LEIK FNP Complete Test Bank with Practice
Questions 2026 Updated, Multiple Choices Answers
with detailed Explanations
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 - ............ANSWER..........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 - ............ANSWER..........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 - ............ANSWER..........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
- ............ANSWER..........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 - ............ANSWER..........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
D) Legionnaires disease - ............ANSWER..........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 - ............ANSWER..........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
Questions 2026 Updated, Multiple Choices Answers
with detailed Explanations
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 - ............ANSWER..........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 - ............ANSWER..........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 - ............ANSWER..........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
- ............ANSWER..........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 - ............ANSWER..........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
D) Legionnaires disease - ............ANSWER..........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 - ............ANSWER..........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
