his back. On the back, a physical examination reveals numerous pigmented lesions, including a single, flat, dark, 9-mm lesion with wavy borders. Which of the following is the ideal next move in treating the skin lesion on this patient?

Accepted Answer

Excisional biopsy

Answer

Incisional biopsy

Answer

Reassurance and routine follow up only

Answer

Photographic documentation and comparison in 6-12 months

Question 7

A 50-year-old man is examined for a severe headache, motion sickness, and discomfort in his left eye. His symptoms began abruptly few hours ago, and despite rest and ibuprofen, his headache has not gone. He took an over-the-counter oral decongestant this morning due to a little cold he had. Physical examination reveals a nonreactive, mid-dilated left pupil. Conjunctival flushing makes the eye look red. In terms of management, which option below is more appropriate?

Accepted Answer

Tonometry

Answer

No additional management indicated

Answer

Eye patch placement and follow up in 3 days

Answer

Fluorescein staining of the eye

Question 8

A 62-year-old lady arrives at the office complaining of leg heaviness, particularly while standing for lengthy periods of time. The patient has spent the previous 20 years working as a cashier at a department store, and she reports that her symptoms are at their worst when her job ends. The calves and ankles of both lower limbs have bilaterally dilated, tortuous veins without erythema or edema upon examination. Examination of the upper extremities is unremarkable. Which of the following outcomes is at higher risk due to this patient's present condition?

Accepted Answer

Venous stasis ulcers

Answer

Myocardial infarction

Answer

Pulmonary embolism

Answer

Intermittent claudication

Question 9

A 36-year-old healthy guy arrives with 2 months' worth of sporadic episodes of rectal bleeding. When he first started noticing blood on the tissue after wiping, it was only in small streaks. However, after defecating yesterday, he dripped bright red blood and the stool was coated with blood. No anal or abdominal discomfort, anorexia, weight loss, or changes in bowel habits have been reported in the patient. No anomalies may be seen in the perianal skin. A digital rectal exam reveals no palpable masses or pain. Bulges in the mucosa are purple, as seen on anoscopy. The ideal next step in management is which of the following?

Accepted Answer

High-fiber diet and follow-up

Answer

Biopsy of the anal lesions

Answer

Referral for surgical evaluation

Answer

Referral for colonoscopy

Question 10

In active labor at 37 weeks along, a 26-year-old woman is diagnosed as gravida 2 para 1. She has an epidural and is slowly dilated to a full cervical opening. The fetal head is delivered, immediately retracts into the perineum, and the anterior shoulder is not delivered despite the patient pushing for two hours. Which of the following best describes the clinical presentation of this patient at risk?

Accepted Answer

Maternal type 2 diabetes mellitus

Answer

Maternal chronic hypertension

Answer

Fetal gestational age

Answer

Maternal age at delivery