G G G
AG72-year-
oldGwomanGhasGbeenGonGhydrochlorothiazideG12.5GmgGforGmanyGyearsGtoGcontrolGherGSta
geGIIGhypertension.GHerGbloodGpressureG(BP)GatGthisGvisitGisG168/96.GSheGisGcurrentlyGcom
plainingGofGpainGonGherGrightGhipGandGonGbothGknees.GSheGhasGincreasedGherGdoseGofGibu
profenG(Motrin)GfromG400GmgG3GtimesGdayG(TID)GtoG800GmgGTID.GSheGisGstillGinGpainGandG
wouldGlikeGsomethingGstronger.GWhichGofGtheGfollowingGstatementsGisGtheGbestGexplanatio
nGofGtheGeffectsGofGibuprofenG(Motrin)GonGherGdisease?
A)GItGincreasesGtheGchancesGofGadverseGeffectsGtoGherGhealth
B)GItGinhibitsGtheGeffectGofGrenalGprostaglandinsGandGbluntsGtheGeffectivenessGofGtheGdiuret
ic
C)GItGprolongsGtheGtherapeuticGeffectsGofGhydrochlorothiazideGandGotherGdiuretics
D)GNoneGofGtheGstatementsGareGtrueG-
GanwersB)GItGinhibitsGtheGeffectGofGrenalGprostaglandinsGandGbluntsGtheGeffectivenessGofGt
heGdiuretic.
NSAIDsGandGASAGinhibitGtheGvasodilatoryGeffectsGofGprostaglandins,GwhichGpredisposesGt
heGkidneyGtoGischemia.GNSAIDsGandGdiureticsGcanGcauseGacuteGprerenalGfailureGbyGdecre
asingGrenalGbloodGflow.
2.GAllGofGtheGfollowingGareGinfectionsGthatGaffectGmostlyGtheGlabiaGandGvaginaGexcept:
A)GBacterialvaginosis
B)GCandidiasis
C)GTrichomoniasis
D)GChlamydiaGtrachomatisG-GanwersD)GChlamydiaGtrachomatis
InfectionsGthatGcommonlyGaffectGtheGlabiaGandGvaginaGincludeGbacterialGvaginosis,Gcandid
iasis,GandGtrichomoniasis.GChlamydiaGtrachomatisGcommonlyGaffectsGtheGcervix,Gendome
trialGliningG,GfallopianGtubes,GandGpelvicGcavity.
TheGnurseGpractitionerGwouldGtestGtheGobturatorGandGiliopsoasGmuscleGtoGevaluateGfor:
A)GCholecystitis
B)GAcuteGappendicitis
C)GInguinalGhernia
D)GGastriculcerG-GanwersB)GAcuteGappendicitis.
SignsGandGsymptomsGofGanGacuteGabdomenGincludeGinvol-
GuntaryGguarding,GreboundGtenderness,GboardlikeGabdomen,GandGaGpositiveGobtu-
GratorGandGpsoasGsign.GAGpositiveGobturatorGsignGoccursGwhenGpainGisGelictedGbyGinternalG
rotationGofGtheGrightGhipGfromG90GdegreesGhip/kneeGflexion.GTheGpsoasGsignGisGpositiveGwh
enGpainGoccursGwithGpassiveGextensionGofGtheGthighGwhileGtheGpatientGisGlyingGonGhis/herG
sideGwithGkneesGextended,GorGwhenGpainGoccursGwithGactiveGflexionGofGhis/herGthighGatGth
eGhip.
,LEIK FNP Practice Questions
G G G
TreatmentGforGmildGpreeclampsiaGincludesGallGofGtheGfollowingGexcept:
A)GBedGrestGexceptGforGbathroomGprivileges
B)GCloseGmonitoringGofGweightGandGbloodGpressure
C)GCloseGfollow-upGofGurinaryGprotein,GserumGcreatinine,GandGplateletGcount
D)GAGprescriptionGofGmethyldopaG(Aldomet)GtoGcontrolGbloodGpressureG-
GanwersD)GAGprescriptionGofGmethyldopaG(Aldomet)GtoGcontrolGbloodGpressureG
RecommendedGcareGforGwomenGdiagnosedGwithGpreeclampsiaGincludesGbedGrestGwithGba
th-
GroomGprivileges,G weightGandGBPGmonitoring,GandGcloselyGfollowingGurineGproteinGandGser
umGprotein,Gcreatinine,GandGplateletGcounts.GOralGmedicationsGareGnotGusedGasGfirst-
lineGtreatment.
AllGofGtheGfollowingGservicesGareGcoveredGunderGMedicareGPartGAGexcept:
A)GInpatienthospitalizations
B)GMedicinesGadministeredGtoGaGpatientGwhileGhospitalized
C)GNursingGhomeGcare
D)GSurgeonsG-GanwersC)GNursingGhomeGcare
MedicareGAGcoverageGincludesGinpatientGhospitalizationGandGskilledGcareGgivenGinGaGcertif
iedGskilledGnursingGfacility.GMostGnursingGhomeGcareGisGcustodialGcareG(helpGwithGbathing,
Gdressing,GusingGaGbathroom,GandGeating).GThisGcareGisGnotGcoveredGbyGMedicareGA.
AG28-year-
oldGstudentGisGseenGinGtheGschoolGhealthGclinicGwithGcomplaintsGofGaGhackingGcoughGthatGi
sGproductiveGofGsmallGamountsGofGsputumGandGaGrunnyGnose.GHeGdoesGnotGtakeGanyGmed
ications,GdeniesGanyGallergies,GandGhasGnoGsignificantGmedicalGhistory.GPhysicalGexamina
tionGrevealsGaGlow-
gradeGtemperatureGofG99.9GdegreesGFahrenheit,GrespirationsGofG16/min,GaGpulseGofG90Gbe
atsGperGminute,GandGdiffuseGfineGcracklesGinGtheGbaseGofGtheGlungs.GAGchestGradiographG(
x-
ray)GshowsGdiffuseGinfiltratesGonGtheGlowerGlobeGofGtheGrightGlung.GTheGtotalGwhiteGbloodGc
ellGcountGisG10,500/uL.GWhatGisGtheGmostGlikelyGdiagnosis?
A)GStreptococcalGpneumonia
B)GMycoplasmaGpneumonia
C)GAcuteGbronchitis
D)GLegionnairesGdiseaseG-GanwersB)GMycoplasmaGpneumoniaG
MycoplasmaGpneumoniaGisGtheGorganismGmostGcom-
GmonlyGseenGinGchildrenGandGyoungGadults.GItGisGeasilyGspreadGfromGdroplets,GfromGsneezi
ngGandGcoughing,GinGcloseGproximity.GDiagnosisGisGbasedGonGsymptomsGandGx-
rayGresultsGofGinfiltratesGinGlowerGlobes.
,LEIK FNP Practice Questions
G G G
AG39-year-
oldGmigrantGworkerGpresentsGtoGtheGclinicG2.5GdaysGafterGaGpurifiedGproteinGderivativeG(PP
D)Gtest.GWhatGminimumGsizeGofGindurationGwouldGbeGconsideredGposi-
GtiveGforGthisGpatient?
A)G3GmmGB)G5GmmGC)G10GmmGD)G15GmmG-GanwersC)G10GmmG
TheGPPDGisGadministeredGonGtheGvolarGaspectGofGtheGlowerGarmGandGreadG48GhoursGafterG
theGtestGisGgiven.GTheGPPDGresultGmustGhaveGindurationGandGmeasureG10GmmGorGgreaterG
toGbeGpositiveGinGaGlow-
riskGpatient.GIndurationG(firmnessGwithGpalpation)GmustGbeGpresent.GIfGtheGsiteGhasGerythe
maGbutGnoGinduration,GresultGwouldGbeGnegative.GColorGisGnotGimportant.
AllGofGtheGfollowingGareGcorrectGstatementsGregardingGtheGroleGofGtheGpersonGnamedGinGaG
durableGpowerGofGattorneyGexcept:
A)GTheGagent'sGdecisionsGareGlegallyGbinding
B)GTheGagentGcanGmakeGdecisionsGinGotherGareasGofGtheGpatient'sGlifeGsuchGasGfinancial
issues
C)GTheGagentGcanGdecideGforGtheGpatientGwhoGisGonGlifeGsupportGwhenGthatGlifeGsupport
canGbeGterminated
D)GTheGpatient'sGspouseGhasGaGrightGtoGoverrideGtheGagent'sGdecisionsG-
GanwersD)GTheGpatient'sGspouseGhasGaGrightGtoGoverrideGtheGagent'sGdecisionsG
TheGpersonGnamedGinGaGdurableGpowerGofGattorneyG(theGagent)GisGdesignatedGbyGtheGpati
entGtoGmakeGallGmedicalGdecisions,GasGwellGasGanyGdecisionsGregardingGtheGpatient'sGpriv
ateGaffairsGinGtheGeventGthatGtheGpatientGbecomesGincompetentGandGunableGtoGmakeGhis/h
erGownGdecisions.GNoGoneGhasGtheGabilityGtoGoverrideGtheGagent'sGdecision.
AllGofGtheGfollowingGareGtrueGstatementsGregardingGMunchausenGsyndromeGexcept:
A)GItGisGconsideredGaGmentalGillness
B)GTheGpatientGhasGaGmedicalGillnessGthatGcausesGanGanxietyGreactionGandGdenial
C)GTheGpatientGfakesGanGillnessGinGorderGtoGgainGattentionGfromGhealthGcareGproviders
D)GTheGpatientGhasGanGinconsistentGmedicalGhistoryGalongGwithGaGpastGhistoryGof
frequentGhospitalizationsG-
GanwersB)GTheGpatientGhasGaGmedicalGillnessGthatGcausesGanGanxietyGreactionGandGdenial
G
MunchausenGsyndromeGisGaGpsychiatricGdisorderGinGwhichGtheGpatientGfakesGaGmedicalGill
nessGorGdisorderGtoGgainGattentionGfromGhealthGcareGprovid-
Gers.GTheseGpatientsGcommonlyGuseGtheGemergencyGdepartmentGfrequentlyGtoGgainGatten
tion.
WhichGofGtheGfollowingGantihypertensiveGmedicationsGshouldGtheGnurseGpractitionerGavoid
GwhenGtreatingGpatientsGwithGemphysema?
, LEIK FNP Practice Questions
G G G
A)GCalciumGchannelGblockers
B)GAngiotensin-convertingGenzymeG(ACE)Ginhibitors
C)GBeta-blockers
D)GDiureticsG-GanwersC)GBeta-blockersG
Beta-
blockersGshouldGbeGavoidedGinGpatientsGwithGaGhistoryGofGemphysema.GStudiesGhaveGsho
wnGevidenceGofGaGreductionGinGforcedGexpiratoryGvolumeGinG1GsecondG(FEV1),GincreasedG
airwayGhyperresponsiveness,GandGinhibitionGofGbronchodilatorGresponseGtoGbetaGagonists
GinGpatientsGreceivingGnon-selectiveGbeta-
GblockersGandGhighGdosesGofGcardioselectiveGbeta-blockers.
AG30-year-
oldGchefGcomplainsGofGpruriticGhivesGoverGherGchestGandGarmsGbutGdeniesGdifficultyGswallo
wingGorGbreathing.GSheGreportsGaGfamilyGhistoryGofGallergicGrhinitisGandGasthma.GWhichGofG
theGfollowingGinterventionsGisGmostGappropriate?
A)GPerformGaGcompleteGandGthoroughGhistory
B)GPrescribeGanGoralGantihistamineGsuchGasGdiphenhydramineG25GmgGPOGQID
C)GGiveGanGinjectionGofGepinephrineG1:1000GintramuscularlyGstatG
D)GCallG911G-GanwersA)GPerformGaGcompleteGandGthoroughGhistoryG
PriorGtoGprescribingGmedications,GaGcompleteGandGthoroughGhistoryGmustGbeGperformedGt
oGdetermineGpossibleGcausesGofGhives.GTheGpatientGdeniedGdifficultyGwithGswallowingGand
Gbreathing,GsoGthereGwasGnoGmedicalGemergencyGtoGrequireGcallingG911.
WhichGofGtheGfollowingGfindingsGisGmostGlikelyGinGyoungGprimigravidasGwithGpregnancy-
inducedGhypertension?
A)GAbdominalGcrampingGandGconstipation
B)GEdemaGofGtheGfaceGandGtheGupperGextremities
C)GShortnessGofGbreath
D)GDysuriaGandGfrequencyG-GanwersB)GEdemaGofGtheGfaceGandGtheGupperGextremitiesG
CommonGsignsGandGsymptomsGofGpregnancy-
inducedGhypertensionGincludeGedemaGofGtheGfaceGandGtheGupperGextremities,GweightGgain
,GblurredGvision,GelevatedGBP,Gproteinuria,GandGheadaches.
WhichGofGtheGfollowingGsymptomsGisGassociatedGwithGB12GdeficiencyGanemia?
A)GSpoon-shapedGnailsGandGpica
B)GAnGabnormalGneurologicalGexam
C)GAGveganGdiet
D)GTinglingGandGnumbnessGofGbothGfeetG-GanwersD)GTinglingGandGnumbnessGofGbothGfeetG