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FNP 2 exam 1 practice questions and 100% Verified Answers
with Rationales
- ThefbacteriumfresponsiblefforfthefhighestfmortalityfinfptsfwithfCAPfis: A. StrepfPneumo B. Mycoplasmafpneumo C. Moraxellafcatarrhalis D. Haemophilusfinfluenzae:fStreptococcusfpneumoniae
- Whenfinitiallyftreatingfadultsfforfbronchitis,fwhichfwouldfthefNPfbefleastflikelyftoforder ? A. Expectorants B. Antibiotics C. Bronchodilators D. Antitussives:fB.fAntibiotics
- Whatfisfthefleastfcommonfpathogenffoundfinfcommunity-acquiredfatypicalfpneumonia? A. Moxarellafcatarrhalis B. StrepfPneumo C. Pseudomonasfaeruginosa D. MycoplasmafPneumonia:fC.fPseudomonas:fisfanfuncommonfcausefoffCAPfbutfisfveryfdifficul tfbacteriaftoftreat
- Whichfofftheffollowingfisfrecommendedfforferythemafmigransftreatmentfinfearlyfstagesfo fflymefdisease? A. Doxycylinef(Vibramycin)f100mgfPOfBIDfX21fdays B. Ciprofloxacinf(Cipro)f 250 fmgfPOfBIDfX14fdays C. Erythromycinf(E-mycin)f333mgfPOfTIDfX10fdays D. Dixoxacillinf500mgfPOfBIDfXf 10 fdays:fA.fDoxycylinef100mgfPOfBIDfX21fdays-
fRecommendedfbyfthefCDCfasfgoldfstandardftreatment
- 28 fy.o.fstudentfpresentsfwithf"hackingfcough."fProductivefwithfsmallfamountsfsputum,fr unnyfnose.fDoesn'tftakefanyfmeds,fnofallergies,fnofsignif- ficantfPMH.fTemp:f99.9F,fResp:f16/min,fHR:f 90 fBPM,fdiffuseffinefcrackles.fCXRfshowsfdiffusefi nfiltratesfinflowerflobefoffrightflung.fCBCfshowsfWBCfcountf10,500.fWhatfisfmostflikelyfdiagn osis? A. Strepfpneumo B. Mycoplasmafpneumo C. AcutefBronchitis D. Legionnairesfdisease:fB.fMycoplasma:fmostfcommonlyfseenfinfchildrenfand
B. Tick C. Insect D. Flea:fB:fTickfwithfparasitefRickettsiafrickettsii
- 4 fy.o.ffemalefcomesfinfafterfjustfstartingfprefschoolfcomplainingfoffburning/fitchingfinfbothf eyesfalongfwithfrunnyfnose.fChild'sfeyesfappearfinjectedfbilaterally,fthefthroatfisfredfandfherfi nferiorfnasalfturbinatesfarefswollen.fWhich
isfmostflikely? A. HerpesfKeratitis B. CornealfUlcer C. ViralfConjunctivitis D. Bacterialfconjunctivitis:fC:fViral- fnofsignsfoffinfectionfbutfptsfoftenfcomplainfoffred/fitchy/fswollenfeyes
- Whatftestfwouldfyoufusefonfaf 7 fy.o.ftofscreenfforfcolorfblindness? A. Snellenfchart B. Ishiharafchart C. Cover/uncoverftest D. RedfReflex:fB:fIshiharafchart
- Koplik'sfspotsfarefassociatedfwith: A. Poxvirusfinfections B. Measles C. Kawasaki'sfdisease D. Reye'sfsyndrome:fB.fMeasles:fS/Sfoffthefmeaslesfincludesf 3 fC's!fCough,fcoryza,fconjunctivitis,f rash,ffeverfoverf101FfandfKoplik'sfspotsfinfbuccalfmucosa
- Anfelderlyfptfwithfproductivefcoughf+ffeverfdiagnosedfwithfpneumonia.fAllfofftheffollowing forganismsfarefcapablefoffcausingfCAPfexcept: A. Haemophilusfinfluenzae B. Mycoplasmafpneumoniae C. Treponemafpallidum D. StrepfPneumo:fC.fTreponemafpallidumfisfafspirochetefthatfcausesfsyphilis
- Youfwouldfadvisefanf 18 fy.o.fatfthefstudentfhealthfclinicfwhofjustfgotfanfMMRfboosterfw hichfofftheffollowing: A. Shefmayfhaveflowfgradeffeverfoverfnextf 24 - 48 fhrs B. Notftofgetfpregnantfwithinfthefnextf 4 fweeks
A. Tomatoes,foranges,fbananas B. Cheese,fyogurt,fmilk C. Lettuce,fbeef,fdairyfproducts. D. Spinach,fliver,fandfwholefwheatfbread:fD:fSpinachfliverfandfwholefwheat
- 67 fy.offemalefpresentsftofthefclinicfwithf 50 fpkfyearfhxfoffsmokingfforfphysical.fC/ofbeingf easilyfshortfoffbreath/ffrequentffatigue.fPhysicalfrevealsfdiminishedfbreathfsounds,fhyperre sonancefandfhypertrophiedfrespfmuscles.fHerfCBCfshowsfthatfherfhematocritflevelfisfslightl yfelevated.fHerfpulmonaryffunctionftestfshowsfincreasedftotalflungfcapacity.fWhatfisfmostfli kelyfDXfforfthisfpt? A. Bronchogenicfcarcinoma B. COPD C. Chronicfbronchitis D. CHF:fB:fCOPD:fresultsfinfpolycythemiaf(IncreasedfHematocrit)fdueftofchronicfhypoxia.fAlsofy oufmayfnotefdigitalfclubbing,fdyspneafonfexertion,faccessoryfmusclefuse
- af 28 fy.o.fmalefnursefoffHispanicfdescentfreportsfhxfoffafcoldfthatfresolvedftwofweeksfagofe xceptfforfafdryfcough,fandfpainfinfhisfcheekfthatfworsensfwhenfhefbendsfdown.fPtfdeniesffeve r,ftellsfNPfhefisfveryfallergicftofkeflexfandferythromycin.fVitals:fTempf99.2F,fHR:f72,fandfRR:f 12 fbr eaths/min.fWhichfofftheffollowingfisfmostflikely? A. Acutefsinusitis B. Acutefbronchitis C. Feverf2ndaryftofrecentfURI D. Munchausen'sfsyndrome:fA.fAcutefSinusitis:facutefsinusitisfsxfincludeffacialfpain,fcough,f andflowfgradeffever
- Allfofftheffollowingfarefimplicatedfinfcausingfchronicfcoughfexcept: A. Chronicfbronchitis B. Allergicfrhinitis C. AcutefviralfURI D. GERD:fCfAcutefviralfURI:fThefkeyfinfthisfquestionfisfwherefitfsaysfwhatfcausesf"CHRONICfCO
UGH."fAnfacutefviralfillnessfwillfresolve,fwhilefchronicfbronchitis,fGERD,fandfallergicfrhinitisfca nfallfcausefchronicfcoughs.
- Whichfofftheffollowingfviralfinfectionsfisfassociatedfwithfoccasionalfab- fnormalfformsfofflymphocytesfduringfanfacutefinfection?
10 f/f 23 bonefmarrowfmakesfsmallfpalefRBCsf(microcyticfhypochromic),fandfmicrocyticfanemiafoccur s.
- Whichfofftheffollowingffindingsfarefseenfinfafpatientfwithffolatefdeficiencyfanemia? A. MicrocyticfandfHypochromicfRBCs
B. MicrocyticfandfnormochromicfRBCs C. NormalfsizefandfcolorfRBCs D. MacrocyticfandfNormocyticfRBCs:fD:fMacrocyticfandfNormocyticfRBCsfareffoundfinfFolat efdeficiencyfanemia
- Leadfpoisoningfcanfcausefwhichftypefoffanemia? A. Afmildfmacrocyticfanemia B. Normocyticfanemia C. Microcyticfanemia D. Afmildfhemolyticfanemia:fC:fMicrocyticfanemia:fLeadfpoisoningfcanfcausefmi- fcrocyticfanemia.fCausesfanemiafbyfmimickingfhealthfulfmineralsfsuchfasfCalcium,fironfandfzin c.fIsfabsorbedfbyfthefbonesfwherefitfdisruptsfthefformationfoffRBCs.
- Allfofftheffollowingfarefassociatedfwithfanfincreasedfriskfforfnormocyticfanemiafexcep t: A. Rheumatoidfarthritis B. Lupus C. Chronicfimmunefdisorders. D. Pregnancy:fD:fPregnancy,fduringfpregnancyfwomenfatfriskftofdevelopfmicrocytic,fhypochromicf anemiafdueftofdilutionalfeffectfoffincreasedfbloodfvolumefinfpregnancy.
- Anfinfantfwhofdoesfnotfhavefafhistoryfoffreactivefairwayfdiseasefandfallergyfhasfbothfinsir atoryfandfexpiratoryfwheezingfaccompaniedfbyffeverfandfprofusefclearfnasalfdischarge,fwhic hfofftheffollowingfarefmostflikely? A. Tracheobronchitis B. Bronchiolitis C. Croup D. Afsmallfforeignfbodyfthatfisflodgedfinfthefleftfmainfbronchus:fB:fBronchiolitis:fTracheobronchi tisfincludefprominentfdry,fnonfproductivefcough;flaterfcoughingfupfsputumfisfcommon.fBronchi olitisfisfafviralfinfectionfcausedfbyfRSVfthatfisfcommonlyfseenfduringfthefwinter/fspringfmonthsfinfinf antsf&fyoungfchildren.fTypicalfS/Sfincludeffever/finspiratory/fexpiratoryfwheezing,fwithfclearfdrain age.fCroupfisfviralfinfectionfwithfclassicf"barking"fcough;fthefptfmayfhavefrunnyfnosefbutfnoffeverf
C. Chronicfcoughing D. Tachypnea:fChronicfcoughing
- 10 fy.o.fmalefwhofwasfrecentlyfacceptedftofhisfschool'sfsoccerfteamfhasfafhxfoffexercisefi nducedfastnmafandfhefwantsftofknowfwhenfhefshouldftakefhisfalbuterolfinhaler.fThefNPfshoul dfadvisefhim: A. Premedicatefhimselff 20 fminfbeforefstartingfexercise B. WaitfuntilfhefstartsftofexerciseftofusefthefinhalerfPremedic atef 60 fminfpriorftofstartingfexercise D.fWaitfuntilfheffinishesfhisfexerciseftofusefinhaler:fA:fPremedicatef 20 fminfpriorftofstartingfexerci se
- 12 fy.o.fcomplainingfoff 2 fweekfhistoryfofffacialfpressure,fthatfworsensfwhenfshefbendsfover.f Shefc/oftoothfpainfinfherfupperfmolarsfonfthefrightfsidefoffherfface.fOnfphysicalfexam,fherflungf andfheartfsoundsfarefnormal.fWhichfofftheffollowingfisfthefmostflikelyfDX? A. Anfacutefdentalfabscess B. Chronicfsinusitis C. Acutefsinusitis D. Severefallergicfrhinitis:fC;fAcutefsinusitis:fs/sfincludeffacialfpressure,fheadache,fpainfthatfwor sensfwhenfbendingfover,feye/earfpain,fachingfinfupperfjaw/fteeth,freducedfsmell/ftastefandfcou gh.
- Whatfisfthefbestfprocedurefforfevaluatingfcornealfabrasion? A. Tonometry B. Fluoresceinfstain C. VisualfFieldftest D. Funduscopy:fB.fFluoresceinfstain
- Af 12 fy.o.fmale'sfpeakfinspiratoryfflowfratefresultsfshowf 60 - 80%foffthefpredictedfrange.fHowfwouldfyoufclassifyfhisfasthma? A. Mildfintermittent B. MildfPersistent
C. Moderatefpersistent D. Severefasthma:fCfmoderatefpersistent-f 60 - 80%fpeakfflowftestsfisfmoderatefpersistentfandfanythingflessfthanf60%fisfsevere
- Afchestfradiographfshowsfanfareafoffconsolidationfonftheflowerflobe.fWhichfofftheffo llowingfconditionsfisfthefmostflikely?
entsfyoungerfthanf 60 fwithfCAPfwithfnofcofmorbidities? A. Firstfgenfcephalosporins B. SecondfGenfcephalosporins C. Macrolides D. BetafLactamfantibiotics:fC.fMacrolides
- WhenfMolluscumfContagiosumfisffoundfinfthefgenitalfareafoffchildren,fwhichfofftheff ollowingfisfthefbestfexplanation? A. Itfshouldfraisefsuspicionfoffsexualfabuse B. ItfisfnotfconsideredfanfSTI C. ItfisfcausedfbyfAtypicalfbacteria D. Itfisfcausedfbyfthefpoxvirusfandfwillfresolvefonfit'sfown:fA.fItfshouldfraisefconcernfforfsexualf abuse:fMolluscumfContagiosumfisfspreadfbyfskinftofskinfcontact,fifffoundfinfthefgenitalfareafitfsho uldfraisefconcernfforfsexualfabuse
- Whichfofftheffollowingfisfthefcorrectfstatementfregardingfthefsizefoffthefarteriolesfandf veinsfonftheffundifoffthefeye? A. Veinsfareflargerfthanfarterioles B. Thefarteriolesfareflargerfthanfveins C. Thefarteriolesfarefhalffthefsizefoffthefveins D. Thefveinsfandfthefarteriolesfarefequalfinfsize:fA:fThefveinsfareflargerfthanfthefarterioles- fthisfshouldfbefapparentfonfaffundoscopicfexam
- WhichfofftheffollowingftestsfwouldfyoufrecommendftofpatientsftofconfirmfDXfoffbetafthal assemiaforfsicklefcellfanemia? A. HemoglobinfElectrophoresis B. BonefMarrowfBiopsy C. PeripheralfSmear D. Reticulocytefcount:fA.fHemoglobinfElectrophoresis
- Allfofftheffollowingffactorsfincreasefriskfoffmortalityfforfpatientsfdiagnosedfwithfbacterialf pneumoniafexcept: A. Alcoholism B. Veryfyoungfageforfthefelderly C. Multipleflobarfinvolvement D. Hypertension:fD:fHypertension
- Orchitisfisfcausedfbyfwhichfofftheffollowing?
- Afcauliflowerflikefgrowthfwithffowlfsmellingfdischargefisfseenfinfanfoto- fscopicfexamfoffthefleftfearfoffanf 8 fy.o.fboyfwithfafhxfoffchronicfotitisfmedia.fNoftympanicfmembr ane,fossicles,farefvisiblefandfthefptfseemsftofhavefdifficultyfhearingfoutfoffthefaffectedfear.f Whichfconditionfisfthefbestfdescribed? A. ChronicfperforationfoffTMfwithfsecondaryfbacterialfinfetcion B. ChronicfMastoiditis C. Cholesteatoma D. Cancerfoffthefmiddlefear:fC:fCholesteatoma
- Whichfofftheffollowingfisfassociatedfwithfhavingf 3 fstagesfoffrashes? A. Fifthfdisease B. Erythemafinfectiosum C. Varicella D. Rockyfmountainfspottedffever:fA:fFifthfdisease:f(Prodromalfphase)fbeginsfwithfsxfoffURIfsuchf asffever,fmalaise,fheadache,fandfchills.fSecondfstage:fRashfbeginsfonfthefcheeksfknownfasfthef" slappedfcheek"fusuallyfresolvesfinf 2 - 3 fdays.fThirdfstage:frashfmovesftofarmsfandflegsfandfappearsf"lacey"fthatfisfflatfandfpurplefinfapp earance.fMayflastf 3 - 4 fweeks
- Af 15 fm.o.fchildfwhofisfeatingfandfbehavingfnormallyfisffoundftofhavefafhighffever.fAffewf daysfafter,ftheffeverfresolvesfandfthefinfantfbreaksfintofafmaculopapularfrash.fThisfisfafde scriptionfoffwhichfofftheffollowing? A. Erythemafinfectiosum B. RoseolafInfantumfC,f Fifthfdisease D.fScarletffever:fB.fRoseolafInfantumf(Alsofknownfasffifthfdisease).fSlappedfcheekfappearance.fTh efhappyfrash,fkidsfdon'tfseemfsick
- Newfpatientfwhofrecentlyfvisitedfrelativefinfnorthfcarolinafc/ofafnewfonsetffever,fandfredf rashesfthatfstartedf 2 fdaysfago.fFirstfrashfappearedfonfwristsfandfankles,fandfincludedfpalms foffhands.fPtfreportsfthefrashfisfspreadingftofhisftrunk.fHisfeyesfarefnotfinjected,fandfnofenlar gedfnodesfarefpalpatedfonfhisfneck.fTherefisfnofdesquamationfoffthefskin.fWhichfofftheffollowi
ngfisfmostflikely? A. Kawasaki'sfdisease B. Meningococcemia C. RockyfMountainfspottedffever
