LEIK FNP ACTUAL FINALS ANSWERS AND
QUESTIONS SET A+
✔✔Prophylaxis is not recommended for this patient - ✔✔A patient with a history of
mitral valve prolapse (MVP) is requesting prophylaxis before her dental surgery. What
would you prescribe this patient?
✔✔Measless - ✔✔Kopek's spots are associated with what?
✔✔Mitral regurgitation - ✔✔Stella, a new mother, complains to you that she has been
feeling irritable and jittery almost daily for the past few months. She complains of
frequent palpitations and more frequent bowel movements along with weight loss. Her
BP is 160/70, her pulse is 110 and she is afebrile. Which of the following differential
diagnosis would not be appropriate? Mitral regurgitation, grave's disease, generalized
anxiety disorder, illicit drug use.
✔✔Haemophilus influenza
Mycoplasma pneumoniae
Streptococcus pnemoniae - ✔✔An elderly patient with a productive cough and fever is
diagnosed with pneumonia. Which organisms are capable of causing community
acquired pneumonia?
✔✔Placeneta - ✔✔hCG is produced by what?
✔✔Fetal liver - ✔✔The majority of serum alpha fetoprotein is produced by the?
✔✔Order a enzyme-linked immunosorbent assay (ELISA) test as soon as possible -
✔✔Stella works in the housekeeping department of a hospital. She presents to the
employee health clinic with complaints of a needle stick to her left thumb. The needle
was in one of the garbage bags from the emergency room. The patient had a little
bleeding that stopped spontaneously. What is the next step?
✔✔Order serum TSH, digoxin level, and and electrolyte panel. - ✔✔An elderly woman
has been on digoxin (Lanoxin) for 10yrs. Her electrocardiogram (EKG) is showing a new
,onset of A-fib. Her pulse is 64/min. She denies syncope and dizziness. What
intervention is appropriate?
✔✔Pregnancy induced hypertension (preeclampsia) - ✔✔You note the following results
on a routine urinalysis of a 37y/o primigravida who is 30 weeks gestation. Leuk=trace,
Nit= negative, Pro=2+, blood=negative. Her weight has increased by 5 lbs during the
past week. What is the most likely diagnosis?
✔✔Elevated serum cortisol levels - ✔✔The NP who suspects that one of her
hypertensive patients has Cushing's syndrome would expect to find what laboratory
result?
✔✔Incisors - ✔✔The first teeth to erupt during infancy are which of the following?
✔✔The positive signs of pregnancy - ✔✔Palpation of the fetus and auscultation of fetal
heart tones by the NP. Audible fetal heart tones or cardiac activity on U/S.
✔✔Chadwick's sign - ✔✔Blue coloration of the cervix and vagina
✔✔Presumptive signs of pregnancy - ✔✔Pregnancy symptoms experienced by the
woman such as amenorrhea, breast tenderness, N/V, fatigue and increased urinary
frequency.
✔✔Probable signs of pregnancy - ✔✔Pregnancy signs detected by the examiner such
as an enlarged uterus
✔✔Apply acetic acid to the penile shaft and look for acetowhite changes. - ✔✔A studen
has recently been informed that he has HPV infection on the shaft of his penis. What
may reveal subclinical lesions on the penile skin?
✔✔1. Ritualistic behaviors that pt feels compelled to repeat
2. Attempts to ignore or suppress the repetitive behaviors which increase anxiety
3. Frequent intrusive and repetitive thoughts and impulses - ✔✔Carol M. is a 40 y/o
bank teller who has recently been diagnosed with OCD by her therapist. What would
her symptoms include?
✔✔Paxil, clomipramine (Anafranil), Luvox, Prozac, and Zoloft - ✔✔Which medications
are indicated for the treatment of OCD?
✔✔She should not get pregnant within the next 4wks - ✔✔You advise an 18y/o female
student who has been given a booster dose of MMR at the college health clinic that?
✔✔Mini mental status exam - ✔✔A 68 y/o female is suspected of having Alzheimer's
disease. What is the best initial method for assessing this condition?
, ✔✔Recheck the pt's urine and order a C&S for urine - ✔✔A 55y/o woman who has type
2 diabetes is concerned about her kidneys. She has a hx of 3 UTIs within the past 8
months. She denies dysuria and frequency at this visit. What is the best course to
follow?
✔✔Spinach, liver, whole wheat bread - ✔✔An NP is giving dietary counseling to a male
alcoholic who has recently been diagnosed with folic acid deficiency anemia. What
foods should the NP recommend for the patient?
✔✔NO, the Western Blot is needed to confirm diagnosis. - ✔✔The ELISA and Western
Blot tests are both used to test for HIV. Does a positive ELISA test mean the patient has
HIV?
✔✔A probable sign of pregnancy - ✔✔Heger's Sing is considered what?
✔✔The the umbilicus - ✔✔When palpating a woman who is at 20 wks, the NP should
be able to feel the uterus at what level?
✔✔COPD - ✔✔A 67 y/o female with a 50pk/yr history of smoking presents for a routine
annual physical examination. She complains of being easily short of breath and is
frequently fatigued. Physical examination reveals diminished breath sounds, hype-
resonance, and hypertrophied respiratory accessory muscles. Her CBC results reveal
that her hematocrit level is slightly elevated. Her pulmonary function test (PFT) results
show increased total lung capacity. What is the most likely diagnosis of this patient?
✔✔It is a precancerous lesion and should be followed up with her dermatologist. -
✔✔Your patient of 10 yrs is concerned about her most recent diagnosis. She was told
by her dermatologist that she has an advanced case of Actinic Keratosis. What would
you recommend for this patient?
✔✔Medical information is given to a spouse - ✔✔Pt confidentiality is breached when?
✔✔Pt records are subpoenaed
Records are sent to the public health dept.
Records are released to insurance companies - ✔✔Pt confidentiality is NOT breached
when?
✔✔Angina pectoris - ✔✔A 55y/o male pt describes to you an episode of chest tightness
in his substernal area that radiated to his back while jogging. It was relieved
immediately when he stopped. What condition does this best describe?
✔✔Consult with a cardiologist for further evaluation - ✔✔In a 55 y/o patient with Angina
Pectoris what would the NP recommend?
QUESTIONS SET A+
✔✔Prophylaxis is not recommended for this patient - ✔✔A patient with a history of
mitral valve prolapse (MVP) is requesting prophylaxis before her dental surgery. What
would you prescribe this patient?
✔✔Measless - ✔✔Kopek's spots are associated with what?
✔✔Mitral regurgitation - ✔✔Stella, a new mother, complains to you that she has been
feeling irritable and jittery almost daily for the past few months. She complains of
frequent palpitations and more frequent bowel movements along with weight loss. Her
BP is 160/70, her pulse is 110 and she is afebrile. Which of the following differential
diagnosis would not be appropriate? Mitral regurgitation, grave's disease, generalized
anxiety disorder, illicit drug use.
✔✔Haemophilus influenza
Mycoplasma pneumoniae
Streptococcus pnemoniae - ✔✔An elderly patient with a productive cough and fever is
diagnosed with pneumonia. Which organisms are capable of causing community
acquired pneumonia?
✔✔Placeneta - ✔✔hCG is produced by what?
✔✔Fetal liver - ✔✔The majority of serum alpha fetoprotein is produced by the?
✔✔Order a enzyme-linked immunosorbent assay (ELISA) test as soon as possible -
✔✔Stella works in the housekeeping department of a hospital. She presents to the
employee health clinic with complaints of a needle stick to her left thumb. The needle
was in one of the garbage bags from the emergency room. The patient had a little
bleeding that stopped spontaneously. What is the next step?
✔✔Order serum TSH, digoxin level, and and electrolyte panel. - ✔✔An elderly woman
has been on digoxin (Lanoxin) for 10yrs. Her electrocardiogram (EKG) is showing a new
,onset of A-fib. Her pulse is 64/min. She denies syncope and dizziness. What
intervention is appropriate?
✔✔Pregnancy induced hypertension (preeclampsia) - ✔✔You note the following results
on a routine urinalysis of a 37y/o primigravida who is 30 weeks gestation. Leuk=trace,
Nit= negative, Pro=2+, blood=negative. Her weight has increased by 5 lbs during the
past week. What is the most likely diagnosis?
✔✔Elevated serum cortisol levels - ✔✔The NP who suspects that one of her
hypertensive patients has Cushing's syndrome would expect to find what laboratory
result?
✔✔Incisors - ✔✔The first teeth to erupt during infancy are which of the following?
✔✔The positive signs of pregnancy - ✔✔Palpation of the fetus and auscultation of fetal
heart tones by the NP. Audible fetal heart tones or cardiac activity on U/S.
✔✔Chadwick's sign - ✔✔Blue coloration of the cervix and vagina
✔✔Presumptive signs of pregnancy - ✔✔Pregnancy symptoms experienced by the
woman such as amenorrhea, breast tenderness, N/V, fatigue and increased urinary
frequency.
✔✔Probable signs of pregnancy - ✔✔Pregnancy signs detected by the examiner such
as an enlarged uterus
✔✔Apply acetic acid to the penile shaft and look for acetowhite changes. - ✔✔A studen
has recently been informed that he has HPV infection on the shaft of his penis. What
may reveal subclinical lesions on the penile skin?
✔✔1. Ritualistic behaviors that pt feels compelled to repeat
2. Attempts to ignore or suppress the repetitive behaviors which increase anxiety
3. Frequent intrusive and repetitive thoughts and impulses - ✔✔Carol M. is a 40 y/o
bank teller who has recently been diagnosed with OCD by her therapist. What would
her symptoms include?
✔✔Paxil, clomipramine (Anafranil), Luvox, Prozac, and Zoloft - ✔✔Which medications
are indicated for the treatment of OCD?
✔✔She should not get pregnant within the next 4wks - ✔✔You advise an 18y/o female
student who has been given a booster dose of MMR at the college health clinic that?
✔✔Mini mental status exam - ✔✔A 68 y/o female is suspected of having Alzheimer's
disease. What is the best initial method for assessing this condition?
, ✔✔Recheck the pt's urine and order a C&S for urine - ✔✔A 55y/o woman who has type
2 diabetes is concerned about her kidneys. She has a hx of 3 UTIs within the past 8
months. She denies dysuria and frequency at this visit. What is the best course to
follow?
✔✔Spinach, liver, whole wheat bread - ✔✔An NP is giving dietary counseling to a male
alcoholic who has recently been diagnosed with folic acid deficiency anemia. What
foods should the NP recommend for the patient?
✔✔NO, the Western Blot is needed to confirm diagnosis. - ✔✔The ELISA and Western
Blot tests are both used to test for HIV. Does a positive ELISA test mean the patient has
HIV?
✔✔A probable sign of pregnancy - ✔✔Heger's Sing is considered what?
✔✔The the umbilicus - ✔✔When palpating a woman who is at 20 wks, the NP should
be able to feel the uterus at what level?
✔✔COPD - ✔✔A 67 y/o female with a 50pk/yr history of smoking presents for a routine
annual physical examination. She complains of being easily short of breath and is
frequently fatigued. Physical examination reveals diminished breath sounds, hype-
resonance, and hypertrophied respiratory accessory muscles. Her CBC results reveal
that her hematocrit level is slightly elevated. Her pulmonary function test (PFT) results
show increased total lung capacity. What is the most likely diagnosis of this patient?
✔✔It is a precancerous lesion and should be followed up with her dermatologist. -
✔✔Your patient of 10 yrs is concerned about her most recent diagnosis. She was told
by her dermatologist that she has an advanced case of Actinic Keratosis. What would
you recommend for this patient?
✔✔Medical information is given to a spouse - ✔✔Pt confidentiality is breached when?
✔✔Pt records are subpoenaed
Records are sent to the public health dept.
Records are released to insurance companies - ✔✔Pt confidentiality is NOT breached
when?
✔✔Angina pectoris - ✔✔A 55y/o male pt describes to you an episode of chest tightness
in his substernal area that radiated to his back while jogging. It was relieved
immediately when he stopped. What condition does this best describe?
✔✔Consult with a cardiologist for further evaluation - ✔✔In a 55 y/o patient with Angina
Pectoris what would the NP recommend?
