LEIK FNP PRACTICE 2026 NEWEST UPDATE QUESTION
AND CORRECT ANSWERS ALL VERIFIED.
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 in 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
An 8-year-old is seen as a walk-in appointment by the nurse practitioner.
The mother reports that her child has been febrile for 2 days and is not
eating well due to painful sores inside the child's mouth. The child's
temperature is 101 degrees Fahrenheit, the pulse is 88 beats/minute, and
the respirations are at 14 breaths per minute. During the physical
examination, the nurse practitioner notices several small blisters and
shallow ulcers on the child's pharynx and the oral mucosa. The child has
small round red rashes on both palms and soles. Which of the following
conditions is most likely?
A) Herpes simplex infection
B) Hand, foot, and mouth disease (HFMD)
C) Varicella infection
D) Secondary syphilis infection - Correct Answers -B) Hand, foot, and
mouth disease (HFMD)
Hand, foot, and mouth disease (HFMD) is caused by the coxsackie virus
A16. The virus is found in the saliva, sputum, nasal mucus, feces, and
blister fluid. It is transmitted through direct contact of the secretion or in
fomites (e.g., preschool toys). Treatment is symptomatic.
According to Erik Erikson, adolescents are at what psychosocial
developmental stage?
,A) Autonomy vs. shame
B) Industry vs. inferiority
C) Identity vs. role confusion
D) Intimacy vs. isolation - Correct Answers -C) Identity vs. role confusion
Adolescents (age 12 to 18 years) are in the stage
known as "identity vs. role confusion." At this time, the teen is transitioning
into adulthood and reexamining his/her identity and beliefs. The teen
wonders about himself/herself (e.g., "who am I"). Peers are highly valued.
At what age can a child ride a bicycle?
A) 2 to 3 years of age
B) 3 to 4 years of age
C) 4 to 5 years of age
D) 5 to 6 years of age - Correct Answers -D) 5 to 6 years of age
At about the age of 5 to 6 years, most children can
ride a bicycle with training wheels. Helmets should always be worn
(primary prevention).
When an infant is found to have tufts of fine dark hair on the sacrum, which
of the following tests is recommended?
, A) An ultrasound of the sacrum
B) A plain radiograph of the lumbo sacral spine
C) No imaging test is necessary
D) Genetic testing - Correct Answers -A) An ultrasound of the sacrum
An infant with tufts of fine dark hair on the sacrum should be evaluated for
occult spina bifida. The first imaging test to order is an ultrasound of the
lower spine.
All of the following are true statements about the human papilloma virus
vaccine (Gardasil) except:
A) The Centers for Disease Control and Prevention (CDC) recommends the
first dose at age 11 to 12 years
B) The CDC does not recommend the HPV vaccine for males
C) The vaccine is not complete until a total of 3 doses have been
administered
D) The minimum age the vaccine can be given is 9 years - Correct Answers
-B) The CDC does not recommend the HPV vaccine for males
The HPV vaccine is now recommended for both males and females. It can
be given until the age of
26 years, especially if the individual is at high risk. Do not use the vaccine if
the age is less than 9 years.
AND CORRECT ANSWERS ALL VERIFIED.
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 in 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
An 8-year-old is seen as a walk-in appointment by the nurse practitioner.
The mother reports that her child has been febrile for 2 days and is not
eating well due to painful sores inside the child's mouth. The child's
temperature is 101 degrees Fahrenheit, the pulse is 88 beats/minute, and
the respirations are at 14 breaths per minute. During the physical
examination, the nurse practitioner notices several small blisters and
shallow ulcers on the child's pharynx and the oral mucosa. The child has
small round red rashes on both palms and soles. Which of the following
conditions is most likely?
A) Herpes simplex infection
B) Hand, foot, and mouth disease (HFMD)
C) Varicella infection
D) Secondary syphilis infection - Correct Answers -B) Hand, foot, and
mouth disease (HFMD)
Hand, foot, and mouth disease (HFMD) is caused by the coxsackie virus
A16. The virus is found in the saliva, sputum, nasal mucus, feces, and
blister fluid. It is transmitted through direct contact of the secretion or in
fomites (e.g., preschool toys). Treatment is symptomatic.
According to Erik Erikson, adolescents are at what psychosocial
developmental stage?
,A) Autonomy vs. shame
B) Industry vs. inferiority
C) Identity vs. role confusion
D) Intimacy vs. isolation - Correct Answers -C) Identity vs. role confusion
Adolescents (age 12 to 18 years) are in the stage
known as "identity vs. role confusion." At this time, the teen is transitioning
into adulthood and reexamining his/her identity and beliefs. The teen
wonders about himself/herself (e.g., "who am I"). Peers are highly valued.
At what age can a child ride a bicycle?
A) 2 to 3 years of age
B) 3 to 4 years of age
C) 4 to 5 years of age
D) 5 to 6 years of age - Correct Answers -D) 5 to 6 years of age
At about the age of 5 to 6 years, most children can
ride a bicycle with training wheels. Helmets should always be worn
(primary prevention).
When an infant is found to have tufts of fine dark hair on the sacrum, which
of the following tests is recommended?
, A) An ultrasound of the sacrum
B) A plain radiograph of the lumbo sacral spine
C) No imaging test is necessary
D) Genetic testing - Correct Answers -A) An ultrasound of the sacrum
An infant with tufts of fine dark hair on the sacrum should be evaluated for
occult spina bifida. The first imaging test to order is an ultrasound of the
lower spine.
All of the following are true statements about the human papilloma virus
vaccine (Gardasil) except:
A) The Centers for Disease Control and Prevention (CDC) recommends the
first dose at age 11 to 12 years
B) The CDC does not recommend the HPV vaccine for males
C) The vaccine is not complete until a total of 3 doses have been
administered
D) The minimum age the vaccine can be given is 9 years - Correct Answers
-B) The CDC does not recommend the HPV vaccine for males
The HPV vaccine is now recommended for both males and females. It can
be given until the age of
26 years, especially if the individual is at high risk. Do not use the vaccine if
the age is less than 9 years.
