ANCC FNP Exam Review questions LEIK part 2| 50 questions and answers

The posterior fontanel should be completely closed by: 3 months On auscultation of the chest, a split s2 is best heard at: A: 2 ICS, right sternal border B: 2 ICS, Left sternal border C: 5th ICS, midclavicular line D: 4 ICS, left sternal border 2nd ICS left sternal border The most common type of skin malignancy in the united states is: A: squamous cell skin cancer B: Basal cell carcinoma C: Melanoma D: dysplastic nevi Basal Cell Carcinoma All of the following patients have an increased risk of developing adverse effects from metformin (Glucophage) except: A: pts with renal disease B: pts with hypoxia C: Obese pts D: pts who are alcoholics obese patients Which of the following classes of drugs is implicated with blunting the signs and symptoms of hypoglycemia in diabetics? A; CCB B: Diuretics C: Beta Blockers D: ARB Beta blockers All of the following factors increase the risk of mortality for patients diagnosed w/ bacterial pneumonia except: A: alcoholism B: very young/old C: Multiple lobar involvement D: hypertension Hypertension The bacterium responsible for the highest mortality for pts with community-acquired pneumonia is: A: streptococcus pneumoniae B: mycoplasma pneumoniae C: Moraxella catarrhalis D: Haemophilus influenzae Streptococcus pneumoniae What is the least common pathogen found in CAP? A: moraxella catarrhalis B: Streptococcus pneumoniae C: pseudomonas aeruginosa D: mycoplasma pneumonia Pseudomonas Aeruginosa The following statements are true about Wilms' tumor EXCEPT: A: the most frequent clinical sign is a palpable abdominal mass B: it is a congenital tumor of the kidneys C: microscopic or gross hematuria is sometimes present D: the tumor commonly crosses the midline of the abdomen when it is discovered. the tumor commonly crosses the midline of the abdomen when it is discovered. a 40-year old cashier complains of periods of dizziness and palpitations that have a sudden onset. The EKG shows P waves before each QRS complex and a heart rate of 170beats/min. A carotid massage decreases the heart rate to 80bpm. These findings best describe? A: ventricular tachycardia B: paroxysmal atrial tachycardia C: afib D: vfib Paroxysmal atrial tachycardia Which of the following drug classes is indicated for initial tx of an uncomplicated case of helicobacter pylori- negative peptic ulcer? A: PPI B: H2 receptor antagonists C: antibiotics D: antacids H2 Receptor antagonists Which of the following is correct regarding the best site to listen for mitral regurgitation ? A it is best heard in the apical area during S2 B: it is best heard at the base during S1 C: it is best heard at the apex during S1 D: it is best heard at the base during S2. it is best heard at the apex during S1 Orchitis is caused by which of the following?> A: mumps virus B: measles virus C: chlamydia trachomatis D: chronic UTI that are not treated adequately Mumps Virus all of the following drugs interfere with the metabolism of oral contraceptives except: A: tetracycline B: rifampin C: phenytoin (Dilantin) D: ciprofloxacin Ciprofloxacin which of the following is the most common cause of nongonococcal urethritis? A: ecoli B: chlamydia trachomatis C: neisseria gonorrhoeae D: mycoplasma genitalium Chlamydia trachomatis A 35-year old sexually active man presents with a 1-week hx of fever and pain over the left scrotum. It is accompanied by frequency and dysuria. The scrotum is edematous and tender to touch. He denies flank pain, nausea, and vomiting. He reports that the pain is lessened when he uses scrotal-support briefs. The urinalysis shows 2+ blood and a large number of leukocytes. What is the likely diagnosis? A: acute UTI B: acute pyelonephritis C: acute orchitis D: acute epididymitis Acute epididymitis a kindergarten teacher is dx'd with acute streptococcal pharyngitis. On exam, her throat is a bright-red color with no tonsillar exudate, and clear mucus is seen on the lower nasal turbinates. The urinalysis shows a large amount of white blood cells and is positive for nitrites. The patient has a sulfa allergy and thinks she is also allergic to PCN. Which of the following is the best tx chocie? A: augmentin 500mg PO BID B: Levaquin 250mg PO Daily C: Bactrim DS po BID D: Biaxin (clarithromycin) 500mg PO BID Levaquin 250mg PO daily A split s2 heart sound is best heard at which of the following areas? A: the aortic area B: The pulmonic area C: The tricuspid area D: the mitral area The pulmonic area a 20-year old white man is being seen for a physical exam by the nurse practitioner. He complains of pruritic macerated areas in his groin that have been present for the past 2 weeks. Which of the following is the most likely? A: Tinea Cruris B: Tinea Corporis C: tinea capitis D: Tinea Pedis Tinea cruris an adolescent females areola, nipples, and breast tissue develop and become elevated as one mound. which of the following is the correct tanner stage for this phase of breast development? Tanner stage III women with PCOS have an increased risk for.. heart disease and endometrial cancer a 13-year old boy wants to be treated for his acne. He has a large number of closed and open comedones on his face. The patient has been treating himself with OTC benzoyl peroxide and topical salicylic acid products. Which of the following would be recommended next? A: isotretinoin (Accutane) B: tetracycline C: Retin-A 0.25% gel D: careful face washing with medicated soap at bedtime Retin-A 0.25% gel Systemic lupu erythematosus is more common among patients from all of the following ethnic and racial backgrounds except: A: african american B: Asian C: Hispanic D: caucasian Caucasian An older man is diagnosed with conductive hearing loss in the left ear by the NP. What is the expected result when performing a Rinne test on this patient? BC>AC which of the following conditions is associated with 3 stages of rashes? A: fifth disease B: erythema infectiosum C: varicella D: Rocky MTN spotted fever Fifth disease The following findings are considered benign lesions of the skin except: A: lentigo B: seborrheic keratosis C: Actinic keratosis D: Rosacea Actinic keratosis what is the treatment for C-diff Flagyl 500mg TID for 10 days all of the following conditions are contraindications for bupropion except: A: anorexia nervosa and bulimia B: seizure disorders C: peripheral neuropathy D: Brain injury peripheral neuropathy Which of the following is involved with sensorineural hearing loss? A: outer ear B: middle ear C: Inner ear D: cranial nerve VIII Inner ear The research term/symbol that is used to indicate the "total population" in a research study is stated as: A: n B: N C: p D: P N A 25 year old man with schizophrenia comes in for. Routine annual physical. He is a heavy smoker and has a BMI of 28. The pt has been on Olanzapine (Zyprexa) for 10 years. Regarding the pts prescription, which of the following laboratory test is recommended for monitoring the adverse effects of atypical antipsychotics? A: fasting blood glucose, fasting lipid profile, and weight B: urinalysis, serum creatinine, 24 hour urine for protein and creatinine clearance C: Liver function tests only D: CBC with differential, LFT, and weight Fasting blood glucose, fasting lipid profile and weight All of the following drug classes are approved for treating HTN. Which of the following antihypertensive drug classes is associated with the largest number of research studies? Thiazides Diuretics Which of the following individuals is more likely to be affected by alpha thalassemia anemia? A: 53 year old Greek pt B: 25 year old Chinese pt C: 62 year old Russian pt D: 38 year old African American patient 25 year old Chinese pt Which of the following benzodiazepines has. The shortest half life? A: Ativan B: Xanax C: triazolam (Halcion) D: klonapin. Triazolam (Halcion) What is the name of immune process that is responsible for anaphylactic reactions? A: IgE-mediated reaction B: IgG-mediated reaction C: antibody reaction D: atopic reaction IgE-mediated reaction A 76 year old woman reports that for the previous 4 months, she has noticed severe stiffness and aching in her neck and both shoulders and hips that is worsened by movement. She reports having a difficult time getting out of bed because of the severe stiffness and pain. It is difficult for her to put on a jacket or blouse or to fasten her bra. Along with these symptoms, she also has a low-grade fever, fatigue, loss of appetite, and weight loss. starting yesterday the vision in her right eye has progressively worsened. She has annual eye exams and denies that she has glaucoma. Which of the following conditions is most likely? A: RA B: Degenerative Joint Disease C: polymyalgia rheumatica PMR D: fibromyalgia Polymyalgia rheumatica (PMR)