LEIK FNP CORE MAIN ANSWERS AND QUESTIONS
SET A+
✔✔Hepatomegaly, AV nicking, bibasilar crackles - ✔✔A 63 y/o patient with a 10 yr
history of poorly controlled hypertension presents with a cluster of physical exam
findings . What indicates target organ damage commonly seen in hypertensive
patients?
✔✔Vaginal bleeding and cramping are present, but the cervix remains closed - ✔✔A 30
y/o primigravida is diagnosed with a possible threatened abortion. The result of the
urine pregnancy test is positive. Which of the following statements is true regarding a
threatened abortion?
✔✔Bacterial Vaginosis - ✔✔A 30 y/o female who is sexually active complains of a large
amount of milk-like vaginal discharge for several weeks. A microscopy slide reveals a
large amount of squamous epithelial cells that have blurred margins. Very few white
blood cells are seen. The vaginal pH is at 6.0. What is the most likelydiagnosis?
✔✔Bacterial Vaginosis - ✔✔A bacterial infection of the vagina. S/Sx include copious off-
white to gray discharge w/foul odor without erythema or irritation. Wet-prep will be
positive for clue cells. "Whiff" test will be positive for strong "fishy" odor when vaginal
discharge is mixed with a drop of KOH.
✔✔Lichens Sclerosis - ✔✔A disease of the skin, in which white spots appear on the
skin and change over time. It is most commonly seen in the genital and rectal areas, but
can appear in other areas. The spots are usually shiny and smooth and can eventually
spread into patches. The skin appears thin and crinkled. Then the skin tears easily, and
bright red or purple bruises are common. Sometimes, the skin becomes scarred. If the
disease is a mild case, there may be no symptoms.
✔✔Closure of the semilunar valves - ✔✔The heart sound S2 is caused by
✔✔Just rising above the suprapubic bone - ✔✔A pelvic exam on a woman who is 12
wks pregnant would reveal that her uterus is located where?
,✔✔12wks gestation uterus size - ✔✔The approximate size of a grapefruit: just above
the suprapubic bone
✔✔Anesthesiologists services - ✔✔All of the following are covered under Medicare Part
B except:
A) Persons age 65 or older
B) Durable medial equipment
C) Mammograms annually starting at age 50
D) Anesthesiologists services
✔✔What does Medicare part B cover? - ✔✔Outpatient physician visits, labs, x-rays
durable medical equipment
mammograms/colonoscopy after age 50
rehabilitation
✔✔A 17 y/o teen who has only one close friend in school - ✔✔All of the following
patients are at higher risk for suicide except:
A) A 66 y/o with male whose wife of 40 yrs recently died
B) A high school student with a history of bipolar disorder
C) A depressed 45-y/o female with family history of suicide
D) A 17 y/o teen who has only 1 close friend at school
✔✔Risk factors for suicide - ✔✔1. Elderly white males( especially after the death of a
spouse)
2. past history of suicide
3. Family history of suicide
4. Plans for use of a lethal weapon such as a gun or knife.
5. Female gender has a higher attempt rate, but males have a higher success rate
6. Personal history of bipolar disorder or depression
✔✔Subconjunctival hemorrhage - ✔✔A 70 yo male patient complains of a bright red
spot in his left eye for 2 days. He denies eyes pain, visual changes, or headaches. He
has a new onset of cough from a recent viral upper respiratory infection. The only
medicine he is on is Bayer ASA 1 tab/day. What is most likely diagnosis?
✔✔Subconjunctival Hemorrhage - ✔✔A benign disorder that occurs from an increase in
intraocular pressure that may be caused by coughing, vomiting, forceful exertion in
labor during child birth, straining while having a bowel movement, weight lifting
✔✔Advise the patient that it is a benign condition and will resolve spontaneously -
✔✔Which of the following is appropriate follow-up for this 70 y/o patient with a
subconjuctival hemorrhage?
, ✔✔Urine culture and sensitivity - ✔✔Jason, an 8y/o with type 1 diabetes, is being seen
for a 3-day history of frequency and nocturia. He denies flank pain and is afebrile. The
urinalysis result is negative for blood and nitrites but is positive for large amount of
leukocytes and ketones. He has a trace amount of protein. What is the best test to order
initially?
✔✔Bedrest on the left side with bathroom privileges - ✔✔The following is recommended
for the outpatient treatment of mild preeclampsia except:
✔✔Tonometry - ✔✔The best test for diagnosing congenital glaucoma is?
✔✔What is Tonometry? - ✔✔used to measure the intraocular pressure (IOP) of the eye
to screen for glaucoma. Normal range IOP is 10-22mm/Hg
✔✔Tick - ✔✔Rocky Mountain Spotted Fever is caused by the bite of a:
✔✔Rickettsia Rickettsii; 1%-7% - ✔✔What is the parasite called that infects the tick
causing Rocky Mountain spotted fever, and what is the mortality rate?
✔✔Viral conjunctivitis - ✔✔A mother brings in her 4 y/o daughter who just started
attending preschool. She tells the nurse practitioner that her child is complaining of
boring and itching in both eyes along with a runny nose. During the physical exam, the
child's eyes appear injected bilaterally. The throat is red and her inferior nasal turbinates
are swollen. What is the most likely diagnosis?
✔✔Urine pregnancy test to rule out ectopic pregnancy. - ✔✔A sexually active woman is
complaining of amenorrhea and vaginal spotting. On exam, her left adnexa is tender
and cervical motion tenderness is positive. Which test should the nurse practitioner
initially order?
✔✔S1, S2 and S3 - ✔✔A toddler with congenital heart disease is seen for a 1-wk
history of facial and lower extremity edema accompanied by shortness of breath. The
child's mother reports that the child's appetite has been poor. The best x-ray reveals
that the child has CHF. What heart sounds are found in this patient?
✔✔Congestive Heart Failure - ✔✔The inability of the heart to pump a sufficient amount
of blood to the organs to meet the body's requirements. It is common to hear S1 ,S2
and S3 heart sounds on exam. Common signs and symptoms include fatigue, SOB with
activity, and edema of lower extremities.
✔✔Elevation of the affected limb and intermittent applications of cold packs for the next
48hrs - ✔✔A 53 yo crossing guard complains of twisting his right knee while working
that morning. The knee is swollen and tender to palpation. The NP diagnoses a Grade II
spain. The initial treatment plan includes?
SET A+
✔✔Hepatomegaly, AV nicking, bibasilar crackles - ✔✔A 63 y/o patient with a 10 yr
history of poorly controlled hypertension presents with a cluster of physical exam
findings . What indicates target organ damage commonly seen in hypertensive
patients?
✔✔Vaginal bleeding and cramping are present, but the cervix remains closed - ✔✔A 30
y/o primigravida is diagnosed with a possible threatened abortion. The result of the
urine pregnancy test is positive. Which of the following statements is true regarding a
threatened abortion?
✔✔Bacterial Vaginosis - ✔✔A 30 y/o female who is sexually active complains of a large
amount of milk-like vaginal discharge for several weeks. A microscopy slide reveals a
large amount of squamous epithelial cells that have blurred margins. Very few white
blood cells are seen. The vaginal pH is at 6.0. What is the most likelydiagnosis?
✔✔Bacterial Vaginosis - ✔✔A bacterial infection of the vagina. S/Sx include copious off-
white to gray discharge w/foul odor without erythema or irritation. Wet-prep will be
positive for clue cells. "Whiff" test will be positive for strong "fishy" odor when vaginal
discharge is mixed with a drop of KOH.
✔✔Lichens Sclerosis - ✔✔A disease of the skin, in which white spots appear on the
skin and change over time. It is most commonly seen in the genital and rectal areas, but
can appear in other areas. The spots are usually shiny and smooth and can eventually
spread into patches. The skin appears thin and crinkled. Then the skin tears easily, and
bright red or purple bruises are common. Sometimes, the skin becomes scarred. If the
disease is a mild case, there may be no symptoms.
✔✔Closure of the semilunar valves - ✔✔The heart sound S2 is caused by
✔✔Just rising above the suprapubic bone - ✔✔A pelvic exam on a woman who is 12
wks pregnant would reveal that her uterus is located where?
,✔✔12wks gestation uterus size - ✔✔The approximate size of a grapefruit: just above
the suprapubic bone
✔✔Anesthesiologists services - ✔✔All of the following are covered under Medicare Part
B except:
A) Persons age 65 or older
B) Durable medial equipment
C) Mammograms annually starting at age 50
D) Anesthesiologists services
✔✔What does Medicare part B cover? - ✔✔Outpatient physician visits, labs, x-rays
durable medical equipment
mammograms/colonoscopy after age 50
rehabilitation
✔✔A 17 y/o teen who has only one close friend in school - ✔✔All of the following
patients are at higher risk for suicide except:
A) A 66 y/o with male whose wife of 40 yrs recently died
B) A high school student with a history of bipolar disorder
C) A depressed 45-y/o female with family history of suicide
D) A 17 y/o teen who has only 1 close friend at school
✔✔Risk factors for suicide - ✔✔1. Elderly white males( especially after the death of a
spouse)
2. past history of suicide
3. Family history of suicide
4. Plans for use of a lethal weapon such as a gun or knife.
5. Female gender has a higher attempt rate, but males have a higher success rate
6. Personal history of bipolar disorder or depression
✔✔Subconjunctival hemorrhage - ✔✔A 70 yo male patient complains of a bright red
spot in his left eye for 2 days. He denies eyes pain, visual changes, or headaches. He
has a new onset of cough from a recent viral upper respiratory infection. The only
medicine he is on is Bayer ASA 1 tab/day. What is most likely diagnosis?
✔✔Subconjunctival Hemorrhage - ✔✔A benign disorder that occurs from an increase in
intraocular pressure that may be caused by coughing, vomiting, forceful exertion in
labor during child birth, straining while having a bowel movement, weight lifting
✔✔Advise the patient that it is a benign condition and will resolve spontaneously -
✔✔Which of the following is appropriate follow-up for this 70 y/o patient with a
subconjuctival hemorrhage?
, ✔✔Urine culture and sensitivity - ✔✔Jason, an 8y/o with type 1 diabetes, is being seen
for a 3-day history of frequency and nocturia. He denies flank pain and is afebrile. The
urinalysis result is negative for blood and nitrites but is positive for large amount of
leukocytes and ketones. He has a trace amount of protein. What is the best test to order
initially?
✔✔Bedrest on the left side with bathroom privileges - ✔✔The following is recommended
for the outpatient treatment of mild preeclampsia except:
✔✔Tonometry - ✔✔The best test for diagnosing congenital glaucoma is?
✔✔What is Tonometry? - ✔✔used to measure the intraocular pressure (IOP) of the eye
to screen for glaucoma. Normal range IOP is 10-22mm/Hg
✔✔Tick - ✔✔Rocky Mountain Spotted Fever is caused by the bite of a:
✔✔Rickettsia Rickettsii; 1%-7% - ✔✔What is the parasite called that infects the tick
causing Rocky Mountain spotted fever, and what is the mortality rate?
✔✔Viral conjunctivitis - ✔✔A mother brings in her 4 y/o daughter who just started
attending preschool. She tells the nurse practitioner that her child is complaining of
boring and itching in both eyes along with a runny nose. During the physical exam, the
child's eyes appear injected bilaterally. The throat is red and her inferior nasal turbinates
are swollen. What is the most likely diagnosis?
✔✔Urine pregnancy test to rule out ectopic pregnancy. - ✔✔A sexually active woman is
complaining of amenorrhea and vaginal spotting. On exam, her left adnexa is tender
and cervical motion tenderness is positive. Which test should the nurse practitioner
initially order?
✔✔S1, S2 and S3 - ✔✔A toddler with congenital heart disease is seen for a 1-wk
history of facial and lower extremity edema accompanied by shortness of breath. The
child's mother reports that the child's appetite has been poor. The best x-ray reveals
that the child has CHF. What heart sounds are found in this patient?
✔✔Congestive Heart Failure - ✔✔The inability of the heart to pump a sufficient amount
of blood to the organs to meet the body's requirements. It is common to hear S1 ,S2
and S3 heart sounds on exam. Common signs and symptoms include fatigue, SOB with
activity, and edema of lower extremities.
✔✔Elevation of the affected limb and intermittent applications of cold packs for the next
48hrs - ✔✔A 53 yo crossing guard complains of twisting his right knee while working
that morning. The knee is swollen and tender to palpation. The NP diagnoses a Grade II
spain. The initial treatment plan includes?
