ANCC FNP Exam Review questions LEIK part 2 with 100% correct answers

The posterior fontanel should be completely closed by: 3 months On auscultation of the chest, a split s2 is best heard at: A: 2 ICS, right sternal border B: 2 ICS, Left sternal border C: 5th ICS, midclavicular line D: 4 ICS, left sternal border 2nd ICS left sternal border The most common type of skin malignancy in the united states is: A: squamous cell skin cancer B: Basal cell carcinoma C: Melanoma D: dysplastic nevi Basal Cell Carcinoma All of the following patients have an increased risk of developing adverse effects from metformin (Glucophage) except: A: pts with renal disease B: pts with hypoxia C: Obese pts D: pts who are alcoholics obese patients Which of the following classes of drugs is implicated with blunting the signs and symptoms of hypoglycemia in diabetics? A; CCB B: Diuretics C: Beta Blockers D: ARB Beta blockers All of the following factors increase the risk of mortality for patients diagnosed w/ bacterial pneumonia except: A: alcoholism B: very young/old C: Multiple lobar involvement D: hypertension Hypertension The bacterium responsible for the highest mortality for pts with community-acquired pneumonia is: A: streptococcus pneumoniae B: mycoplasma pneumoniae C: Moraxella catarrhalis D: Haemophilus influenzae Streptococcus pneumoniae What is the least common pathogen found in CAP? A: moraxella catarrhalis B: Streptococcus pneumoniae C: pseudomonas aeruginosa D: mycoplasma pneumonia Pseudomonas Aeruginosa The following statements are true about Wilms' tumor EXCEPT: A: the most frequent clinical sign is a palpable abdominal mass B: it is a congenital tumor of the kidneys C: microscopic or gross hematuria is sometimes present D: the tumor commonly crosses the midline of the abdomen when it is discovered. the tumor commonly crosses the midline of the abdomen when it is discovered. a 40-year old cashier complains of periods of dizziness and palpitations that have a sudden onset. The EKG shows P waves before each QRS complex and a heart rate of 170beats/min. A carotid massage decreases the heart rate to 80bpm. These findings best describe? A: ventricular tachycardia B: paroxysmal atrial tachycardia C: afib D: vfib Paroxysmal atrial tachycardia Which of the following drug classes is indicated for initial tx of an uncomplicated case of helicobacter pylori- negative peptic ulcer? A: PPI B: H2 receptor antagonists C: antibiotics D: antacids H2 Receptor antagonists Which of the following is correct regarding the best site to listen for mitral regurgitation ? A it is best heard in the apical area during S2 B: it is best heard at the base during S1 C: it is best heard at the apex during S1 D: it is best heard at the base during S2. it is best heard at the apex during S1 Orchitis is caused by which of the following?> A: mumps virus B: measles virus C: chlamydia trachomatis D: chronic UTI that are not treated adequately Mumps Virus all of the following drugs interfere with the metabolism of oral contraceptives except: A: tetracycline B: rifampin C: phenytoin (Dilantin) D: ciprofloxacin Ciprofloxacin which of the following is the most common cause of nongonococcal urethritis? A: ecoli B: chlamydia trachomatis C: neisseria gonorrhoeae D: mycoplasma genitalium Chlamydia trachomatis A 35-year old sexually active man presents with a 1-week hx of fever and pain over the left scrotum. It is accompanied by frequency and dysuria. The scrotum is edematous and tender to touch. He denies flank pain, nausea, and vomiting. He reports that the pain is lessened when he uses scrotal-support briefs. The urinalysis shows 2+ blood and a large number of leukocytes. What is the likely diagnosis? A: acute UTI B: acute pyelonephritis C: acute orchitis D: acute epididymitis Acute epididymitis