LEIK FNP EXAMS ALL SET ANSWERS AND
QUESTIONS SET A+
✔✔All of the following are treatments for recluse spider bites except:
a. Cold packs
b. Antibiotics on wound
c. NSAIDs
d. Steroids - ✔✔d
Steroids are not used in recluse spider bites.
✔✔What topical antibiotic may be used in a patient with hidradenitis suppurative?
a. Clindamycin
b. Bacitracin
c. Mupirocin
d. Hydrocortizone - ✔✔a
Clindamycin 1% solution with/without benzoyl peroxide for 12 weeks.
✔✔A patient that has new psoriatic plaques that have formed over areas of skin trauma.
What special finding is this known as?
a. Auspitz sign
b. Acrochordon
c. Koebner phenomenon
d. Psoriatic lichenification - ✔✔c
Auspitz sign is pinpoint areas of bleeding in the skin when scales from a psoriatic
plaque are removed. Acrochordon are skin tags.
✔✔A patient is diagnosed with extensive actinic keratosis. The NP is concerned about
the future implications. The best treatment option includes:
a. Sunscreen with an SPF greater than 30
b. Fluorouracil (Efusex) topical cream
c. Removal of the lesions
,d. Tissue scraping - ✔✔b
Fluorouracil (Efusex) is a chemotherapy drug that is used on the actinic keratosis
lesions. It is used as a preventative measure with the intent that the lesions do not turn
into squamous cell carcinoma.
✔✔All of the following medications are considered antimetabolite exept:
a. Fluorouracil (Efusex)
b. 6-Mercaptopurine (6-MP)
c. Gemcitabine (Gemzar®)
d. hydroxychloroquine (Plaquenil) - ✔✔d
AB and C are all considered antimetbolites that attack cells at very specific phases in
the cycle. Hydroxychloroquine (Plaquenil) is an immunosuppressive drug.
✔✔PHN is a common complication of shingles in the elderly and immunocompromised
patients. Which of the following may be used to treat PHN except?
a. Amitriptyline
b. Fentayl
c. Carbamazepine (Tegretol)
d. Pregabalin (Lyrica) - ✔✔b
PHN may be treated with tricyclics antidepressant (low dose amitriptyline),
anticonvulsants (depakote), or gabapentin TID. Apply lidocaine 5% patch to intact skin.
✔✔Which of the following categories of wound healing causes the most scarring?
a. Primary closure
b. Secondary closure
c. Tertiary closure
d. Approximated closure - ✔✔c
Teritary intention (delayed primary closure) are wounds with heavy contamination or
poor vascularity (crush injuries). They are best left open to heal by secondary intention
and wound contraction. Produces most scar tissue.
✔✔Cicatrix is also know as:
a. Remodeling of collagen
b. Scar formation
c. Proliferation of basal cells
d. Constriction of local blood vessels - ✔✔b
Scar formation
✔✔In which stage of wound healing does angiogenesis occur?
a. Hemostasis
,b. Inflammation
c. Proliferation
d. Remodeling - ✔✔c
Angiogenesis is the development of new blood vessels.
✔✔What is the first line imaging test for suspected retained foreign body of a pin?
a. MRI
b. CT scan
c. X-ray
d. Ultrasound - ✔✔c
Plain x-ray is first line imaging test. Ultrasound may be used if suspected object or
object does not show on x-ray. These examples include small glass splinter or
partciples, thorns, fish bones, plastics.
✔✔A patient comes to the clinic following a burn at work on the hand. The burn is red,
painful, and has a small, unruptured blister. The patient is allergic to penicillin, sulfa-
drugs, shrimp, and peanuts. Which of the following medications is contraindicated in this
patient?
a. mupirocin (Bactroban)
b. Azithromycin (z-pack
c. Clarithromycin (Biaxin)
d. Silver sulfadiazine - ✔✔d
✔✔What is a concern if patient used silver sulfadiazine on a burn on the cheek?
a. Risk of inflammation
b. Thinning of the skin
c. Hyperpigmentation
d. Facial stain - ✔✔d
Using silver sulfadiazine may cause staining on the face and should be avoided. Patient
should use sunscreen on scare to avoid hyperpigmentation.
✔✔A patient comes to the clinic following a bad scrap off of his bicycle. There is a 5 cm
wound across his knee that will need suturing. After asking the patient his history,
mechanism of injury, and other details, the NP proceeds to the suture the wound. What
must be done before the patient may be discharged?
a. Tetanus prophylaxis if last dose was longer than 5 years ago
b. Lidocaine cream following procedure
c. Tight bandaging to reduce swelling
d. X-ray to ensure no foreign body present - ✔✔a
, Patient must have a Tdap booster if they have not had one in the past 5 years.
LIdocaine injection will be given prior to beginning suture. Bandage will not be placed
tightly. If suspected foreign body, x-ray needs to be taken before suturing.
✔✔A patient needs two small sutures near the base of his right ring finger. The nurse
practitioner draws up lidocaine as a local anesthetic. The NP knows that she must first:
a. Inject a small amount of lidocaine into the subcutaneous tissue
b. Aspirate first to check for needle placement and ensure blood return
c. Aspirate first to check for needle placement and ensure no blood return.
d. Aspirate first to check for infection - ✔✔c
The placement of the needle is important and the NP should aspirate first to check for
placement. I blood is withdrawn, the needle should be slightly withdrawn (without
removing from skin) and readjusted.
✔✔The preferred suture size is:
a. 00 to 2-5
b. 3-0 to 5-0
c. 5-0 to 7-0
d. 7-0 to 9-0 - ✔✔b
The higher the number, the smaller the diameter. The smallest diameter suture is 00
and is used to repair small blood vessels; the preferred suture size is 3-0 to 5-0.
✔✔A 18 year old female patient has a small laceration on her upper cheek. The NP
places 2 sutures. When should she tell the patient to return to have sutures removed?
a. 5-7 days
b. 7-10 days
c. 10-14 days
d. 14-18 days - ✔✔a
Facial sutures should be removed within 5-7 days. Scalp is 7-10 days, upper extremities
7-10 days, and lower extremities 10-14 days.
✔✔A patient has a suspicious lesion on their right shoulder. The nurse practitioner is
concerned that it may be a cancerous lesion and would like to perform a biopsy for
evaluation. PMH includes, atrial fibrillation, hypertension, diabetes, and BPH. What
does the NP need to assess for before obtaining the biopsy?
a. What medications the patient is taking
b. Any known allergies
c. Previous skin lesions
d. Family history of skin cancer - ✔✔a
The NP needs to know if the patient is taking a medication that may affect bleeding
time. Since the patient is diagnosed with atrial fibrillation, the patient may be taking a
QUESTIONS SET A+
✔✔All of the following are treatments for recluse spider bites except:
a. Cold packs
b. Antibiotics on wound
c. NSAIDs
d. Steroids - ✔✔d
Steroids are not used in recluse spider bites.
✔✔What topical antibiotic may be used in a patient with hidradenitis suppurative?
a. Clindamycin
b. Bacitracin
c. Mupirocin
d. Hydrocortizone - ✔✔a
Clindamycin 1% solution with/without benzoyl peroxide for 12 weeks.
✔✔A patient that has new psoriatic plaques that have formed over areas of skin trauma.
What special finding is this known as?
a. Auspitz sign
b. Acrochordon
c. Koebner phenomenon
d. Psoriatic lichenification - ✔✔c
Auspitz sign is pinpoint areas of bleeding in the skin when scales from a psoriatic
plaque are removed. Acrochordon are skin tags.
✔✔A patient is diagnosed with extensive actinic keratosis. The NP is concerned about
the future implications. The best treatment option includes:
a. Sunscreen with an SPF greater than 30
b. Fluorouracil (Efusex) topical cream
c. Removal of the lesions
,d. Tissue scraping - ✔✔b
Fluorouracil (Efusex) is a chemotherapy drug that is used on the actinic keratosis
lesions. It is used as a preventative measure with the intent that the lesions do not turn
into squamous cell carcinoma.
✔✔All of the following medications are considered antimetabolite exept:
a. Fluorouracil (Efusex)
b. 6-Mercaptopurine (6-MP)
c. Gemcitabine (Gemzar®)
d. hydroxychloroquine (Plaquenil) - ✔✔d
AB and C are all considered antimetbolites that attack cells at very specific phases in
the cycle. Hydroxychloroquine (Plaquenil) is an immunosuppressive drug.
✔✔PHN is a common complication of shingles in the elderly and immunocompromised
patients. Which of the following may be used to treat PHN except?
a. Amitriptyline
b. Fentayl
c. Carbamazepine (Tegretol)
d. Pregabalin (Lyrica) - ✔✔b
PHN may be treated with tricyclics antidepressant (low dose amitriptyline),
anticonvulsants (depakote), or gabapentin TID. Apply lidocaine 5% patch to intact skin.
✔✔Which of the following categories of wound healing causes the most scarring?
a. Primary closure
b. Secondary closure
c. Tertiary closure
d. Approximated closure - ✔✔c
Teritary intention (delayed primary closure) are wounds with heavy contamination or
poor vascularity (crush injuries). They are best left open to heal by secondary intention
and wound contraction. Produces most scar tissue.
✔✔Cicatrix is also know as:
a. Remodeling of collagen
b. Scar formation
c. Proliferation of basal cells
d. Constriction of local blood vessels - ✔✔b
Scar formation
✔✔In which stage of wound healing does angiogenesis occur?
a. Hemostasis
,b. Inflammation
c. Proliferation
d. Remodeling - ✔✔c
Angiogenesis is the development of new blood vessels.
✔✔What is the first line imaging test for suspected retained foreign body of a pin?
a. MRI
b. CT scan
c. X-ray
d. Ultrasound - ✔✔c
Plain x-ray is first line imaging test. Ultrasound may be used if suspected object or
object does not show on x-ray. These examples include small glass splinter or
partciples, thorns, fish bones, plastics.
✔✔A patient comes to the clinic following a burn at work on the hand. The burn is red,
painful, and has a small, unruptured blister. The patient is allergic to penicillin, sulfa-
drugs, shrimp, and peanuts. Which of the following medications is contraindicated in this
patient?
a. mupirocin (Bactroban)
b. Azithromycin (z-pack
c. Clarithromycin (Biaxin)
d. Silver sulfadiazine - ✔✔d
✔✔What is a concern if patient used silver sulfadiazine on a burn on the cheek?
a. Risk of inflammation
b. Thinning of the skin
c. Hyperpigmentation
d. Facial stain - ✔✔d
Using silver sulfadiazine may cause staining on the face and should be avoided. Patient
should use sunscreen on scare to avoid hyperpigmentation.
✔✔A patient comes to the clinic following a bad scrap off of his bicycle. There is a 5 cm
wound across his knee that will need suturing. After asking the patient his history,
mechanism of injury, and other details, the NP proceeds to the suture the wound. What
must be done before the patient may be discharged?
a. Tetanus prophylaxis if last dose was longer than 5 years ago
b. Lidocaine cream following procedure
c. Tight bandaging to reduce swelling
d. X-ray to ensure no foreign body present - ✔✔a
, Patient must have a Tdap booster if they have not had one in the past 5 years.
LIdocaine injection will be given prior to beginning suture. Bandage will not be placed
tightly. If suspected foreign body, x-ray needs to be taken before suturing.
✔✔A patient needs two small sutures near the base of his right ring finger. The nurse
practitioner draws up lidocaine as a local anesthetic. The NP knows that she must first:
a. Inject a small amount of lidocaine into the subcutaneous tissue
b. Aspirate first to check for needle placement and ensure blood return
c. Aspirate first to check for needle placement and ensure no blood return.
d. Aspirate first to check for infection - ✔✔c
The placement of the needle is important and the NP should aspirate first to check for
placement. I blood is withdrawn, the needle should be slightly withdrawn (without
removing from skin) and readjusted.
✔✔The preferred suture size is:
a. 00 to 2-5
b. 3-0 to 5-0
c. 5-0 to 7-0
d. 7-0 to 9-0 - ✔✔b
The higher the number, the smaller the diameter. The smallest diameter suture is 00
and is used to repair small blood vessels; the preferred suture size is 3-0 to 5-0.
✔✔A 18 year old female patient has a small laceration on her upper cheek. The NP
places 2 sutures. When should she tell the patient to return to have sutures removed?
a. 5-7 days
b. 7-10 days
c. 10-14 days
d. 14-18 days - ✔✔a
Facial sutures should be removed within 5-7 days. Scalp is 7-10 days, upper extremities
7-10 days, and lower extremities 10-14 days.
✔✔A patient has a suspicious lesion on their right shoulder. The nurse practitioner is
concerned that it may be a cancerous lesion and would like to perform a biopsy for
evaluation. PMH includes, atrial fibrillation, hypertension, diabetes, and BPH. What
does the NP need to assess for before obtaining the biopsy?
a. What medications the patient is taking
b. Any known allergies
c. Previous skin lesions
d. Family history of skin cancer - ✔✔a
The NP needs to know if the patient is taking a medication that may affect bleeding
time. Since the patient is diagnosed with atrial fibrillation, the patient may be taking a
