LEIK FNP Practice 400+ Questions with
A+ Guide Answers (2025 Latest Update)
A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for many
years to control her Stage II hypertension. Her blood pressure (BP) at this
visit is 168/96. She is currently complaining of pain on her right hip and on
both knees. She has increased her dose of ibuprofen (Motrin) from 400 mg 3
times day (TID) to 800 mg TID. She is still in pain and would like something
stronger. Which of the following statements is the best explanation of the
effects of ibuprofen (Motrin) on her disease?
A) It increases the chances of adverse effects to her health
B) It inhibits the effect of renal prostaglandins and blunts the effectiveness of
the diuretic
C) It prolongs the therapeutic effects of hydrochlorothiazide and other
diuretics
D) None of the statements are true - correct answers✅✅B) It inhibits the
effect of renal prostaglandins and blunts the effectiveness of the diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which
predisposes the kidney to ischemia. NSAIDs and diuretics can cause acute
prerenal failure by decreasing renal blood flow.
2. All of the following are infections that affect mostly the labia and vagina
except:
A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis - correct answers✅✅D) Chlamydia trachomatis
,LEIK FNP Practice 400+ Questions with
A+ Guide Answers (2025 Latest Update)
Infections that commonly affect the labia and vagina include bacterial
vaginosis, candidiasis, and trichomoniasis. Chlamydia trachomatis commonly
affects the cervix, endometrial lining , fallopian tubes, and pelvic cavity.
The nurse practitioner would test the obturator and iliopsoas muscle to
evaluate for:
A) Cholecystitis
B) Acute appendicitis
C) Inguinal hernia
D) Gastriculcer - correct answers✅✅B) Acute appendicitis.
Signs and symptoms of an acute abdomen include invol- untary guarding,
rebound tenderness, boardlike abdomen, and a positive obtu- rator and
psoas sign. A positive obturator sign occurs when pain is elicted by internal
rotation of the right hip from 90 degrees hip/knee flexion. The psoas sign is
positive when pain occurs with passive extension of the thigh while the
patient is lying on his/her side with knees extended, or when pain occurs
with active flexion of his/her thigh at the hip.
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 blood pressure -
correct answers✅✅D) A prescription of methyldopa (Aldomet) to control
blood pressure
,LEIK FNP Practice 400+ Questions with
A+ Guide Answers (2025 Latest Update)
Recommended care for women diagnosed with preeclampsia includes bed
rest with bath- room privileges, weight and BP monitoring, and closely
following urine protein and serum protein, creatinine, and platelet counts.
Oral medications are not used as first-line treatment.
All of the following services are covered under Medicare Part A except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons - correct answers✅✅C) Nursing home care
Medicare A coverage includes inpatient hospitalization and skilled care given
in a certified skilled nursing facility. Most nursing home care is custodial care
(help with bathing, dressing, using a bathroom, and eating). This care is not
covered by Medicare A.
A 28-year-old student is seen in the school health clinic with complaints of a
hacking cough that is productive of small amounts of sputum and a runny
nose. He does not take any medications, denies any allergies, and has no
significant medical history. Physical examination reveals a low-grade
temperature of 99.9 degrees Fahrenheit, respirations of 16/min, a pulse of 90
beats per minute, and diffuse fine crackles in the base of the lungs. A chest
radiograph (x-ray) shows diffuse infiltrates on the lower lobe of the right
lung. The total white blood cell count is 10,500/uL. What is the most likely
diagnosis?
A) Streptococcal pneumonia
B) Mycoplasma pneumonia
C) Acute bronchitis
, LEIK FNP Practice 400+ Questions with
A+ Guide Answers (2025 Latest Update)
D) Legionnaires disease - correct answers✅✅B) Mycoplasma pneumonia
Mycoplasma pneumonia is the organism most com- monly seen in children
and young adults. It is easily spread from droplets, from sneezing and
coughing, in close proximity. Diagnosis is based on symptoms and x-ray
results of infiltrates in lower lobes.
A 39-year-old migrant worker presents to the clinic 2.5 days after a purified
protein derivative (PPD) test. What minimum size of induration would be
considered posi- tive for this patient?
A) 3 mm B) 5 mm C) 10 mm D) 15 mm - correct answers✅✅C) 10 mm
The PPD is administered on the volar aspect of the lower arm and read 48
hours after the test is given. The PPD result must have induration and
measure 10 mm or greater to be positive in a low-risk patient. Induration
(firmness with palpation) must be present. If the site has erythema but no
induration, result would be negative. Color is not important.
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
A+ Guide Answers (2025 Latest Update)
A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for many
years to control her Stage II hypertension. Her blood pressure (BP) at this
visit is 168/96. She is currently complaining of pain on her right hip and on
both knees. She has increased her dose of ibuprofen (Motrin) from 400 mg 3
times day (TID) to 800 mg TID. She is still in pain and would like something
stronger. Which of the following statements is the best explanation of the
effects of ibuprofen (Motrin) on her disease?
A) It increases the chances of adverse effects to her health
B) It inhibits the effect of renal prostaglandins and blunts the effectiveness of
the diuretic
C) It prolongs the therapeutic effects of hydrochlorothiazide and other
diuretics
D) None of the statements are true - correct answers✅✅B) It inhibits the
effect of renal prostaglandins and blunts the effectiveness of the diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which
predisposes the kidney to ischemia. NSAIDs and diuretics can cause acute
prerenal failure by decreasing renal blood flow.
2. All of the following are infections that affect mostly the labia and vagina
except:
A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis - correct answers✅✅D) Chlamydia trachomatis
,LEIK FNP Practice 400+ Questions with
A+ Guide Answers (2025 Latest Update)
Infections that commonly affect the labia and vagina include bacterial
vaginosis, candidiasis, and trichomoniasis. Chlamydia trachomatis commonly
affects the cervix, endometrial lining , fallopian tubes, and pelvic cavity.
The nurse practitioner would test the obturator and iliopsoas muscle to
evaluate for:
A) Cholecystitis
B) Acute appendicitis
C) Inguinal hernia
D) Gastriculcer - correct answers✅✅B) Acute appendicitis.
Signs and symptoms of an acute abdomen include invol- untary guarding,
rebound tenderness, boardlike abdomen, and a positive obtu- rator and
psoas sign. A positive obturator sign occurs when pain is elicted by internal
rotation of the right hip from 90 degrees hip/knee flexion. The psoas sign is
positive when pain occurs with passive extension of the thigh while the
patient is lying on his/her side with knees extended, or when pain occurs
with active flexion of his/her thigh at the hip.
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 blood pressure -
correct answers✅✅D) A prescription of methyldopa (Aldomet) to control
blood pressure
,LEIK FNP Practice 400+ Questions with
A+ Guide Answers (2025 Latest Update)
Recommended care for women diagnosed with preeclampsia includes bed
rest with bath- room privileges, weight and BP monitoring, and closely
following urine protein and serum protein, creatinine, and platelet counts.
Oral medications are not used as first-line treatment.
All of the following services are covered under Medicare Part A except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons - correct answers✅✅C) Nursing home care
Medicare A coverage includes inpatient hospitalization and skilled care given
in a certified skilled nursing facility. Most nursing home care is custodial care
(help with bathing, dressing, using a bathroom, and eating). This care is not
covered by Medicare A.
A 28-year-old student is seen in the school health clinic with complaints of a
hacking cough that is productive of small amounts of sputum and a runny
nose. He does not take any medications, denies any allergies, and has no
significant medical history. Physical examination reveals a low-grade
temperature of 99.9 degrees Fahrenheit, respirations of 16/min, a pulse of 90
beats per minute, and diffuse fine crackles in the base of the lungs. A chest
radiograph (x-ray) shows diffuse infiltrates on the lower lobe of the right
lung. The total white blood cell count is 10,500/uL. What is the most likely
diagnosis?
A) Streptococcal pneumonia
B) Mycoplasma pneumonia
C) Acute bronchitis
, LEIK FNP Practice 400+ Questions with
A+ Guide Answers (2025 Latest Update)
D) Legionnaires disease - correct answers✅✅B) Mycoplasma pneumonia
Mycoplasma pneumonia is the organism most com- monly seen in children
and young adults. It is easily spread from droplets, from sneezing and
coughing, in close proximity. Diagnosis is based on symptoms and x-ray
results of infiltrates in lower lobes.
A 39-year-old migrant worker presents to the clinic 2.5 days after a purified
protein derivative (PPD) test. What minimum size of induration would be
considered posi- tive for this patient?
A) 3 mm B) 5 mm C) 10 mm D) 15 mm - correct answers✅✅C) 10 mm
The PPD is administered on the volar aspect of the lower arm and read 48
hours after the test is given. The PPD result must have induration and
measure 10 mm or greater to be positive in a low-risk patient. Induration
(firmness with palpation) must be present. If the site has erythema but no
induration, result would be negative. Color is not important.
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
