LEIK FNP Practice Questions With 642
Questions And Correct Answers Graded
A+
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
,LEIK FNP Practice Questions With 642
Questions And Correct Answers Graded
A+
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.
,LEIK FNP Practice Questions With 642
Questions And Correct Answers Graded
A+
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
, LEIK FNP Practice Questions With 642
Questions And Correct Answers Graded
A+
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?
Questions And Correct Answers Graded
A+
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
,LEIK FNP Practice Questions With 642
Questions And Correct Answers Graded
A+
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.
,LEIK FNP Practice Questions With 642
Questions And Correct Answers Graded
A+
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
, LEIK FNP Practice Questions With 642
Questions And Correct Answers Graded
A+
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?
