LEIK (AANP) FNP PRACTICE ACTUAL EXAM TEST
BANK QUESTIONS AND DETAILED ANSWERS / 640+
Q&A (A+ GUIDE SOLUTION) 2025-2026.
Terms in this set (642)
A 72-year-old woman has been on B) It inhibits the effect of renal
hydrochlorothiazide 12.5 mg for many years to prostaglandins and blunts the
control her Stage II hypertension. Her blood effectiveness of the diuretic.
pressure (BP) at this visit is 168/96. She is
currently complaining of pain on her right hip and NSAIDs and ASA inhibit the
on both knees. She has increased her dose of vasodilatory effects of
prostaglandins, which predisposes
ibuprofen (Motrin) from 400 mg 3 times day (TID)
the kidney to ischemia. NSAIDs and
to 800 mg TID. She is still in pain and would like diuretics can cause acute prerenal
something stronger. Which of the following failure by decreasing renal blood
statements is the best explanation of the effects flow.
of ibuprofen (Motrin) on her disease?
A) It increases the chancesof adverse effects
to her health
B) It inhibits the effect ofrenal prostaglandins
and blunts the effectiveness of the diuretic
C) It prolongs thetherapeutic effects of
hydrochlorothiazide and other diuretics
D) None of the statementsare true
,2. All of the following are D) Chlamydia trachomatis
infections that affect mostly
the labia and vagina except: Infections that commonly affect the labia and vagina include
bacterial vaginosis, candidiasis, and trichomoniasis.
Chlamydia trachomatis commonly affects the cervix,
A) Bacterialvaginosis
endometrial lining , fallopian tubes, and pelvic cavity.
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis
The nurse practitioner B) Acute appendicitis.
would test the obturator
and iliopsoas muscle to Signs and symptoms of an acute abdomen include invol-
untary guarding, rebound tenderness, boardlike abdomen,
evaluate for:
and a positive obtu- rator and psoas sign. A positive
obturator sign occurs when pain is elicted by internal
A) Cholecystitis rotation of the right hip from 90 degrees hip/knee flexion.
B) Acute appendicitis The psoas sign is positive when pain occurs with passive
extension of the thigh while the patient is lying on his/her
C) Inguinal hernia
side with knees extended, or when pain occurs with active
D) Gastriculcer flexion of his/her thigh at the hip.
,Treatment for mild D) A prescription of methyldopa (Aldomet) to control blood
preeclampsia includes all of pressure
the following except:
Recommended care for women diagnosed with preeclampsia
A) Bed rest except for includes bed rest with bath- room privileges, weight and BP
monitoring, and closely following urine protein and serum
bathroom privileges B)
protein, creatinine, and platelet counts. Oral medications are
Close monitoring of not used as first-line treatment.
weight and blood
pressure
C) Close follow-up
ofurinary protein, serum
creatinine, and platelet
count
D) A prescription
ofmethyldopa (Aldomet)
to control blood pressure
C) Nursing home care
All of the following
services are covered Medicare A coverage includes inpatient hospitalization
under Medicare Part A and skilled care given in a certified skilled nursing facility.
except: 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)
Inpatienthospitalizations B)
Medicines administered to a
patient while hospitalized
C) Nursing home care
D) Surgeons
, A 28-year-old student is seen B) Mycoplasma pneumonia
in the school health clinic
with complaints of a hacking Mycoplasma pneumonia is the organism most commonly seen
cough that is productive of in children and young adults. It is easily spread from droplets,
from sneezing and coughing, in close proximity. Diagnosis is
small amounts of sputum and
based on symptoms and x-ray results of infiltrates in lower
a runny nose. He does not lobes.
take any medications, denies
any allergies, and has no
significant medical history.
Physical examination reveals
a lowgrade 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
BANK QUESTIONS AND DETAILED ANSWERS / 640+
Q&A (A+ GUIDE SOLUTION) 2025-2026.
Terms in this set (642)
A 72-year-old woman has been on B) It inhibits the effect of renal
hydrochlorothiazide 12.5 mg for many years to prostaglandins and blunts the
control her Stage II hypertension. Her blood effectiveness of the diuretic.
pressure (BP) at this visit is 168/96. She is
currently complaining of pain on her right hip and NSAIDs and ASA inhibit the
on both knees. She has increased her dose of vasodilatory effects of
prostaglandins, which predisposes
ibuprofen (Motrin) from 400 mg 3 times day (TID)
the kidney to ischemia. NSAIDs and
to 800 mg TID. She is still in pain and would like diuretics can cause acute prerenal
something stronger. Which of the following failure by decreasing renal blood
statements is the best explanation of the effects flow.
of ibuprofen (Motrin) on her disease?
A) It increases the chancesof adverse effects
to her health
B) It inhibits the effect ofrenal prostaglandins
and blunts the effectiveness of the diuretic
C) It prolongs thetherapeutic effects of
hydrochlorothiazide and other diuretics
D) None of the statementsare true
,2. All of the following are D) Chlamydia trachomatis
infections that affect mostly
the labia and vagina except: Infections that commonly affect the labia and vagina include
bacterial vaginosis, candidiasis, and trichomoniasis.
Chlamydia trachomatis commonly affects the cervix,
A) Bacterialvaginosis
endometrial lining , fallopian tubes, and pelvic cavity.
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis
The nurse practitioner B) Acute appendicitis.
would test the obturator
and iliopsoas muscle to Signs and symptoms of an acute abdomen include invol-
untary guarding, rebound tenderness, boardlike abdomen,
evaluate for:
and a positive obtu- rator and psoas sign. A positive
obturator sign occurs when pain is elicted by internal
A) Cholecystitis rotation of the right hip from 90 degrees hip/knee flexion.
B) Acute appendicitis The psoas sign is positive when pain occurs with passive
extension of the thigh while the patient is lying on his/her
C) Inguinal hernia
side with knees extended, or when pain occurs with active
D) Gastriculcer flexion of his/her thigh at the hip.
,Treatment for mild D) A prescription of methyldopa (Aldomet) to control blood
preeclampsia includes all of pressure
the following except:
Recommended care for women diagnosed with preeclampsia
A) Bed rest except for includes bed rest with bath- room privileges, weight and BP
monitoring, and closely following urine protein and serum
bathroom privileges B)
protein, creatinine, and platelet counts. Oral medications are
Close monitoring of not used as first-line treatment.
weight and blood
pressure
C) Close follow-up
ofurinary protein, serum
creatinine, and platelet
count
D) A prescription
ofmethyldopa (Aldomet)
to control blood pressure
C) Nursing home care
All of the following
services are covered Medicare A coverage includes inpatient hospitalization
under Medicare Part A and skilled care given in a certified skilled nursing facility.
except: 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)
Inpatienthospitalizations B)
Medicines administered to a
patient while hospitalized
C) Nursing home care
D) Surgeons
, A 28-year-old student is seen B) Mycoplasma pneumonia
in the school health clinic
with complaints of a hacking Mycoplasma pneumonia is the organism most commonly seen
cough that is productive of in children and young adults. It is easily spread from droplets,
from sneezing and coughing, in close proximity. Diagnosis is
small amounts of sputum and
based on symptoms and x-ray results of infiltrates in lower
a runny nose. He does not lobes.
take any medications, denies
any allergies, and has no
significant medical history.
Physical examination reveals
a lowgrade 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
