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A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for many years to
control her Stage II hypertension. Her blood pressure (BP) at this visit is 168/96.
,She is currently complaining of pain on her right 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 - ANS>> B) It inhibits the effect of renal
prostaglandins and blunts the effectiveness of the diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which
predisposes the kidney to ischemia. NSAIDs and diuretics can cause acute
prerenal failure by decreasing renal blood flow.
A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for many years to
control her Stage II hypertension. Her blood pressure (BP) at this visit is 168/96.
She is currently complaining of pain on her right 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 - ANS>> B) It inhibits the effect of renal
prostaglandins and blunts the effectiveness of the diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which
predisposes the kidney to ischemia. NSAIDs and diuretics can cause acute
prerenal failure by decreasing renal blood flow.
2. All of the following are infections that affect mostly the labia and vagina except:
A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis - ANS>> D) Chlamydia trachomatis
Infections that commonly affect the labia and vagina include bacterial
vaginosis, candidiasis, and trichomoniasis. Chlamydia trachomatis commonly
affects the cervix, endometrial lining , fallopian tubes, and pelvic cavity.
2. All of the following are infections that affect mostly the labia and vagina except:
A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis - ANS>> D) Chlamydia trachomatis
, Infections that commonly affect the labia and vagina include bacterial
vaginosis, candidiasis, and trichomoniasis. Chlamydia trachomatis commonly
affects the cervix, endometrial lining , fallopian tubes, and pelvic cavity.
The nurse practitioner would test the obturator and iliopsoas muscle to evaluate
for:
A) Cholecystitis
B) Acute appendicitis
C) Inguinal hernia
D) Gastriculcer - ANS>> B) Acute appendicitis.
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 obturator sign occurs when pain is elicted by internal rotation
of the right hip from 90 degrees hip/knee flexion. The psoas sign is positive
when pain occurs with 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.
The nurse practitioner would test the obturator and iliopsoas muscle to evaluate
for:
A) Cholecystitis
B) Acute appendicitis
C) Inguinal hernia
D) Gastriculcer - ANS>> B) Acute appendicitis.