LEIK FNP FINAL EXAM WITH VERIFIED
QUESTIONS AND ANSWERS|| GUARANTEED
PASS || ALREADY GRADED A+ || LATEST
UPDATE 2025
An 18-year-old male is found to have a 47, XXY karyotype and is diagnosed
with Klinefelter's syndrome. The patient is most likely to have all of the
following physical characteristics except:
A) Gynecomastia
B) Long limbs
C) Lack of secondary sexual characteristics
D) Large testes - ANSWER-D) Large testes
Signs/symptoms of Klinefelter's syndrome include gynecomastia, long limbs,
and lack of secondary sexual characteristics. Testes are usually small. Infertility
is a major concern for these boys. If treated early, they may have a normal
sexual/reproductive system in the future.
Which of the following drugs can increase the risk of bleeding in patients who
are on anticoagulation therapy with warfarin sodium (Coumadin)?
A) Trimethoprim/sulfamethoxazole (Bactrim DS)
B) Carafate (Sucralfate)
C) Losartan (Cozaar)
D) Furosemide (Lasix) - ANSWER-A) Trimethoprim/sulfamethoxazole
(Bactrim DS)
,Coumadin interacts with Bactrim and will increase the risk of bleeding;
therefore, it is contraindicated.
When an adolescent female's areola and nipples elevate above the level of the
breasts to form a secondary mound, which of the following is the correct Tanner
stage for this phase of breast development?
A) Tanner Stage I
B) Tanner Stage II
C) Tanner Stage III
D) Tanner Stage IV - ANSWER-D) Tanner Stage IV
At Tanner Stage IV, the breast tissue is still growing. This is the stage in which
the areola and the nipple separate to form a distinct mound. The most important
clue is "secondary mound." During Tanner Stage III, the breast and areola and
nipples grow together in one mound. There is no separation yet.
About one-third of children in the United States are considered obese. Which of
the following methods are appropriate interventions for obese school-aged
children?
A) Severe restriction of dietary carbohydrates
B) Increase physical activity and outdoor play
C) Prescribe appetite suppressants
D) Over-the-counter herbal weight-loss pills - ANSWER-B) Increase physical
activity and outdoor play
Lifestyle changes such as increasing physical activity and spending more time
outdoors are appropriate recommendations for children. Consider referral to a
registered dietician for dietary recommendations and counseling. Participation
,in an exercise program designed for children (if available) is also appropriate.
Severe caloric and/or carbohydrate restriction is not recommended for this age
group.
The cremasteric reflex is elicited by:
A) Asking the patient to open his or her mouth and touching the back of the
pharynx with a tongue blade
B) Hitting the biceps tendon briskly with a reflex hammer and watching the
lower arm for movement
C) Hitting the patellar tendon briskly with a reflex hammer and watching the
lower leg for movement
D) Stroking the inner thigh of a male client and watching the testicle on the
ipsilateral side rise up toward the body - ANSWER-D) Stroking the inner thigh
of a male client and watching the testicle on the ipsilateral side rise up toward
the body
The cremasteric reflex test is done by stroking the inner thigh of a male client
and watching for the testicle on the ipsi- lateral side to rise up toward the body.
You have diagnosed Tom J., a 30-year-old male, with contact dermatitis on the
left side of the face secondary to poison ivy. You would recommend:
A) Washing with antibacterial soap BID to reduce risk of secondary bacterial
infection until it is healed
B) Hydrocortisone cream 1% BID until it is healed
C) Clotrimazole (Lotrimin) cream BID for 2 weeks
D) Halcinonide (Halog) 1% ointment BID for 2 weeks - ANSWER-B)
Hydrocortisone cream 1% BID until it is healed
, Treatment for contact dermatitis includes using a steroid cream BID until
healed.
Pulsus paradoxus is best described as:
A) An increase in systolic blood pressure on inspiration
B) A decrease in diastolic blood pressure on exhalation
C) A decrease in systolic blood pressure on inspiration
D) An increase in diastolic blood pressure on expiration - ANSWER-C) A
decrease in systolic blood pressure on inspiration
Pulsus paradoxus: With inspiration, systolic pressure drops due to the increased
pressure (positive pres- sure). Some pulmonary risks of having increased
pressure include asthma and emphysema
A 10-year-old boy complains of a sudden onset of scrotal pain when he woke up
that morning. He is also complaining of severe nausea and vomiting. During the
physical examination, the nurse practitioner finds a tender, warm, and swollen
left scrotum. The cremasteric reflex is negative and the urine dipstick is
negative for leukocytes, nitrites, and blood. The most likely diagnosis is:
A) Acute epididymitis
B) A severe salmonella infection
C) Testicular torsion
D) Acute orchitis - ANSWER-C) Testicular torsion
Testicular torsion signs and symptoms include sudden onset of unilateral scrotal
pain, nausea, vomiting, and abdominal pain. Acute epididymitis causes fever,
chills, nausea, and unilateral pain and is most com- monly seen in sexually
active men. Unilateral scrotal pain does not occur with Salmonella infection.
QUESTIONS AND ANSWERS|| GUARANTEED
PASS || ALREADY GRADED A+ || LATEST
UPDATE 2025
An 18-year-old male is found to have a 47, XXY karyotype and is diagnosed
with Klinefelter's syndrome. The patient is most likely to have all of the
following physical characteristics except:
A) Gynecomastia
B) Long limbs
C) Lack of secondary sexual characteristics
D) Large testes - ANSWER-D) Large testes
Signs/symptoms of Klinefelter's syndrome include gynecomastia, long limbs,
and lack of secondary sexual characteristics. Testes are usually small. Infertility
is a major concern for these boys. If treated early, they may have a normal
sexual/reproductive system in the future.
Which of the following drugs can increase the risk of bleeding in patients who
are on anticoagulation therapy with warfarin sodium (Coumadin)?
A) Trimethoprim/sulfamethoxazole (Bactrim DS)
B) Carafate (Sucralfate)
C) Losartan (Cozaar)
D) Furosemide (Lasix) - ANSWER-A) Trimethoprim/sulfamethoxazole
(Bactrim DS)
,Coumadin interacts with Bactrim and will increase the risk of bleeding;
therefore, it is contraindicated.
When an adolescent female's areola and nipples elevate above the level of the
breasts to form a secondary mound, which of the following is the correct Tanner
stage for this phase of breast development?
A) Tanner Stage I
B) Tanner Stage II
C) Tanner Stage III
D) Tanner Stage IV - ANSWER-D) Tanner Stage IV
At Tanner Stage IV, the breast tissue is still growing. This is the stage in which
the areola and the nipple separate to form a distinct mound. The most important
clue is "secondary mound." During Tanner Stage III, the breast and areola and
nipples grow together in one mound. There is no separation yet.
About one-third of children in the United States are considered obese. Which of
the following methods are appropriate interventions for obese school-aged
children?
A) Severe restriction of dietary carbohydrates
B) Increase physical activity and outdoor play
C) Prescribe appetite suppressants
D) Over-the-counter herbal weight-loss pills - ANSWER-B) Increase physical
activity and outdoor play
Lifestyle changes such as increasing physical activity and spending more time
outdoors are appropriate recommendations for children. Consider referral to a
registered dietician for dietary recommendations and counseling. Participation
,in an exercise program designed for children (if available) is also appropriate.
Severe caloric and/or carbohydrate restriction is not recommended for this age
group.
The cremasteric reflex is elicited by:
A) Asking the patient to open his or her mouth and touching the back of the
pharynx with a tongue blade
B) Hitting the biceps tendon briskly with a reflex hammer and watching the
lower arm for movement
C) Hitting the patellar tendon briskly with a reflex hammer and watching the
lower leg for movement
D) Stroking the inner thigh of a male client and watching the testicle on the
ipsilateral side rise up toward the body - ANSWER-D) Stroking the inner thigh
of a male client and watching the testicle on the ipsilateral side rise up toward
the body
The cremasteric reflex test is done by stroking the inner thigh of a male client
and watching for the testicle on the ipsi- lateral side to rise up toward the body.
You have diagnosed Tom J., a 30-year-old male, with contact dermatitis on the
left side of the face secondary to poison ivy. You would recommend:
A) Washing with antibacterial soap BID to reduce risk of secondary bacterial
infection until it is healed
B) Hydrocortisone cream 1% BID until it is healed
C) Clotrimazole (Lotrimin) cream BID for 2 weeks
D) Halcinonide (Halog) 1% ointment BID for 2 weeks - ANSWER-B)
Hydrocortisone cream 1% BID until it is healed
, Treatment for contact dermatitis includes using a steroid cream BID until
healed.
Pulsus paradoxus is best described as:
A) An increase in systolic blood pressure on inspiration
B) A decrease in diastolic blood pressure on exhalation
C) A decrease in systolic blood pressure on inspiration
D) An increase in diastolic blood pressure on expiration - ANSWER-C) A
decrease in systolic blood pressure on inspiration
Pulsus paradoxus: With inspiration, systolic pressure drops due to the increased
pressure (positive pres- sure). Some pulmonary risks of having increased
pressure include asthma and emphysema
A 10-year-old boy complains of a sudden onset of scrotal pain when he woke up
that morning. He is also complaining of severe nausea and vomiting. During the
physical examination, the nurse practitioner finds a tender, warm, and swollen
left scrotum. The cremasteric reflex is negative and the urine dipstick is
negative for leukocytes, nitrites, and blood. The most likely diagnosis is:
A) Acute epididymitis
B) A severe salmonella infection
C) Testicular torsion
D) Acute orchitis - ANSWER-C) Testicular torsion
Testicular torsion signs and symptoms include sudden onset of unilateral scrotal
pain, nausea, vomiting, and abdominal pain. Acute epididymitis causes fever,
chills, nausea, and unilateral pain and is most com- monly seen in sexually
active men. Unilateral scrotal pain does not occur with Salmonella infection.
