Leik: FNP practice questions 1-100
A 72 year old woman has been on hydrochlorothiazide 12.5 mg for many years to control her Stage 11
hypertension. Her blood pressure at this visit is 168/96. She is currently complaining of pain on her right
hip and both knees. She has increased her dose of ibuprofen (Motrin) from 400 mg 3 times day (TID) to
800 mg TID. She is still in pain and would like something stronger. Which of the following statements is
the best explanation of the effects of ibuprofen (Motrin) on her disease?
a. It increases the chances of adverse effects to her health
b. It inhibits the effect of renal prostaglindins and blunts the effectiveness of the diuretic
c. It prolongs the therapeutic effects of hydrochlorothiazide and other diuretics
d. none of the statements - Answer-b. It inhibits the effect of renal prostaglindins and blunts the
effectiveness of the diuretic
NSAID and ASA inhibit the vasodilatory effects of prostaglandins, which predisposes the kidney to
ischemia. NSAIDs and diurectics can cause acute prerenal failure by decreasing renal blood flow.
All of the following are infections that affect mostly the labia and vigina except:
a. bacerial vaginosis
b. candidiasis
c. trichomoniasis
d. chlamydia trachomatis - Answer-d. chlamydia trachomatis
Infections that commonly affect the labia and vagina include BV, candidiasis, and trichomoniasis.
Chlamydia trachomatis commonly affects the cervix, endometrial lining, fallopian tubes and pelvic
cavity.
,The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for:
a. cholecystitis
b. acute appendicitis
c. inguinal hernia
d. gastric ulcer - Answer-b. acute appendicitis
S&S of an acute abdomen include involuntary guarding, rebound tenderness, boardlike abdomen, and a
positive obturator and psoas sign. A positive sign occurs when pain is elicted by internal rotation of the
right hip from 90 degrees hip/knee flexion. The psoas sign is positive when pain occurs with passive
extension of the thigh while the patient is lying on his/her side with knees extended, or when pain
occurs with active flexion of his/her thigh at the hip.
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 blood pressure - Answer-d. A prescription of
methyldopa (aldomet) to control blood pressure
Recommended care for women diagnosed with preeclampsia includes bed rest with bathroom
privileges, weight and BP monitoring, and closely following urine protein and serum protein, creatinine,
and platelet counts. Oral medications are not used as first line treatment.
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 - Answer-c. Nursing home care
,Medicare A coverage includes inpatient hospitalization and skilled care given in a certified skilled nursing
facility. Most nursing home care is custodial care (help with bathing, dressing using a bathroom, and
eating.) This care is not covered by Medicare A.
A 28 year old student is seen in the school health clinic with complaints of a hacking cough that is
productive of small amounts of sputum and a runny nose. He does not take any medications, denies any
allergies, and has no significant medical history. Physical exam reveals a low grade temperature of 99.9
degrees Fahrenheit, respirations 16/min, a pulse 90 beats per minute, and diffuse fine crackles in the
base of the lungs. A chest radiograph (xray) shows diffuse infiltrates on the lower lobe of the right lung.
The total white blood cell count is 10,500/uL. What is the most likely diagnosis?
a. Streptococcal pneumonia
b. Mycoplasma pneumonia
c. Acute bronchitis
d. Legionnaires disease - Answer-b. Mycoplasma pneumonia
Mycoplasma pneumonia is the organism most commonly seen in children and young adults. It is easily
spread from droplets, from sneezing and coughing, in close proximity. Diagnosis is based on symptoms
and x-ray results of infiltrates in lower lobes.
A 39 year old migrant worker presents to the clinic 2.5 days after a pruified protein derivative (PPD) test.
What minimum size of induration would be considered positive for this patient?
a. 3 mm
b. 5 mm
c. 10 mm
d. 15 mm - Answer-c. 10 mm
The PPD is administered on the volar aspect of the lower arm and read 48 hours after the test is given.
The PPD result must have induration and measure 10 mm or greater to be positive in a low risk patient.
Induration (firmness with palpation) must be present. If the site has erythema but no induration, result
would be negative. Color is not important.
, 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 decision 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 support can be terminated
d. The patient's spouse has a right to override the agent's decisions - Answer-d. The patient's spouse has
a right to override the agent's decisions
The person named in a durable power of attorney (the agent) is designated by the patient to make all
medical decisions, as well as any decisions regarding the patient's private affairs in the event that the
patient becomes incompetent and unable to make his/her own decisions. No one has the ability to
override the agent's decision.
All of the following are true statements regarding Munchausen syndrome except:
a. It is considered a mental illness
b. The patient has a medical illness that causes an anxiety reaction and denial
c. The patient fakes an illness in order to gain attention from health care providers
d. The patient has inconsistent medical history along with a past history of frequent hospitalizations -
Answer-b. The patient has a medical illness that causes an anxiety reaction and denial
Munchausen syndrome is a psychiatric disorder in which the patient fakes a medical illness or disorder
to gain attention from health care providers. These patients commonly use the emergency department
frequently to gain attention.
Which of the following antihypertensive medication should the NP avoid when treating patients with
enphysema?
a. Calcium channel blockers
b. Angiotensin-converting enzyme (ACE) inhibitors
A 72 year old woman has been on hydrochlorothiazide 12.5 mg for many years to control her Stage 11
hypertension. Her blood pressure at this visit is 168/96. She is currently complaining of pain on her right
hip and both knees. She has increased her dose of ibuprofen (Motrin) from 400 mg 3 times day (TID) to
800 mg TID. She is still in pain and would like something stronger. Which of the following statements is
the best explanation of the effects of ibuprofen (Motrin) on her disease?
a. It increases the chances of adverse effects to her health
b. It inhibits the effect of renal prostaglindins and blunts the effectiveness of the diuretic
c. It prolongs the therapeutic effects of hydrochlorothiazide and other diuretics
d. none of the statements - Answer-b. It inhibits the effect of renal prostaglindins and blunts the
effectiveness of the diuretic
NSAID and ASA inhibit the vasodilatory effects of prostaglandins, which predisposes the kidney to
ischemia. NSAIDs and diurectics can cause acute prerenal failure by decreasing renal blood flow.
All of the following are infections that affect mostly the labia and vigina except:
a. bacerial vaginosis
b. candidiasis
c. trichomoniasis
d. chlamydia trachomatis - Answer-d. chlamydia trachomatis
Infections that commonly affect the labia and vagina include BV, candidiasis, and trichomoniasis.
Chlamydia trachomatis commonly affects the cervix, endometrial lining, fallopian tubes and pelvic
cavity.
,The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for:
a. cholecystitis
b. acute appendicitis
c. inguinal hernia
d. gastric ulcer - Answer-b. acute appendicitis
S&S of an acute abdomen include involuntary guarding, rebound tenderness, boardlike abdomen, and a
positive obturator and psoas sign. A positive sign occurs when pain is elicted by internal rotation of the
right hip from 90 degrees hip/knee flexion. The psoas sign is positive when pain occurs with passive
extension of the thigh while the patient is lying on his/her side with knees extended, or when pain
occurs with active flexion of his/her thigh at the hip.
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 blood pressure - Answer-d. A prescription of
methyldopa (aldomet) to control blood pressure
Recommended care for women diagnosed with preeclampsia includes bed rest with bathroom
privileges, weight and BP monitoring, and closely following urine protein and serum protein, creatinine,
and platelet counts. Oral medications are not used as first line treatment.
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 - Answer-c. Nursing home care
,Medicare A coverage includes inpatient hospitalization and skilled care given in a certified skilled nursing
facility. Most nursing home care is custodial care (help with bathing, dressing using a bathroom, and
eating.) This care is not covered by Medicare A.
A 28 year old student is seen in the school health clinic with complaints of a hacking cough that is
productive of small amounts of sputum and a runny nose. He does not take any medications, denies any
allergies, and has no significant medical history. Physical exam reveals a low grade temperature of 99.9
degrees Fahrenheit, respirations 16/min, a pulse 90 beats per minute, and diffuse fine crackles in the
base of the lungs. A chest radiograph (xray) shows diffuse infiltrates on the lower lobe of the right lung.
The total white blood cell count is 10,500/uL. What is the most likely diagnosis?
a. Streptococcal pneumonia
b. Mycoplasma pneumonia
c. Acute bronchitis
d. Legionnaires disease - Answer-b. Mycoplasma pneumonia
Mycoplasma pneumonia is the organism most commonly seen in children and young adults. It is easily
spread from droplets, from sneezing and coughing, in close proximity. Diagnosis is based on symptoms
and x-ray results of infiltrates in lower lobes.
A 39 year old migrant worker presents to the clinic 2.5 days after a pruified protein derivative (PPD) test.
What minimum size of induration would be considered positive for this patient?
a. 3 mm
b. 5 mm
c. 10 mm
d. 15 mm - Answer-c. 10 mm
The PPD is administered on the volar aspect of the lower arm and read 48 hours after the test is given.
The PPD result must have induration and measure 10 mm or greater to be positive in a low risk patient.
Induration (firmness with palpation) must be present. If the site has erythema but no induration, result
would be negative. Color is not important.
, 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 decision 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 support can be terminated
d. The patient's spouse has a right to override the agent's decisions - Answer-d. The patient's spouse has
a right to override the agent's decisions
The person named in a durable power of attorney (the agent) is designated by the patient to make all
medical decisions, as well as any decisions regarding the patient's private affairs in the event that the
patient becomes incompetent and unable to make his/her own decisions. No one has the ability to
override the agent's decision.
All of the following are true statements regarding Munchausen syndrome except:
a. It is considered a mental illness
b. The patient has a medical illness that causes an anxiety reaction and denial
c. The patient fakes an illness in order to gain attention from health care providers
d. The patient has inconsistent medical history along with a past history of frequent hospitalizations -
Answer-b. The patient has a medical illness that causes an anxiety reaction and denial
Munchausen syndrome is a psychiatric disorder in which the patient fakes a medical illness or disorder
to gain attention from health care providers. These patients commonly use the emergency department
frequently to gain attention.
Which of the following antihypertensive medication should the NP avoid when treating patients with
enphysema?
a. Calcium channel blockers
b. Angiotensin-converting enzyme (ACE) inhibitors
