FNP Practice Test Welcome to your FNP Practice Test 1. FNP: Assessment When conducting a cardiovascular assessment on an elderly patient, what finding would suggest aortic stenosis? A high-pitched decrescendo diastolic murmur at the left sternal border A soft, low-pitched systolic murmur at the apex A harsh, crescendo-decrescendo systolic murmur at the right second intercostal space A continuous machine-like murmur None 2. FNP: Assessment When examining a patient's eye with suspected acute glaucoma, which finding would be expected? Pupillary constriction Pupillary dilation Red reflex absence Convergence retraction nystagmus None 3. FNP: Assessment What assessment finding is most indicative of early liver cirrhosis? Hepatomegaly with a smooth, firm edge Splenomegaly Ascites All of the above None 4. FNP: Assessment In a neurological assessment, which finding is most consistent with a diagnosis of meningitis? Positive Brudzinski's sign Absence of clonus Unilateral pupil dilation Absence of Babinski sign None 5. FNP: Assessment Which assessment finding is a common early indicator of diabetic peripheral neuropathy? Decreased vibration sense at the toes Hyperreflexia Positive Romberg sign Calf muscle hypertrophy None 6. FNP: Assessment When evaluating a patient for potential deep vein thrombosis (DVT), which physical examination test should be performed? Homans' sign Allen test Tinel's sign Phalen's test None 7. FNP: Assessment In assessing a patient with a suspected myocardial infarction, which of these findings would be considered a red flag? J-point elevation in multiple leads on EKG S3 heart sound Pulsus paradoxus Kussmaul's sign None 8. FNP: Assessment Which finding on lung assessment would most likely suggest chronic obstructive pulmonary disease 'COPD'? Prolonged expiration with wheezing Crackles at the lung bases Egophony above the diaphragm Increased vocal fremitus None 9. FNP: Assessment During an abdominal assessment, what finding is indicative of intestinal obstruction? Hypoactive bowel sounds High-pitched tinkling bowel sounds Silent abdomen Continuous low-pitched rumbling None 10. FNP: Assessment When assessing for appendicitis, which sign is most indicative of the condition? Rovsing's sign Obturator sign Psoas sign All of the above None 11. FNP: Assessment In assessing a patient with acute renal failure, what finding would suggest prerenal etiology? Urine osmolality < 350 mOsm/kg Fractional excretion of sodium > 2% BUN to creatinine ratio > 20:1 Urine sodium > 40 mEq/L None 12. FNP: Assessment What cardiovascular assessment finding is most specific for identifying left ventricular hypertrophy? Point of maximal impulse (PMI) lateral to the midclavicular line in the fifth intercostal space A high-pitched diastolic murmur at the left sternal border A split second heart sound A sustained, forceful PMI None 13. FNP: Assessment In an ophthalmologic assessment, which finding indicates acute angle-closure glaucoma? Visual acuity improvement with a pinhole Pupillary reaction slowed in the affected eye Optic disc swelling Mid-dilated, non-reactive pupil None 14. FNP: Assessment When performing a neurological examination, which sign is most indicative of a benign essential tremor? Tremor that worsens with movement Tremor that improves with alcohol Resting tremor Tremor associated with headache None 15. FNP: Assessment Which assessment technique is used to detect a fluid wave in a patient with suspected ascites? Shifting dullness Fluid thrill Percussion of Traube's space Palpation for hepatomegaly None 16. FNP: Assessment In a patient with suspected rheumatoid arthritis, which finding during joint examination is most indicative of the disease? Ulnar deviation of the wrist Dupuytren's contracture Heberden's nodes Swan neck deformity None 17. FNP: Assessment When assessing a child for developmental dysplasia of the hip, which clinical test is considered most reliable? Galeazzi sign Ortolani maneuver Barlow test All of the above None 18. FNP: Assessment In evaluating a patient for metabolic syndrome, which physical finding is a criterion for diagnosis? Waist circumference greater than 40 inches in men BMI over 30 kg/m2 Neck circumference over 16 inches Hip circumference greater than 35 inches in women None 19. FNP: Assessment Which finding on a skin examination would most likely suggest basal cell carcinoma? A rapidly enlarging red nodule A mole with irregular borders and multiple colors A pearly nodular lesion with telangiectasia A flat, painless, indurated ulcer None 20. FNP: Assessment In a cardiovascular assessment, which finding would suggest mitral valve prolapse? A mid-systolic click followed by a late systolic murmur A high-pitched diastolic murmur A systolic ejection murmur heard at the apex An early diastolic murmur None 21. FNP: Assessment When assessing a patient with suspected chronic liver disease, which finding is considered diagnostic of portal hypertension? Ascites Caput medusae Splenomegaly All of the above None 22. FNP: Assessment Which clinical finding is most indicative of a tension pneumothorax? Deviation of the trachea away from the affected side Hyperresonance on percussion over the affected area Sudden onset of unilateral chest pain and dyspnea All of the above None 23. FNP: Assessment In an adult patient undergoing a mental status exam, which finding is most concerning for advanced dementia? Inability to recall the names of common objects Poor short-term memory Difficulty following complex commands All of the above None 24. FNP: Assessment When assessing jugular venous pressure (JVP) in a patient, which finding is most suggestive of right heart failure? JVP 2 cm above the sternal angle at 45 degrees JVP not visible above the clavicle JVP 8 cm above the sternal angle while supine JVP fluctuating with respiration None 25. FNP: Assessment Which clinical finding on abdominal examination would most likely indicate a ruptured abdominal aortic aneurysm? A pulsatile abdominal mass Hypotension with a rapid, thready pulse Severe, sudden lower back pain All of the above None 26. FNP: Assessment When assessing a patient for early signs of hypothyroidism, which clinical feature is most specific? Weight gain Dry, coarse hair Cold intolerance Bradycardia None 27. FNP: Assessment In the assessment of a patient with a suspected peptic ulcer, which finding would most likely suggest a perforation? Epigastric tenderness Rebound tenderness Hematemesis Melena None 28. FNP: Assessment Which finding in a patient's fundoscopic examination would be most concerning for malignant hypertension? Copper wiring of arterioles Papilledema AV nicking Flame hemorrhages None 29. FNP: Assessment When evaluating a patient with suspected Marfan syndrome, which finding would be most diagnostic? Long arm span relative to height High arched palate Pectus excavatum Lens dislocation None 30. FNP: Diagnosis A 62-year-old male patient presents with sudden onset of severe headache, photophobia, and neck stiffness. What is the most likely diagnosis? Migraine Cluster headache Meningitis Subarachnoid hemorrhage None 31. FNP: Diagnosis A 45-year-old female reports fatigue, weight gain, and constipation. Physical examination reveals dry skin and bradycardia. What is the most appropriate initial diagnostic test? Serum glucose Thyroid-stimulating hormone (TSH) level Electrocardiogram (ECG) Complete blood count (CBC) None 32. FNP: Diagnosis A patient presents with joint pain and stiffness that improves with activity but worsens after rest. The pain is symmetrical and involves multiple joints. What is the most likely diagnosis? Osteoarthritis Rheumatoid arthritis Gout Fibromyalgia None 33. FNP: Diagnosis A 3-year-old presents with a high fever, drooling, and a muffled voice. The child is sitting upright, leaning forward, and appears anxious. What is the most likely diagnosis? Asthma Epiglottitis Croup Acute bronchitis None 34. FNP: Diagnosis A patient presents with sudden, severe abdominal pain, vomiting, and signs of shock including tachycardia and hypotension. What is the most likely diagnosis? Acute pancreatitis Peptic ulcer disease Appendicitis Ruptured abdominal aortic aneurysm None 35. FNP: Diagnosis A 55-year-old smoker presents with a new cough, weight loss, and hemoptysis. What is the most likely diagnosis? Acute bronchitis Pneumonia Tuberculosis Lung cancer None 36. FNP: Diagnosis A patient presents with pallor, fatigue, and tachycardia. Lab tests show low hemoglobin and hematocrit with high mean corpuscular volume (MCV). What is the most likely diagnosis? Iron deficiency anemia Vitamin B12 deficiency Acute blood loss Hemolytic anemia None 37. FNP: Diagnosis A patient reports severe recurrent temporal headaches and jaw claudication. Examination shows a tender, thickened temporal artery. What is the most likely diagnosis? Migraine Temporal arteritis Trigeminal neuralgia Tension headache None 38. FNP: Diagnosis A 30-year-old female presents with dyspnea, chest pain, and a rapid heart rate. She recently took a 12-hour flight. D-dimer test returns positive. What is the most likely diagnosis? Acute myocardial infarction Pneumothorax Pulmonary embolism Costochondritis None 39. FNP: Diagnosis A patient with a history of alcohol abuse presents with confusion, ophthalmoplegia, and ataxia. What is the most likely diagnosis? Hepatic encephalopathy Wernicke's encephalopathy Delirium tremens Stroke None 40. FNP: Diagnosis A 28-year-old female presents with pelvic pain, irregular menstruation, and infertility. Physical examination shows a palpable mass in the pelvic area. What is the most likely diagnosis? Pelvic inflammatory disease Endometriosis Uterine fibroids Ovarian cyst None 41. FNP: Diagnosis A 40-year-old male presents with polyuria, polydipsia, and unexplained weight loss. Blood tests reveal elevated blood glucose levels. What is the most likely diagnosis? Type 1 Diabetes Mellitus Type 2 Diabetes Mellitus Chronic kidney disease Hyperthyroidism None 42. FNP: Diagnosis A patient presents with a butterfly rash on the face and joint pain. Lab tests show antinuclear antibodies 'ANA'. What is the most likely diagnosis? Dermatomyositis Rheumatoid arthritis Systemic lupus erythematosus (SLE) Scleroderma None 43. FNP: Diagnosis An elderly patient presents with acute onset of chest pain radiating to the back and a tearing sensation. Blood pressure is different in each arm. What is the most likely diagnosis? Acute myocardial infarction Aortic dissection Pulmonary embolism Pericarditis None 44. FNP: Diagnosis A patient presents with night sweats, fever, and unexplained weight loss over the past month. A chest X-ray shows a mediastinal mass. What is the most likely diagnosis? Lymphoma Tuberculosis Sarcoidosis Bronchogenic carcinoma None 45. FNP: Diagnosis A patient with severe back pain following a fall presents with decreased sensation in the lower extremities and bladder incontinence. What is the most likely diagnosis? Herniated disc Spinal cord injury Compression fracture Lumbar sprain None 46. FNP: Diagnosis A 50-year-old patient presents with a red, warm, swollen knee joint and severe pain on movement. Synovial fluid analysis shows negatively birefringent crystals. What is the most likely diagnosis? Osteoarthritis Rheumatoid arthritis Gout Pseudogout None 47. FNP: Diagnosis A patient presents with severe headache, nausea, and blurred vision. Fundoscopic examination reveals papilledema. What is the most likely diagnosis? Migraine Glaucoma Brain tumor Hypertensive crisis None 48. FNP: Diagnosis A 35-year-old female presents with dysphagia, especially with solids, and regurgitation of undigested food. No significant weight loss is reported. What is the most likely diagnosis? Gastroesophageal reflux disease 'GERD' Achalasia Esophageal cancer Peptic ulcer disease None 49. FNP: Diagnosis A newborn presents with bilious vomiting and abdominal distension within the first two days of life. An abdominal X-ray shows a "double bubble" sign. What is the most likely diagnosis? Pyloric stenosis Intestinal malrotation with volvulus Hirschsprung's disease Duodenal atresia None 50. FNP: Diagnosis A 25-year-old male presents with digital ulceration and severe, episodic digital ischemia triggered by cold or stress. Which diagnostic test is most appropriate to confirm the suspected diagnosis? Rheumatoid factor (RF) Antinuclear antibodies 'ANA' Erythrocyte sedimentation rate (ESR) Nailfold capillaroscopy None 51. FNP: Diagnosis A 40-year-old female with a history of asthma presents with acute worsening of her respiratory symptoms. She is using her inhaler more frequently with limited relief. What is the most likely diagnosis? Acute bronchitis Asthma exacerbation Chronic obstructive pulmonary disease 'COPD' Pneumonia None 52. FNP: Diagnosis A 60-year-old presents with bluish discoloration of fingers and toes, along with pain and cold sensitivity in the extremities. What condition are these symptoms indicative of? Peripheral neuropathy Raynaud's disease Deep vein thrombosis Peripheral arterial disease None 53. FNP: Diagnosis A patient presents with sudden, excruciating lower back pain, hematuria, and nausea. What diagnostic test should be initially performed? Abdominal ultrasound Renal function test Computed tomography (CT) of the abdomen Urinalysis None 54. FNP: Diagnosis A patient presents with severe chest pain, radiating to the back and persisting for hours. The patient is hypotensive and tachycardic. What is the most likely diagnosis? Pericarditis Myocardial infarction Aortic dissection Pulmonary embolism None 55. FNP: Diagnosis A 30-year-old presents with abdominal pain, bloody diarrhea, and weight loss. Colonoscopy shows continuous colonic inflammation. What is the most likely diagnosis? Crohn's disease Ulcerative colitis Irritable bowel syndrome (IBS) Celiac disease None 56. FNP: Planning A nurse practitioner is developing a care plan for a patient with newly diagnosed type 2 diabetes. Which of the following is the most important element to include for immediate intervention? Scheduled physical activity Patient education on foot care Nutritional counseling for a balanced diet Social support and counseling services None 57. FNP: Planning When planning care for a patient with chronic obstructive pulmonary disease 'COPD', which intervention should be prioritized to enhance quality of life and reduce exacerbations? Low-intensity exercise program Annual influenza vaccination Cognitive behavioral therapy Nutritional supplementation None 58. FNP: Planning For a patient experiencing frequent migraine headaches, which of the following preventive strategies should a nurse practitioner prioritize in the treatment plan? Prophylactic medication Referral to a neurologist Regular sleep schedule Stress management techniques None 59. FNP: Planning A nurse practitioner is planning care for an elderly patient with advanced dementia. Which of the following interventions should be prioritized to ensure safety and well-being? Regular cognitive therapy sessions Enhanced indoor lighting Installation of safety rails and alarms Daily structured activities None 60. FNP: Planning In planning care for a post-operative patient who underwent coronary artery bypass grafting (CABG), what is the most critical element to include for promoting recovery? Pain management protocols Cardiac rehabilitation referral Regular dietitian consultations Psychological support for stress management None 61. FNP: Planning When planning care for a patient with severe arthritis, which intervention should a nurse practitioner prioritize to maximize the patient's independence and mobility? Joint replacement surgery referral Physical therapy for joint mobility High-dose anti-inflammatory medication Community support group participation None 62. FNP: Planning In planning postpartum care for a mother diagnosed with postpartum depression 'PPD', what is the most crucial element to include? Regular pediatrician visits for the baby Supportive psychotherapy and counseling for the mother Breastfeeding support and resources Immediate family education about PPD None 63. FNP: Planning A nurse practitioner is creating a care plan for a teenager with newly diagnosed type 1 diabetes. Which educational topic should be emphasized as the priority? Long-term complications of diabetes Daily glucose monitoring and insulin administration Importance of regular physical activity Nutritional management and diet planning None 64. FNP: Planning For a patient recently diagnosed with HIV, what should a nurse practitioner prioritize in the initial care plan? Psychological counseling for coping with the diagnosis Immediate family testing and counseling Antiretroviral therapy initiation Nutritional assessment and planning None 65. FNP: Planning When planning a care strategy for a patient with end-stage renal disease'ESRD' on hemodialysis, what is the most crucial intervention to incorporate? Scheduling for regular dental check-ups Adherence to a strict fluid restriction regimen Social worker consultations for emotional support Exercise recommendations for maintaining muscle mass None 66. FNP: Planning A nurse practitioner is developing a care plan for an elderly patient with Parkinson's disease. Which intervention should be prioritized to manage the risk of falls? Cognitive behavioral therapy Occupational therapy for home safety evaluation Prescription of anti-parkinsonian medications Regular vision and hearing checks None 67. FNP: Planning In planning care for a patient with bipolar disorder, which intervention should be emphasized to prevent relapse during periods of remission? Regular exercise and activity scheduling Ongoing medication management Psychoeducational programs Regular sleep pattern maintenance None 68. FNP: Planning A nurse practitioner is planning a smoking cessation program for a patient who has smoked for 20 years. What should be the primary focus of the intervention? Immediate cessation with pharmacological aids Gradual reduction in smoking frequency Psychological counseling for addiction Enrollment in a support group None 69. FNP: Planning For a patient with severe seasonal allergies, what is the most critical planning aspect for effective management? Allergy testing to identify specific allergens Prophylactic use of antihistamines Environmental modifications at home and work Education on the use of epinephrine auto-injectors None 70. FNP: Planning When planning care for a patient recently diagnosed with celiac disease, which dietary intervention should a nurse practitioner prioritize? Gluten-free diet initiation High-fiber diet Low-fat diet High-protein diet None 71. FNP: Planning In developing a care plan for a patient with congestive heart failure (CHF), which intervention should be prioritized to optimize cardiac function and reduce hospital readmissions? Sodium restriction in the diet Regular aerobic exercise Daily weight monitoring Cognitive behavioral therapy for stress management None 72. FNP: Planning A nurse practitioner is planning post-surgical care for a patient who had a total knee replacement. What is the most important aspect to include for optimal recovery? Pain management protocols Aggressive physiotherapy beginning on day one Nutritional counseling for weight management Regular follow-up visits to monitor healing None 73. FNP: Planning When planning a care strategy for a patient with ulcerative colitis during a flare-up, which intervention should be emphasized? High-fiber diet Probiotic supplementation Use of aminosalicylates and corticosteroids Stress reduction techniques None 74. FNP: Planning For a patient with a history of recurrent kidney stones, what should be the primary focus in the care plan to prevent future episodes? Increased fluid intake Low calcium diet Regular renal ultrasound monitoring Medications to dissolve stones None 75. FNP: Planning A nurse practitioner is planning care for a patient with advanced liver disease. Which nutritional adjustment should be prioritized to minimize complications? Increased protein intake Reduced sodium intake High-calorie meals Low-fiber diet None 76. FNP: Planning When planning care for a patient with severe asthma, which intervention should a nurse practitioner prioritize to prevent acute exacerbations? Introduction of leukotriene modifiers Regular peak flow monitoring Stress management techniques Aerobic exercise program None 77. FNP: Planning In developing a care plan for a patient with systemic lupus erythematosus (SLE), what is the most crucial element to include for flare management? Sun protection High-dose vitamin D supplementation Regular aerobic exercise NSAID administration None 78. FNP: Planning A nurse practitioner is planning a care plan for a pregnant woman at high risk for preeclampsia. Which of the following interventions should be emphasized? Regular weight checks Low-salt diet Aspirin therapy starting from the second trimester Increased fluid intake None 79. FNP: Planning For a patient with chronic kidney disease 'CKD' stage 4, what dietary change should a nurse practitioner prioritize to slow disease progression? High protein intake Reduced potassium intake Phosphorus restriction Increased carbohydrate intake None 80. FNP: Planning When planning care for a patient recovering from a myocardial infarction, what intervention should be prioritized to reduce the risk of another cardiac event? Beta-blocker therapy Psychological counseling High-intensity interval training Dietary modification to include omega-3 fatty acids None 81. FNP: Planning A nurse practitioner is planning care for an adolescent with severe acne. What should be the primary focus of the treatment plan? Antibiotic therapy Dietary changes to reduce oily foods Topical retinoids Psychological assessment for self-esteem issues None 82. FNP: Planning In planning care for a patient with obstructive sleep apnea 'OSA', which intervention should a nurse practitioner prioritize to immediately improve nighttime breathing? Weight loss program CPAP machine use Surgical evaluation for adenoid removal Introduction of sedatives to improve sleep quality None 83. FNP: Planning For a patient with recent unexplained weight loss and fatigue, what should be the primary focus in the initial care plan? Immediate caloric supplementation Comprehensive metabolic panel Referral for psychiatric evaluation Increased physical activity None 84. FNP: Planning When planning a smoking cessation program for a patient who has smoked for 20 years, what should be the primary focus of the intervention? Immediate cessation with pharmacological aids Gradual reduction in smoking frequency Psychological counseling for addiction Enrollment in a support group None 85. FNP: Implementation A nurse is implementing a smoking cessation plan for a patient with chronic bronchitis. What is the most effective strategy to enhance long-term cessation success? Recommend quitting "cold turkey" Prescribe a nicotine replacement therapy Advise reducing the number of cigarettes gradually Suggest smoking only low-tar cigarettes None 86. FNP: Implementation In managing a patient with postpartum depression, what is the priority nursing intervention? Encourage complete rest and isolation until symptoms improve Initiate antidepressant therapy and regular psychiatric follow-ups Recommend the cessation of breastfeeding to alleviate hormonal influences Suggest frequent visits from large groups to improve social interaction None 87. FNP: Implementation For a patient with advanced liver disease, what dietary recommendation is crucial to prevent further complications? High protein diet to repair liver cells Low sodium diet to prevent fluid accumulation Increased fat intake for energy High carbohydrate diet to increase glycogen stores None 88. FNP: Implementation In teaching a patient about the management of systemic lupus erythematosus (SLE), which advice should the nurse prioritize to minimize flare-ups? Exposure to sunlight for vitamin D synthesis Regular use of nonsteroidal anti-inflammatory drugs (NSAIDs) Adherence to prescribed immunosuppressive medications High-intensity exercise to boost energy levels None 89. FNP: Implementation A nurse is caring for a patient undergoing treatment for tuberculosis. What is the most important instruction to give to ensure effective treatment? Complete the full course of antibiotics, even if symptoms improve Take antibiotics only when experiencing coughing fits Discontinue medication as soon as the test results are negative Use antibiotics intermittently to prevent resistance None 90. FNP: Implementation When planning care for a patient with acute pancreatitis, what nursing intervention is essential to manage pain and prevent complications? Encourage frequent, heavy meals to assess digestive function Administer analgesics and maintain NPO status as prescribed Recommend alcohol consumption to stimulate pancreatic activity Increase activity level to enhance metabolic rate None 91. FNP: Implementation For a patient with severe allergic rhinitis, what is the best nursing practice to reduce symptom severity during peak allergy season? Recommend keeping windows open to ensure fresh air circulation Advise the patient to avoid known allergens and use air purifiers Encourage outdoor exercise to boost immune response Suggest discontinuing any use of antihistamines to prevent dependency None 92. FNP: Implementation A 55-year-old male with a history of heart failure is prescribed furosemide. What is the most important instruction the nurse should give regarding medication adherence? Take the medication with meals Take the medication at night Weigh yourself daily at the same time Increase potassium intake daily None 93. FNP: Implementation When implementing a care plan for a patient with COPD, which intervention should be prioritized to enhance oxygenation? Administering bronchodilators regularly Monitoring oxygen saturation hourly Encouraging fluid intake of at least 2 liters per day Positioning the patient in a high Fowler's position None 94. FNP: Implementation A patient with type 2 diabetes is prescribed a new medication regimen. What is the best strategy to ensure adherence? Providing written instructions only Scheduling weekly follow-ups Using pill organizers and setting reminders Adjusting dosages based on symptoms None 95. FNP: Implementation In administering intravenous antibiotics to a patient with sepsis, what is an essential action to prevent complications? Rotating the IV site every 24 hours Using a larger gauge needle Checking drug compatibility Administering a test dose first None 96. FNP: Implementation When teaching a patient with asthma about the correct use of a peak flow meter, which of the following is the most important to emphasize? Use the meter after taking bronchodilators Record the highest of three readings Use the meter before breakfast Rinse the mouth after using the meter None 97. FNP: Implementation For a patient starting anticoagulation therapy with warfarin, what is an essential dietary education point? Increase intake of green leafy vegetables Maintain a consistent intake of Vitamin K Avoid foods high in vitamin D Increase fluid intake None 98. FNP: Implementation A nurse is implementing a fall prevention protocol in a geriatric ward. What strategy is most effective? Install bed alarms for all patients Conduct hourly rounds Provide non-slip socks to all patients Place all high-risk patients close to the nursing station None 99. FNP: Implementation In managing a diabetic foot ulcer, what is a critical component of the treatment plan? Daily hydrocolloid dressing change Weekly debridement by a specialist Biweekly glucose monitoring Monthly vascular assessments None 100. FNP: Implementation When educating a patient with hypertension about lifestyle modifications, which recommendation is most likely to impact blood pressure control? Limit sodium intake to less than 2,300 mg per day Exercise for 30 minutes five days a week Limit alcohol intake to one drink per day Achieve and maintain a healthy weight None 101. FNP: Implementation For a patient receiving chemotherapy, what is a crucial nursing intervention to manage side effects? Administer antiemetics before chemotherapy Increase the rate of infusion to decrease time of exposure Monitor white blood cell count once per month Encourage intake of raw vegetables for nutrition None 102. FNP: Implementation For a patient with severe rheumatoid arthritis, what is the most effective nursing intervention to enhance mobility and reduce pain? Administer NSAIDs only when pain is severe Recommend total bed rest during flare-ups Apply hot and cold treatments periodically Encourage gentle, regular physical therapy None 103. FNP: Implementation A nurse is caring for a patient who is post-operative day one following a colectomy. What is the most important intervention to prevent post-operative complications? Encourage the patient to remain in bed Administer pain medication intravenously Encourage deep breathing and use of an incentive spirometer Monitor blood pressure every four hours None 104. FNP: Implementation In managing care for a patient with acute renal failure, what is the priority nursing intervention? Increase protein intake to support renal function Monitor fluid intake and output carefully Encourage high potassium foods Schedule dialysis bi-weekly None 105. FNP: Implementation For a patient with a history of myocardial infarction who is experiencing emotional stress, which intervention should a nurse prioritize? Schedule more frequent cardiac evaluations Teach stress reduction techniques, such as deep breathing and meditation Increase the dosage of beta-blockers Recommend limiting physical activity None 106. FNP: Implementation In preparing a patient for radiation therapy for breast cancer, what is an essential nursing intervention? Advise the patient to avoid using deodorant on the affected area Recommend a high-fat diet to increase energy Encourage the patient to wear tight-fitting clothes over the area Increase fluid intake only post-treatment None 107. FNP: Implementation A nurse is implementing dietary adjustments for a patient with hyperlipidemia. Which advice is most effective in lowering LDL cholesterol? Increase intake of saturated fats Incorporate more soluble fiber into the diet Focus on a diet high in protein Eliminate all fats from the diet None 108. FNP: Implementation When planning care for a patient with bipolar disorder during a manic episode, which intervention is crucial? Decrease stimulation in the environment Encourage frequent social interactions Provide detailed and complex instructions Offer choices for every decision None 109. FNP: Implementation For a pediatric patient with asthma, what is a critical aspect of the education plan to ensure safety at school? Teach how to use a metered-dose inhaler with a spacer Instruct on avoiding all physical activity Suggest keeping windows closed at all times Recommend transferring to a school with a full-time nurse None 110. FNP: Implementation For a patient with chronic kidney disease, what dietary advice should the nurse emphasize to manage electrolyte imbalances? Increase consumption of bananas and oranges Limit intake of high-potassium foods Encourage high-protein diets Increase intake of fluid None 111. FNP: Implementation A nurse is planning care for an elderly patient with urinary incontinence. Which intervention should be included to minimize episodes of incontinence? Decrease fluid intake during the evening hours Encourage caffeine consumption to increase diuresis Prescribe diuretics to be taken at bedtime Limit bathroom visits to specific times None 112. FNP: Implementation When teaching a patient how to manage a new stoma post-colostomy, what is the most important information to provide? How to apply and remove the ostomy bag The schedule for routine colonoscopy screenings Recommendations for dietary changes Techniques for abdominal muscle strengthening None 113. FNP: Implementation For a patient with severe anxiety, which nursing action is most effective in managing acute anxiety attacks? Teach the patient to recognize triggers and use cognitive-behavioral techniques Encourage the patient to avoid situations that provoke anxiety Administer sedatives regularly, regardless of symptoms Recommend complete social isolation until anxiety is under control None 114. FNP: Implementation A nurse is implementing a plan of care for a patient recovering from a myocardial infarction. Which activity level should be recommended initially? Bed rest with bathroom privileges only Light exercise such as walking, starting with short distances Immediate return to regular exercise to strengthen the heart High-intensity interval training to quickly regain stamina None 115. FNP: Implementation In educating a patient about the administration of subcutaneous insulin, what is the most important technique to demonstrate? Rotating the injection sites Using the same injection site to reduce discomfort Injecting directly into muscle to increase absorption Applying pressure after injection to prevent bleeding None 116. FNP: Implementation When planning care for a patient with dementia, what intervention is key to minimizing disorientation? Keeping the environment brightly lit at all times Frequently rearranging the furniture Maintaining a consistent routine and environment Encouraging visits from unfamiliar people None 117. FNP: Implementation For a patient undergoing chemotherapy, what is a crucial intervention for managing mucositis? Encourage the consumption of spicy foods to stimulate healing Use a hard-bristled toothbrush for dental hygiene Rinse the mouth with a saline solution frequently Avoid oral hydration to reduce discomfort None 118. FNP: Implementation What is the most effective strategy for preventing deep vein thrombosis (DVT) in a postoperative patient confined to bed? Keep the patient on strict bed rest Administer anticoagulant medication as prescribed Perform lower leg exercises once per week Apply heat packs to the legs daily None 119. FNP: Implementation In preparing a diabetic patient for self-management at home, which educational point is critical? Checking blood sugar once a week Recognizing signs of hyperglycemia and hypoglycemia Eliminating carbohydrates entirely from the diet Using the same site for insulin injections None 120. FNP: Implementation A nurse is instructing a patient with congestive heart failure on fluid restriction. Which statement by the nurse is most appropriate? "Drink at least 3 liters of water daily to stay hydrated." "Limit fluid intake to less than 2 liters per day as prescribed." "Only drink fluids when you feel thirsty." "Fluid restriction is not necessary unless you experience swelling." None 121. FNP: Implementation For a patient with severe burns, what is the priority nursing intervention? Applying topical antibiotics once per day Encouraging ambulation within the first 24 hours Ensuring adequate nutrition and hydration Using alcohol-based cleansers on the burn area None 122. FNP: Implementation When managing a patient with severe depression who refuses to eat, which intervention should be prioritized? Enforce a strict meal schedule Initiate total parenteral nutrition immediately Offer high-calorie, nutrient-dense foods Provide a detailed lecture on the importance of nutrition None 123. FNP: Implementation For a patient with a terminal illness, what is the most appropriate nursing action to support quality of life? Discourage discussions about death Focus solely on physical symptoms Implement comprehensive palliative care Limit family visits to reduce stress None 124. FNP: Implementation In teaching a patient with hypertension about necessary lifestyle changes, which recommendation is the most effective? Increase sodium intake to improve flavor in diet Engage in aerobic exercise for 150 minutes per week Sleep no more than 6 hours per night Avoid all forms of stress None 125. FNP: Implementation When planning post-operative care for a patient after hip replacement surgery, what is an essential nursing intervention? Encourage immediate weight-bearing on the affected leg Keep the legs in a dependent position to promote blood flow Teach the patient to perform leg exercises to prevent blood clots Instruct the patient to stay in bed for several days post-surgery None 126. FNP: Implementation When educating a patient on managing chronic pain with opioid medications, what is the most important safety information to provide? Increase dosage at will when pain escalates Avoid driving or operating heavy machinery Take medication with alcohol for enhanced effect Store medication in visible areas for easy access None 127. FNP: Implementation For a patient with acute otitis media, what is an essential intervention to relieve pain and facilitate drainage? Prescribe antibiotics as a first-line treatment Apply a warm compress to the affected ear Encourage the insertion of cotton swabs into the ear canal Recommend total silence in the environment None 128. FNP: Evaluation When evaluating a patient with suspected heart failure, which laboratory test is essential for assessing the severity of the condition? Complete blood count 'CBC' Liver function tests (LFTs) Brain Natriuretic Peptide (BNP) Fasting blood glucose (FBG) None 129. FNP: Evaluation A patient presents with acute onset of abdominal pain. What imaging study is most appropriate to initially evaluate suspected biliary colic? Abdominal X-ray Ultrasound of the abdomen CT scan of the abdomen MRI of the abdomen None 130. FNP: Evaluation Which test is most appropriate for the initial evaluation of a patient presenting with symptoms of a thyroid disorder? Thyroid-stimulating hormone (TSH) Serum calcium Hemoglobin A1C Serum potassium None 131. FNP: Evaluation In evaluating a patient with suspected rheumatoid arthritis, which serological test is most specific for confirming the diagnosis? Rheumatoid factor (RF) Anti-cyclic citrullinated peptide (anti-CCP) Erythrocyte sedimentation rate (ESR) C-reactive protein (CRP) None 132. FNP: Evaluation A patient with a known history of lung cancer presents with new-onset seizures. What is the most appropriate initial diagnostic test to evaluate the cause? Complete blood count 'CBC' Brain MRI Chest X-ray Electrolyte panel None 133. FNP: Evaluation In a patient with acute onset of lower extremity swelling, which diagnostic test is essential to rule out deep vein thrombosis? D-dimer Doppler ultrasound Venography Blood pressure measurement in both legs None 134. FNP: Evaluation What is the most appropriate initial test to evaluate a patient for possible acute myocardial infarction (AMI)? Electrocardiogram (ECG) Chest X-ray Complete metabolic panel Troponin I levels None 135. FNP: Evaluation When assessing a patient with suspected pelvic inflammatory disease, which diagnostic procedure is considered the most definitive? Transvaginal ultrasound Endometrial biopsy Pelvic examination Laparoscopy None 136. FNP: Evaluation In evaluating a patient with suspected celiac disease, which of the following tests is considered most specific for diagnosing this condition? Total IgA Tissue Transglutaminase IgA Complete blood count Stool fat content None 137. FNP: Evaluation For a patient experiencing symptoms of a urinary tract infection, which of the following is the most appropriate initial diagnostic test? Urine culture Urinalysis Cystoscopy Blood urea nitrogen (BUN) None 138. FNP: Evaluation Which diagnostic test is most useful for initially evaluating a patient with suspected congestive heart failure? Echocardiogram Electrocardiogram (ECG) Chest X-ray Serum electrolytes None 139. FNP: Evaluation In the evaluation of a patient with severe abdominal pain, which diagnostic test is essential to differentiate between acute pancreatitis and other causes of abdominal pain? Abdominal ultrasound Lipase level Lactate dehydrogenase (LDH) Serum amylase None 140. FNP: Evaluation For a patient presenting with new neurological symptoms, which imaging study is most appropriate to evaluate for potential multiple sclerosis? CT Scan of the head MRI of the brain and spinal cord X-ray of the spine PET scan None 141. FNP: Evaluation In evaluating a patient with chronic cough and weight loss, which test is critical for diagnosing tuberculosis? Chest X-ray Sputum culture for Mycobacterium tuberculosis Pulmonary function test CT scan of the chest None 142. FNP: Evaluation A patient with suspected peripheral arterial disease 'PAD' has intermittent claudication. Which test is most appropriate to confirm the diagnosis? Ankle-brachial index (ABI) Doppler ultrasound of the lower extremities Arteriography Treadmill exercise test None 143. FNP: Evaluation What is the most appropriate test to evaluate a patient with suspected acute glomerulonephritis? Renal biopsy Urine protein Serum creatinine 24-hour urine collection for protein None 144. FNP: Evaluation For evaluating a child with suspected growth hormone deficiency, which test provides the most definitive information? Serum growth hormone level Bone age X-ray Growth hormone stimulation test Insulin-like growth factor 1 (IGF-1) level None 145. FNP: Evaluation When assessing a patient with suspected preeclampsia, which diagnostic measure is most critical? Blood pressure measurement Urine protein quantification Liver function tests Complete blood count (CBC) None 146. FNP: Evaluation In the evaluation of a patient with new-onset ascites, which diagnostic test is essential to determine the cause? Liver function tests Abdominal ultrasound Paracentesis Serum-ascites albumin gradient (SAAG) None 147. FNP: Evaluation Which test is most appropriate for the initial evaluation of a patient presenting with symptoms of a thyroid disorder? Thyroid-stimulating hormone (TSH) Serum calcium Hemoglobin A1C Serum potassium None 148. FNP: Evaluation In a patient with acute onset of lower extremity swelling, which diagnostic test is essential to rule out deep vein thrombosis? D-dimer Doppler ultrasound Venography Blood pressure measurement in both legs None 149. FNP: Evaluation For a patient experiencing symptoms of a urinary tract infection, which of the following is the most appropriate initial diagnostic test? Urine culture Urinalysis Cystoscopy Blood urea nitrogen (BUN) None 150. FNP: Evaluation In evaluating a patient with chronic cough and weight loss, which test is critical for diagnosing tuberculosis? Chest X-ray Sputum culture for Mycobacterium tuberculosis Pulmonary function test CT scan of the chest None 1 out of 150 Time is Up! Time's up
