Page 1 of 409
LEIK FNP PRACTICE EXAM TEST BANK LATEST
VERSION ALL WITH 880 QUESTIONS AND CORRECT
SOLUTIONS JUST RELEASED THIS YEAR WITH
RATIONALES
Question: 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 - CORRECT 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.
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,Page 2 of 409
Question: 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 - CORRECT 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.
Question: 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
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,Page 3 of 409
can be terminated
D) The patient's spouse has a right to override the agent's decisions - CORRECT ANSWER✔✔D)
The patient's spouse has a right to override the agent's decisions
The person named in a durable power of attorney (the agent) is designated by the patient to
make all medical decisions, as well as any decisions regarding the patient's private affairs in the
event that the patient becomes incompetent and unable to make his/her own decisions. No one
has the ability to override the agent's decision.
Question: All of the following are true statements regarding Munchausen syndrome except:
A) It is considered a mental illness
B) The patient has a medical illness that causes an anxiety reaction and denial
C) The patient fakes an illness in order to gain attention from health care providers
D) The patient has an inconsistent medical history along with a past history of
frequent hospitalizations - CORRECT ANSWER✔✔B) The patient has a medical illness that
causes an anxiety reaction and denial
Munchausen syndrome is a psychiatric disorder in which the patient fakes a medical illness or
disorder to gain attention from health care provid- ers. These patients commonly use the
emergency department frequently to gain attention.
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, Page 4 of 409
Question: Which of the following antihypertensive medications should the nurse practitioner
avoid when treating patients with emphysema?
A) Calcium channel blockers
B) Angiotensin-converting enzyme (ACE) inhibitors
C) Beta-blockers
D) Diuretics - CORRECT ANSWER✔✔C) Beta-blockers
Beta-blockers should be avoided in patients with a history of emphysema. Studies have shown
evidence of a reduction in forced expiratory volume in 1 second (FEV1), increased airway
hyperresponsiveness, and inhibition of bronchodilator response to beta agonists in patients
receiving non-selective beta- blockers and high doses of cardioselective beta-blockers.
Question: A 30-year-old chef complains of pruritic hives over her chest and arms but denies
difficulty swallowing or breathing. She reports a family history of allergic rhinitis and asthma.
Which of the following interventions is most appropriate?
A) Perform a complete and thorough history
B) Prescribe an oral antihistamine such as diphenhydramine 25 mg PO QID
C) Give an injection of epinephrine 1:1000 intramuscularly stat
4
SUCCESS!
LEIK FNP PRACTICE EXAM TEST BANK LATEST
VERSION ALL WITH 880 QUESTIONS AND CORRECT
SOLUTIONS JUST RELEASED THIS YEAR WITH
RATIONALES
Question: 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 - CORRECT 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.
1
SUCCESS!
,Page 2 of 409
Question: 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 - CORRECT 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.
Question: 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
2
SUCCESS!
,Page 3 of 409
can be terminated
D) The patient's spouse has a right to override the agent's decisions - CORRECT ANSWER✔✔D)
The patient's spouse has a right to override the agent's decisions
The person named in a durable power of attorney (the agent) is designated by the patient to
make all medical decisions, as well as any decisions regarding the patient's private affairs in the
event that the patient becomes incompetent and unable to make his/her own decisions. No one
has the ability to override the agent's decision.
Question: All of the following are true statements regarding Munchausen syndrome except:
A) It is considered a mental illness
B) The patient has a medical illness that causes an anxiety reaction and denial
C) The patient fakes an illness in order to gain attention from health care providers
D) The patient has an inconsistent medical history along with a past history of
frequent hospitalizations - CORRECT ANSWER✔✔B) The patient has a medical illness that
causes an anxiety reaction and denial
Munchausen syndrome is a psychiatric disorder in which the patient fakes a medical illness or
disorder to gain attention from health care provid- ers. These patients commonly use the
emergency department frequently to gain attention.
3
SUCCESS!
, Page 4 of 409
Question: Which of the following antihypertensive medications should the nurse practitioner
avoid when treating patients with emphysema?
A) Calcium channel blockers
B) Angiotensin-converting enzyme (ACE) inhibitors
C) Beta-blockers
D) Diuretics - CORRECT ANSWER✔✔C) Beta-blockers
Beta-blockers should be avoided in patients with a history of emphysema. Studies have shown
evidence of a reduction in forced expiratory volume in 1 second (FEV1), increased airway
hyperresponsiveness, and inhibition of bronchodilator response to beta agonists in patients
receiving non-selective beta- blockers and high doses of cardioselective beta-blockers.
Question: A 30-year-old chef complains of pruritic hives over her chest and arms but denies
difficulty swallowing or breathing. She reports a family history of allergic rhinitis and asthma.
Which of the following interventions is most appropriate?
A) Perform a complete and thorough history
B) Prescribe an oral antihistamine such as diphenhydramine 25 mg PO QID
C) Give an injection of epinephrine 1:1000 intramuscularly stat
4
SUCCESS!
