LEIK FNP UPDATED EXAMS EVALUATION
QUESTIONS AND ANSWERS SURE A+
✔✔Erythromycin 200 mg with sulfisoxazole 600 mg suspension (Pediazole) is
contraindicated in which of the following conditions?
A) G6PD deficiency anemia
B) Lead poisoning
C) Beta thalassemia minor
D) B12 deficiency anemia - ✔✔A) G6PD deficiency anemia
Glucose-6-phosphate dehydrogenase (G6PD) defi- ciency is a hereditary condition that
occurs when the red blood cells break down, causing hemolysis, due to a missing or
lack of a sufficient enzyme that is needed to help the red blood cells work efficiently.
Certain foods and medications may trigger this reaction and hemolysis will occur. Some
of these medications include antimalarial drugs, aspirin, nitrofurantoin, NSAIDs,
quinidine, quinine, and sulfa medications.
✔✔The mother of an 11-year-old boy with sickle cell anemia calls on the phone
complaining that her son woke up because of a painful penile erection that will not go
away. The nurse practitioner's most appropriate intervention is:
, A) Insert a Foley catheter and measure the child's intake and output for the next 24
hours
B) Insert a Foley catheter to obtain a specimen for a urinalysis and urine for C&S
(culture and sensitivity)
C) Recommend an increase in the child's fluid intake
D) Recommend immediate referral to the ER - ✔✔D) Recommend immediate referral to
the ED
Priapism (painful penile erection not related to sexual activity) is a true urologic
emergency that may lead to permanent erectile dysfunction and penile necrosis if not
treated appropriately. It can be associated with a number of medical conditions (sickle
cell anemia, leukemia, or spinal cord injury) and/or some pharmacologic agents
✔✔A positive Coombs test on an Rh-negative pregnant woman means:
A) The mother has autoantibodies against Rh-positive red blood cells (RBCs)
B) The fetus has autoantibodies against maternal RBCs
C) The mother does not have Rh factor against fetal RBCs
D) The fetus does not have RBC autoantibodies - ✔✔A) The mother has autoantibodies
against Rh-positive red blood cells
(RBCs)
The mother's autoantibodies can attack the fetus's Rh-positive red blood cells and
cause destruction of these cells, which can cause severe anemia and com- plications in
the fetus. Today this is preventable with the administration of anti- RhD immunoglobulin
(Rho(D) immune globulin) to an Rh-negative mother at 28 weeks gestation and after
birth if the newborn is Rh positive.
✔✔Folic acid supplementation is recommended for women who are planning pregnancy
in order to:
A) Prevent renal agenesis
B) Prevent anencephaly
C) Prevent kidney defects
D) Prevent heart defects - ✔✔B) Prevent anencephaly
Folic acid supplementation during pregnancy has been shown to decrease the risk of
neural tube defects of the fetus
✔✔All of the following are possible causes for secondary hypertension except:
A) Acute pyelonephritis
B) Pheochromocytoma
C) Renovascular stenosis
D) Coarctation of the aorta - ✔✔A) Acute pyelonephritis
QUESTIONS AND ANSWERS SURE A+
✔✔Erythromycin 200 mg with sulfisoxazole 600 mg suspension (Pediazole) is
contraindicated in which of the following conditions?
A) G6PD deficiency anemia
B) Lead poisoning
C) Beta thalassemia minor
D) B12 deficiency anemia - ✔✔A) G6PD deficiency anemia
Glucose-6-phosphate dehydrogenase (G6PD) defi- ciency is a hereditary condition that
occurs when the red blood cells break down, causing hemolysis, due to a missing or
lack of a sufficient enzyme that is needed to help the red blood cells work efficiently.
Certain foods and medications may trigger this reaction and hemolysis will occur. Some
of these medications include antimalarial drugs, aspirin, nitrofurantoin, NSAIDs,
quinidine, quinine, and sulfa medications.
✔✔The mother of an 11-year-old boy with sickle cell anemia calls on the phone
complaining that her son woke up because of a painful penile erection that will not go
away. The nurse practitioner's most appropriate intervention is:
, A) Insert a Foley catheter and measure the child's intake and output for the next 24
hours
B) Insert a Foley catheter to obtain a specimen for a urinalysis and urine for C&S
(culture and sensitivity)
C) Recommend an increase in the child's fluid intake
D) Recommend immediate referral to the ER - ✔✔D) Recommend immediate referral to
the ED
Priapism (painful penile erection not related to sexual activity) is a true urologic
emergency that may lead to permanent erectile dysfunction and penile necrosis if not
treated appropriately. It can be associated with a number of medical conditions (sickle
cell anemia, leukemia, or spinal cord injury) and/or some pharmacologic agents
✔✔A positive Coombs test on an Rh-negative pregnant woman means:
A) The mother has autoantibodies against Rh-positive red blood cells (RBCs)
B) The fetus has autoantibodies against maternal RBCs
C) The mother does not have Rh factor against fetal RBCs
D) The fetus does not have RBC autoantibodies - ✔✔A) The mother has autoantibodies
against Rh-positive red blood cells
(RBCs)
The mother's autoantibodies can attack the fetus's Rh-positive red blood cells and
cause destruction of these cells, which can cause severe anemia and com- plications in
the fetus. Today this is preventable with the administration of anti- RhD immunoglobulin
(Rho(D) immune globulin) to an Rh-negative mother at 28 weeks gestation and after
birth if the newborn is Rh positive.
✔✔Folic acid supplementation is recommended for women who are planning pregnancy
in order to:
A) Prevent renal agenesis
B) Prevent anencephaly
C) Prevent kidney defects
D) Prevent heart defects - ✔✔B) Prevent anencephaly
Folic acid supplementation during pregnancy has been shown to decrease the risk of
neural tube defects of the fetus
✔✔All of the following are possible causes for secondary hypertension except:
A) Acute pyelonephritis
B) Pheochromocytoma
C) Renovascular stenosis
D) Coarctation of the aorta - ✔✔A) Acute pyelonephritis
