LEIK FNP Practice Questions || || || ||
With Answers || ||
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
|| || || || || || || || ||
ANSWER(S)✔✔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 ANSWER(S)✔✔D)
|| || || || || ||
Chlamydia trachomatis ||
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 ANSWER(S)✔✔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 ANSWER(S)✔✔D) A
|| || || || || ||
prescription of methyldopa (Aldomet) to control blood || || || || || || ||
pressure ||
, 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 ANSWER(S)✔✔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
|| || || || || || || || || ||
With Answers || ||
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
|| || || || || || || || ||
ANSWER(S)✔✔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 ANSWER(S)✔✔D)
|| || || || || ||
Chlamydia trachomatis ||
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 ANSWER(S)✔✔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 ANSWER(S)✔✔D) A
|| || || || || ||
prescription of methyldopa (Aldomet) to control blood || || || || || || ||
pressure ||
, 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 ANSWER(S)✔✔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
|| || || || || || || || || ||
