LEIK FNP CERTIFICATION REVIEW EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 100% VERIFIED AND GRADED A+
ALREADY PASSED
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. Obtain a complete and thorough history
B. Recommend an oral antihistamine such as diphenhydramine 25 mg PO QID
C. Give an injection of epinephrine 1:1000 intramuscularly stat
D. Call 911
A) Obtain a complete and thorough history
Before prescribing medications, a thorough history must be obtained to determine
possible causes of hives. The patient denied difficulty with swallowing and breathing, so
there was no medical emergency that would require calling 911.
Which of the following findings is most likely in young primigravidas with
pregnancy-induced hypertension?
A. Abdominal cramping and constipation
B. Edema of the face and the upper extremities
C. Shortness of breath
D. Dysuria and frequency
B) Edema of the face and the upper extremities
Common signs and symptoms of pregnancy-induced hypertension include edema of the
face and the upper extremities, weight gain, blurred vision, elevated blood pressure,
proteinuria, and headaches
Which of the following symptoms is associated with B12 deficiency anemia?
A. Spoon-shaped nails and pica
B. Abnormal neurological exam
,C. Vegan diet
D. Tingling and numbness of both feet
D) Tingling and numbness of both feet
Vitamin B12 deficiency anemia can cause nerve cell damage if not treated. Symptoms
of B12 deficiency anemia may include tingling or numbness in fingers and toes, difficulty
walking, mood changes or depression, memory loss, disorientation, and dementia.
A second triple screen on a 35-year-old primigravida reveals abnormally low
levels of alpha fetoprotein and estriol and high levels of human chorionic
gonadotropin. Which of the following interventions is the best choice for this
patient?
A. Order an ultrasound
B. Order a computed tomography (CT) scan of the abdomen
C. Order a 24-hour urine for protein clearance
D. Assess for a history of illicit drug or alcohol use
A) Order an ultrasound
Abnormally low levels of alpha fetoprotein and estriol and high levels of human
chorionic gonadotropin are abnormal during pregnancy. An ultrasound should be
ordered to further evaluate the fetus for characteristics of Down syndrome and/or fetal
demise.
All of the following are true statements about diverticula except:
A. Diverticula are located in the colon
B. A low-fiber diet is associated with the condition
C. Most diverticula in the colon are infected with gram-negative bacteria
D. Supplementing with fiber, such as psyllium (Metamucil), is recommended
C) Most diverticula in the colon are infected with gram-negative bacteria
Diverticula in the colon can be infected with both gram-negative and gram-positive
Patients who are diagnosed with gonorrhea should also be treated for which of
the following infections?
A. Chancroid
B. Chlamydia trachomatis
, C. Herpes genitalis
D. Pelvic inflammatory disease (PID)
B) Chlamydia trachomatis
When diagnosed with gonorrhea, the patient should also be treated for Chlamydia
trachomatis.
Kyphosis is a late sign of:
A. Rheumatoid arthritis
B. Osteopenia
C. Osteoporosis
D. Osteoarthritis
C) Osteoporosis
Kyphosis is a curvature of the spine that causes a rounding of the back, which leads to
a slouching posture. Severe thinning of the bones (osteoporosis) contributes to this
curvature in the spine. Symptoms that may occur with severe cases of kyphosis include
difficulty breathing, fatigue, and back pain.
A 35-year-old primigravida who is at 18 weeks gestation is expecting twins. What
would you would expect her alpha fetoprotein (AFP) values to be?
A. Normal
B. Higher than normal
C. Lower than normal
D. None of the above
B) Higher than normal
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
COMPLETE SOLUTIONS 100% VERIFIED AND GRADED A+
ALREADY PASSED
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. Obtain a complete and thorough history
B. Recommend an oral antihistamine such as diphenhydramine 25 mg PO QID
C. Give an injection of epinephrine 1:1000 intramuscularly stat
D. Call 911
A) Obtain a complete and thorough history
Before prescribing medications, a thorough history must be obtained to determine
possible causes of hives. The patient denied difficulty with swallowing and breathing, so
there was no medical emergency that would require calling 911.
Which of the following findings is most likely in young primigravidas with
pregnancy-induced hypertension?
A. Abdominal cramping and constipation
B. Edema of the face and the upper extremities
C. Shortness of breath
D. Dysuria and frequency
B) Edema of the face and the upper extremities
Common signs and symptoms of pregnancy-induced hypertension include edema of the
face and the upper extremities, weight gain, blurred vision, elevated blood pressure,
proteinuria, and headaches
Which of the following symptoms is associated with B12 deficiency anemia?
A. Spoon-shaped nails and pica
B. Abnormal neurological exam
,C. Vegan diet
D. Tingling and numbness of both feet
D) Tingling and numbness of both feet
Vitamin B12 deficiency anemia can cause nerve cell damage if not treated. Symptoms
of B12 deficiency anemia may include tingling or numbness in fingers and toes, difficulty
walking, mood changes or depression, memory loss, disorientation, and dementia.
A second triple screen on a 35-year-old primigravida reveals abnormally low
levels of alpha fetoprotein and estriol and high levels of human chorionic
gonadotropin. Which of the following interventions is the best choice for this
patient?
A. Order an ultrasound
B. Order a computed tomography (CT) scan of the abdomen
C. Order a 24-hour urine for protein clearance
D. Assess for a history of illicit drug or alcohol use
A) Order an ultrasound
Abnormally low levels of alpha fetoprotein and estriol and high levels of human
chorionic gonadotropin are abnormal during pregnancy. An ultrasound should be
ordered to further evaluate the fetus for characteristics of Down syndrome and/or fetal
demise.
All of the following are true statements about diverticula except:
A. Diverticula are located in the colon
B. A low-fiber diet is associated with the condition
C. Most diverticula in the colon are infected with gram-negative bacteria
D. Supplementing with fiber, such as psyllium (Metamucil), is recommended
C) Most diverticula in the colon are infected with gram-negative bacteria
Diverticula in the colon can be infected with both gram-negative and gram-positive
Patients who are diagnosed with gonorrhea should also be treated for which of
the following infections?
A. Chancroid
B. Chlamydia trachomatis
, C. Herpes genitalis
D. Pelvic inflammatory disease (PID)
B) Chlamydia trachomatis
When diagnosed with gonorrhea, the patient should also be treated for Chlamydia
trachomatis.
Kyphosis is a late sign of:
A. Rheumatoid arthritis
B. Osteopenia
C. Osteoporosis
D. Osteoarthritis
C) Osteoporosis
Kyphosis is a curvature of the spine that causes a rounding of the back, which leads to
a slouching posture. Severe thinning of the bones (osteoporosis) contributes to this
curvature in the spine. Symptoms that may occur with severe cases of kyphosis include
difficulty breathing, fatigue, and back pain.
A 35-year-old primigravida who is at 18 weeks gestation is expecting twins. What
would you would expect her alpha fetoprotein (AFP) values to be?
A. Normal
B. Higher than normal
C. Lower than normal
D. None of the above
B) Higher than normal
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
