Her symptoms suggest: neurological defects, vertigo, confusion, weakness, hemiparesis, temporary monocular blindness, ataxia, and diplopia, Common signs and symptoms of transient ischemic attack (TIA). Family Nurse Practitioner Certification Intensive Review: Fast Facts and Practice Questions by Maria T. Codina Leik MSN ARNP FNP-C AGPCNP-BC | Aug 12, 2013 4.7 out of 5 stars 802 The S3 component of the heart sound is normal to find in which patients? Commonly caused by a bite from an infected tick and can cause Lyme disease if not treated appropriately. A 55y/o woman who has type 2 diabetes is concerned about her kidneys. He cannot play contact sports because of the increased risk of cervical spine injury. The nurse questions the patient about the present date, month, and year. The night before, she started spotting and is now having cramp-type pains in her pelvic area. What is this test? The NP is aware that the following is true: A 10 yr old boy has type 1 diabetes. Koilonychia i associated with which condition? What is a possible side effect of the Td vaccine? The ELISA and Western Blot tests are both used to test for HIV. She complains of tooth pain in her upper molars on the right side of her face. Start studying LEIK FNP practice questions. You are reviewing a Pap smear report on a 25 y/o female. HPV infection of the cervix is associated with: Consist of penis lengthening and darker, course pubic hair, which begins to curl. Apply Candida or mumps antigen to the right forearm and the PPD on the left forearm and read results in 48-72 hrs. What would you recommend? She reports that he wants to join the football team in his school. All of the following are possible findings except: What types of changes occur in a menopausal woman? Her blood pressure is 160/80, the pulse rate is 110 and she is afebrile. (From Family Nurse Practitioner Certification Intensive Review, Third Edition , by Maria T. Codina Leik MSN, ARNP, FNP-C, AGPCNP-BC) 1. Pregnancy induced hypertension (preeclampsia). The PPD result must have induration and measure 10mm or greater to be positive in a low risk patient. In this condition, BP is higher in the arms than in the legs due to the narrowing in the aorta. You suspect an enterobiasis (pinworm) infection in a 6yr old girl. Initiate a prescription of nicotinic acid (niacin/niaspan). Performed on the knee or ankle to assess for knee instability. Doxycycline (Vibramycin) 100mg PO BID x 21 days. A lab technician has a 10.5mm area of readiness and induration in his left forearm after getting the Mantoux test 72 hours ago. The NP would: What factors are important in determining the peak expiratory flow volume? Nodules on the joints that can eventually destroy the bone that occur with high levels of uric acid, Nodes that develop in the joints of the hands. A 62yr old female complains of chronic severe low back pain. The approximate size of a grapefruit: just above the suprapubic bone. The patient had a little bleeding that stopped spontaneously. It is much worse in the morning and lasts for a few hours. A 28 y/o multipara who is 32 wks of gestation presents to your office comparing of sudden onset of small amounts of bright red vaginal bleeding She has had several episodes and appears anxious. It is easily spread from droplets, from sneezing and coughing, in close proximity. This mega-review covers test taking tips using Leik's unique "question dissection" technique, relevant content review, extensive practice questions, and detailed, current exam information in a "fast facts" style, saving you study time while providing comprehensive preparation. Lyme disease is most common in the northeastern US, Cimetidine (Tagamet), Digoxin (Lanolin), Diphenhydramine (Benadryl). What is the most common cause of left ventricular hypertrophy in the United States? If you are an auditory learner, attending a live presentation may be a great first step to beginning your exam prep. What minimum size of induration would be considered positive for this patient? When does jaundice occur for breastfed infants? During a sports physical exam, a 16yr old patient is noted to have a few beats of horizontal nystagmus on extreme lateral gaze that disappear when the eyes move back toward midline. This describes: The following things reflect inadequate breast milk production: The best screening test for detecting and monitoring both hyperthyroidism and hypothyroidism is: A pt who recently returned from a vacation in Latin America complains of a severe headache and stiff neck that are accompanied by a high fever for the past 12 hours. What is the best advice? The mother of a 13 y/o male with Down syndrome is in the FNP's office and wants a sports physical done for her son. 1. If you are studying for the family nurse practitioner certification exam, the highly acclaimed Family Nurse Practitioner Certification Intensive Review is a must-have resource, and with interactive digital prep included with purchase, it is easier than ever to study for the FNP exam. You note a Grade III/VI systolic murmur with an ejection click during physical exam. On pelvic exam, the uterine funds is found above the symphysis pubis. She still has the rash and wants an evaluation. Ace your AANP or ANCC Family Nurse Practitioner Exam with FNP Mastery! Download FNP: Nurse Practitioner Review and enjoy it on your iPhone, iPad, and iPod touch. How does it progress? Which defense mechanisms is this patient using? Decreased mobility of the tympanic membrane as measured by a tympanogram. Over the course you will be immersed in blended learning with multimedia knowledge checks and the review of case studies and practice questions with answers and rationale. Which of the following interventions is the best choice for this patient? During a routine physical exam of a 90 y/o woman, a low pitched diastolic murmur Grade II/VI is auscultated. All of the following are correct statements regarding the role of the person named in a durable power of attorney except: The patient has a medical illness that causes an anxiety reaction and denial. Diagnosis is based on symptoms and x-ray results of infiltrates in lower lobes. A non-productive cough accompanies her symptoms. old infant first? If you find benefit from our efforts here, check out our premium quality Family Nurse Practitioner study guide or online course to take your studying to the next level. Patients who are being screened for TB and are immunocompromised should be evaluated for anergy. It looks like your browser needs an update. A hereditary condition that occurs when the red blood cells break down, causing hemolysis, due to a missing or lack of sufficient enzyme that is needed to help the red blood cells work efficiently. BP must rise to get adequate blood flow to the lower extremities, therefore, the blood pressure able the coarctation rises to compensate. The child wants to know when he should take his albuterol inhaler. What would you would expect her alpha fetal protein (AFP) to be? The NP would recommend what? An abnormal shape of the nail, thin nailed, irregular edges and curves inward. Jason, an 8y/o with type 1 diabetes, is being seen for a 3-day history of frequency and nocturia. Learn vocabulary, terms, and more with flashcards, games, and other study tools. As of now, the app is called "FNP Family Nurse Practitioner Prep 2018" by Springer Publishing and Higher Learning Technologies, Inc. I also did FNP mastery App fo $30 or so. Folic acid supplementation is recommended for women who are planning pregnancy in order to. Maculopapular rash of the palms and soles. Tertiary rehab (rehab for a specific condition). An Rhpneative pregnant woman with negative Rubella titers should be vaccinated at what time period in pregnancy? What is the next step the NP would do to evaluate this patient? An elderly woman w/ a hx of rheumatoid arthritis reports to a NP that she had been taking ibuprofen BID for many years. Test performed to assess for knee instability. The inability of the heart to pump a sufficient amount of blood to the organs to meet the body's requirements. Designed to help FNP students boost their confidence through intensive review and high-quality questions, the third edition features succinct, precisely targeted "need-to-know" details of diseases commonly seen in primary care. Several family members also have the same symptoms. He denies flank pain and is afebrile. A test called the visual field by confrontation is used to evaluate for, Freckle, Petechiae, A flat 0.5 brown birthmark. A pelvic exam on a woman who is 12 wks pregnant would reveal that her uterus is located where? (This is caused by optic disc swelling that is caused by increased intracranial pressure. Fetal TORCH infections can cause microcephaly, mental retardation, hepatosplenomegaly, and intrauterine growth retardation. Do breastfed or bottle fed babies have a higher incidence of hyperbilirubinemia? Physical exam reveals a low-grade temperature of 99.9 degrees F, respirations of 16/min, pulse =90, and diffuse fine crackles in the base of the lungs. Pregnancy signs detected by the examiner such as an enlarged uterus. What would you prescribe this patient? What may reveal subclinical lesions on the penile skin? Test your knowledge with these 10 FNP sample questions! Severe thinking of the bones that contributes to this curvature in the spine. What is the next step? I thought it was better for ANCC exam but still helped a lot. some children, healthy young adults, athletes. A 55 y/o female with a BMI of 24 and history of asthma has hypertension that has been under control with HCTZ 12.5mg daily. When an adolescent male's penis grows more in length than width, at which of the following Tanner stages is he classified? Prophylaxis is not recommended for this patient. You advise an 18y/o female student who has been given a booster dose of MMR at the college health clinic that? Creation is the end product of creatine metabolism. All of the following are considered benign physiological variants. Absolute contraindications for the use of oral contraceptions. Headache is a common complaint). What is the best intervention for this patient? You note that it is 10mg/dL. To evaluate renal function. When checking for a red-reflex on a 3 y/o boy during a well child visit, a white reflection is seen on a child's left pupil. The following are associated with the secondary stage of an infection by the organism Treponema pallidum: What are acceptable methods of birth control for a breastfeeding mother? Her last Td booster was 9yrs ago. Pain in the joint of the great toe caused by the accumulation of uric acid and salts in the joint. The ration of the veins to arteries is 3:2. a 17 yr old boy reports feeling something on his left scrotum. Jim Wheeler is obese (BMI=33), fatigued and complaining of excessive thirst and hunger. What is most likely diagnosis? The affected wrist is hyperextended to break the fall. He has stopped drinking cold drinks because of the pain. A 30 y/o female who is sexually active complains of a large amount of milk-like vaginal discharge for several weeks. A 68 y/o woman with hypertension and diabetes is seen buy the NP, for dry cough that worsens at night when she lies in bed. The cover/uncover test is a screening tool for what? There are very few leukocytes and no RBCs are seen on the wet smear. The acronym for TORCH stands for:. What is the possible cause for the patient's cough? A high school teacher complains of a dry cough for the past 6wks. Flexion of the foot causing pain to the posterior calf area, suggestive of DVT. This sign is associated with an acute abdomen, such as during a ruptured appendix. What is this considered. I also listened to Barkley's CDs in the Fall as well. A bacterial infection of the vagina. (an annular lesion that enlarges and with time has a central clearing. Epidemiological studies show the Hashimoto's disease occurs most commonly in: A 48 y/o woman is told by a physician that she is starting menopause. It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic. Assessment of the 12 cranial nerves is called? It is most commonly seen in the genital and rectal areas, but can appear in other areas. The sooner you start, the better, in my opinion anyway To get pass fnp exam practice test you must answers correct. A 12-yr old girl is complaining of a 2-wk history of facial pressure that worsens when she bends over. What would you recommend? While doing a cardiac exam on a 45 y/o male, you note an irregular rhythm with a pulse rate of 110 ppm. sample fnp questions family nurse practitioner exam practice questions, Q:1-The nurse performs mental status examination on a 34-year-old patient with cognitive impairment. What would you recommend for on an annual basis for an elderly type 2 diabetic? She complaints that her uterus feels hard and is very painful. He denies eyes pain, visual changes, or headaches. HPV infection in women has been associated with the development of what?