Leik FNP certification review
AND VERIFIED CORRECT
ANSWERS GRADED A+
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Alpha fetoprotein (AFP) is produced in the fetal and maternal liver. Higher levels of AFP are
commonly seen in multiple gestations due to the growing liver in each fetus, which cumulatively
lead to higher AFP levels.
Which of the following antihypertensive medications has beneficial effects for an elderly White
woman with osteoporosis?
A. Calcium channel blockers
B. Angiotensin-converting enzyme (ACE) inhibitors
C. Beta-blockers
D. Thiazide diuretics - CORRECT ANSWER-D) Thiazide diuretics
Thiazide diuretics have a favorable effect in patients with osteopenia and osteoporosis by
slowing down the kidney's excretion of calcium and increasing distal tubule calcium
reabsorption. This results in decreased bone demineralization. Thiazide diuretics are a good
choice of therapy for this population because they treat hypertension and slow bone loss.
The Lachman maneuver is used to detect which of the following?
A. Instability of the knee
B. Nerve damage of the knee due to past knee injuries
C. Integrity of the patellar tendon
D. Tears on the meniscus of the knee - CORRECT ANSWER-A) Instability of the knee
,The Lachman maneuver is a test performed to assess for knee instability (i.e., damage to the
motion of anterior translation [laxity] of the anterior cruciate ligament [ACL]). The maneuver
should be tested on both knees, comparing the injured and the opposite knee, the uninjured
knee is used as the "control." The test is positive if the injured knee slips back further (laxity).
Perform the test by bending the knee 30 degrees. Stabilize the femur with one hand. Place the
other hand under the proximal tibia at the level of the joint line and then pull forward. The
laxity is graded on a 0 (normal)-to-3 scale (1.0-1.5 cm of translation).
A 75-year-old woman has been on nifedipine (Procardia XL) 10-mg capsule for many years to
control her stage II hypertension. Her blood pressure at this visit is 165/80 mmHg. She is
currently complaining of pain at her right hip and in both knees. She has increased her dose of
ibuprofen (Motrin) from 400 mg three times daily (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 diuretics
D. None of the statements are true - CORRECT ANSWER-B) It inhibits the effect of renal
prostaglandins and blunts the effectiveness of the diuretic
Nonsteroidal anti-inflammatory drugs (NSAIDs) and acetylsalicylic acid (ASA) inhibit the
vasodilatory effects of prostaglandins, which predisposes the kidney to ischemia. NSAIDs can
cause acute kidney injury by decreasing renal blood flow. Nonselective NSAIDs can adversely
affect the kidneys, GI tract, liver, cardiovascular system, and the lungs (bronchospasm).
All of the following are infections that affect mostly the labia and vagina except:
A. Bacterial vaginosis
B. Candidiasis
C. Trichomoniasis
D. Chlamydia trachomatis - CORRECT 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. Gastric ulcer - CORRECT ANSWER-B) Acute appendicitis
Signs and symptoms of an acute abdomen include involuntary guarding, rebound tenderness,
boardlike abdomen, and a positive obturator 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 or her side with knees extended, or when pain occurs with active flexion of the
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 - CORRECT 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 blood pressure 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 hospital care
B. Inpatient psychiatric hospital care
C. Custodial care
D. Skilled nursing facility care - CORRECT ANSWER-C) Custodial care
AND VERIFIED CORRECT
ANSWERS GRADED A+
[LATEST] 100% GUARANTEED
PASS
Alpha fetoprotein (AFP) is produced in the fetal and maternal liver. Higher levels of AFP are
commonly seen in multiple gestations due to the growing liver in each fetus, which cumulatively
lead to higher AFP levels.
Which of the following antihypertensive medications has beneficial effects for an elderly White
woman with osteoporosis?
A. Calcium channel blockers
B. Angiotensin-converting enzyme (ACE) inhibitors
C. Beta-blockers
D. Thiazide diuretics - CORRECT ANSWER-D) Thiazide diuretics
Thiazide diuretics have a favorable effect in patients with osteopenia and osteoporosis by
slowing down the kidney's excretion of calcium and increasing distal tubule calcium
reabsorption. This results in decreased bone demineralization. Thiazide diuretics are a good
choice of therapy for this population because they treat hypertension and slow bone loss.
The Lachman maneuver is used to detect which of the following?
A. Instability of the knee
B. Nerve damage of the knee due to past knee injuries
C. Integrity of the patellar tendon
D. Tears on the meniscus of the knee - CORRECT ANSWER-A) Instability of the knee
,The Lachman maneuver is a test performed to assess for knee instability (i.e., damage to the
motion of anterior translation [laxity] of the anterior cruciate ligament [ACL]). The maneuver
should be tested on both knees, comparing the injured and the opposite knee, the uninjured
knee is used as the "control." The test is positive if the injured knee slips back further (laxity).
Perform the test by bending the knee 30 degrees. Stabilize the femur with one hand. Place the
other hand under the proximal tibia at the level of the joint line and then pull forward. The
laxity is graded on a 0 (normal)-to-3 scale (1.0-1.5 cm of translation).
A 75-year-old woman has been on nifedipine (Procardia XL) 10-mg capsule for many years to
control her stage II hypertension. Her blood pressure at this visit is 165/80 mmHg. She is
currently complaining of pain at her right hip and in both knees. She has increased her dose of
ibuprofen (Motrin) from 400 mg three times daily (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 diuretics
D. None of the statements are true - CORRECT ANSWER-B) It inhibits the effect of renal
prostaglandins and blunts the effectiveness of the diuretic
Nonsteroidal anti-inflammatory drugs (NSAIDs) and acetylsalicylic acid (ASA) inhibit the
vasodilatory effects of prostaglandins, which predisposes the kidney to ischemia. NSAIDs can
cause acute kidney injury by decreasing renal blood flow. Nonselective NSAIDs can adversely
affect the kidneys, GI tract, liver, cardiovascular system, and the lungs (bronchospasm).
All of the following are infections that affect mostly the labia and vagina except:
A. Bacterial vaginosis
B. Candidiasis
C. Trichomoniasis
D. Chlamydia trachomatis - CORRECT 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. Gastric ulcer - CORRECT ANSWER-B) Acute appendicitis
Signs and symptoms of an acute abdomen include involuntary guarding, rebound tenderness,
boardlike abdomen, and a positive obturator 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 or her side with knees extended, or when pain occurs with active flexion of the
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 - CORRECT 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 blood pressure 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 hospital care
B. Inpatient psychiatric hospital care
C. Custodial care
D. Skilled nursing facility care - CORRECT ANSWER-C) Custodial care
