Sarah Michelle FNP Practice Test QUESTIONS AND ANSWERS GRADED A 2024/2025

Sarah Michelle FNP Practice Test QUESTIONS AND
ANSWERS GRADED A 2024
1. 1. Question
A 65 year old female patient presents today to the clinic with worsening back pain over
the last week. She appears to be sweating and states that she is profusely dizzy. Which
of the following findings on her urinalysis would indicate the most immediate need for
referral to the emergency department ?
o Red blood cell (RBC) casts, as they are indicative of possible cytomegalovirus
o White blood cell (WBC) casts, as they are indicative of pyelonephritis
o Hyaline casts, as they are indicative of dehydration after exercise o Glucose, as it
confirms a new diagnosis of Diabetes
Correct
With the patient’s presenting symptoms, it appears that the likely diagnosis is
pyelonephritis. WBC casts in conjunction with the presenting symptoms would warrant
an immediate referral as it can be life threatening. Dehydration does not always warrant
an immediate referral, and glucose in the urine does not confirm a diagnosis of Diabetes.
RBC casts are not indicative of possible Cytomegalovirus (CMV).
2. 2. Question
A middle aged patient recently started taking Benadryl
(diphenhydramine) for issues with allergic rhinitis symptoms. Which of the following
signs or symptoms would be least likely for the patient to report after regularly taking
this medication?
o Blurred vision o Dry mouth o Diarrhea
o Urinary hesitancy
Correct
Benadryl (Diphenhydramine) is a second line treatment for allergic rhinitis. This drug
belongs to the antihistamine drug class which is notorious for anticholinergic side
effects. The typical anticholinergic side effects that can occur are constipation, vision
complaints, dry mouth, and urinary hesitancy.
3. 3. Question
A patient presented with suspected gallstones, and the ultrasound results indicate there
are no gallstones present. However, the patient continues to have symptoms of acute
cholecystitis. Which of the following would be the most appropriate next action for this
patient?
o Refer the patient for an MRI o Repeat the ultrasound as it can take weeks for
gallstones to appear
o Refer the patient for a HIDA scan
o Refer to general surgery to have the gallbladder removed
Correct
An ultrasound is the first line diagnostic test for cholecystitis. If the ultrasound is negative
for gallstones, the next appropriate step would be to refer the patient for a HIDA scan, which
is more sensitive. The patient does not necessarily need surgery right away, and an MRI is not
as sensitive as a HIDA scan is for cholecystitis. An ultrasound is used prior to a HIDA scan to
rule out gallstones due to safety concerns. 4. 4. Question
A 56-year-old male patient comes into the clinic after falling on ice. He states he was
carrying groceries in one arm and used the other to break his fall. He is now having pain
and tenderness in the hand which he fell on. Where would the nurse practitioner
palpate to examine this patient for a scaphoid fracture?
o The humeral tuberosity o The radial head
o The boxer’s anatomical position o The
anatomic snuffbox
Correct
The anatomical snuffbox is a triangle-shaped depression on the lateral aspect of the
back of the hand. It is best seen and palpated when the thumb is
extended. Tenderness in this area is indicative of a scaphoid fracture, also known as a
navicular fracture.
5. 5. Question
A patient is having excruciating pain in the side of their face a