LEIK FNP Practice Questions 2024-2025 update
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A 72-year-old woman has B) It inhibits the effect of renal prostaglandins and
been on blunts the effectiveness of the diuretic.
hydrochlorothiazide 12.5
mg for many years to NSAIDs and ASA inhibit the vasodilatory effects of
control her Stage II prostaglandins, which predisposes the kidney to
hypertension. Her blood ischemia. NSAIDs and diuretics can cause acute
pressure (BP) at this visit prerenal failure by decreasing renal blood flow.
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
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2. All of the following are D) Chlamydia trachomatis
infections that affect
mostly the labia and Infections that commonly affect the labia and vagina
vagina except: include bacterial vaginosis, candidiasis, and
trichomoniasis. Chlamydia trachomatis commonly
A) Bacterialvaginosis affects the cervix, endometrial lining , fallopian
B) Candidiasis tubes, and pelvic cavity.
C) Trichomoniasis
D) Chlamydia trachomatis
B) Acute appendicitis.
The nurse practitioner
Signs and symptoms of an acute abdomen include
would test the obturator
invol- untary guarding, rebound tenderness,
and iliopsoas muscle to
boardlike abdomen, and a positive obtu- rator and
evaluate for:
psoas sign. A positive obturator sign occurs when
pain is elicted by internal rotation of the right hip
A) Cholecystitis
from 90 degrees hip/knee flexion. The psoas sign is
B) Acute appendicitis
positive when pain occurs with passive extension of
C) Inguinal hernia
the thigh while the patient is lying on his/her side
D) Gastriculcer
with knees extended, or when pain occurs with
active flexion of his/her thigh at the hip.
Treatment for mild D) A prescription of methyldopa (Aldomet) to
preeclampsia includes all control blood pressure
of the following except:
Recommended care for women diagnosed with
A) Bed rest except for preeclampsia includes bed rest with bath- room
bathroom privileges privileges, weight and BP monitoring, and closely
B) Close monitoring of following urine protein and serum protein,
weight and blood creatinine, and platelet counts. Oral medications are
pressure not used as first-line treatment.
C) Close follow-up of
urinary protein, serum
creatinine, and platelet
count
D) A prescription of
methyldopa (Aldomet) to
control blood pressure
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All of the following C) Nursing home care
services are covered
under Medicare Part A Medicare A coverage includes inpatient
except: hospitalization and skilled care given in a certified
skilled nursing facility. Most nursing home care is
A) custodial care (help with bathing, dressing, using a
Inpatienthospitalizations bathroom, and eating). This care is not covered by
B) Medicines Medicare A.
administered to a patient
while hospitalized
C) Nursing home care
D) Surgeons
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