LEIK FNP Practice Questions With Com
m m m m m
plete Solutions.
m
Am72-year-
oldmwoman mhasmbeenmonmhydrochlorothiazidem12.5mmgmformmanymyearsmtomcontrol mher
mStagemIImhypertension.mHermblood mpressure m(BP)matmthismvisitmism168/96.mShemismcurre
ntlymcomplainingmof mpainmonmhermrightmhipmandmonmboth mknees.mShemhasmincreasedmher
mdosemof mibuprofen m(Motrin)mfromm400mmgm3mtimesmdaym(TID)mtom800mmgmTID.mShemisms
tillmin mpainmandmwouldmlikemsomethingmstronger.mWhichmofmthemfollowingmstatementsmismt
hembestmexplanation mof mthemeffectsmof mibuprofen m(Motrin)mon mhermdisease?
A)mItmincreasesmthemchancesmof madversemeffectsmtomhermhealth
B)mItminhibitsmthemeffectmofmrenalmprostaglandinsmandmbluntsmthemeffectivenessmofmthemdi
uretic
C)mItmprolongsmthemtherapeuticmeffectsmof mhydrochlorothiazidemandmothermdiuretics
D)mNonemof mthemstatementsmaremtruem-
mAnswermB)mItminhibitsmthemeffectmof mrenal mprostaglandins mandmbluntsmthemeffectiveness
mof mthemdiuretic.
NSAIDsmandmASAminhibitmthemvasodilatorymeffectsmof mprostaglandins,mwhichmpredispos
esmthemkidneymtomischemia.mNSAIDsmandmdiureticsmcanmcausemacutemprerenalmfailuremb
ymdecreasingmrenal mbloodmflow.
2.mAll mof mthemfollowingmareminfectionsmthatmaffectmmostlymthemlabiamandmvaginamexcept:
A)mBacterialvaginosis
B)mCandidiasis
C)mTrichomoniasis
D)mChlamydiamtrachomatism-mAnswermD)mChlamydiamtrachomatis
Infectionsmthatmcommonlymaffectmthemlabiamandmvaginamincludembacterial mvaginosis,mca
ndidiasis,mandmtrichomoniasis.mChlamydiamtrachomatismcommonlymaffectsmthemcervix,m
endometrial mliningm,mfallopian mtubes,mandmpelvicmcavity.
Themnursempractitionermwouldmtestmthemobturatormandmiliopsoasmmusclemtomevaluatemfor
:
A)mCholecystitis
B)mAcutemappendicitis
C)mInguinal mhernia
D)mGastriculcerm-mAnswermB)mAcutemappendicitis.
Signsmandmsymptomsmof man macutemabdomen mincludeminvol-
muntarymguarding,mrebound mtenderness,mboardlike mabdomen,mandmampositive mobtu-
mratormandmpsoasmsign.mA mpositivemobturatormsignmoccursmwhenmpainmismelicted mbyminter
nal mrotation mofmthemrightmhipmfromm90mdegreesmhip/kneemflexion.mThempsoasmsign mismpo
sitivemwhenmpainmoccursmwith mpassivemextensionmof mthemthighmwhilemthempatientmismlyin
gmon mhis/hermsidemwith mkneesmextended,mormwhenmpainmoccursmwithmactivemflexionmofmhi
s/hermthigh matmthemhip.
Treatmentmformmildmpreeclampsiamincludesmallmof mthemfollowingmexcept:
,LEIK FNP Practice Questions With Com
m m m m m
plete Solutions.
m
A)mBedmrestmexceptmformbathroommprivileges
B)mClosemmonitoringmof mweightmandmbloodmpressure
C)mClosemfollow-upmof murinarymprotein,mserummcreatinine,mandmplateletmcount
D)mAmprescription mof mmethyldopam(Aldomet)mtomcontrol mbloodmpressurem-
mAnswermD)mA mprescription mof mmethyldopa m(Aldomet)mtomcontrol mbloodmpressure m
Recommendedmcaremformwomenmdiagnosedmwithmpreeclampsiamincludesmbedmrestmwit
h mbath-
mroommprivileges,mweightmandmBP mmonitoring,mandmcloselymfollowing murinemprotein mand
mserummprotein,mcreatinine,mandmplateletmcounts.mOral mmedicationsmaremnotmusedmasmfir
st-linemtreatment.
Allmof mthemfollowingmservicesmaremcoveredmundermMedicaremPartmAmexcept:
A)mInpatienthospitalizations
B)mMedicinesmadministeredmtomampatientmwhilemhospitalized
C)mNursingmhomemcare
D)mSurgeonsm-mAnswermC)mNursingmhomemcare
MedicaremAmcoveragemincludesminpatientmhospitalizationmandmskilledmcaremgivenminmamc
ertifiedmskilledmnursingmfacility.mMostmnursingmhomemcaremismcustodialmcarem(helpmwith m
bathing,mdressing,musingmambathroom,mandmeating).mThismcaremismnotmcoveredmbymMedi
caremA.
Am28-year-
oldmstudentmismseenminmthemschoolmhealth mclinicmwith mcomplaintsmof mamhackingmcough mt
hatmismproductivemof msmall mamountsmofmsputummandmamrunnymnose.mHemdoesmnotmtakem
anymmedications,mdeniesmanymallergies,mandmhasmnomsignificantmmedicalmhistory.mPhysi
cal mexamination mrevealsmamlow-
grademtemperaturemof m99.9mdegreesmFahrenheit,mrespirationsmof m16/min,mampulsemof m9
0mbeatsmpermminute,mandmdiffusemfinemcracklesminmthembasemofmthemlungs.mAmchestmradi
ograph m(x-
ray)mshowsmdiffuseminfiltratesmonmthemlowermlobemof mthemrightmlung.mThemtotal mwhitemblo
odmcell mcountmism10,500/uL.mWhatmismthemmostmlikelymdiagnosis?
A)mStreptococcal mpneumonia
B)mMycoplasmampneumonia
C)mAcutembronchitis
D)mLegionnairesmdiseasem-mAnswermB)mMycoplasmampneumoniam
Mycoplasmampneumoniamismthemorganismmmostmcom-
mmonlymseen minmchildren mandmyoungmadults.mItmismeasilymspreadmfrommdroplets,mfrommsn
eezingmandmcoughing,min mclosemproximity.mDiagnosismismbasedmon msymptomsmandmx-
raymresultsmof minfiltratesmin mlowermlobes.
Am39-year-
oldmmigrantmworkermpresentsmtomthemclinicm2.5mdaysmaftermampurifiedmproteinmderivativem
,LEIK FNP Practice Questions With Com
m m m m m
plete Solutions.
m
(PPD)mtest.mWhatmminimummsizemof minduration mwouldmbemconsideredmposi-
mtivemformthismpatient?
A)m3mmmmB)m5mmmmC)m10mmmmD)m15mmmm-mAnswermC)m10mmmm
ThemPPD mismadministeredmonmthemvolarmaspectmofmthemlowermarmmandmreadm48mhoursma
ftermthemtestmismgiven.mThemPPDmresultmmustmhavemindurationmandmmeasurem10mmmmorm
greatermtombempositivemin mamlow-
riskmpatient.mIndurationm(firmnessmwithmpalpation)mmustmbempresent.mIf mthemsitemhasmery
themambutmnominduration,mresultmwouldmbemnegative.mColormismnotmimportant.
Allmof mthemfollowingmaremcorrectmstatementsmregardingmthemrolemof mthempersonmnamedmi
n mamdurablempowermof mattorneymexcept:
A)mThemagent'smdecisionsmaremlegallymbinding
B)mThemagentmcanmmakemdecisionsminmothermareasmof mthempatient'smlifemsuchmasmfinanci
al
issues
C)mThemagentmcanmdecidemformthempatientmwhomismonmlifemsupportmwhenmthatmlifemsuppo
rt
can mbemterminated
D)mThempatient'smspousemhasmamrightmtomoverridemthemagent'smdecisionsm-
mAnswermD)mThempatient'smspousemhasmamrightmtomoverride mthemagent'smdecisionsm
Themperson mnamedminmamdurablempowermofmattorneym(themagent)mismdesignatedmbymthem
patientmtommakemall mmedical mdecisions,masmwellmasmanymdecisionsmregardingmthempatie
nt'smprivatemaffairsminmthemeventmthatmthempatientmbecomesmincompetentmandmunablemto
mmakemhis/hermownmdecisions.mNomonemhasmthemabilitymtomoverride mthemagent'smdecisio
n.
Allmof mthemfollowingmaremtruemstatementsmregardingmMunchausen msyndromemexcept:
A)mItmismconsideredmammental millness
B)mThempatientmhasmammedical millnessmthatmcausesman manxietymreaction mandmdenial
C)mThempatientmfakesmanmillnessminmordermtomgainmattentionmfrommhealthmcaremproviders
D)mThempatientmhasman minconsistentmmedical mhistorymalongmwith mampastmhistorymof
frequentmhospitalizationsm-
mAnswermB)mThempatientmhasmammedical millnessmthatmcausesmanmanxietymreaction mandmd
enial m
Munchausenmsyndromemismampsychiatricmdisorderminmwhichmthempatientmfakesmammedic
almillnessmormdisordermtomgain mattention mfrommhealth mcaremprovid-
mers.mThese mpatientsmcommonlymusemthememergencymdepartmentmfrequentlymtomgainma
ttention.
Which mofmthemfollowingmantihypertensivemmedicationsmshouldmthemnursempractitionerma
voidmwhen mtreatingmpatientsmwith memphysema?
, LEIK FNP Practice Questions With Com
m m m m m
plete Solutions.
m
A)mCalciummchannel mblockers
B)mAngiotensin-convertingmenzymem(ACE)minhibitors
C)mBeta-blockers
D)mDiureticsm-mAnswermC)mBeta-blockersm
Beta-
blockersmshouldmbemavoidedminmpatientsmwithmamhistorymof memphysema.mStudiesmhavem
shown mevidencemof mamreductionminmforcedmexpiratorymvolumeminm1msecondm(FEV1),minc
reasedmairwaymhyperresponsiveness,mandminhibitionmof mbronchodilatormresponsemtomb
etamagonistsmin mpatientsmreceivingmnon-selectivembeta-
mblockersmandmhigh mdosesmof mcardioselective mbeta-blockers.
Am30-year-
oldmchef mcomplainsmof mpruriticmhivesmovermhermchestmandmarmsmbutmdeniesmdifficultymsw
allowingmormbreathing.mShemreportsmamfamilymhistorymofmallergicmrhinitismandmasthma.mW
hich mof mthemfollowingminterventionsmismmostmappropriate?
A)mPerformmamcompletemandmthorough mhistory
B)mPrescribeman moral mantihistaminemsuch masmdiphenhydraminem25mmgmPOmQID
C)mGiveman minjection mof mepinephrinem1:1000mintramuscularlymstatm
D)mCall m911m-mAnswermA)mPerformmamcompletemandmthorough mhistorym
Priormtomprescribingmmedications,mamcompletemandmthorough mhistorymmustmbemperform
edmtomdeterminempossiblemcausesmof mhives.mThempatientmdeniedmdifficultymwithmswallow
ingmandmbreathing,msomtheremwasmnommedical memergencymtomrequiremcallingm911.
Which mofmthemfollowingmfindingsmismmostmlikelyminmyoungmprimigravidasmwithmpregnancy
-inducedmhypertension?
A)mAbdominal mcrampingmandmconstipation
B)mEdemamof mthemfacemandmthemuppermextremities
C)mShortnessmof mbreath
D)mDysuriamandmfrequencym-
mAnswermB)mEdemamof mthemfacemandmthemuppermextremitiesm
Common msignsmandmsymptomsmof mpregnancy-
inducedmhypertensionmincludemedemamofmthemfacemandmthemuppermextremities,mweightm
gain,mblurredmvision,melevatedmBP,mproteinuria,mandmheadaches.
Which mof mthemfollowingmsymptomsmismassociatedmwith mB12mdeficiencymanemia?
A)mSpoon-shapedmnailsmandmpica
B)mAn mabnormal mneurological mexam
C)mAmvegan mdiet
D)mTinglingmandmnumbnessmof mboth mfeetm-
mAnswermD)mTingling mandmnumbnessmof mboth mfeetm
m m m m m
plete Solutions.
m
Am72-year-
oldmwoman mhasmbeenmonmhydrochlorothiazidem12.5mmgmformmanymyearsmtomcontrol mher
mStagemIImhypertension.mHermblood mpressure m(BP)matmthismvisitmism168/96.mShemismcurre
ntlymcomplainingmof mpainmonmhermrightmhipmandmonmboth mknees.mShemhasmincreasedmher
mdosemof mibuprofen m(Motrin)mfromm400mmgm3mtimesmdaym(TID)mtom800mmgmTID.mShemisms
tillmin mpainmandmwouldmlikemsomethingmstronger.mWhichmofmthemfollowingmstatementsmismt
hembestmexplanation mof mthemeffectsmof mibuprofen m(Motrin)mon mhermdisease?
A)mItmincreasesmthemchancesmof madversemeffectsmtomhermhealth
B)mItminhibitsmthemeffectmofmrenalmprostaglandinsmandmbluntsmthemeffectivenessmofmthemdi
uretic
C)mItmprolongsmthemtherapeuticmeffectsmof mhydrochlorothiazidemandmothermdiuretics
D)mNonemof mthemstatementsmaremtruem-
mAnswermB)mItminhibitsmthemeffectmof mrenal mprostaglandins mandmbluntsmthemeffectiveness
mof mthemdiuretic.
NSAIDsmandmASAminhibitmthemvasodilatorymeffectsmof mprostaglandins,mwhichmpredispos
esmthemkidneymtomischemia.mNSAIDsmandmdiureticsmcanmcausemacutemprerenalmfailuremb
ymdecreasingmrenal mbloodmflow.
2.mAll mof mthemfollowingmareminfectionsmthatmaffectmmostlymthemlabiamandmvaginamexcept:
A)mBacterialvaginosis
B)mCandidiasis
C)mTrichomoniasis
D)mChlamydiamtrachomatism-mAnswermD)mChlamydiamtrachomatis
Infectionsmthatmcommonlymaffectmthemlabiamandmvaginamincludembacterial mvaginosis,mca
ndidiasis,mandmtrichomoniasis.mChlamydiamtrachomatismcommonlymaffectsmthemcervix,m
endometrial mliningm,mfallopian mtubes,mandmpelvicmcavity.
Themnursempractitionermwouldmtestmthemobturatormandmiliopsoasmmusclemtomevaluatemfor
:
A)mCholecystitis
B)mAcutemappendicitis
C)mInguinal mhernia
D)mGastriculcerm-mAnswermB)mAcutemappendicitis.
Signsmandmsymptomsmof man macutemabdomen mincludeminvol-
muntarymguarding,mrebound mtenderness,mboardlike mabdomen,mandmampositive mobtu-
mratormandmpsoasmsign.mA mpositivemobturatormsignmoccursmwhenmpainmismelicted mbyminter
nal mrotation mofmthemrightmhipmfromm90mdegreesmhip/kneemflexion.mThempsoasmsign mismpo
sitivemwhenmpainmoccursmwith mpassivemextensionmof mthemthighmwhilemthempatientmismlyin
gmon mhis/hermsidemwith mkneesmextended,mormwhenmpainmoccursmwithmactivemflexionmofmhi
s/hermthigh matmthemhip.
Treatmentmformmildmpreeclampsiamincludesmallmof mthemfollowingmexcept:
,LEIK FNP Practice Questions With Com
m m m m m
plete Solutions.
m
A)mBedmrestmexceptmformbathroommprivileges
B)mClosemmonitoringmof mweightmandmbloodmpressure
C)mClosemfollow-upmof murinarymprotein,mserummcreatinine,mandmplateletmcount
D)mAmprescription mof mmethyldopam(Aldomet)mtomcontrol mbloodmpressurem-
mAnswermD)mA mprescription mof mmethyldopa m(Aldomet)mtomcontrol mbloodmpressure m
Recommendedmcaremformwomenmdiagnosedmwithmpreeclampsiamincludesmbedmrestmwit
h mbath-
mroommprivileges,mweightmandmBP mmonitoring,mandmcloselymfollowing murinemprotein mand
mserummprotein,mcreatinine,mandmplateletmcounts.mOral mmedicationsmaremnotmusedmasmfir
st-linemtreatment.
Allmof mthemfollowingmservicesmaremcoveredmundermMedicaremPartmAmexcept:
A)mInpatienthospitalizations
B)mMedicinesmadministeredmtomampatientmwhilemhospitalized
C)mNursingmhomemcare
D)mSurgeonsm-mAnswermC)mNursingmhomemcare
MedicaremAmcoveragemincludesminpatientmhospitalizationmandmskilledmcaremgivenminmamc
ertifiedmskilledmnursingmfacility.mMostmnursingmhomemcaremismcustodialmcarem(helpmwith m
bathing,mdressing,musingmambathroom,mandmeating).mThismcaremismnotmcoveredmbymMedi
caremA.
Am28-year-
oldmstudentmismseenminmthemschoolmhealth mclinicmwith mcomplaintsmof mamhackingmcough mt
hatmismproductivemof msmall mamountsmofmsputummandmamrunnymnose.mHemdoesmnotmtakem
anymmedications,mdeniesmanymallergies,mandmhasmnomsignificantmmedicalmhistory.mPhysi
cal mexamination mrevealsmamlow-
grademtemperaturemof m99.9mdegreesmFahrenheit,mrespirationsmof m16/min,mampulsemof m9
0mbeatsmpermminute,mandmdiffusemfinemcracklesminmthembasemofmthemlungs.mAmchestmradi
ograph m(x-
ray)mshowsmdiffuseminfiltratesmonmthemlowermlobemof mthemrightmlung.mThemtotal mwhitemblo
odmcell mcountmism10,500/uL.mWhatmismthemmostmlikelymdiagnosis?
A)mStreptococcal mpneumonia
B)mMycoplasmampneumonia
C)mAcutembronchitis
D)mLegionnairesmdiseasem-mAnswermB)mMycoplasmampneumoniam
Mycoplasmampneumoniamismthemorganismmmostmcom-
mmonlymseen minmchildren mandmyoungmadults.mItmismeasilymspreadmfrommdroplets,mfrommsn
eezingmandmcoughing,min mclosemproximity.mDiagnosismismbasedmon msymptomsmandmx-
raymresultsmof minfiltratesmin mlowermlobes.
Am39-year-
oldmmigrantmworkermpresentsmtomthemclinicm2.5mdaysmaftermampurifiedmproteinmderivativem
,LEIK FNP Practice Questions With Com
m m m m m
plete Solutions.
m
(PPD)mtest.mWhatmminimummsizemof minduration mwouldmbemconsideredmposi-
mtivemformthismpatient?
A)m3mmmmB)m5mmmmC)m10mmmmD)m15mmmm-mAnswermC)m10mmmm
ThemPPD mismadministeredmonmthemvolarmaspectmofmthemlowermarmmandmreadm48mhoursma
ftermthemtestmismgiven.mThemPPDmresultmmustmhavemindurationmandmmeasurem10mmmmorm
greatermtombempositivemin mamlow-
riskmpatient.mIndurationm(firmnessmwithmpalpation)mmustmbempresent.mIf mthemsitemhasmery
themambutmnominduration,mresultmwouldmbemnegative.mColormismnotmimportant.
Allmof mthemfollowingmaremcorrectmstatementsmregardingmthemrolemof mthempersonmnamedmi
n mamdurablempowermof mattorneymexcept:
A)mThemagent'smdecisionsmaremlegallymbinding
B)mThemagentmcanmmakemdecisionsminmothermareasmof mthempatient'smlifemsuchmasmfinanci
al
issues
C)mThemagentmcanmdecidemformthempatientmwhomismonmlifemsupportmwhenmthatmlifemsuppo
rt
can mbemterminated
D)mThempatient'smspousemhasmamrightmtomoverridemthemagent'smdecisionsm-
mAnswermD)mThempatient'smspousemhasmamrightmtomoverride mthemagent'smdecisionsm
Themperson mnamedminmamdurablempowermofmattorneym(themagent)mismdesignatedmbymthem
patientmtommakemall mmedical mdecisions,masmwellmasmanymdecisionsmregardingmthempatie
nt'smprivatemaffairsminmthemeventmthatmthempatientmbecomesmincompetentmandmunablemto
mmakemhis/hermownmdecisions.mNomonemhasmthemabilitymtomoverride mthemagent'smdecisio
n.
Allmof mthemfollowingmaremtruemstatementsmregardingmMunchausen msyndromemexcept:
A)mItmismconsideredmammental millness
B)mThempatientmhasmammedical millnessmthatmcausesman manxietymreaction mandmdenial
C)mThempatientmfakesmanmillnessminmordermtomgainmattentionmfrommhealthmcaremproviders
D)mThempatientmhasman minconsistentmmedical mhistorymalongmwith mampastmhistorymof
frequentmhospitalizationsm-
mAnswermB)mThempatientmhasmammedical millnessmthatmcausesmanmanxietymreaction mandmd
enial m
Munchausenmsyndromemismampsychiatricmdisorderminmwhichmthempatientmfakesmammedic
almillnessmormdisordermtomgain mattention mfrommhealth mcaremprovid-
mers.mThese mpatientsmcommonlymusemthememergencymdepartmentmfrequentlymtomgainma
ttention.
Which mofmthemfollowingmantihypertensivemmedicationsmshouldmthemnursempractitionerma
voidmwhen mtreatingmpatientsmwith memphysema?
, LEIK FNP Practice Questions With Com
m m m m m
plete Solutions.
m
A)mCalciummchannel mblockers
B)mAngiotensin-convertingmenzymem(ACE)minhibitors
C)mBeta-blockers
D)mDiureticsm-mAnswermC)mBeta-blockersm
Beta-
blockersmshouldmbemavoidedminmpatientsmwithmamhistorymof memphysema.mStudiesmhavem
shown mevidencemof mamreductionminmforcedmexpiratorymvolumeminm1msecondm(FEV1),minc
reasedmairwaymhyperresponsiveness,mandminhibitionmof mbronchodilatormresponsemtomb
etamagonistsmin mpatientsmreceivingmnon-selectivembeta-
mblockersmandmhigh mdosesmof mcardioselective mbeta-blockers.
Am30-year-
oldmchef mcomplainsmof mpruriticmhivesmovermhermchestmandmarmsmbutmdeniesmdifficultymsw
allowingmormbreathing.mShemreportsmamfamilymhistorymofmallergicmrhinitismandmasthma.mW
hich mof mthemfollowingminterventionsmismmostmappropriate?
A)mPerformmamcompletemandmthorough mhistory
B)mPrescribeman moral mantihistaminemsuch masmdiphenhydraminem25mmgmPOmQID
C)mGiveman minjection mof mepinephrinem1:1000mintramuscularlymstatm
D)mCall m911m-mAnswermA)mPerformmamcompletemandmthorough mhistorym
Priormtomprescribingmmedications,mamcompletemandmthorough mhistorymmustmbemperform
edmtomdeterminempossiblemcausesmof mhives.mThempatientmdeniedmdifficultymwithmswallow
ingmandmbreathing,msomtheremwasmnommedical memergencymtomrequiremcallingm911.
Which mofmthemfollowingmfindingsmismmostmlikelyminmyoungmprimigravidasmwithmpregnancy
-inducedmhypertension?
A)mAbdominal mcrampingmandmconstipation
B)mEdemamof mthemfacemandmthemuppermextremities
C)mShortnessmof mbreath
D)mDysuriamandmfrequencym-
mAnswermB)mEdemamof mthemfacemandmthemuppermextremitiesm
Common msignsmandmsymptomsmof mpregnancy-
inducedmhypertensionmincludemedemamofmthemfacemandmthemuppermextremities,mweightm
gain,mblurredmvision,melevatedmBP,mproteinuria,mandmheadaches.
Which mof mthemfollowingmsymptomsmismassociatedmwith mB12mdeficiencymanemia?
A)mSpoon-shapedmnailsmandmpica
B)mAn mabnormal mneurological mexam
C)mAmvegan mdiet
D)mTinglingmandmnumbnessmof mboth mfeetm-
mAnswermD)mTingling mandmnumbnessmof mboth mfeetm
