LEIK FNP practice questions Questions
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It inhibits the effect of renal prostaglandins and blunts the
effectiveness of the diuretic
Ans: A 72 yo woman has been on hydrochlorothiazide 12.5mg
for many years to control her Stae I HTN. Her blood pressure 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 from 400mg 3 times a day to 800mg 3 times a day.
She is still in pain and would like something stronger. Which of
the following statements is the best explanation of the effects
of ibuprofen on her disease.
Acute appendicitis
Ans: The NP would test the obturator and iliopsoas muscle to
evaluate for what?
A prescription of methyldopa (Aldomet) to control BP
Ans: 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
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Close follow-up of urinary protein, serum creatinine, and
platelet count
A prescription of methyldopa (Aldomet) to control BP.
Nursing home care
Ans: All of the following services are covered under Medicare
Part A except:
A) Inpatient hospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons
Mycoplasma pneumonia
Ans: A 28 yo student is seen in the school health clinic with
complaints of hacking cough that is productive of small
amounts of sputum and runny nose. He does not take any meds,
denies any allergies, and has no significant medical history.
Physical exam reveals a low-grade temperature of 99.9 degrees
F, respirations of 16/min, pulse =90, and diffuse fine crackles in
the base of the lungs. A chest x-ray shows diffuse infiltrates in
the lower lobe of the right lung. The total white blood cell count
is 10,500/uL. What is the likely diagnosis?
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10mm
Ans: A 39 yo migrant worker presents to the clinic 2.5 days
after a purified protein derivative (PPD) test. What minimum
size of induration would be considered positive for this patient?
The patient's spouse has the right to override the agent's decisions
Ans: All of the following are correct statements regarding the
role of the person named in a durable power of attorney except:
A) The agent's decisions are legally binding
B) The agent can make decisions in other areas of the patient's
life such as financial issues.
C) The agent can decide for the patient who is on life support
when that life support can be terminated.
D) The patient's spouse has the right to override the agent's
decisions
The patient has a medical illness that causes an anxiety reaction and
denial
Ans: The following statement regarding Munchausen syndrome
is false:
Beta-blockers
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Ans: Which antihypertensive medications should the NP avoid
when treating patient with emphysema?
Perform a complete and thorough history
Ans: A 30 y/o chef complains of pruritic hives over her chest
and arms but denies difficulty breathing. She reports a family
history of allergic rhinitis and asthma. What intervention is
most appropriate?
Edema of the face and upper extremities
Ans: Which finding is most likely in young primigravidas with
pregnancy induced hypertension?
Tingling and numbness of both feet
Ans: Which symptom is associated with B12 deficiency anemia?
Order an ultrasound
Ans: A second triple screen on a 35 yo primigravida reveals
abnormal low levels of the alpha fetoprotein and estriol and
high levels of human chorionic gonadotropin. Which of the
following interventions is the best choice for this patient?
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