LEIK FNP practice questions
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
,LEIK FNP practice questions
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:
,LEIK FNP practice questions
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 (cholecystitis)
, LEIK FNP practice questions
Apraxia - answer a disorder of the nervous system in which the brain is affected and the
patient is unable not move the arms/legs when asked to do so.
Common signs of depression - answer 1. anhedonia
2. unintentional weight loss or gain
3. fatigue
4. change in appetite
5. insomnia or hypersomnia
6. Feelings of guilt and worthlessness
7. recurrent thought of suicide.
Anhedonia - answer loss of interest in activities that the patient finds pleasurable
What does Chronic NSAID use do? - answer Disrupts the product of prostaglandins,
which decreases blood supply and then breaks down the protective layer of the
mucosa, which leads to gastric disease.
Why is Serum creatinine in measured? - answer To evaluate renal function. Creation is
the end product of creatine metabolism. Creatinine clearance is not affected by fluid or
dietary intake of meat.
After 20 wks - answer At how many weeks gestation should fundal height equal weeks
gestation?
2cm or greater - answer When measuring fundal height, how many centimeters
variation should warrant further testing to evaluate fetal growth
The drawer sign - answer Performed on the knee or ankle to assess for knee instability.
The affected knee/ankle will have more laxity when compared to the unaffected
knee/ankle.
Heberden's nodes - answer These are commonly seen in degenerative joint disease,
and are bony nodules located on the distal interphalangeal joints (DIPs)
Laryngeal neoplasia - answer HPV infection of the larynx has been associated with:
Cervical cancer. - answer HPV infection of the cervix is associated with:
Tanner Stage III: Male - answer Consist of penis lengthening and darker, course pubic
hair, which begins to curl.
The Lachman maneuver - answer Test performed to assess for knee instability. Knee
instability indicated a tear of the anterior cruciate ligament.
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
,LEIK FNP practice questions
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:
,LEIK FNP practice questions
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 (cholecystitis)
, LEIK FNP practice questions
Apraxia - answer a disorder of the nervous system in which the brain is affected and the
patient is unable not move the arms/legs when asked to do so.
Common signs of depression - answer 1. anhedonia
2. unintentional weight loss or gain
3. fatigue
4. change in appetite
5. insomnia or hypersomnia
6. Feelings of guilt and worthlessness
7. recurrent thought of suicide.
Anhedonia - answer loss of interest in activities that the patient finds pleasurable
What does Chronic NSAID use do? - answer Disrupts the product of prostaglandins,
which decreases blood supply and then breaks down the protective layer of the
mucosa, which leads to gastric disease.
Why is Serum creatinine in measured? - answer To evaluate renal function. Creation is
the end product of creatine metabolism. Creatinine clearance is not affected by fluid or
dietary intake of meat.
After 20 wks - answer At how many weeks gestation should fundal height equal weeks
gestation?
2cm or greater - answer When measuring fundal height, how many centimeters
variation should warrant further testing to evaluate fetal growth
The drawer sign - answer Performed on the knee or ankle to assess for knee instability.
The affected knee/ankle will have more laxity when compared to the unaffected
knee/ankle.
Heberden's nodes - answer These are commonly seen in degenerative joint disease,
and are bony nodules located on the distal interphalangeal joints (DIPs)
Laryngeal neoplasia - answer HPV infection of the larynx has been associated with:
Cervical cancer. - answer HPV infection of the cervix is associated with:
Tanner Stage III: Male - answer Consist of penis lengthening and darker, course pubic
hair, which begins to curl.
The Lachman maneuver - answer Test performed to assess for knee instability. Knee
instability indicated a tear of the anterior cruciate ligament.
