LEIK FNP Practice Questions
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AANP Practice Questions APEA Predictor Exam Mental Health quest
75 terms Teacher 135 terms 27 terms
houli523 Preview Derrick_Mose Preview izzya25
A 72-year-old woman has been B) It inhibits the effect of renal prostaglandins and blunts the
on hydrochlorothiazide 12.5 mg effectiveness of the diuretic.
for many years to control her
Stage II hypertension. Her NSAIDs and ASA inhibit the vasodilatory effects of
blood pressure (BP) at this visit is prostaglandins, which predisposes the kidney to ischemia.
168/96. She is currently NSAIDs and diuretics can cause acute prerenal failure by
complaining of pain on her right decreasing renal blood flow.
hip and on both knees. She has
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 D) Chlamydia trachomatis
infections that affect mostly the
labia and vagina except: Infections that commonly affect the labia and vagina include
bacterial vaginosis, candidiasis, and trichomoniasis. Chlamydia
A) Bacterialvaginosis trachomatis commonly affects the cervix, endometrial lining ,
B) Candidiasis fallopian tubes, and pelvic cavity.
C) Trichomoniasis
D) Chlamydia trachomatis
B) Acute appendicitis.
The nurse practitioner would
test the obturator and iliopsoas Signs and symptoms of an acute abdomen include invol- untary
muscle to evaluate for: guarding, rebound tenderness, boardlike abdomen, and a
positive obtu- rator and psoas sign. A positive obturator sign
A) Cholecystitis occurs when pain is elicted by internal rotation of the right hip
B) Acute appendicitis from 90 degrees hip/knee flexion. The psoas sign is positive
C) Inguinal hernia when pain occurs with passive extension of the thigh while the
D) Gastriculcer patient is lying on his/her side with knees extended, or when pain
occurs with active flexion of his/her thigh at the hip.
See an expert-written answer!
Treatment for mild preeclampsia D) A prescription of methyldopa (Aldomet) to control blood
includes all of the following pressure
except:
Recommended care for women diagnosed with preeclampsia
A) Bed rest except for bathroom includes bed rest with bath- room privileges, weight and BP
privileges monitoring, and closely following urine protein and serum
B) Close monitoring of weight protein, creatinine, and platelet counts. Oral medications are not
and blood pressure used as 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 C) Nursing home care
covered under Medicare Part A
except: Medicare A coverage includes inpatient hospitalization and
skilled care given in a certified skilled nursing facility. Most
A) Inpatienthospitalizations nursing home care is custodial care (help with bathing, dressing,
B) Medicines administered to a 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 B) Mycoplasma pneumonia
the school health clinic with
complaints of a hacking cough Mycoplasma pneumonia is the organism most com- monly seen
that is productive of small in children and young adults. It is easily spread from droplets,
amounts of sputum and a runny from sneezing and coughing, in close proximity. Diagnosis is
nose. He does not take any based on symptoms and x-ray results of infiltrates in lower lobes.
medications, denies any
allergies, and has no significant
medical 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 C) 10 mm
presents to the clinic 2.5 days
after a purified protein The PPD is administered on the volar aspect of the lower arm
derivative (PPD) test. What and read 48 hours after the test is given. The PPD result must
minimum size of induration have induration and measure 10 mm or greater to be positive in a
would be considered posi- tive low-risk patient. Induration (firmness with palpation) must be
for this patient? present. If the site has erythema but no induration, result would
be negative. Color is not important.
A) 3 mm B) 5 mm C) 10 mm D) 15
mm
See an expert-written answer!
, All of the following are correct D) The patient's spouse has a right to override the agent's
statements regarding the role of decisions
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
A) The agent's decisions are as any decisions regarding the patient's private affairs in the
legally binding event that the patient becomes incompetent and unable to make
B) The agent can make decisions his/her own decisions. No one has the ability to override the
in other areas of the patient's life agent's decision.
such as 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 B) The patient has a medical illness that causes an anxiety
statements regarding reaction and denial
Munchausen syndrome except:
Munchausen syndrome is a psychiatric disorder in which the
A) It is considered a mental patient fakes a medical illness or disorder to gain attention from
illness health care provid- ers. These patients commonly use the
B) The patient has a medical emergency department frequently to gain attention.
illness 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 C) Beta-blockers
antihypertensive medications
should the nurse practitioner Beta-blockers should be avoided in patients with a history of
avoid when treating patients emphysema. Studies have shown evidence of a reduction in
with emphysema? forced expiratory volume in 1 second (FEV1), increased airway
hyperresponsiveness, and inhibition of bronchodilator response
A) Calcium channel blockers to beta agonists in patients receiving non-selective beta-
B) Angiotensin-converting blockers and high doses of cardioselective beta-blockers.
enzyme (ACE) inhibitors
C) Beta-blockers
D) Diuretics
See an expert-written answer!
Save
Students also studied
Flashcard sets Study guides
AANP Practice Questions APEA Predictor Exam Mental Health quest
75 terms Teacher 135 terms 27 terms
houli523 Preview Derrick_Mose Preview izzya25
A 72-year-old woman has been B) It inhibits the effect of renal prostaglandins and blunts the
on hydrochlorothiazide 12.5 mg effectiveness of the diuretic.
for many years to control her
Stage II hypertension. Her NSAIDs and ASA inhibit the vasodilatory effects of
blood pressure (BP) at this visit is prostaglandins, which predisposes the kidney to ischemia.
168/96. She is currently NSAIDs and diuretics can cause acute prerenal failure by
complaining of pain on her right decreasing renal blood flow.
hip and on both knees. She has
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 D) Chlamydia trachomatis
infections that affect mostly the
labia and vagina except: Infections that commonly affect the labia and vagina include
bacterial vaginosis, candidiasis, and trichomoniasis. Chlamydia
A) Bacterialvaginosis trachomatis commonly affects the cervix, endometrial lining ,
B) Candidiasis fallopian tubes, and pelvic cavity.
C) Trichomoniasis
D) Chlamydia trachomatis
B) Acute appendicitis.
The nurse practitioner would
test the obturator and iliopsoas Signs and symptoms of an acute abdomen include invol- untary
muscle to evaluate for: guarding, rebound tenderness, boardlike abdomen, and a
positive obtu- rator and psoas sign. A positive obturator sign
A) Cholecystitis occurs when pain is elicted by internal rotation of the right hip
B) Acute appendicitis from 90 degrees hip/knee flexion. The psoas sign is positive
C) Inguinal hernia when pain occurs with passive extension of the thigh while the
D) Gastriculcer patient is lying on his/her side with knees extended, or when pain
occurs with active flexion of his/her thigh at the hip.
See an expert-written answer!
Treatment for mild preeclampsia D) A prescription of methyldopa (Aldomet) to control blood
includes all of the following pressure
except:
Recommended care for women diagnosed with preeclampsia
A) Bed rest except for bathroom includes bed rest with bath- room privileges, weight and BP
privileges monitoring, and closely following urine protein and serum
B) Close monitoring of weight protein, creatinine, and platelet counts. Oral medications are not
and blood pressure used as 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 C) Nursing home care
covered under Medicare Part A
except: Medicare A coverage includes inpatient hospitalization and
skilled care given in a certified skilled nursing facility. Most
A) Inpatienthospitalizations nursing home care is custodial care (help with bathing, dressing,
B) Medicines administered to a 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 B) Mycoplasma pneumonia
the school health clinic with
complaints of a hacking cough Mycoplasma pneumonia is the organism most com- monly seen
that is productive of small in children and young adults. It is easily spread from droplets,
amounts of sputum and a runny from sneezing and coughing, in close proximity. Diagnosis is
nose. He does not take any based on symptoms and x-ray results of infiltrates in lower lobes.
medications, denies any
allergies, and has no significant
medical 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 C) 10 mm
presents to the clinic 2.5 days
after a purified protein The PPD is administered on the volar aspect of the lower arm
derivative (PPD) test. What and read 48 hours after the test is given. The PPD result must
minimum size of induration have induration and measure 10 mm or greater to be positive in a
would be considered posi- tive low-risk patient. Induration (firmness with palpation) must be
for this patient? present. If the site has erythema but no induration, result would
be negative. Color is not important.
A) 3 mm B) 5 mm C) 10 mm D) 15
mm
See an expert-written answer!
, All of the following are correct D) The patient's spouse has a right to override the agent's
statements regarding the role of decisions
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
A) The agent's decisions are as any decisions regarding the patient's private affairs in the
legally binding event that the patient becomes incompetent and unable to make
B) The agent can make decisions his/her own decisions. No one has the ability to override the
in other areas of the patient's life agent's decision.
such as 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 B) The patient has a medical illness that causes an anxiety
statements regarding reaction and denial
Munchausen syndrome except:
Munchausen syndrome is a psychiatric disorder in which the
A) It is considered a mental patient fakes a medical illness or disorder to gain attention from
illness health care provid- ers. These patients commonly use the
B) The patient has a medical emergency department frequently to gain attention.
illness 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 C) Beta-blockers
antihypertensive medications
should the nurse practitioner Beta-blockers should be avoided in patients with a history of
avoid when treating patients emphysema. Studies have shown evidence of a reduction in
with emphysema? forced expiratory volume in 1 second (FEV1), increased airway
hyperresponsiveness, and inhibition of bronchodilator response
A) Calcium channel blockers to beta agonists in patients receiving non-selective beta-
B) Angiotensin-converting blockers and high doses of cardioselective beta-blockers.
enzyme (ACE) inhibitors
C) Beta-blockers
D) Diuretics
See an expert-written answer!
