LEIK FNP ACTUAL FINAL EXAM ALL QUESTIONS
AND ANSWERS SURE A+
✔✔Advise the mother that this is normal in infants up to 2 months old - ✔✔The mother
of a 4-wk old infant is concerned that her infant's eyes are crossed for a few seconds
occasionally. The NP would:
✔✔Height, Age, Gender - ✔✔What factors are important in determining the peak
expiratory flow volume?
✔✔Squamous epithelial cells and endocervical cells - ✔✔You are reviewing a Pap
smear report on a 25 y/o female. What cells should be on the pap smear to be
considered an adequate specimen?
✔✔A sensation of spinning or rotating - ✔✔When assessing a patient suspected of
having vertigo, what description given by the patient is most consistent with the
symptom?
✔✔Trigeminal Neuralgia - ✔✔A 56 y/o man complains of episodes of lancinating
painthat shoots up to his right cheek when he eats or drinks. He has stopped drinking
cold drinks because of the pain. What is most likely cause of this?
✔✔Yeast infections - ✔✔What does a KOH prep help the NP diagnose?
,✔✔Prozac, Zoloft, Paxil CR - ✔✔The following medications are SSRIs
✔✔Egophony, Tactile fremitus, Whispered pectoriloquy - ✔✔The following tests require
the patient's voice to perform
✔✔Retinoblastoma of the left eye - ✔✔When checking for a red-reflex on a 3 y/o boy
during a well child visit, a white reflection is seen on a child's left pupil. What condition
should be ruled out?
✔✔Lyme Disease
Gonorrhea
Syphilis - ✔✔The following diseases are reportable to the health department.
✔✔Yogurt and Sardines - ✔✔A menopausal woman with osteopenia is attending a
dietary education class. Which foods would likely be recommended for her
✔✔The high levels of Vit K will decrease bleeding time. - ✔✔A patient who is on
warfarin sodium i advised to avoid eating large amounts of leafy green vegetables
because:
✔✔Order Liver Function Profile
Stop taking medication
Possible acute drug induced hepatitis - ✔✔You are following up on a 65 yo male who
has been on a new prescription of fluvastatin (Lescol) for 6 wks. During follow-up visits,
he reports feeling extremely fatigued an having dark colored urine. He denies any
generalized muscle soreness. What is the most appropriate treatment plan?
✔✔Keep on monitoring the infant's bilirubin until it returns to normal in about a week. -
✔✔You are reviewing a bilirubin of a 3 day old full term neonate. You note that it is
10mg/dL. The infant has a slight yellow color to his skin, mucous membranes, and
sclera. The infant is feeding well, is not irritable and has 8-10 wet diapers per day. What
would you recommend?
✔✔7th birthday - ✔✔The DPT and DT should not be given after what age?
✔✔Every 10 yrs - ✔✔How often should the Td be given?
✔✔induration at the injection site - ✔✔What is a possible side effect of the Td vaccine?
✔✔Angiotensin-converting enzyme (ACE) inhibitors - ✔✔What is the recommended
initial treatment for a white adult with microalbuminuria (chronic kidney disease)
according to the JNC8 2014 Evidence Based Guidelines?
, ✔✔Atrophic vaginitis - ✔✔A woman is being evaluated by the NP for complaints of
dyspareunia. A microscopy slide reveals a large number of atrophic squamous epithelial
cells. The vaginal pH is 4.0. There are very few leukocytes and no RBCs are seen on
the wet smear. What diagnosis is most likely?
✔✔Peripheral vision - ✔✔A test called the visual field by confrontation is used to
evaluate for
✔✔Freckle, Petechiae, A flat 0.5 brown birthmark - ✔✔The following skin findings are
considered macules.
✔✔Administer the booster dose of the Td vaccine because it's been more than 5yrs. -
✔✔Clara is a 20-yr old college student who reports to the student health clinic with a
laceration in her left hand. She tells the NP that she cut her hand while working in her
garden. Her last Td booster was 5.5 yrs ago. What is the follow up plan?
✔✔Left side of the sternum at the 5th ICS by the midclavicular line - ✔✔The apex of the
heart is located at the?
✔✔Breast fed - ✔✔Do breastfed or bottle fed babies have a higher incidence of
hyperbilirubinemia?
✔✔Unknown - ✔✔What is the mechanism of breast milk jaundice?
✔✔After the first week of life - ✔✔When does jaundice occur for breastfed infants?
✔✔Iron deficiency anemia - ✔✔Koilonychia i associated with which condition?
✔✔Koilonychia - ✔✔An abnormal shape of the nail, thin nailed, irregular edges and
curves inward
✔✔Antinuclear antibody (ANA) - ✔✔What laboratory test is positive in a large number of
patients with systemic lupus erythematous?
✔✔Opening snap - ✔✔The S3 component of the heart sound occurs very early in
diastole and is sometimes called what?
✔✔some children, healthy young adults, athletes - ✔✔The S3 component of the heart
sound is normal to find in which patients?
✔✔Congestive Heart Failure - ✔✔The S3 component if heard in an adult can signify
what?
AND ANSWERS SURE A+
✔✔Advise the mother that this is normal in infants up to 2 months old - ✔✔The mother
of a 4-wk old infant is concerned that her infant's eyes are crossed for a few seconds
occasionally. The NP would:
✔✔Height, Age, Gender - ✔✔What factors are important in determining the peak
expiratory flow volume?
✔✔Squamous epithelial cells and endocervical cells - ✔✔You are reviewing a Pap
smear report on a 25 y/o female. What cells should be on the pap smear to be
considered an adequate specimen?
✔✔A sensation of spinning or rotating - ✔✔When assessing a patient suspected of
having vertigo, what description given by the patient is most consistent with the
symptom?
✔✔Trigeminal Neuralgia - ✔✔A 56 y/o man complains of episodes of lancinating
painthat shoots up to his right cheek when he eats or drinks. He has stopped drinking
cold drinks because of the pain. What is most likely cause of this?
✔✔Yeast infections - ✔✔What does a KOH prep help the NP diagnose?
,✔✔Prozac, Zoloft, Paxil CR - ✔✔The following medications are SSRIs
✔✔Egophony, Tactile fremitus, Whispered pectoriloquy - ✔✔The following tests require
the patient's voice to perform
✔✔Retinoblastoma of the left eye - ✔✔When checking for a red-reflex on a 3 y/o boy
during a well child visit, a white reflection is seen on a child's left pupil. What condition
should be ruled out?
✔✔Lyme Disease
Gonorrhea
Syphilis - ✔✔The following diseases are reportable to the health department.
✔✔Yogurt and Sardines - ✔✔A menopausal woman with osteopenia is attending a
dietary education class. Which foods would likely be recommended for her
✔✔The high levels of Vit K will decrease bleeding time. - ✔✔A patient who is on
warfarin sodium i advised to avoid eating large amounts of leafy green vegetables
because:
✔✔Order Liver Function Profile
Stop taking medication
Possible acute drug induced hepatitis - ✔✔You are following up on a 65 yo male who
has been on a new prescription of fluvastatin (Lescol) for 6 wks. During follow-up visits,
he reports feeling extremely fatigued an having dark colored urine. He denies any
generalized muscle soreness. What is the most appropriate treatment plan?
✔✔Keep on monitoring the infant's bilirubin until it returns to normal in about a week. -
✔✔You are reviewing a bilirubin of a 3 day old full term neonate. You note that it is
10mg/dL. The infant has a slight yellow color to his skin, mucous membranes, and
sclera. The infant is feeding well, is not irritable and has 8-10 wet diapers per day. What
would you recommend?
✔✔7th birthday - ✔✔The DPT and DT should not be given after what age?
✔✔Every 10 yrs - ✔✔How often should the Td be given?
✔✔induration at the injection site - ✔✔What is a possible side effect of the Td vaccine?
✔✔Angiotensin-converting enzyme (ACE) inhibitors - ✔✔What is the recommended
initial treatment for a white adult with microalbuminuria (chronic kidney disease)
according to the JNC8 2014 Evidence Based Guidelines?
, ✔✔Atrophic vaginitis - ✔✔A woman is being evaluated by the NP for complaints of
dyspareunia. A microscopy slide reveals a large number of atrophic squamous epithelial
cells. The vaginal pH is 4.0. There are very few leukocytes and no RBCs are seen on
the wet smear. What diagnosis is most likely?
✔✔Peripheral vision - ✔✔A test called the visual field by confrontation is used to
evaluate for
✔✔Freckle, Petechiae, A flat 0.5 brown birthmark - ✔✔The following skin findings are
considered macules.
✔✔Administer the booster dose of the Td vaccine because it's been more than 5yrs. -
✔✔Clara is a 20-yr old college student who reports to the student health clinic with a
laceration in her left hand. She tells the NP that she cut her hand while working in her
garden. Her last Td booster was 5.5 yrs ago. What is the follow up plan?
✔✔Left side of the sternum at the 5th ICS by the midclavicular line - ✔✔The apex of the
heart is located at the?
✔✔Breast fed - ✔✔Do breastfed or bottle fed babies have a higher incidence of
hyperbilirubinemia?
✔✔Unknown - ✔✔What is the mechanism of breast milk jaundice?
✔✔After the first week of life - ✔✔When does jaundice occur for breastfed infants?
✔✔Iron deficiency anemia - ✔✔Koilonychia i associated with which condition?
✔✔Koilonychia - ✔✔An abnormal shape of the nail, thin nailed, irregular edges and
curves inward
✔✔Antinuclear antibody (ANA) - ✔✔What laboratory test is positive in a large number of
patients with systemic lupus erythematous?
✔✔Opening snap - ✔✔The S3 component of the heart sound occurs very early in
diastole and is sometimes called what?
✔✔some children, healthy young adults, athletes - ✔✔The S3 component of the heart
sound is normal to find in which patients?
✔✔Congestive Heart Failure - ✔✔The S3 component if heard in an adult can signify
what?
