LEIK FNP TEST BANK PRACTICE QUESTIONS &. &. &. &. &. &.
WITH 100% CORRECT ANSWERS | VERIFIED | &. &. &. &. &. &. &.
UPDATED 2025/2026 LATEST VERSION &. &. &. &.
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 :
&. &. &. &. &. &. &.
&. ANSWER: 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. 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 :
&. &. &.
&. ANSWER: 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
&. &.
C) Inguinal hernia
&. &.
D) Gastriculcer :
&. &.
&. ANSWER: 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 :
&. &. &. &. &. &. &. &. &. &.
&. ANSWER: D) A prescription of methyldopa (Aldomet) to control blood pressure
&. &. &. &. &. &. &. &. &. &. &.
,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 :
&. &.
&. ANSWER: 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 any allergies, and has no significant medical history.
&. &. &. &. &. &. &. &. &. &. &. &.
Physical examination reveals a low-grade temperature of 99.9 degrees Fahrenheit,
&. &. &. &. &. &. &. &. &. &.
respirations of 16/min, a pulse of 90 beats per minute, and diffuse fine crackles in the
&. &. &. &. &. &. &. &. &. &. &. &. &. &. &. &.
base of the lungs. A chest radiograph (x-ray) shows diffuse infiltrates on the lower
&. &. &. &. &. &. &. &. &. &. &. &. &. &.
lobe of the right lung. The total white blood cell count is 10,500/uL. What is the most
&. &. &. &. &. &. &. &. &. &. &. &. &. &. &. &.
&. likely diagnosis? &.
A) Streptococcal pneumonia
&. &.
, B) Mycoplasma pneumonia
&. &.
C) Acute bronchitis
&. &.
D) Legionnaires disease :
&. &. &.
&. ANSWER: B) Mycoplasma pneumonia &. &. &. &.
Mycoplasma pneumonia is the organism most com- monly seen in children and young
&. &. &. &. &. &. &. &. &. &. &. &.
&. adults. It is easily spread from droplets, from sneezing and coughing, in close
&. &. &. &. &. &. &. &. &. &. &. &. &.
proximity. Diagnosis is based on symptoms and x-ray results of infiltrates in lower
&. &. &. &. &. &. &. &. &. &. &. &. &.
lobes.
A 39-year-old migrant worker presents to the clinic 2.5 days after a purified protein
&. &. &. &. &. &. &. &. &. &. &. &. &. &.
derivative (PPD) test. What minimum size of induration would be considered posi-
&. &. &. &. &. &. &. &. &. &. &. &.
tive for this patient?
&. &. &.
A) 3 mm B) 5 mm C) 10 mm D) 15 mm :
&. &. &. &. &. &. &. &. &. &. &. &.
&. ANSWER: C) 10 mm &. &. &. &.
The PPD is administered on the volar aspect of the lower arm and read 48 hours after
&. &. &. &. &. &. &. &. &. &. &. &. &. &. &. &.
&. the test is given. The PPD result must have induration and measure 10 mm or greater
&. &. &. &. &. &. &. &. &. &. &. &. &. &. &.
&. to be positive in a low-risk patient. Induration (firmness with palpation) must be
&. &. &. &. &. &. &. &. &. &. &. &. &.
present. If the site has erythema but no induration, result would be negative. Color is
&. &. &. &. &. &. &. &. &. &. &. &. &. &. &.
not important. &.
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
WITH 100% CORRECT ANSWERS | VERIFIED | &. &. &. &. &. &. &.
UPDATED 2025/2026 LATEST VERSION &. &. &. &.
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 :
&. &. &. &. &. &. &.
&. ANSWER: 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. 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 :
&. &. &.
&. ANSWER: 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
&. &.
C) Inguinal hernia
&. &.
D) Gastriculcer :
&. &.
&. ANSWER: 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 :
&. &. &. &. &. &. &. &. &. &.
&. ANSWER: D) A prescription of methyldopa (Aldomet) to control blood pressure
&. &. &. &. &. &. &. &. &. &. &.
,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 :
&. &.
&. ANSWER: 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 any allergies, and has no significant medical history.
&. &. &. &. &. &. &. &. &. &. &. &.
Physical examination reveals a low-grade temperature of 99.9 degrees Fahrenheit,
&. &. &. &. &. &. &. &. &. &.
respirations of 16/min, a pulse of 90 beats per minute, and diffuse fine crackles in the
&. &. &. &. &. &. &. &. &. &. &. &. &. &. &. &.
base of the lungs. A chest radiograph (x-ray) shows diffuse infiltrates on the lower
&. &. &. &. &. &. &. &. &. &. &. &. &. &.
lobe of the right lung. The total white blood cell count is 10,500/uL. What is the most
&. &. &. &. &. &. &. &. &. &. &. &. &. &. &. &.
&. likely diagnosis? &.
A) Streptococcal pneumonia
&. &.
, B) Mycoplasma pneumonia
&. &.
C) Acute bronchitis
&. &.
D) Legionnaires disease :
&. &. &.
&. ANSWER: B) Mycoplasma pneumonia &. &. &. &.
Mycoplasma pneumonia is the organism most com- monly seen in children and young
&. &. &. &. &. &. &. &. &. &. &. &.
&. adults. It is easily spread from droplets, from sneezing and coughing, in close
&. &. &. &. &. &. &. &. &. &. &. &. &.
proximity. Diagnosis is based on symptoms and x-ray results of infiltrates in lower
&. &. &. &. &. &. &. &. &. &. &. &. &.
lobes.
A 39-year-old migrant worker presents to the clinic 2.5 days after a purified protein
&. &. &. &. &. &. &. &. &. &. &. &. &. &.
derivative (PPD) test. What minimum size of induration would be considered posi-
&. &. &. &. &. &. &. &. &. &. &. &.
tive for this patient?
&. &. &.
A) 3 mm B) 5 mm C) 10 mm D) 15 mm :
&. &. &. &. &. &. &. &. &. &. &. &.
&. ANSWER: C) 10 mm &. &. &. &.
The PPD is administered on the volar aspect of the lower arm and read 48 hours after
&. &. &. &. &. &. &. &. &. &. &. &. &. &. &. &.
&. the test is given. The PPD result must have induration and measure 10 mm or greater
&. &. &. &. &. &. &. &. &. &. &. &. &. &. &.
&. to be positive in a low-risk patient. Induration (firmness with palpation) must be
&. &. &. &. &. &. &. &. &. &. &. &. &.
present. If the site has erythema but no induration, result would be negative. Color is
&. &. &. &. &. &. &. &. &. &. &. &. &. &. &.
not important. &.
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
