LEIK FNP Certification Exam 3 2024
s s s s s s
s
A s65-year-old swoman spresents sfor sa sfollow-up sexamination safter sa snew spatient svisit. sShe
shas snot sseen sa shealthcare sprovider sfor sseveral syears. sShe sis sa s smoker sand sher
shypertension sis snow s adequately s controlled swith s medication. sHer smother sdied sat sage s40
sfrom sa sheart sattack. sThe sfasting slipid sprofile s shows scholesterol s= s240 smg/dL, sHDL s= s30,
sand sLDL s= s200. sIn s addition sto s starting sTherapeutic sLifestyle sChanges, sthe snurse
spractitioner sshould sstart sthe spatient son: s
s
1.bile sacid ssequestrant. s
2. a sstatin sdrug. s
3. a scholesterol sabsorption sinhibitor. s
4. low-dose saspirin. s- sA sstatin sdrug s
s
The smost scommonly sprescribed smedication sfor smild ssystemic slupus serythematosus s(SLE)
sis: s
s
s
1. sazathioprine
s(AZA).
s
2. sbelimumab
s(Benlysta).
s
3. sibuprofen
s(Advil).
4. scyclophosphamide s(Cytoxan). s- sibuprofen
s(advil)
s
The smost scommon ssign sof scervical scancer sis: s
s
s
1. spostcoital
sbleeding.
s
2. sstrong sodor sfrom svaginal
sdischarge.
s
3. sitching sin sthe svaginal
sarea.
4. smolluscum scontagiosum. s- spostcoital
sbleeding
s
The snurse spractitioner sprescribes samitriptyline s(Elavil) sfor sa spatient swith sneuropathic spain
ssecondary sto sdiabetes smellitus. sOn sfollow-up, sthe spatient scomplains sof surine sretention sand
sdry smouth. sThe spractitioner swould: s
s
1. discontinue samitriptyline sand sbegin sibuprofen s(Motrin). s
2. refer sto sphysical stherapy. s
3. start smethocarbamol s(Robaxin). s
4. discontinue samitriptyline sand sbegin sgabapentin s(Neurontin). s- sdiscontinue samitriptyline
sand sbegin sgabapentin s(neurontin) s
s
A s17-year-old smale swith srheumatoid sarthritis sis sbeing streated swith san sNSAID sand
someprazole s
,(Prilosec). sThe spatient scomplains sof sheadache, sabdominal spain, sand sgas. sThese ssymptoms
sare s
s
most
slikely:
s
s
1. sassociated swith sthe
someprazole.
s
2. srelated sto sthe sunderlying
scondition.
s
3. sthe sresult sof sthe
sNSAID.
4. scaused sby sviral sgastroenteritis. s- sassociated swith sthe
someprazole
s
The smedication sof schoice sfor sthe sinitial streatment sof sjuvenile srheumatoid sarthritis sis: s
s
1. sacetaminophen. s
s
2.
sprednisone.
s
3.
saspirin.
4. sibuprofen. -
s
sibuprofen
s
A s12-year-old swith ssickle scell sanemia shas srecently sexperienced sa ssickle scell scrisis sand
spresents sfor sa sfollow-up sexamination safter s a srecent shospitalization. sIt sis smost simportant sto
scontinue smonitoring sgrowth, sdevelopment, sand: s
s
s
1. swhite sblood scells
slevels.
2. sfecal soccult sblood
stest.
s
3. shemoglobin
slevels.
4. surine sdipsticks. s- shemoglobin
slevels
s
A s90-year-old sfemale sis sbrought sto sthe sclinic sby sher sneighbor. sShe sstates sthat severything
sis sfine, sbut sthe snurse spractitioner snotes sthat sshe s has spoor shygiene sand sbruises son sher
strunk. sThe sneighbor sis sconcerned sthat sthe spatient soften shas sno smoney sto sbuy sfood,
sdespite sincome sfrom ssocial ssecurity sand sa scoal s miner's spension. sThe snurse spractitioner
ssuspects sabuse. sWhich sof sthe sfollowing sis sthe snurse spractitioner sobligated sto sdo snext? s
1. Report sthe scase sto sthe sproper sauthorities. s
2. Tell sthe sneighbor sto scheck son sthe swoman sdaily sand sreport sback. s
3. Document sthe sdata sand sreport sthe sinformation sto srisk smanagement. s
4. Call sthe spatient's sfamily sand sinquire sabout sthe sconcerns. s- sreport sthe scase sto sproper
sauthorities s
s
In smost scases, sthe sfirst smanifestation sof sAlzheimer's sdisease sis: s
s
, s
1. simpaired
sjudgment.
s
2. sdecrease sin sshort-term s
smemory.
3. sdisorientation sin stime sand
splace.
4. sdecrease sin slong-term smemory. s- sdecrease sin sshort-term
smemory
s
The soptimal streatment sfor slatent stuberculosis sis: s
s
s
1. srifampin s(Rifadin) sfor s5
smonths.
s
2. sisoniazid s(Nydrazid) sfor s9
smonths.
s
3. spyrazinamide sfor s6
smonths.
4. sethambutol sfor s6 smonths. s- sosioniazid s(nydrazid) sfor s9
smonths
s
Unilateral sspontaneous sserous sor sserosanguineous sdischarge sfrom sa ssingle sduct sof sa sbreast
sis s
s
most soften scaused
sby:
s
s
1. sintraductal
spapilloma.
s
2. smucinous sbreast
slesions.
s
3. sPaget's
sdisease.
4. sductal scarcinoma sin ssitu. s- sintraductal
spapilloma
s
A syoung schild swith sasthma spresents sfor sfollow-up sevaluation. sAfter snumerous schanges sin
smedications sand sdoses, sthe sparents sreport sthat sthe schild scontinues sto shave sdifficulty swith
scoughing, sespecially sduring sthe snight. sWhich sof s the sfollowing sconditions swould sbe sthe
smost slikely scause sof sthe scontinued sasthma s symptoms? s
s
1. Vocal scord sdysfunction s
2. Cystic sfibrosis s
3. Gastroesophageal sreflux s
4. Allergic srhinitis s- sgastroesophageal sreflux s
s
A spregnant swoman swith sknown sHIV sinfection scan sreduce sthe srisk sof sperinatal
stransmission sthrough s zidovudine s(Retrovir) stherapy. sBased son scurrent sresearch, soptimal
stherapy sis sto sstart sdaily sdosing: s
s
s
1. post
s
samniocentesis.
s s s s s s
s
A s65-year-old swoman spresents sfor sa sfollow-up sexamination safter sa snew spatient svisit. sShe
shas snot sseen sa shealthcare sprovider sfor sseveral syears. sShe sis sa s smoker sand sher
shypertension sis snow s adequately s controlled swith s medication. sHer smother sdied sat sage s40
sfrom sa sheart sattack. sThe sfasting slipid sprofile s shows scholesterol s= s240 smg/dL, sHDL s= s30,
sand sLDL s= s200. sIn s addition sto s starting sTherapeutic sLifestyle sChanges, sthe snurse
spractitioner sshould sstart sthe spatient son: s
s
1.bile sacid ssequestrant. s
2. a sstatin sdrug. s
3. a scholesterol sabsorption sinhibitor. s
4. low-dose saspirin. s- sA sstatin sdrug s
s
The smost scommonly sprescribed smedication sfor smild ssystemic slupus serythematosus s(SLE)
sis: s
s
s
1. sazathioprine
s(AZA).
s
2. sbelimumab
s(Benlysta).
s
3. sibuprofen
s(Advil).
4. scyclophosphamide s(Cytoxan). s- sibuprofen
s(advil)
s
The smost scommon ssign sof scervical scancer sis: s
s
s
1. spostcoital
sbleeding.
s
2. sstrong sodor sfrom svaginal
sdischarge.
s
3. sitching sin sthe svaginal
sarea.
4. smolluscum scontagiosum. s- spostcoital
sbleeding
s
The snurse spractitioner sprescribes samitriptyline s(Elavil) sfor sa spatient swith sneuropathic spain
ssecondary sto sdiabetes smellitus. sOn sfollow-up, sthe spatient scomplains sof surine sretention sand
sdry smouth. sThe spractitioner swould: s
s
1. discontinue samitriptyline sand sbegin sibuprofen s(Motrin). s
2. refer sto sphysical stherapy. s
3. start smethocarbamol s(Robaxin). s
4. discontinue samitriptyline sand sbegin sgabapentin s(Neurontin). s- sdiscontinue samitriptyline
sand sbegin sgabapentin s(neurontin) s
s
A s17-year-old smale swith srheumatoid sarthritis sis sbeing streated swith san sNSAID sand
someprazole s
,(Prilosec). sThe spatient scomplains sof sheadache, sabdominal spain, sand sgas. sThese ssymptoms
sare s
s
most
slikely:
s
s
1. sassociated swith sthe
someprazole.
s
2. srelated sto sthe sunderlying
scondition.
s
3. sthe sresult sof sthe
sNSAID.
4. scaused sby sviral sgastroenteritis. s- sassociated swith sthe
someprazole
s
The smedication sof schoice sfor sthe sinitial streatment sof sjuvenile srheumatoid sarthritis sis: s
s
1. sacetaminophen. s
s
2.
sprednisone.
s
3.
saspirin.
4. sibuprofen. -
s
sibuprofen
s
A s12-year-old swith ssickle scell sanemia shas srecently sexperienced sa ssickle scell scrisis sand
spresents sfor sa sfollow-up sexamination safter s a srecent shospitalization. sIt sis smost simportant sto
scontinue smonitoring sgrowth, sdevelopment, sand: s
s
s
1. swhite sblood scells
slevels.
2. sfecal soccult sblood
stest.
s
3. shemoglobin
slevels.
4. surine sdipsticks. s- shemoglobin
slevels
s
A s90-year-old sfemale sis sbrought sto sthe sclinic sby sher sneighbor. sShe sstates sthat severything
sis sfine, sbut sthe snurse spractitioner snotes sthat sshe s has spoor shygiene sand sbruises son sher
strunk. sThe sneighbor sis sconcerned sthat sthe spatient soften shas sno smoney sto sbuy sfood,
sdespite sincome sfrom ssocial ssecurity sand sa scoal s miner's spension. sThe snurse spractitioner
ssuspects sabuse. sWhich sof sthe sfollowing sis sthe snurse spractitioner sobligated sto sdo snext? s
1. Report sthe scase sto sthe sproper sauthorities. s
2. Tell sthe sneighbor sto scheck son sthe swoman sdaily sand sreport sback. s
3. Document sthe sdata sand sreport sthe sinformation sto srisk smanagement. s
4. Call sthe spatient's sfamily sand sinquire sabout sthe sconcerns. s- sreport sthe scase sto sproper
sauthorities s
s
In smost scases, sthe sfirst smanifestation sof sAlzheimer's sdisease sis: s
s
, s
1. simpaired
sjudgment.
s
2. sdecrease sin sshort-term s
smemory.
3. sdisorientation sin stime sand
splace.
4. sdecrease sin slong-term smemory. s- sdecrease sin sshort-term
smemory
s
The soptimal streatment sfor slatent stuberculosis sis: s
s
s
1. srifampin s(Rifadin) sfor s5
smonths.
s
2. sisoniazid s(Nydrazid) sfor s9
smonths.
s
3. spyrazinamide sfor s6
smonths.
4. sethambutol sfor s6 smonths. s- sosioniazid s(nydrazid) sfor s9
smonths
s
Unilateral sspontaneous sserous sor sserosanguineous sdischarge sfrom sa ssingle sduct sof sa sbreast
sis s
s
most soften scaused
sby:
s
s
1. sintraductal
spapilloma.
s
2. smucinous sbreast
slesions.
s
3. sPaget's
sdisease.
4. sductal scarcinoma sin ssitu. s- sintraductal
spapilloma
s
A syoung schild swith sasthma spresents sfor sfollow-up sevaluation. sAfter snumerous schanges sin
smedications sand sdoses, sthe sparents sreport sthat sthe schild scontinues sto shave sdifficulty swith
scoughing, sespecially sduring sthe snight. sWhich sof s the sfollowing sconditions swould sbe sthe
smost slikely scause sof sthe scontinued sasthma s symptoms? s
s
1. Vocal scord sdysfunction s
2. Cystic sfibrosis s
3. Gastroesophageal sreflux s
4. Allergic srhinitis s- sgastroesophageal sreflux s
s
A spregnant swoman swith sknown sHIV sinfection scan sreduce sthe srisk sof sperinatal
stransmission sthrough s zidovudine s(Retrovir) stherapy. sBased son scurrent sresearch, soptimal
stherapy sis sto sstart sdaily sdosing: s
s
s
1. post
s
samniocentesis.
