LEIK FNP EXAM NEWEST 2025 ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT ANSWERS (VERIFIED, Exams of Nursing
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 - ANSWERB) 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 - ANSWERD) 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 - ANSWERB) 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.
Treatment for mild preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet count
D) A prescription of methyldopa (Aldomet) to control blood pressure -
ANSWERD) A prescription of methyldopa (Aldomet) to control blood pressure
Recommended care for women diagnosed with preeclampsia includes bed
rest with bath- room privileges, weight and BP monitoring, and closely
following urine protein and serum protein, creatinine, and platelet counts.
Oral medications are not used as first-line treatment.
All of the following services are covered under Medicare Part A except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons - ANSWERC) Nursing home care
Medicare A coverage includes inpatient hospitalization and skilled care given
in a certified skilled nursing facility. Most nursing home care is custodial care
, (help with bathing, dressing, using a bathroom, and eating). This care is not
covered by Medicare A.
A 28-year-old student is seen in the school health clinic with complaints of a
hacking cough that is productive of small amounts of sputum and a runny
nose. He does not take any 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 - ANSWERB) Mycoplasma pneumonia
Mycoplasma pneumonia is the organism most com- monly seen in children
and young adults. It is easily spread from droplets, from sneezing and
coughing, in close proximity. Diagnosis is based on symptoms and x-ray
results of infiltrates in lower lobes.
A 39-year-old migrant worker presents to the clinic 2.5 days after a purified
protein derivative (PPD) test. What minimum size of induration would be
considered posi- tive for this patient?
A) 3 mm B) 5 mm C) 10 mm D) 15 mm - ANSWERC) 10 mm
CORRECT ANSWERS (VERIFIED, Exams of Nursing
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 - ANSWERB) 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 - ANSWERD) 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 - ANSWERB) 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.
Treatment for mild preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet count
D) A prescription of methyldopa (Aldomet) to control blood pressure -
ANSWERD) A prescription of methyldopa (Aldomet) to control blood pressure
Recommended care for women diagnosed with preeclampsia includes bed
rest with bath- room privileges, weight and BP monitoring, and closely
following urine protein and serum protein, creatinine, and platelet counts.
Oral medications are not used as first-line treatment.
All of the following services are covered under Medicare Part A except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons - ANSWERC) Nursing home care
Medicare A coverage includes inpatient hospitalization and skilled care given
in a certified skilled nursing facility. Most nursing home care is custodial care
, (help with bathing, dressing, using a bathroom, and eating). This care is not
covered by Medicare A.
A 28-year-old student is seen in the school health clinic with complaints of a
hacking cough that is productive of small amounts of sputum and a runny
nose. He does not take any 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 - ANSWERB) Mycoplasma pneumonia
Mycoplasma pneumonia is the organism most com- monly seen in children
and young adults. It is easily spread from droplets, from sneezing and
coughing, in close proximity. Diagnosis is based on symptoms and x-ray
results of infiltrates in lower lobes.
A 39-year-old migrant worker presents to the clinic 2.5 days after a purified
protein derivative (PPD) test. What minimum size of induration would be
considered posi- tive for this patient?
A) 3 mm B) 5 mm C) 10 mm D) 15 mm - ANSWERC) 10 mm
