LEIK Family Nurse Practitioner (FNP-BC)
2024 Exam Questions Test Bank with
Answers and Rationale
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
C) The agent can decide for the patient who is on life support
when that life support
can be terminated
2024 Exam Questions Test Bank with
Answers and Rationale
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
C) The agent can decide for the patient who is on life support
when that life support
can be terminated
