LEIK FNP practice questions QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED A+
It inhibits the effect of renal prostaglandins and blunts the
effectiveness of the diuretic - ANSWER//A 72 yo woman has
been on hydrochlorothiazide 12.5mg for many years to control
her Stae I HTN. Her blood pressure at this visit is 168/96. She is
currently complaining of pain in her right hip and on both knees.
She has increased her dose of ibuprofen from 400mg 3 times a
day to 800mg 3 times a day. She is still in pain and would like
something stronger. Which of the following statements is the
best explanation of the effects of ibuprofen on her disease.
Acute appendicitis - ANSWER//The NP would test the obturator
,and iliopsoas muscle to evaluate for what? A prescription of
methyldopa (Aldomet) to control BP - ANSWER//Treatment for
mild preeclampsia includes all of the following except: A) Bed
rest except for bathroom privileges B) Close monitoring of
weight and blood pressure C) Close follow-up of urinary protein,
serum creatinine, and platelet count D) A prescription of
methyldopa (Aldomet) to control BP. Nursing home care -
ANSWER//All of the following services are covered under
Medicare Part A except: A) Inpatient hospitalizations B)
Medicines administered to a patient while hospitalized C)
Nursing home care D) Surgeons Mycoplasma pneumonia -
ANSWER//A 28 yo student is seen in the school health clinic
with complaints of hacking cough that is productive of small
amounts of sputum and runny nose. He does not take any
meds, denies any allergies, and has no significant medical
history. 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. A chest x-ray shows diffuse
infiltrates in the lower lobe of the right lung. The total white
blood cell count is 10,500/uL. What is the likely diagnosis?
10mm - ANSWER//A 39 yo migrant worker presents to the
clinic 2.5 days after a purified protein derivative (PPD) test.
What minimum size of induration would be considered positive
for this patient? The patient's spouse has the right to override
the agent's decisions - ANSWER//All of the following are correct
statements regarding the role of the person named in a durable
power of attorney except: A) The agent's decisions are legally
binding B) The agent can make decisions in other areas of the
patient's life such as financial issues. C) The agent can decide
for the patient who is on life support when that life support can
be terminated. D) The patient's spouse has the right to override
the agent's decisions The patient has a medical illness that
causes an anxiety reaction and denial - ANSWER//The following
statement regarding Munchausen syndrome is false: Beta-
blockers - ANSWER//Which antihypertensive medications
,should the NP avoid when treating patient with emphysema?
Perform a complete and thorough history - ANSWER//A 30 y/o
chef complains of pruritic hives over her chest and arms but
denies difficulty breathing. She reports a family history of
allergic rhinitis and asthma. What intervention is most
appropriate? Edema of the face and upper extremities -
ANSWER//Which finding is most likely in young primigravidas
with pregnancy induced hypertension? Tingling and numbness
of both feet - ANSWER//Which symptom is associated with B12
deficiency anemia? Order an ultrasound - ANSWER//A second
triple screen on a 35 yo primigravida reveals abnormal low
levels of the alpha fetoprotein and estriol and high levels of
human chorionic gonadotropin. Which of the following
interventions is the best choice for this patient? Chlamydia
trachoma's - ANSWER//Pts. diagnosed with gonorrhea should
also be treated for what other infections? Osteoporosis -
ANSWER//Kyphosis is a late sign of Higher than normal -
ANSWER//A 35 y/o primigravida who is at 28wks gestation is
expecting twins. What would you would expect her alpha fetal
protein (AFP) to be? Calcium channel blockers -
ANSWER//Which of the following antihypertensive medications
has beneficial effects for an elderly white female with
osteoporosis? Knee instability - ANSWER//The Lachman
maneuver is used to detect which of the following? Tanner
Stage III - ANSWER//When an adolescent male's penis grows
more in length than width, at which of the following Tanner
stages is he classified? Toxoplasma gondii, other infections,
rubella, cytomegalovirus and herpes - ANSWER//Fetal TORCH
infections can cause microcephaly, mental retardation,
hepatosplenomegaly, and intrauterine growth retardation. The
acronym for TORCH stands for:. Laryngeal neoplasia -
ANSWER//HPV infection of the larynx has been associated with:
Degenerative joint disease - ANSWER//Mr. Brown is a 65 y/o
carpenter complaining of morning stiffness and pain in both his
hands and right knee upon awakening. He feels some relief
, after warming up. On exam, the nurse notices the presence of
Heberden's nodes. What is most likely diagnosis? Instability of
the knee - ANSWER//What does the positive posterior drawer
sign in a 10 yr old soccer player signify? From 33-35 cm -
ANSWER//A multigravida who is at 34 wks gestation wants to
know at what level her uterine funds should be. The best
answer is to advise the mother that her funds is: Advise mother
that her pregnancy is progressing well - ANSWER//A
multigravida who is 28wks gestation has a fundal height of
29cm. What is the best recommendation for this patient?
Creatinine - ANSWER//Which laboratory test is used in primary
care to evaluate renal function? Chronic intake of non steroidal
anti-inflammatory drugs (NSAIDs) can cause the disorder -
ANSWER//All of the following are false statements regarding
acute gastritis except: A) Chronic intake of non steroidal anti-
inflammatory drugs (NSAIDs) can cause the disorder B) Chronic
lack of dietary fiber is the main cause of the disorder C) The
screening rest for the disorder is the barium swallow test D)
The gold standard to evaluate the disorder is a colonoscopy.
Apraxia and fatigue - ANSWER//Signs and symptoms of
depression do not include: A) Upon deep inspiration by the
patient, palpate firmly in the right upper quadrant of the
abdomen below the costovertebral angle. - ANSWER//Which of
the following is an accurate description of eliciting for Murphy's
sign? A) Upon deep inspiration by the patient, palpate firmly in
the right upper quadrant of the abdomen below the
costovertebral angle B) Bend the patient at the hips and knees
at 90 degrees, then passively rotate hip externally, then
internally C) Ask the patient to quit, then place the stethoscope
on the apical area. D) Press into the abdomen deeply, then
released it suddenly Murphy's Sign - ANSWER//Positive if pain
occurs when performing RUQ palpation while patient takes a
deep breath, causing the patient to abruptly stop the deep
breath due to pain. As the liver is palpated, it will descend and
push up against the inflamed gallbladder and cause sharp pain
AND CORRECT DETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED A+
It inhibits the effect of renal prostaglandins and blunts the
effectiveness of the diuretic - ANSWER//A 72 yo woman has
been on hydrochlorothiazide 12.5mg for many years to control
her Stae I HTN. Her blood pressure at this visit is 168/96. She is
currently complaining of pain in her right hip and on both knees.
She has increased her dose of ibuprofen from 400mg 3 times a
day to 800mg 3 times a day. She is still in pain and would like
something stronger. Which of the following statements is the
best explanation of the effects of ibuprofen on her disease.
Acute appendicitis - ANSWER//The NP would test the obturator
,and iliopsoas muscle to evaluate for what? A prescription of
methyldopa (Aldomet) to control BP - ANSWER//Treatment for
mild preeclampsia includes all of the following except: A) Bed
rest except for bathroom privileges B) Close monitoring of
weight and blood pressure C) Close follow-up of urinary protein,
serum creatinine, and platelet count D) A prescription of
methyldopa (Aldomet) to control BP. Nursing home care -
ANSWER//All of the following services are covered under
Medicare Part A except: A) Inpatient hospitalizations B)
Medicines administered to a patient while hospitalized C)
Nursing home care D) Surgeons Mycoplasma pneumonia -
ANSWER//A 28 yo student is seen in the school health clinic
with complaints of hacking cough that is productive of small
amounts of sputum and runny nose. He does not take any
meds, denies any allergies, and has no significant medical
history. 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. A chest x-ray shows diffuse
infiltrates in the lower lobe of the right lung. The total white
blood cell count is 10,500/uL. What is the likely diagnosis?
10mm - ANSWER//A 39 yo migrant worker presents to the
clinic 2.5 days after a purified protein derivative (PPD) test.
What minimum size of induration would be considered positive
for this patient? The patient's spouse has the right to override
the agent's decisions - ANSWER//All of the following are correct
statements regarding the role of the person named in a durable
power of attorney except: A) The agent's decisions are legally
binding B) The agent can make decisions in other areas of the
patient's life such as financial issues. C) The agent can decide
for the patient who is on life support when that life support can
be terminated. D) The patient's spouse has the right to override
the agent's decisions The patient has a medical illness that
causes an anxiety reaction and denial - ANSWER//The following
statement regarding Munchausen syndrome is false: Beta-
blockers - ANSWER//Which antihypertensive medications
,should the NP avoid when treating patient with emphysema?
Perform a complete and thorough history - ANSWER//A 30 y/o
chef complains of pruritic hives over her chest and arms but
denies difficulty breathing. She reports a family history of
allergic rhinitis and asthma. What intervention is most
appropriate? Edema of the face and upper extremities -
ANSWER//Which finding is most likely in young primigravidas
with pregnancy induced hypertension? Tingling and numbness
of both feet - ANSWER//Which symptom is associated with B12
deficiency anemia? Order an ultrasound - ANSWER//A second
triple screen on a 35 yo primigravida reveals abnormal low
levels of the alpha fetoprotein and estriol and high levels of
human chorionic gonadotropin. Which of the following
interventions is the best choice for this patient? Chlamydia
trachoma's - ANSWER//Pts. diagnosed with gonorrhea should
also be treated for what other infections? Osteoporosis -
ANSWER//Kyphosis is a late sign of Higher than normal -
ANSWER//A 35 y/o primigravida who is at 28wks gestation is
expecting twins. What would you would expect her alpha fetal
protein (AFP) to be? Calcium channel blockers -
ANSWER//Which of the following antihypertensive medications
has beneficial effects for an elderly white female with
osteoporosis? Knee instability - ANSWER//The Lachman
maneuver is used to detect which of the following? Tanner
Stage III - ANSWER//When an adolescent male's penis grows
more in length than width, at which of the following Tanner
stages is he classified? Toxoplasma gondii, other infections,
rubella, cytomegalovirus and herpes - ANSWER//Fetal TORCH
infections can cause microcephaly, mental retardation,
hepatosplenomegaly, and intrauterine growth retardation. The
acronym for TORCH stands for:. Laryngeal neoplasia -
ANSWER//HPV infection of the larynx has been associated with:
Degenerative joint disease - ANSWER//Mr. Brown is a 65 y/o
carpenter complaining of morning stiffness and pain in both his
hands and right knee upon awakening. He feels some relief
, after warming up. On exam, the nurse notices the presence of
Heberden's nodes. What is most likely diagnosis? Instability of
the knee - ANSWER//What does the positive posterior drawer
sign in a 10 yr old soccer player signify? From 33-35 cm -
ANSWER//A multigravida who is at 34 wks gestation wants to
know at what level her uterine funds should be. The best
answer is to advise the mother that her funds is: Advise mother
that her pregnancy is progressing well - ANSWER//A
multigravida who is 28wks gestation has a fundal height of
29cm. What is the best recommendation for this patient?
Creatinine - ANSWER//Which laboratory test is used in primary
care to evaluate renal function? Chronic intake of non steroidal
anti-inflammatory drugs (NSAIDs) can cause the disorder -
ANSWER//All of the following are false statements regarding
acute gastritis except: A) Chronic intake of non steroidal anti-
inflammatory drugs (NSAIDs) can cause the disorder B) Chronic
lack of dietary fiber is the main cause of the disorder C) The
screening rest for the disorder is the barium swallow test D)
The gold standard to evaluate the disorder is a colonoscopy.
Apraxia and fatigue - ANSWER//Signs and symptoms of
depression do not include: A) Upon deep inspiration by the
patient, palpate firmly in the right upper quadrant of the
abdomen below the costovertebral angle. - ANSWER//Which of
the following is an accurate description of eliciting for Murphy's
sign? A) Upon deep inspiration by the patient, palpate firmly in
the right upper quadrant of the abdomen below the
costovertebral angle B) Bend the patient at the hips and knees
at 90 degrees, then passively rotate hip externally, then
internally C) Ask the patient to quit, then place the stethoscope
on the apical area. D) Press into the abdomen deeply, then
released it suddenly Murphy's Sign - ANSWER//Positive if pain
occurs when performing RUQ palpation while patient takes a
deep breath, causing the patient to abruptly stop the deep
breath due to pain. As the liver is palpated, it will descend and
push up against the inflamed gallbladder and cause sharp pain
