3/23/25, 7:44 LEIK FNP Practice Questions Flashcards |
AM
LEIK FNP PRACTICE QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (642)
A 72-year-old woman has been on B) It inhibits the effect of renal prostaglandins and blunts the effectiveness of the
hydrochlorothiazide 12.5 mg for many years diuretic.
to control her Stage II hypertension. Her
blood pressure (BP) at this visit is 168/96. NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which
She is currently complaining of pain on her predisposes the kidney to ischemia. NSAIDs and diuretics can cause acute prerenal
right hip and on both knees. She has failure by decreasing renal blood flow.
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 diuretics
D) None of the statements are true
2.All of the following are infections D) Chlamydia trachomatis
that affect mostly the labia and vagina
except: Infections that commonly affect the labia and vagina include bacterial vaginosis,
candidiasis, and trichomoniasis. Chlamydia trachomatis commonly affects the cervix,
A) Bacterialvaginosis endometrial lining , fallopian tubes, and pelvic cavity.
B)Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis
The nurse practitioner would test the B) Acute appendicitis.
obturator and iliopsoas muscle to evaluate
for: 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
A) Cholecystitis obturator sign occurs when pain is elicted by internal rotation of the right hip
B)Acute appendicitis from
C) Inguinal hernia 90 degrees hip/knee flexion. The psoas sign is positive when pain occurs with
D) Gastriculcer 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.
1/25
,3/23/25, 7:44 LEIK FNP Practice Questions Flashcards |
AM
Treatment for mild preeclampsia D) A prescription of methyldopa (Aldomet) to control blood pressure
includes all of the following except:
Recommended care for women diagnosed with preeclampsia includes bed rest with
A) Bed rest except for bathroom privileges bath- room privileges, weight and BP monitoring, and closely following urine protein
B) Close monitoring of weight and and serum protein, creatinine, and platelet counts. Oral medications are not used as
blood pressure first-line treatment.
C) Close follow-up of urinary protein,
serum creatinine, and platelet
count
D) A prescription of methyldopa (Aldomet)
to control blood pressure
All of the following services are covered C) Nursing home care
under Medicare Part A except:
Medicare A coverage includes inpatient hospitalization and skilled care given in
A) Inpatienthospitalizations a certified skilled nursing facility. Most nursing home care is custodial care (help
B) Medicines administered to a with bathing, dressing, using a bathroom, and eating). This care is not covered by
patient while hospitalized Medicare A.
C) Nursing home care
D) Surgeons
A 28-year-old student is seen in the school B) Mycoplasma pneumonia
health clinic with complaints of a
hacking cough that is productive of small Mycoplasma pneumonia is the organism most com- monly seen in children and
amounts of sputum and a runny nose. He young adults. It is easily spread from droplets, from sneezing and coughing, in close
does not take any medications, denies any proximity. Diagnosis is based on symptoms and x-ray results of infiltrates in lower
allergies, and has no significant medical lobes.
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 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
A 39-year-old migrant worker presents to C) 10 mm
the clinic 2.5 days after a purified
protein derivative (PPD) test. What minimum The PPD is administered on the volar aspect of the lower arm and read 48 hours
size of induration would be considered after the test is given. The PPD result must have induration and measure 10 mm or
posi- tive for this patient? 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.
A) 3 mm B) 5 mm C) 10 mm D) 15 mm Color is not important.
2/25
, 3/23/25, 7:44 LEIK FNP Practice Questions Flashcards |
AM
All of the following are correct statements D) The patient's spouse has a right to override the agent's decisions
regarding the role of the person named in
a durable power of attorney except: 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
A) The agent's decisions are legally binding patient's private affairs in the event that the patient becomes incompetent and
B)The agent can make decisions in unable to make his/her own decisions. No one has the ability to override the agent's
other areas of the patient's life such as decision.
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 a right
to override the agent's decisions
All of the following are true statements B) The patient has a medical illness that causes an anxiety reaction and denial
regarding Munchausen syndrome except:
Munchausen syndrome is a psychiatric disorder in which the patient fakes a medical
A) It is considered a mental illness illness or disorder to gain attention from health care provid- ers. These patients
B)The patient has a medical illness commonly use the emergency department frequently to gain attention.
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 an inconsistent
medical history along with a past
history of
frequent hospitalizations
Which of the following antihypertensive C) Beta-blockers
medications should the nurse practitioner
avoid when treating patients with Beta-blockers should be avoided in patients with a history of emphysema. Studies
emphysema? have shown evidence of a reduction in forced expiratory volume in 1 second
(FEV1),
A) Calcium channel blockers increased airway hyperresponsiveness, and inhibition of bronchodilator response to
B)Angiotensin-converting enzyme (ACE) beta agonists in patients receiving non-selective beta- blockers and high doses of
inhibitors cardioselective beta-blockers.
C) Beta-blockers
D) Diuretics
3/25
AM
LEIK FNP PRACTICE QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (642)
A 72-year-old woman has been on B) It inhibits the effect of renal prostaglandins and blunts the effectiveness of the
hydrochlorothiazide 12.5 mg for many years diuretic.
to control her Stage II hypertension. Her
blood pressure (BP) at this visit is 168/96. NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which
She is currently complaining of pain on her predisposes the kidney to ischemia. NSAIDs and diuretics can cause acute prerenal
right hip and on both knees. She has failure by decreasing renal blood flow.
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 diuretics
D) None of the statements are true
2.All of the following are infections D) Chlamydia trachomatis
that affect mostly the labia and vagina
except: Infections that commonly affect the labia and vagina include bacterial vaginosis,
candidiasis, and trichomoniasis. Chlamydia trachomatis commonly affects the cervix,
A) Bacterialvaginosis endometrial lining , fallopian tubes, and pelvic cavity.
B)Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis
The nurse practitioner would test the B) Acute appendicitis.
obturator and iliopsoas muscle to evaluate
for: 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
A) Cholecystitis obturator sign occurs when pain is elicted by internal rotation of the right hip
B)Acute appendicitis from
C) Inguinal hernia 90 degrees hip/knee flexion. The psoas sign is positive when pain occurs with
D) Gastriculcer 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.
1/25
,3/23/25, 7:44 LEIK FNP Practice Questions Flashcards |
AM
Treatment for mild preeclampsia D) A prescription of methyldopa (Aldomet) to control blood pressure
includes all of the following except:
Recommended care for women diagnosed with preeclampsia includes bed rest with
A) Bed rest except for bathroom privileges bath- room privileges, weight and BP monitoring, and closely following urine protein
B) Close monitoring of weight and and serum protein, creatinine, and platelet counts. Oral medications are not used as
blood pressure first-line treatment.
C) Close follow-up of urinary protein,
serum creatinine, and platelet
count
D) A prescription of methyldopa (Aldomet)
to control blood pressure
All of the following services are covered C) Nursing home care
under Medicare Part A except:
Medicare A coverage includes inpatient hospitalization and skilled care given in
A) Inpatienthospitalizations a certified skilled nursing facility. Most nursing home care is custodial care (help
B) Medicines administered to a with bathing, dressing, using a bathroom, and eating). This care is not covered by
patient while hospitalized Medicare A.
C) Nursing home care
D) Surgeons
A 28-year-old student is seen in the school B) Mycoplasma pneumonia
health clinic with complaints of a
hacking cough that is productive of small Mycoplasma pneumonia is the organism most com- monly seen in children and
amounts of sputum and a runny nose. He young adults. It is easily spread from droplets, from sneezing and coughing, in close
does not take any medications, denies any proximity. Diagnosis is based on symptoms and x-ray results of infiltrates in lower
allergies, and has no significant medical lobes.
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 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
A 39-year-old migrant worker presents to C) 10 mm
the clinic 2.5 days after a purified
protein derivative (PPD) test. What minimum The PPD is administered on the volar aspect of the lower arm and read 48 hours
size of induration would be considered after the test is given. The PPD result must have induration and measure 10 mm or
posi- tive for this patient? 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.
A) 3 mm B) 5 mm C) 10 mm D) 15 mm Color is not important.
2/25
, 3/23/25, 7:44 LEIK FNP Practice Questions Flashcards |
AM
All of the following are correct statements D) The patient's spouse has a right to override the agent's decisions
regarding the role of the person named in
a durable power of attorney except: 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
A) The agent's decisions are legally binding patient's private affairs in the event that the patient becomes incompetent and
B)The agent can make decisions in unable to make his/her own decisions. No one has the ability to override the agent's
other areas of the patient's life such as decision.
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 a right
to override the agent's decisions
All of the following are true statements B) The patient has a medical illness that causes an anxiety reaction and denial
regarding Munchausen syndrome except:
Munchausen syndrome is a psychiatric disorder in which the patient fakes a medical
A) It is considered a mental illness illness or disorder to gain attention from health care provid- ers. These patients
B)The patient has a medical illness commonly use the emergency department frequently to gain attention.
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 an inconsistent
medical history along with a past
history of
frequent hospitalizations
Which of the following antihypertensive C) Beta-blockers
medications should the nurse practitioner
avoid when treating patients with Beta-blockers should be avoided in patients with a history of emphysema. Studies
emphysema? have shown evidence of a reduction in forced expiratory volume in 1 second
(FEV1),
A) Calcium channel blockers increased airway hyperresponsiveness, and inhibition of bronchodilator response to
B)Angiotensin-converting enzyme (ACE) beta agonists in patients receiving non-selective beta- blockers and high doses of
inhibitors cardioselective beta-blockers.
C) Beta-blockers
D) Diuretics
3/25
