LEIK FNP Practice Questions And
Correct Answers Updated
All of the following are true statements about the human papilloma virus
vaccine (Gardasil) except:
A) The Centers for Disease Control and Prevention (CDC) recommends
the first dose at age 11 to 12 years
B) The CDC does not recommend the HPV vaccine for males
C) The vaccine is not complete until a total of 3 doses have been
administered
D) The minimum age the vaccine can be given is 9 years - CORRECT
ANSWER- B) The CDC does not recommend the HPV vaccine for
males
The HPV vaccine is now recommended for both males and females. It
can be given until the age of
26 years, especially if the individual is at high risk. Do not use the
vaccine if age is less than 9 years.
According to DSM-5, all of the following are some of the criteria that
must be present to diagnose a child with autistic disorder. Which of the
following criterion is incorrect?
A) Onset of symptoms before age 3 years
B) Lack of social interaction or social reciprocity
C) Stereotyped and repetitive movements such as hand flapping
D) Depressed affect - CORRECT ANSWER- D) Depressed affect
Depression is not included in the criteria for diagnosing autistic spectrum
disorders. Signs and symptoms include avoidance of eye contact and
,social interaction, marked delay or absence of verbal communication,
repetitive movements, fixed rituals, and so on. Autism can range from
mild to severe. Early diagnosis is important. For evaluation, refer the
patient for psychological testing by a psychologist who specializes in
autistic spectrum disorders.
An adolescent male presents to the nurse practitioner for a wellness
exam. The patient's face is long and narrow with a prominent forehead
and chin, and he has large ears. The mother reports that her son has
intellectual disabilities and autistic disorder. Which of the following
conditions is being described?
A) Fragile X disorder
B) Marfan's syndrome
C) Turner's syndrome
D) Down syndrome - CORRECT ANSWER- A) Fragile X disorder
Fragile X syndrome is the most common form of inherited intellectual
disability. The disorder is associated with a higher incidence of autism
(especially boys). Males are affected more severely than females. The
facial features can vary. The classic facie is a long, narrow face with a
prominent forehead and chin and large ears. Other features include
hyperlaxity of the joints, flat feet, high arched palate, and others.
Definitive diagnosis is by genetic testing.
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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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.
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 -
CORRECT ANSWER- D) 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 - CORRECT ANSWER- C) 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
Correct Answers Updated
All of the following are true statements about the human papilloma virus
vaccine (Gardasil) except:
A) The Centers for Disease Control and Prevention (CDC) recommends
the first dose at age 11 to 12 years
B) The CDC does not recommend the HPV vaccine for males
C) The vaccine is not complete until a total of 3 doses have been
administered
D) The minimum age the vaccine can be given is 9 years - CORRECT
ANSWER- B) The CDC does not recommend the HPV vaccine for
males
The HPV vaccine is now recommended for both males and females. It
can be given until the age of
26 years, especially if the individual is at high risk. Do not use the
vaccine if age is less than 9 years.
According to DSM-5, all of the following are some of the criteria that
must be present to diagnose a child with autistic disorder. Which of the
following criterion is incorrect?
A) Onset of symptoms before age 3 years
B) Lack of social interaction or social reciprocity
C) Stereotyped and repetitive movements such as hand flapping
D) Depressed affect - CORRECT ANSWER- D) Depressed affect
Depression is not included in the criteria for diagnosing autistic spectrum
disorders. Signs and symptoms include avoidance of eye contact and
,social interaction, marked delay or absence of verbal communication,
repetitive movements, fixed rituals, and so on. Autism can range from
mild to severe. Early diagnosis is important. For evaluation, refer the
patient for psychological testing by a psychologist who specializes in
autistic spectrum disorders.
An adolescent male presents to the nurse practitioner for a wellness
exam. The patient's face is long and narrow with a prominent forehead
and chin, and he has large ears. The mother reports that her son has
intellectual disabilities and autistic disorder. Which of the following
conditions is being described?
A) Fragile X disorder
B) Marfan's syndrome
C) Turner's syndrome
D) Down syndrome - CORRECT ANSWER- A) Fragile X disorder
Fragile X syndrome is the most common form of inherited intellectual
disability. The disorder is associated with a higher incidence of autism
(especially boys). Males are affected more severely than females. The
facial features can vary. The classic facie is a long, narrow face with a
prominent forehead and chin and large ears. Other features include
hyperlaxity of the joints, flat feet, high arched palate, and others.
Definitive diagnosis is by genetic testing.
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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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.
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 -
CORRECT ANSWER- D) 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 - CORRECT ANSWER- C) 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
