Page |1
LEIK FNP Practice Questions Questions
and Correct Answers/ Latest Update /
Already Graded
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
Ans: 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.
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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
Ans: 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
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C) Inguinal hernia
D) Gastriculcer
Ans: 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
Ans: D) A prescription of methyldopa (Aldomet) to control
blood pressure
All rights reserved © 2025/ 2026 |
, Page |4
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
Ans: 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
All rights reserved © 2025/ 2026 |
LEIK FNP Practice Questions Questions
and Correct Answers/ Latest Update /
Already Graded
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
Ans: 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.
All rights reserved © 2025/ 2026 |
, Page |2
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
Ans: 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
All rights reserved © 2025/ 2026 |
, Page |3
C) Inguinal hernia
D) Gastriculcer
Ans: 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
Ans: D) A prescription of methyldopa (Aldomet) to control
blood pressure
All rights reserved © 2025/ 2026 |
, Page |4
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
Ans: 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
All rights reserved © 2025/ 2026 |
