LEIK FNP practice questions
It inhibits the effect of renal prostaglandins and blunts the A 72 yo woman has been on hydrochlorothiazide 12.5mg for many years to control
effectiveness of the diuretic her Stae I HTN. Her blood pressure at this visit is 168/96. She is currently
complaining of pain in her right hip and on both knees. She has increased her dose
of ibuprofen from 400mg 3 times a day to 800mg 3 times a day. She is still in pain
and would like something stronger. Which of the following statements is the best
explanation of the effects of ibuprofen on her disease.
Acute appendicitis The NP would test the obturator and iliopsoas muscle to evaluate for what?
A prescription of methyldopa (Aldomet) to control BP 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 BP.
Nursing home care All of the following services are covered under Medicare Part A except:
A) Inpatient hospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons
Mycoplasma pneumonia A 28 yo student is seen in the school health clinic with complaints of hacking cough
that is productive of small amounts of sputum and runny nose. He does not take
any meds, denies any allergies, and has no significant medical history. Physical
exam reveals a low-grade temperature of 99.9 degrees F, respirations of 16/min,
pulse =90, and diffuse fine crackles in the base of the lungs. A chest x-ray shows
diffuse infiltrates in the lower lobe of the right lung. The total white blood cell count
is 10,500/uL. What is the likely diagnosis?
10mm A 39 yo migrant worker presents to the clinic 2.5 days after a purified protein
derivative (PPD) test. What minimum size of induration would be considered
positive for this patient?
The patient's spouse has the right to override the agent's All of the following are correct statements regarding the role of the person named in
decisions a durable power of attorney except:
A) The agent's decisions are legally binding
B) The agent can make decisions in other areas of the patient's life such as
financial issues.
C) The agent can decide for the patient who is on life support when that life support
can be terminated.
D) The patient's spouse has the right to override the agent's decisions
The patient has a medical illness that causes an anxiety The following statement regarding Munchausen syndrome is false:
reaction and denial
Beta-blockers Which antihypertensive medications should the NP avoid when treating patient with
emphysema?
Perform a complete and thorough history A 30 y/o chef complains of pruritic hives over her chest and arms but denies
difficulty breathing. She reports a family history of allergic rhinitis and asthma. What
intervention is most appropriate?
Edema of the face and upper extremities Which finding is most likely in young primigravidas with pregnancy induced
hypertension?
Tingling and numbness of both feet Which symptom is associated with B12 deficiency anemia?
, LEIK FNP practice questions
Order an ultrasound A second triple screen on a 35 yo primigravida reveals abnormal low levels of the
alpha fetoprotein and estriol and high levels of human chorionic gonadotropin.
Which of the following interventions is the best choice for this patient?
Chlamydia trachoma's Pts. diagnosed with gonorrhea should also be treated for what other infections?
Osteoporosis Kyphosis is a late sign of
Higher than normal A 35 y/o primigravida who is at 28wks gestation is expecting twins. What would you
would expect her alpha fetal protein (AFP) to be?
Calcium channel blockers Which of the following antihypertensive medications has beneficial effects for an
elderly white female with osteoporosis?
Knee instability The Lachman maneuver is used to detect which of the following?
Tanner Stage III When an adolescent male's penis grows more in length than width, at which of the
following Tanner stages is he classified?
Toxoplasma gondii, other infections, rubella, Fetal TORCH infections can cause microcephaly, mental retardation,
cytomegalovirus and herpes hepatosplenomegaly, and intrauterine growth retardation. The acronym for TORCH
stands for:.
Laryngeal neoplasia HPV infection of the larynx has been associated with:
Degenerative joint disease Mr. Brown is a 65 y/o carpenter complaining of morning stiffness and pain in both
his hands and right knee upon awakening. He feels some relief after warming up.
On exam, the nurse notices the presence of Heberden's nodes. What is most likely
diagnosis?
Instability of the knee What does the positive posterior drawer sign in a 10 yr old soccer player signify?
From 33-35 cm A multigravida who is at 34 wks gestation wants to know at what level her uterine
funds should be. The best answer is to advise the mother that her funds is:
Advise mother that her pregnancy is progressing well A multigravida who is 28wks gestation has a fundal height of 29cm. What is the best
recommendation for this patient?
Creatinine Which laboratory test is used in primary care to evaluate renal function?
, LEIK FNP practice questions
Chronic intake of non steroidal anti-inflammatory drugs All of the following are false statements regarding acute gastritis except:
(NSAIDs) can cause the disorder A) Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the
disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening rest for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy.
Apraxia and fatigue Signs and symptoms of depression do not include:
A) Upon deep inspiration by the patient, palpate firmly in Which of the following is an accurate description of eliciting for Murphy's sign?
the right upper quadrant of the abdomen below the A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of
costovertebral angle. the abdomen below the costovertebral angle
B) Bend the patient at the hips and knees at 90 degrees, then passively rotate hip
externally, then internally
C) Ask the patient to quit, then place the stethoscope on the apical area.
D) Press into the abdomen deeply, then released it suddenly
Murphy's Sign Positive if pain occurs when performing RUQ palpation while patient takes a deep
breath, causing the patient to abruptly stop the deep breath due to pain. As the liver
is palpated, it will descend and push up against the inflamed gallbladder and cause
sharp pain (cholecystitis)
Apraxia a disorder of the nervous system in which the brain is affected and the patient is
unable not move the arms/legs when asked to do so.
Common signs of depression 1. anhedonia
2. unintentional weight loss or gain
3. fatigue
4. change in appetite
5. insomnia or hypersomnia
6. Feelings of guilt and worthlessness
7. recurrent thought of suicide.
Anhedonia loss of interest in activities that the patient finds pleasurable
What does Chronic NSAID use do? Disrupts the product of prostaglandins, which decreases blood supply and then
breaks down the protective layer of the mucosa, which leads to gastric disease.
Why is Serum creatinine in measured? To evaluate renal function. Creation is the end product of creatine metabolism.
Creatinine clearance is not affected by fluid or dietary intake of meat.
After 20 wks At how many weeks gestation should fundal height equal weeks gestation?
2cm or greater When measuring fundal height, how many centimeters variation should warrant
further testing to evaluate fetal growth
The drawer sign Performed on the knee or ankle to assess for knee instability. The affected
knee/ankle will have more laxity when compared to the unaffected knee/ankle.
Heberden's nodes These are commonly seen in degenerative joint disease, and are bony nodules
located on the distal interphalangeal joints (DIPs)
It inhibits the effect of renal prostaglandins and blunts the A 72 yo woman has been on hydrochlorothiazide 12.5mg for many years to control
effectiveness of the diuretic her Stae I HTN. Her blood pressure at this visit is 168/96. She is currently
complaining of pain in her right hip and on both knees. She has increased her dose
of ibuprofen from 400mg 3 times a day to 800mg 3 times a day. She is still in pain
and would like something stronger. Which of the following statements is the best
explanation of the effects of ibuprofen on her disease.
Acute appendicitis The NP would test the obturator and iliopsoas muscle to evaluate for what?
A prescription of methyldopa (Aldomet) to control BP 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 BP.
Nursing home care All of the following services are covered under Medicare Part A except:
A) Inpatient hospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons
Mycoplasma pneumonia A 28 yo student is seen in the school health clinic with complaints of hacking cough
that is productive of small amounts of sputum and runny nose. He does not take
any meds, denies any allergies, and has no significant medical history. Physical
exam reveals a low-grade temperature of 99.9 degrees F, respirations of 16/min,
pulse =90, and diffuse fine crackles in the base of the lungs. A chest x-ray shows
diffuse infiltrates in the lower lobe of the right lung. The total white blood cell count
is 10,500/uL. What is the likely diagnosis?
10mm A 39 yo migrant worker presents to the clinic 2.5 days after a purified protein
derivative (PPD) test. What minimum size of induration would be considered
positive for this patient?
The patient's spouse has the right to override the agent's All of the following are correct statements regarding the role of the person named in
decisions a durable power of attorney except:
A) The agent's decisions are legally binding
B) The agent can make decisions in other areas of the patient's life such as
financial issues.
C) The agent can decide for the patient who is on life support when that life support
can be terminated.
D) The patient's spouse has the right to override the agent's decisions
The patient has a medical illness that causes an anxiety The following statement regarding Munchausen syndrome is false:
reaction and denial
Beta-blockers Which antihypertensive medications should the NP avoid when treating patient with
emphysema?
Perform a complete and thorough history A 30 y/o chef complains of pruritic hives over her chest and arms but denies
difficulty breathing. She reports a family history of allergic rhinitis and asthma. What
intervention is most appropriate?
Edema of the face and upper extremities Which finding is most likely in young primigravidas with pregnancy induced
hypertension?
Tingling and numbness of both feet Which symptom is associated with B12 deficiency anemia?
, LEIK FNP practice questions
Order an ultrasound A second triple screen on a 35 yo primigravida reveals abnormal low levels of the
alpha fetoprotein and estriol and high levels of human chorionic gonadotropin.
Which of the following interventions is the best choice for this patient?
Chlamydia trachoma's Pts. diagnosed with gonorrhea should also be treated for what other infections?
Osteoporosis Kyphosis is a late sign of
Higher than normal A 35 y/o primigravida who is at 28wks gestation is expecting twins. What would you
would expect her alpha fetal protein (AFP) to be?
Calcium channel blockers Which of the following antihypertensive medications has beneficial effects for an
elderly white female with osteoporosis?
Knee instability The Lachman maneuver is used to detect which of the following?
Tanner Stage III When an adolescent male's penis grows more in length than width, at which of the
following Tanner stages is he classified?
Toxoplasma gondii, other infections, rubella, Fetal TORCH infections can cause microcephaly, mental retardation,
cytomegalovirus and herpes hepatosplenomegaly, and intrauterine growth retardation. The acronym for TORCH
stands for:.
Laryngeal neoplasia HPV infection of the larynx has been associated with:
Degenerative joint disease Mr. Brown is a 65 y/o carpenter complaining of morning stiffness and pain in both
his hands and right knee upon awakening. He feels some relief after warming up.
On exam, the nurse notices the presence of Heberden's nodes. What is most likely
diagnosis?
Instability of the knee What does the positive posterior drawer sign in a 10 yr old soccer player signify?
From 33-35 cm A multigravida who is at 34 wks gestation wants to know at what level her uterine
funds should be. The best answer is to advise the mother that her funds is:
Advise mother that her pregnancy is progressing well A multigravida who is 28wks gestation has a fundal height of 29cm. What is the best
recommendation for this patient?
Creatinine Which laboratory test is used in primary care to evaluate renal function?
, LEIK FNP practice questions
Chronic intake of non steroidal anti-inflammatory drugs All of the following are false statements regarding acute gastritis except:
(NSAIDs) can cause the disorder A) Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the
disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening rest for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy.
Apraxia and fatigue Signs and symptoms of depression do not include:
A) Upon deep inspiration by the patient, palpate firmly in Which of the following is an accurate description of eliciting for Murphy's sign?
the right upper quadrant of the abdomen below the A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of
costovertebral angle. the abdomen below the costovertebral angle
B) Bend the patient at the hips and knees at 90 degrees, then passively rotate hip
externally, then internally
C) Ask the patient to quit, then place the stethoscope on the apical area.
D) Press into the abdomen deeply, then released it suddenly
Murphy's Sign Positive if pain occurs when performing RUQ palpation while patient takes a deep
breath, causing the patient to abruptly stop the deep breath due to pain. As the liver
is palpated, it will descend and push up against the inflamed gallbladder and cause
sharp pain (cholecystitis)
Apraxia a disorder of the nervous system in which the brain is affected and the patient is
unable not move the arms/legs when asked to do so.
Common signs of depression 1. anhedonia
2. unintentional weight loss or gain
3. fatigue
4. change in appetite
5. insomnia or hypersomnia
6. Feelings of guilt and worthlessness
7. recurrent thought of suicide.
Anhedonia loss of interest in activities that the patient finds pleasurable
What does Chronic NSAID use do? Disrupts the product of prostaglandins, which decreases blood supply and then
breaks down the protective layer of the mucosa, which leads to gastric disease.
Why is Serum creatinine in measured? To evaluate renal function. Creation is the end product of creatine metabolism.
Creatinine clearance is not affected by fluid or dietary intake of meat.
After 20 wks At how many weeks gestation should fundal height equal weeks gestation?
2cm or greater When measuring fundal height, how many centimeters variation should warrant
further testing to evaluate fetal growth
The drawer sign Performed on the knee or ankle to assess for knee instability. The affected
knee/ankle will have more laxity when compared to the unaffected knee/ankle.
Heberden's nodes These are commonly seen in degenerative joint disease, and are bony nodules
located on the distal interphalangeal joints (DIPs)
