LEIK FNP Practice Questions
With Complete Solutions.
A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for many
years to control her Stage II hypertension. Her blood pressure (BP) at this
visit is 168/96. She is currently complaining of pain on her right hip and on
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 prostaglandins and blunts the effectiveness
of the diuretic
C) It prolongs the therapeutic effects of hydrochlorothiazide and other
diureticsD) None of the statements are true - Answer B) It inhibits the
effect of renal prostaglandins and blunts the effectiveness of the
diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which
predisposes the kidney to ischemia. NSAIDs and diuretics can cause acute
prerenal failure by decreasing renal blood flow.
2. All of the following are infections that affect mostly the labia and vagina
except:
A)
Bacterialvaginosis
B)
Candidiasis
C)
Trichomoniasis
D) Chlamydia trachomatis - Answer D) Chlamydia
trachomatis
Infections that commonly affect the labia and vagina include bacterial
vaginosis, 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) Gastriculcer - Answer B) Acute
LEIK FNP
,LEIK FNP Practice Questions
With Complete Solutions.
appendicitis.
Signs and symptoms of an acute abdomen include invol- untary guarding,
rebound tenderness, boardlike abdomen, and a positive obtu- rator and
psoas sign. A positive obturator 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
bath- room 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) Inpatienthospitalizations
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 examination reveals a low-
grade temperature of 99.9 degrees Fahrenheit, respirations of 16/min, a
pulse of 90 beats per minute, and diffuse fine crackles in the base of the
LEIK FNP
,LEIK FNP Practice Questions
With Complete Solutions.
lungs. A chest radiograph (x-ray) 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 com- monly 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
purified protein
derivative (PPD) test. What minimum size of induration would be
considered posi-
tive 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 decisions are legally binding
B) The agent can make decisions in other areas of the patient's life such
as financialissues
C) The agent can decide for the patient who is on life support when that
life supportcan 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
LEIK FNP
, LEIK FNP Practice Questions
With Complete Solutions.
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
providersD) The patient has an 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 provid- ers.
These patients
commonly use the emergency department frequently to gain
attention.
Which of the following antihypertensive medications should the nurse
practitioner
avoid when treating patients with
emphysema?
A) Calcium channel blockers
B) Angiotensin-converting enzyme (ACE) inhibitors
C) Beta-blockers
D) Diuretics - Answer C) Beta-blockers
Beta-blockers should be avoided in patients with a history of emphysema.
Studies have shown evidence of a reduction in forced expiratory volume in
1 second (FEV1), increased airway hyperresponsiveness, and inhibition of
bronchodilator response to beta agonists in patients receiving non-
selective beta- blockers and high doses of cardioselective beta-blockers.
A 30-year-old chef complains of pruritic hives over her chest and arms but
denies difficulty swallowing or breathing. She reports a family history of
allergic rhinitis and asthma. Which of the following interventions is most
appropriate?
A) Perform a complete and thorough history
B) Prescribe an oral antihistamine such as diphenhydramine 25 mg PO
QID
LEIK FNP
With Complete Solutions.
A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for many
years to control her Stage II hypertension. Her blood pressure (BP) at this
visit is 168/96. She is currently complaining of pain on her right hip and on
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 prostaglandins and blunts the effectiveness
of the diuretic
C) It prolongs the therapeutic effects of hydrochlorothiazide and other
diureticsD) None of the statements are true - Answer B) It inhibits the
effect of renal prostaglandins and blunts the effectiveness of the
diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which
predisposes the kidney to ischemia. NSAIDs and diuretics can cause acute
prerenal failure by decreasing renal blood flow.
2. All of the following are infections that affect mostly the labia and vagina
except:
A)
Bacterialvaginosis
B)
Candidiasis
C)
Trichomoniasis
D) Chlamydia trachomatis - Answer D) Chlamydia
trachomatis
Infections that commonly affect the labia and vagina include bacterial
vaginosis, 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) Gastriculcer - Answer B) Acute
LEIK FNP
,LEIK FNP Practice Questions
With Complete Solutions.
appendicitis.
Signs and symptoms of an acute abdomen include invol- untary guarding,
rebound tenderness, boardlike abdomen, and a positive obtu- rator and
psoas sign. A positive obturator 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
bath- room 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) Inpatienthospitalizations
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 examination reveals a low-
grade temperature of 99.9 degrees Fahrenheit, respirations of 16/min, a
pulse of 90 beats per minute, and diffuse fine crackles in the base of the
LEIK FNP
,LEIK FNP Practice Questions
With Complete Solutions.
lungs. A chest radiograph (x-ray) 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 com- monly 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
purified protein
derivative (PPD) test. What minimum size of induration would be
considered posi-
tive 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 decisions are legally binding
B) The agent can make decisions in other areas of the patient's life such
as financialissues
C) The agent can decide for the patient who is on life support when that
life supportcan 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
LEIK FNP
, LEIK FNP Practice Questions
With Complete Solutions.
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
providersD) The patient has an 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 provid- ers.
These patients
commonly use the emergency department frequently to gain
attention.
Which of the following antihypertensive medications should the nurse
practitioner
avoid when treating patients with
emphysema?
A) Calcium channel blockers
B) Angiotensin-converting enzyme (ACE) inhibitors
C) Beta-blockers
D) Diuretics - Answer C) Beta-blockers
Beta-blockers should be avoided in patients with a history of emphysema.
Studies have shown evidence of a reduction in forced expiratory volume in
1 second (FEV1), increased airway hyperresponsiveness, and inhibition of
bronchodilator response to beta agonists in patients receiving non-
selective beta- blockers and high doses of cardioselective beta-blockers.
A 30-year-old chef complains of pruritic hives over her chest and arms but
denies difficulty swallowing or breathing. She reports a family history of
allergic rhinitis and asthma. Which of the following interventions is most
appropriate?
A) Perform a complete and thorough history
B) Prescribe an oral antihistamine such as diphenhydramine 25 mg PO
QID
LEIK FNP
