LEIK FNP practice questions with complete solution 2023
It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic - correct answer A 72 yo woman has been on hydrochlorothiazide 12.5mg for many years to control 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 - correct answer The NP would test the obturator and iliopsoas muscle to evaluate for what?
A prescription of methyldopa (Aldomet) to control BP - correct answer 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 - correct answer 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 - correct answer 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 - correct answer 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 decisions - correct answer All
of the following are correct statements regarding the role of the person named in 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 reaction and denial - correct answer The following statement regarding Munchausen syndrome is false:
Beta-blockers - correct answer Which antihypertensive medications should the NP avoid when treating patient with emphysema?
Perform a complete and thorough history - correct answer 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 - correct answer Which finding is most likely in young primigravidas with pregnancy induced hypertension?
Tingling and numbness of both feet - correct answer Which symptom is associated with B12 deficiency anemia?
Order an ultrasound - correct answer 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 - correct answer Pts. diagnosed with gonorrhea should also be treated for what other infections?
Osteoporosis - correct answer Kyphosis is a late sign of
Higher than normal - correct answer 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 - correct answer Which of the following antihypertensive medications has beneficial effects for an elderly white female with osteoporosis?
Knee instability - correct answer The Lachman maneuver is used to detect which of the following?
Tanner Stage III - correct answer 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, cytomegalovirus and herpes - correct answer Fetal TORCH infections can cause microcephaly, mental retardation, hepatosplenomegaly, and intrauterine growth retardation. The acronym for TORCH stands for:.
Laryngeal neoplasia - correct answer HPV infection of the larynx has been associated with:
Degenerative joint disease - correct answer 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 - correct answer What does the positive posterior drawer sign in a 10 yr old soccer player signify?
From 33-35 cm - correct answer 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 - correct answer A multigravida who is 28wks gestation has a fundal height of 29cm. What is the best recommendation for this patient?
Creatinine - correct answer Which laboratory test is used in primary care to evaluate renal function?
Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the disorder - correct answer All of the following are false statements regarding acute gastritis except: 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 - correct answer Signs and symptoms of depression do not include:
A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of the abdomen below the costovertebral angle. - correct answer Which of the following is an accurate description of eliciting for Murphy's sign? A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of 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 - correct answer 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 - correct answer 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 - correct answer 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 - correct answer loss of interest in activities that the patient finds pleasurable
What does Chronic NSAID use do? - correct answer 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? - correct answer 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 - correct answer At how many weeks gestation should fundal height equal
weeks gestation?
2cm or greater - correct answer When measuring fundal height, how many centimeters
variation should warrant further testing to evaluate fetal growth
The drawer sign - correct answer 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 - correct answer These are commonly seen in degenerative joint disease, and are bony nodules located on the distal interphalangeal joints (DIPs)
Laryngeal neoplasia - correct answer HPV infection of the larynx has been associated with:
Cervical cancer. - correct answer HPV infection of the cervix is associated with:
It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic - correct answer A 72 yo woman has been on hydrochlorothiazide 12.5mg for many years to control 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 - correct answer The NP would test the obturator and iliopsoas muscle to evaluate for what?
A prescription of methyldopa (Aldomet) to control BP - correct answer 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 - correct answer 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 - correct answer 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 - correct answer 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 decisions - correct answer All
of the following are correct statements regarding the role of the person named in 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 reaction and denial - correct answer The following statement regarding Munchausen syndrome is false:
Beta-blockers - correct answer Which antihypertensive medications should the NP avoid when treating patient with emphysema?
Perform a complete and thorough history - correct answer 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 - correct answer Which finding is most likely in young primigravidas with pregnancy induced hypertension?
Tingling and numbness of both feet - correct answer Which symptom is associated with B12 deficiency anemia?
Order an ultrasound - correct answer 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 - correct answer Pts. diagnosed with gonorrhea should also be treated for what other infections?
Osteoporosis - correct answer Kyphosis is a late sign of
Higher than normal - correct answer 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 - correct answer Which of the following antihypertensive medications has beneficial effects for an elderly white female with osteoporosis?
Knee instability - correct answer The Lachman maneuver is used to detect which of the following?
Tanner Stage III - correct answer 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, cytomegalovirus and herpes - correct answer Fetal TORCH infections can cause microcephaly, mental retardation, hepatosplenomegaly, and intrauterine growth retardation. The acronym for TORCH stands for:.
Laryngeal neoplasia - correct answer HPV infection of the larynx has been associated with:
Degenerative joint disease - correct answer 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 - correct answer What does the positive posterior drawer sign in a 10 yr old soccer player signify?
From 33-35 cm - correct answer 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 - correct answer A multigravida who is 28wks gestation has a fundal height of 29cm. What is the best recommendation for this patient?
Creatinine - correct answer Which laboratory test is used in primary care to evaluate renal function?
Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the disorder - correct answer All of the following are false statements regarding acute gastritis except: 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 - correct answer Signs and symptoms of depression do not include:
A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of the abdomen below the costovertebral angle. - correct answer Which of the following is an accurate description of eliciting for Murphy's sign? A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of 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 - correct answer 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 - correct answer 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 - correct answer 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 - correct answer loss of interest in activities that the patient finds pleasurable
What does Chronic NSAID use do? - correct answer 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? - correct answer 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 - correct answer At how many weeks gestation should fundal height equal
weeks gestation?
2cm or greater - correct answer When measuring fundal height, how many centimeters
variation should warrant further testing to evaluate fetal growth
The drawer sign - correct answer 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 - correct answer These are commonly seen in degenerative joint disease, and are bony nodules located on the distal interphalangeal joints (DIPs)
Laryngeal neoplasia - correct answer HPV infection of the larynx has been associated with:
Cervical cancer. - correct answer HPV infection of the cervix is associated with:
