LEIK FNP Exam 2 Questions with
100% Correct Verified Answers Graded
A+
Mycoplasma pneumonia - CORRECT ANSWERS 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 ANSWERS 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 ANSWERS
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
ANSWERS The following statement regarding Munchausen syndrome is false:
,Beta-blockers - CORRECT ANSWERS Which antihypertensive medications should the NP
avoid when treating patient with emphysema?
Perform a complete and thorough history - CORRECT ANSWERS 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 ANSWERS Which finding is most likely
in young primigravidas with pregnancy induced hypertension?
Tingling and numbness of both feet - CORRECT ANSWERS Which symptom is associated
with B12 deficiency anemia?
It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic -
CORRECT ANSWERS 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 ANSWERS The NP would test the obturator and iliopsoas
muscle to evaluate for what?
A prescription of methyldopa (Aldomet) to control BP - CORRECT ANSWERS 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 ANSWERS 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
Order an ultrasound - CORRECT ANSWERS 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 ANSWERS Pts. diagnosed with gonorrhea should also be
treated for what other infections?
Osteoporosis - CORRECT ANSWERS Kyphosis is a late sign of
Higher than normal - CORRECT ANSWERS 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 ANSWERS Which of the following antihypertensive
medications has beneficial effects for an elderly white female with osteoporosis?
Knee instability - CORRECT ANSWERS The Lachman maneuver is used to detect which of
the following?
Tanner Stage III - CORRECT ANSWERS 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
ANSWERS Fetal TORCH infections can cause microcephaly, mental retardation,
hepatosplenomegaly, and intrauterine growth retardation. The acronym for TORCH stands
for:.
Laryngeal neoplasia - CORRECT ANSWERS HPV infection of the larynx has been associated
with:
Degenerative joint disease - CORRECT ANSWERS 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 ANSWERS What does the positive posterior drawer sign
in a 10 yr old soccer player signify?
From 33-35 cm - CORRECT ANSWERS 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 ANSWERS A multigravida
who is 28wks gestation has a fundal height of 29cm. What is the best recommendation for
this patient?
Creatinine - CORRECT ANSWERS 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 ANSWERS 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
100% Correct Verified Answers Graded
A+
Mycoplasma pneumonia - CORRECT ANSWERS 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 ANSWERS 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 ANSWERS
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
ANSWERS The following statement regarding Munchausen syndrome is false:
,Beta-blockers - CORRECT ANSWERS Which antihypertensive medications should the NP
avoid when treating patient with emphysema?
Perform a complete and thorough history - CORRECT ANSWERS 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 ANSWERS Which finding is most likely
in young primigravidas with pregnancy induced hypertension?
Tingling and numbness of both feet - CORRECT ANSWERS Which symptom is associated
with B12 deficiency anemia?
It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic -
CORRECT ANSWERS 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 ANSWERS The NP would test the obturator and iliopsoas
muscle to evaluate for what?
A prescription of methyldopa (Aldomet) to control BP - CORRECT ANSWERS 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 ANSWERS 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
Order an ultrasound - CORRECT ANSWERS 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 ANSWERS Pts. diagnosed with gonorrhea should also be
treated for what other infections?
Osteoporosis - CORRECT ANSWERS Kyphosis is a late sign of
Higher than normal - CORRECT ANSWERS 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 ANSWERS Which of the following antihypertensive
medications has beneficial effects for an elderly white female with osteoporosis?
Knee instability - CORRECT ANSWERS The Lachman maneuver is used to detect which of
the following?
Tanner Stage III - CORRECT ANSWERS 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
ANSWERS Fetal TORCH infections can cause microcephaly, mental retardation,
hepatosplenomegaly, and intrauterine growth retardation. The acronym for TORCH stands
for:.
Laryngeal neoplasia - CORRECT ANSWERS HPV infection of the larynx has been associated
with:
Degenerative joint disease - CORRECT ANSWERS 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 ANSWERS What does the positive posterior drawer sign
in a 10 yr old soccer player signify?
From 33-35 cm - CORRECT ANSWERS 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 ANSWERS A multigravida
who is 28wks gestation has a fundal height of 29cm. What is the best recommendation for
this patient?
Creatinine - CORRECT ANSWERS 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 ANSWERS 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
