LEIK FNP Practice Test Questions And Answers Verified
100% Correct
The Pap smear result on a 20-year-old sexually active student who uses condoms
inconsistently shows a large amount of inflammation. Which of the following is the best
follow-up action?
A) The NP needs to do cervical cultures to verify the presence of gonorrhea
B) Prescribe metronidazole vaginal cream for the patient over the phone
C) Call the patient and tell her she needs a repeat Pap smear in 6 months
D) Advise the patient to use a Betadine douche at bedtime x 3 days - ANSWER A) The
NP needs to do cervical cultures to verify the presence of gonor- rhea
Cultures should be taken at the time of the Pap smear, as the patient may not return for
later diagnostic testing.
While performing a Pap smear on a postmenopausal patient, several areas of flat white
skin lesions that are irregularly shaped are found on the patient's labia. The patient
reports that the lesions are extremely itchy and have been present for several years
without much change. Which condition is best described?
A) Chronic scabies infection
B) Lichen sclerosus
C) Chronic candidal vaginitis
D) A physiologic variant found in some older women - ANSWER B) Lichen sclerosus
Lichen sclerosus is a disease of the skin, in which white spots appear on the skin and
change over time. It is most commonly seen in the genital and rectal areas, but can
appear in other areas. The spots are usually shiny and smooth and can eventually
spread into patches. The skin appears thin and crinkled. Then the skin tears easily, and
bright red or purple bruises are common. Sometimes, the skin becomes scarred. If the
disease is a mild case, there may be no symptoms
The heart sound S2 is caused by:
A) Closure of the atrioventricular valves
B) Closure of the semilunar valves
C) Opening of the atrioventricular valves
D) Opening of the semilunar valves - ANSWER B) Closure of the semilunar valves
The heart sound S2 is caused by closure of the semilunar valves.
,A pelvic exam on a woman who is 12 weeks pregnant would reveal that her uterus is
located at which of the following areas?
A) Between the umbilicus and the suprapubic bone
B) Just rising above the suprapubic bone
C) Between the suprapubic bone and the xiphoid process
D) Between the umbilicus and the xiphoid proces - ANSWER B) Just rising above the
suprapubic bone
At 12 weeks gestation, the uterus measures approximately the size of a grapefruit,
which would be felt just above the suprapubic bone on bimanual exam.
All of the following are covered under Medicare Part B except:
A) Persons age 65 years or older
B) Durable medical equipment
C) Mammograms annually starting at age 50
D) Anesthesiologist's services - ANSWER D) Anesthesiologist's services Medicare Part
B covers: 1) outpatient physician visits, labs, x-rays; 2) durable medical equipment;
3) mammograms/colonoscopy after age 50 years annually; 4) rehabilitation.
Anesthesiologist's services are covered by Medicare Part A.
All of the following patients are at higher risk for suicide except:
A) A 66-year-old White male whose wife of 40 years recently died
B) A high school student with a history of bipolar disorder
C) A depressed 45-year-old female with family history of suicide
D) A 17-year-old teen who has only 1 close friend in school - ANSWER D) A 17-
yearold teen who has only one close friend in school Risk factors for suicide include:
1) elderly white males (especially after the death of a spouse); 2) past history of
suicide; 3) family history of suicide; 4) plans for use of a lethal weapon such as a gun
or knife; 5) female gender has a higher attempt rate, but males have a higher
success rate; 6) personal history of bipolar disorder or depression.
A 70-year-old male patient complains of a bright red spot in his left eye for 2 days. He
denies eye pain, visual changes, or headaches. He has a new onset of cough from a
recent viral upper respiratory infection. The only medicine he is on is Bayer aspirin 1
tablet a day. Which of the following is most likely?
A) Corneal abrasion
B) Acute bacterial conjunctivitis
C) Acute uveitis
D) Subconjunctival hemorrhage - ANSWER D) Subconjunctival hemorrhage
,Subconjunctival hemorrhage is a benign disorder that occurs from an increase in
intraocular pressure that may be caused by coughing, vomiting, forceful exerrtion in
labor during childbirth, straining while having a bowel movement, weight lifting, or lifting
a heavy object.
Which of the following is appropriate follow-up for this 70-year-old patient?
A) Referral to an
optometrist
B) Referral to an
ophthalmologist
C) Advise the patient that it is a benign condition and will resolve
spontaneously
D) Prescribe an ophthalmic antibiotic solution - ANSWER C) Advise the patient
that it is
a benign condition and will resolve
spontaneously
A subconjunctival hemorrhage is a benign disorder that resolves without any treatment
Jason, an 8-year-old with type 1 diabetes, is being seen for a 3-day history of fre-
quency and nocturia. He denies flank pain and is afebrile. The urinalysis result is
negative for blood and nitrites but is positive for a large amount of leukocytes and
ketones. He has a trace amount of protein. Which of the following is the best test to
order initially?
A) Urine for culture and sensitivity
B) 24-hour urine for protein and creatinine clearance
C) 24-hour urine for microalbumin
D) An intravenous pyelogram - ANSWER A) Urine for culture and sensitivity
An 8-year-old male patient with the diagnosis of diabetes has a high risk of urinary tract
infections. A large amount of leukocytes in the urinalysis is abnormal and he has been
having symptoms of frequency and nocturia for the past 3 days. The urine culture would
be ordered because he has a high risk of infection. The urine culture and sensitivity
(C&S) is the best evaluation for diagnosing a urinary tract infection.
All of the following are not recommended for the outpatient treatment of mild
preeclampsia except:
A) Severe sodium restriction
, B) Restrict fluid intake to less than 1 liter per 24 hours
C) Aldomet (methyldopa) 250 mg PO (orally) BID
D) Bed rest on the left side with bathroom privileges - ANSWER D) Bed rest on the left
side with bathroom privileges
Outpatient treatment for mild pre-eclampsia includes bed rest on the left lateral side with
bathroom privileges.
The best test for diagnosing congenital glaucoma is which of the following?
A) Fluorescein staining
B) Tonometry
C) Snellen vision exam
D) The refractive index - ANSWER B) Tonometry
A tonometer is used to measure the intraocular pressure (IOP) of the eye to screen for
glaucoma. Normal range IOP is 10-22 mm Hg.
Rocky Mountain spotted fever is caused by the bite of the:
A) Mosquito
B) Tick
C) Insect
D) Flea - ANSWER B) Tick
Rocky Mountain spotted fever is caused by a tick bite from a tick that was infected with
the parasite Rickettsia rickettsii. The mortality rate is 1%-7% if left untreated.
All of the following are false statements about atopic dermatitis except:
A) Contact with cold objects may exacerbate the condition
B) It does not have a linear distribution
C) It is associated with bullae
D) The lesions have vesicles that are full of serous exudate - ANSWER B) It does not
have a linear distribution
Atopic dermatitis is a skin condition in which the lesions occur in a linear fashion. They
may have many different stages, including erythematous papules and vesicles, with
weeping, drainage, and/or crusting. Lesions are commonly found on the scalp, face
,s
forearms, wrists, elbows, and backs of the knees. Commonly pruritic. Also known a
eczema.
100% Correct
The Pap smear result on a 20-year-old sexually active student who uses condoms
inconsistently shows a large amount of inflammation. Which of the following is the best
follow-up action?
A) The NP needs to do cervical cultures to verify the presence of gonorrhea
B) Prescribe metronidazole vaginal cream for the patient over the phone
C) Call the patient and tell her she needs a repeat Pap smear in 6 months
D) Advise the patient to use a Betadine douche at bedtime x 3 days - ANSWER A) The
NP needs to do cervical cultures to verify the presence of gonor- rhea
Cultures should be taken at the time of the Pap smear, as the patient may not return for
later diagnostic testing.
While performing a Pap smear on a postmenopausal patient, several areas of flat white
skin lesions that are irregularly shaped are found on the patient's labia. The patient
reports that the lesions are extremely itchy and have been present for several years
without much change. Which condition is best described?
A) Chronic scabies infection
B) Lichen sclerosus
C) Chronic candidal vaginitis
D) A physiologic variant found in some older women - ANSWER B) Lichen sclerosus
Lichen sclerosus is a disease of the skin, in which white spots appear on the skin and
change over time. It is most commonly seen in the genital and rectal areas, but can
appear in other areas. The spots are usually shiny and smooth and can eventually
spread into patches. The skin appears thin and crinkled. Then the skin tears easily, and
bright red or purple bruises are common. Sometimes, the skin becomes scarred. If the
disease is a mild case, there may be no symptoms
The heart sound S2 is caused by:
A) Closure of the atrioventricular valves
B) Closure of the semilunar valves
C) Opening of the atrioventricular valves
D) Opening of the semilunar valves - ANSWER B) Closure of the semilunar valves
The heart sound S2 is caused by closure of the semilunar valves.
,A pelvic exam on a woman who is 12 weeks pregnant would reveal that her uterus is
located at which of the following areas?
A) Between the umbilicus and the suprapubic bone
B) Just rising above the suprapubic bone
C) Between the suprapubic bone and the xiphoid process
D) Between the umbilicus and the xiphoid proces - ANSWER B) Just rising above the
suprapubic bone
At 12 weeks gestation, the uterus measures approximately the size of a grapefruit,
which would be felt just above the suprapubic bone on bimanual exam.
All of the following are covered under Medicare Part B except:
A) Persons age 65 years or older
B) Durable medical equipment
C) Mammograms annually starting at age 50
D) Anesthesiologist's services - ANSWER D) Anesthesiologist's services Medicare Part
B covers: 1) outpatient physician visits, labs, x-rays; 2) durable medical equipment;
3) mammograms/colonoscopy after age 50 years annually; 4) rehabilitation.
Anesthesiologist's services are covered by Medicare Part A.
All of the following patients are at higher risk for suicide except:
A) A 66-year-old White male whose wife of 40 years recently died
B) A high school student with a history of bipolar disorder
C) A depressed 45-year-old female with family history of suicide
D) A 17-year-old teen who has only 1 close friend in school - ANSWER D) A 17-
yearold teen who has only one close friend in school Risk factors for suicide include:
1) elderly white males (especially after the death of a spouse); 2) past history of
suicide; 3) family history of suicide; 4) plans for use of a lethal weapon such as a gun
or knife; 5) female gender has a higher attempt rate, but males have a higher
success rate; 6) personal history of bipolar disorder or depression.
A 70-year-old male patient complains of a bright red spot in his left eye for 2 days. He
denies eye pain, visual changes, or headaches. He has a new onset of cough from a
recent viral upper respiratory infection. The only medicine he is on is Bayer aspirin 1
tablet a day. Which of the following is most likely?
A) Corneal abrasion
B) Acute bacterial conjunctivitis
C) Acute uveitis
D) Subconjunctival hemorrhage - ANSWER D) Subconjunctival hemorrhage
,Subconjunctival hemorrhage is a benign disorder that occurs from an increase in
intraocular pressure that may be caused by coughing, vomiting, forceful exerrtion in
labor during childbirth, straining while having a bowel movement, weight lifting, or lifting
a heavy object.
Which of the following is appropriate follow-up for this 70-year-old patient?
A) Referral to an
optometrist
B) Referral to an
ophthalmologist
C) Advise the patient that it is a benign condition and will resolve
spontaneously
D) Prescribe an ophthalmic antibiotic solution - ANSWER C) Advise the patient
that it is
a benign condition and will resolve
spontaneously
A subconjunctival hemorrhage is a benign disorder that resolves without any treatment
Jason, an 8-year-old with type 1 diabetes, is being seen for a 3-day history of fre-
quency and nocturia. He denies flank pain and is afebrile. The urinalysis result is
negative for blood and nitrites but is positive for a large amount of leukocytes and
ketones. He has a trace amount of protein. Which of the following is the best test to
order initially?
A) Urine for culture and sensitivity
B) 24-hour urine for protein and creatinine clearance
C) 24-hour urine for microalbumin
D) An intravenous pyelogram - ANSWER A) Urine for culture and sensitivity
An 8-year-old male patient with the diagnosis of diabetes has a high risk of urinary tract
infections. A large amount of leukocytes in the urinalysis is abnormal and he has been
having symptoms of frequency and nocturia for the past 3 days. The urine culture would
be ordered because he has a high risk of infection. The urine culture and sensitivity
(C&S) is the best evaluation for diagnosing a urinary tract infection.
All of the following are not recommended for the outpatient treatment of mild
preeclampsia except:
A) Severe sodium restriction
, B) Restrict fluid intake to less than 1 liter per 24 hours
C) Aldomet (methyldopa) 250 mg PO (orally) BID
D) Bed rest on the left side with bathroom privileges - ANSWER D) Bed rest on the left
side with bathroom privileges
Outpatient treatment for mild pre-eclampsia includes bed rest on the left lateral side with
bathroom privileges.
The best test for diagnosing congenital glaucoma is which of the following?
A) Fluorescein staining
B) Tonometry
C) Snellen vision exam
D) The refractive index - ANSWER B) Tonometry
A tonometer is used to measure the intraocular pressure (IOP) of the eye to screen for
glaucoma. Normal range IOP is 10-22 mm Hg.
Rocky Mountain spotted fever is caused by the bite of the:
A) Mosquito
B) Tick
C) Insect
D) Flea - ANSWER B) Tick
Rocky Mountain spotted fever is caused by a tick bite from a tick that was infected with
the parasite Rickettsia rickettsii. The mortality rate is 1%-7% if left untreated.
All of the following are false statements about atopic dermatitis except:
A) Contact with cold objects may exacerbate the condition
B) It does not have a linear distribution
C) It is associated with bullae
D) The lesions have vesicles that are full of serous exudate - ANSWER B) It does not
have a linear distribution
Atopic dermatitis is a skin condition in which the lesions occur in a linear fashion. They
may have many different stages, including erythematous papules and vesicles, with
weeping, drainage, and/or crusting. Lesions are commonly found on the scalp, face
,s
forearms, wrists, elbows, and backs of the knees. Commonly pruritic. Also known a
eczema.
