LEIK FNP COMPREHENSIVE UPDATED EXAMS
QUESTIONS AND ANSWERS SURE A+
✔✔A 48-year-old woman is told by a physician that she is starting menopause. All of the
following are possible findings except:
A) Hot flashes
B) Irregular menstrual periods
C) Severe vaginal atrophic changes
D) Cyclic mood swings - ✔✔C) Severe vaginal atrophic changes
As women reach menopause, changes that may occur include hot flashes, irregular
menstrual periods, and cyclic mood swings. Vaginal changes, such as dryness and
thinning, may also begin to occur
✔✔A 63-year-old patient with a 10-year history of poorly controlled hypertension
presents with a cluster of physical exam findings. Which of the following indicate target
organ damage commonly seen in hypertensive patients?
A) Pedal edema, hepatomegaly, and enlarged kidneys
B) Hepatomegaly, AV nicking, bibasilar crackles
C) Renal infection, S3, neuromuscular abnormalities
, D) Glaucoma, jugular vein atrophy, heart failure - ✔✔B) Hepatomegaly, AV nicking,
bibasilar crackles
With long-term, uncontrolled hypertension, organ damage may occur. Organs
commonly affected include: brain (stroke), eyes (retinopathy, AV nicking, bleeding,
blindness), heart (heart dis- ease, left ventricular hypertrophy, MI, and/or CHF), and
kidneys (renal failure, proteinuria).
✔✔A 30-year-old primigravida is diagnosed with a possible threatened abortion. The
result of the urine pregnancy test is positive. Which of the following statements is true
regarding a threatened abortion?
A) Vaginal bleeding and cramping are present, but the cervix remains closed
B) Vaginal bleeding and cramping are present along with a dilated cervix
C) The fetus and placenta are all expelled
D) The products of conception and the placenta remain inside the uterus along
with a dilated cervix - ✔✔A) Vaginal bleeding and cramping are present, but the cervix
remains closed
Threatened abortion is defined as vaginal bleeding and cramping with- out the presence
of cervical dilation.
✔✔A 30-year-old female who is sexually active complains of a large amount of milk- like
vaginal discharge for several weeks. A microscopy slide reveals a large amount of
squamous epithelial cells that have blurred margins. Very few white blood cells are
seen. The vaginal pH is at 6.0. What is most likely?
A) Trichomonas infection
B) Bacterial vaginosis
C) Candidal infection
D) A normal finding - ✔✔B) Bacterial vaginosis
Bacterial vaginosis is a bacterial infection of the vagina. Signs and symptoms include
copious off-white to gray discharge with foul odor without vaginal erythema or irritation.
Wet prep will show positive for clue cells. When performing a wet prep, the "whiff test"
will be positive for a strong "fishy" odor when vaginal discharge is mixed with one drop
of KOH.
✔✔The Pap smear result on a 20-year-old sexually active student who uses condoms
inconsistently shows a large amount of inflammation. Which of the following is the best
follow-up action?
A) The NP needs to do cervical cultures to verify the presence of gonorrhea
B) Prescribe metronidazole vaginal cream for the patient over the phone
QUESTIONS AND ANSWERS SURE A+
✔✔A 48-year-old woman is told by a physician that she is starting menopause. All of the
following are possible findings except:
A) Hot flashes
B) Irregular menstrual periods
C) Severe vaginal atrophic changes
D) Cyclic mood swings - ✔✔C) Severe vaginal atrophic changes
As women reach menopause, changes that may occur include hot flashes, irregular
menstrual periods, and cyclic mood swings. Vaginal changes, such as dryness and
thinning, may also begin to occur
✔✔A 63-year-old patient with a 10-year history of poorly controlled hypertension
presents with a cluster of physical exam findings. Which of the following indicate target
organ damage commonly seen in hypertensive patients?
A) Pedal edema, hepatomegaly, and enlarged kidneys
B) Hepatomegaly, AV nicking, bibasilar crackles
C) Renal infection, S3, neuromuscular abnormalities
, D) Glaucoma, jugular vein atrophy, heart failure - ✔✔B) Hepatomegaly, AV nicking,
bibasilar crackles
With long-term, uncontrolled hypertension, organ damage may occur. Organs
commonly affected include: brain (stroke), eyes (retinopathy, AV nicking, bleeding,
blindness), heart (heart dis- ease, left ventricular hypertrophy, MI, and/or CHF), and
kidneys (renal failure, proteinuria).
✔✔A 30-year-old primigravida is diagnosed with a possible threatened abortion. The
result of the urine pregnancy test is positive. Which of the following statements is true
regarding a threatened abortion?
A) Vaginal bleeding and cramping are present, but the cervix remains closed
B) Vaginal bleeding and cramping are present along with a dilated cervix
C) The fetus and placenta are all expelled
D) The products of conception and the placenta remain inside the uterus along
with a dilated cervix - ✔✔A) Vaginal bleeding and cramping are present, but the cervix
remains closed
Threatened abortion is defined as vaginal bleeding and cramping with- out the presence
of cervical dilation.
✔✔A 30-year-old female who is sexually active complains of a large amount of milk- like
vaginal discharge for several weeks. A microscopy slide reveals a large amount of
squamous epithelial cells that have blurred margins. Very few white blood cells are
seen. The vaginal pH is at 6.0. What is most likely?
A) Trichomonas infection
B) Bacterial vaginosis
C) Candidal infection
D) A normal finding - ✔✔B) Bacterial vaginosis
Bacterial vaginosis is a bacterial infection of the vagina. Signs and symptoms include
copious off-white to gray discharge with foul odor without vaginal erythema or irritation.
Wet prep will show positive for clue cells. When performing a wet prep, the "whiff test"
will be positive for a strong "fishy" odor when vaginal discharge is mixed with one drop
of KOH.
✔✔The Pap smear result on a 20-year-old sexually active student who uses condoms
inconsistently shows a large amount of inflammation. Which of the following is the best
follow-up action?
A) The NP needs to do cervical cultures to verify the presence of gonorrhea
B) Prescribe metronidazole vaginal cream for the patient over the phone
