LEIK FNP PRACTICE QUESTIONS (VERIFIED
&& && && && &&
ANSWERS) |ALREADY GRADED A+ ANCC && && && && &&
FAMILY NURSING PRACTITIONER 2025/2026 && && && &&
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
&& && && && &&
ANSWERS) |ALREADY GRADED A+ ANCC && && && && &&
FAMILY NURSING PRACTITIONER 2025/2026 && && && &&
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
