LEIK FNP PRACTICE COMPLETE TEST PAPER
WITH CORRECT ANSWERS
◉ Signs and symptoms of depression include all of the following
except:
A) Anhedonia and changes in appetite
B) Decreased energy and irritability
C) Apathy and low self-esteem
D) Apraxia and fatigue.
Answer: D) Apraxia and fatigue
Apraxia is a disorder of the nervous system in which the brain is
affected and the patient is unable to move the arms/legs when asked
to do so. Common signs of depression include anhedonia (loss of
interest in activities that the patient finds pleasurable),
unintentional weight loss or gain, fatigue, change in appetite,
insomnia or hypersomnia, feelings of guilt and worthlessness, and
recurrent thoughts of suicide.
◉ A 28-year-old multipara who is at 32 weeks of gestation presents
to your office complaining of a sudden onset of small amounts of
bright red vaginal bleeding. She has had several episodes and
,appears anxious. On exam, her uterus is soft to palpation. Which of
the following is most likely?
A) Placenta abruptio
B) Placenta previa
C) Acute cervicitis
D) Molar pregnancy (hydatidiform mole).
Answer: B) Placenta previa
Placenta previa occurs when abnormal implantation of the placenta
occurs. A common symptom of placenta previa is painless, bright red
bleeding.
◉ A 48-year-old woman is told by a physician that she is starting
menopause. All of the following are possible findings except:
A) Hot flashes
B) Irregular menstrual periods
C) Severe vaginal atrophic changes
D) Cyclic mood swings.
Answer: C) Severe vaginal atrophic changes
,As women reach menopause, changes that may occur include hot
flashes, irregular menstrual periods, and cyclic mood swings. Vaginal
changes, such as dryness and thinning, may also begin to occur
◉ A 30-year-old 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?
A) Vaginal bleeding and cramping are present, but the cervix
remains closed
B) Vaginal bleeding and cramping are present along with a dilated
cervix
C) The fetus and placenta are all expelled
D) The products of conception and the placenta remain inside the
uterus along
with a dilated cervix.
Answer: A) Vaginal bleeding and cramping are present, but the
cervix remains closed
Threatened abortion is defined as vaginal bleeding and cramping
with- out the presence of cervical dilation.
, ◉ A 30-year-old 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 most likely?
A) Trichomonas infection
B) Bacterial vaginosis
C) Candidal infection
D) A normal finding.
Answer: B) Bacterial vaginosis
Bacterial vaginosis is a bacterial infection of the vagina. Signs and
symptoms include copious off-white to gray discharge with foul odor
without vaginal erythema or irritation. Wet prep will show positive
for clue cells. When performing a wet prep, the "whiff test" will be
positive for a strong "fishy" odor when vaginal discharge is mixed
with one drop of KOH.
◉ The Pap smear result on a 20-year-old sexually active student who
uses condoms inconsistently shows a large amount of inflammation.
Which of the following is the best follow-up action?
A) The NP needs to do cervical cultures to verify the presence of
gonorrhea
WITH CORRECT ANSWERS
◉ Signs and symptoms of depression include all of the following
except:
A) Anhedonia and changes in appetite
B) Decreased energy and irritability
C) Apathy and low self-esteem
D) Apraxia and fatigue.
Answer: D) Apraxia and fatigue
Apraxia is a disorder of the nervous system in which the brain is
affected and the patient is unable to move the arms/legs when asked
to do so. Common signs of depression include anhedonia (loss of
interest in activities that the patient finds pleasurable),
unintentional weight loss or gain, fatigue, change in appetite,
insomnia or hypersomnia, feelings of guilt and worthlessness, and
recurrent thoughts of suicide.
◉ A 28-year-old multipara who is at 32 weeks of gestation presents
to your office complaining of a sudden onset of small amounts of
bright red vaginal bleeding. She has had several episodes and
,appears anxious. On exam, her uterus is soft to palpation. Which of
the following is most likely?
A) Placenta abruptio
B) Placenta previa
C) Acute cervicitis
D) Molar pregnancy (hydatidiform mole).
Answer: B) Placenta previa
Placenta previa occurs when abnormal implantation of the placenta
occurs. A common symptom of placenta previa is painless, bright red
bleeding.
◉ A 48-year-old woman is told by a physician that she is starting
menopause. All of the following are possible findings except:
A) Hot flashes
B) Irregular menstrual periods
C) Severe vaginal atrophic changes
D) Cyclic mood swings.
Answer: C) Severe vaginal atrophic changes
,As women reach menopause, changes that may occur include hot
flashes, irregular menstrual periods, and cyclic mood swings. Vaginal
changes, such as dryness and thinning, may also begin to occur
◉ A 30-year-old 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?
A) Vaginal bleeding and cramping are present, but the cervix
remains closed
B) Vaginal bleeding and cramping are present along with a dilated
cervix
C) The fetus and placenta are all expelled
D) The products of conception and the placenta remain inside the
uterus along
with a dilated cervix.
Answer: A) Vaginal bleeding and cramping are present, but the
cervix remains closed
Threatened abortion is defined as vaginal bleeding and cramping
with- out the presence of cervical dilation.
, ◉ A 30-year-old 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 most likely?
A) Trichomonas infection
B) Bacterial vaginosis
C) Candidal infection
D) A normal finding.
Answer: B) Bacterial vaginosis
Bacterial vaginosis is a bacterial infection of the vagina. Signs and
symptoms include copious off-white to gray discharge with foul odor
without vaginal erythema or irritation. Wet prep will show positive
for clue cells. When performing a wet prep, the "whiff test" will be
positive for a strong "fishy" odor when vaginal discharge is mixed
with one drop of KOH.
◉ The Pap smear result on a 20-year-old sexually active student who
uses condoms inconsistently shows a large amount of inflammation.
Which of the following is the best follow-up action?
A) The NP needs to do cervical cultures to verify the presence of
gonorrhea
