1. A 45-year-old male patient presents to the FNP with complaints

of chest pain, shortness of breath, and palpitations for the past

two days. He has a history of hypertension, diabetes, and

smoking. He denies any fever, cough, or abdominal pain. What is

the most appropriate initial action by the FNP?

A) Order an electrocardiogram (ECG) and cardiac enzymes

B) Refer the patient to a cardiologist

C) Prescribe a beta-blocker and a statin

D) Perform a physical examination and a health history

Answer: A

Rationale: The patient has signs and symptoms of acute coronary

syndrome (ACS), which is a medical emergency that requires

prompt diagnosis and treatment. The FNP should order an ECG

and cardiac enzymes to confirm the diagnosis and assess the

severity of the condition. Referring the patient to a cardiologist,

prescribing medications, or performing a physical examination

and a health history are not immediate priorities in this situation.

2. A 32-year-old female patient visits the FNP for a routine

wellness check-up. She has no current health problems or

complaints. She works as a teacher and has two children aged 6

and 8. She reports that she exercises regularly, eats a balanced

diet, and does not smoke or drink alcohol. What is the most

appropriate preventive service that the FNP should offer to this

patient?

A) Pap smear

B) Mammogram

C) Colonoscopy

D) Bone density scan