LEIK FNP CORRECT EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔Order the HepC PCR (polymerase chain reaction)test. - ✔✔A patient is positive for
anti-HCV (hepatitis C virus antibody). What is the next step the NP would do to evaluate
this patient?
✔✔Cauda Equina syndrome - ✔✔A 62yr old female complains of chronic severe low
back pain. She also reports mild episodes of fecal incontinence and numbness in her
lower legs over the past week. What would the NP suspect,
✔✔Cauda Equina Syndrome presentation - ✔✔This condition is a surgical emergency.
S/SX include a change in bowel and bladder control(incontinence). Acuter pressure on
the sacral nerve root causes inflammatory and ischemic changes to the nerve and can
lead to permanent nerve damage.
✔✔Rovsign's Sings - ✔✔A 40 yr old white female with a BMI of 32 complains of colicky
pain in the right upper quadrant of her abdomen that gets worse if she eats fried food.
During the physical exam, the NP presses deeply on the left lower quadrant of the
abdomen. After releasing her hand, the patient complains of pain on the right side of the
lower abdomen. What is the name of this happing
✔✔Epstein-Barr Syndrome - ✔✔Which viral infection is associated with occasional
abnormal forms of lymphocytes during acute infection?
✔✔Spina bifida - ✔✔A faun tail nevus is a sign of what?
✔✔Order a UA with C&S and treat with abx - ✔✔A 21 y/o complains to you of a 1-wk
episode of dysuria, frequency, and a strong odor to her urine. This is her second
episode of the year. What is the most appropriate f/u for this patient?
✔✔Neurofibromatosis or Von Recklinghausen's disease - ✔✔Café-Au-Alit spots look
like tan-to-light brown stains that have irregular borders. They can be located anywhere
on the body. What are they associated with?
,✔✔Papilledema - ✔✔During an eye exam, a 50 y/o hypertensive patient who is
complaining of an onset of severe headache, you find that the borders of the disc
margins on both eyes are blurred. (This is caused by optic disc swelling that is caused
by increased intracranial pressure. It is commonly seen in both eyes and can develop
over hours or weeks. Headache is a common complaint). What is the name of this
clinical finding?
✔✔Gastroesophageal reflux (GERD) - ✔✔A high school teacher complains of a dry
cough for the past 6wks. It worsens when he is supine. He has episodes of heartburn,
which he self-treats with an OTC antacid. He shows mints for his "bad breath". What is
the possible cause for the patient's cough?
✔✔Cataracts - ✔✔The red reflex is elicited by shining a light int he eyes of the infant at
an angle with the light about 15in. away. What is the NP screening for?
✔✔Alzheimer's Disease - ✔✔A 44 y/o patient with Down syndrome starts to develop
imparted memory and difficulty with his usual daily life routines. He is having problems
functioning at the job that he has done for the past 10 yrs. The physical exam and
routine labs are all negative. The vital signs are normal. His appetite is normal. The
most likely diagnosis is?
✔✔Delirium - ✔✔An acute decline in mental status that is temporary. Common causes:
fever, shock, drugs, alcohol, and dehydration
✔✔Leukoplakia and oral cancer - ✔✔What is a condition associated with chronic use of
chewing tobacco?
✔✔Doxycycline (Vibramycin) 100mg PO BID x 21 days - ✔✔The recommended
treatment for erythema migrans or Lyme Disease is?
✔✔The Nurse Practice Act of the state where they practice - ✔✔NPs and Clinical nurse
specialists derive their legal right to practice from:?
✔✔Order a mammogram and refer her to a breast surgeon - ✔✔You are checking a 75
yo woman;s breast during an annual gynecological exam. The left nipple and areola are
scaly and reddened. The patient denies pain or pruritis. She has noticed this scaliness
on her left nipple for the past 8 months. Her dermatologist gave her a potent topical
steroid, which she used twice a day for 1 month. The patient never went back for the
follow-up. She still has the rash and wants an evaluation. What is the best intervention
for this patient?
✔✔A child recently diagnosed with leukemia
An infant whose family is homeless
, A Hispanic child with asthma who is using a steroid inhaler - ✔✔What are some of the
high risk signs for Tuberculosis?
✔✔This is a normal finding in some young athletes - ✔✔During a sports physical exam
of a 14 y/o might school athlete, the nurse practitioner notices a split of the S2
component of the heart sound during deep inspiration. She noted that it disappears
upon expiration. The heart rate is regular and no murmurs are auscultated. What can
we determine from this exam
✔✔3: 55y/o woman, hypertension, hypercholesterolemia - ✔✔A 55 y/o female with a
BMI of 24 and history of asthma has hypertension that has been under control with
HCTZ 12.5mg daily. Her total cholesterol is 230g/dl. How may risk factors for coronary
heart disease does she have?
✔✔Gastrointestinal problems - ✔✔A common side effect of metformin therapy is?
✔✔Atrial fibrillation - ✔✔While doing a cardiac exam on a 45 y/o male, you note an
irregular rhythm with a pulse rate of 110 ppm. The patient is alert and is not in distress.
What is the most likely diagnosis?
✔✔Congestive Heart Failure - ✔✔A 68 y/o woman with hypertension and diabetes is
seen buy the NP, for dry cough that worsens at night when she lies in bed. She has
SOB which worsens when she exerts herself. The pt's pulse is 90/min and regular. The
patient has gained 6 lbs. over the past 2 months. She is on a nitroglycerine patch and
furosemide daily. The best explanation for her symptoms is:
✔✔Advise the patient that she has a normal exam - ✔✔A NP is doing a fundoycopic
exam on a 35 y/o female during a routine physical exam. He notices that she has sharp
disc margins and a yellowish orange color in the macular area. The ration of the veins to
arteries is 3:2. What is the most appropriate action?
✔✔The patient can see at 20ft what a person with normal vision can see at 30 ft (near-
sided) - ✔✔During a sports physical, you note that the vision of an 18 y/o male athlete is
20/30 in both eyes. What dose this mean?
✔✔Somogi phenomenon - ✔✔A 30 y/o type 2 diabetic is on reg insulin and lente insulin
in the morning and evening. She denies changes in her diet or any illness, but recently
started attending aerobic classes in the afternoon. Because of her work-outs, her blood
sugars have dipped below 50mg/dL very early in the morning. Her fasting glucose
before breakfast is now elevated and higher than normal. How is this best described?
✔✔HCV RNA - ✔✔A 40 y/o female is positive for anti-hepatitis C virus (HCV). Which
test is appropriate for follow up?
QUESTIONS SET A+
✔✔Order the HepC PCR (polymerase chain reaction)test. - ✔✔A patient is positive for
anti-HCV (hepatitis C virus antibody). What is the next step the NP would do to evaluate
this patient?
✔✔Cauda Equina syndrome - ✔✔A 62yr old female complains of chronic severe low
back pain. She also reports mild episodes of fecal incontinence and numbness in her
lower legs over the past week. What would the NP suspect,
✔✔Cauda Equina Syndrome presentation - ✔✔This condition is a surgical emergency.
S/SX include a change in bowel and bladder control(incontinence). Acuter pressure on
the sacral nerve root causes inflammatory and ischemic changes to the nerve and can
lead to permanent nerve damage.
✔✔Rovsign's Sings - ✔✔A 40 yr old white female with a BMI of 32 complains of colicky
pain in the right upper quadrant of her abdomen that gets worse if she eats fried food.
During the physical exam, the NP presses deeply on the left lower quadrant of the
abdomen. After releasing her hand, the patient complains of pain on the right side of the
lower abdomen. What is the name of this happing
✔✔Epstein-Barr Syndrome - ✔✔Which viral infection is associated with occasional
abnormal forms of lymphocytes during acute infection?
✔✔Spina bifida - ✔✔A faun tail nevus is a sign of what?
✔✔Order a UA with C&S and treat with abx - ✔✔A 21 y/o complains to you of a 1-wk
episode of dysuria, frequency, and a strong odor to her urine. This is her second
episode of the year. What is the most appropriate f/u for this patient?
✔✔Neurofibromatosis or Von Recklinghausen's disease - ✔✔Café-Au-Alit spots look
like tan-to-light brown stains that have irregular borders. They can be located anywhere
on the body. What are they associated with?
,✔✔Papilledema - ✔✔During an eye exam, a 50 y/o hypertensive patient who is
complaining of an onset of severe headache, you find that the borders of the disc
margins on both eyes are blurred. (This is caused by optic disc swelling that is caused
by increased intracranial pressure. It is commonly seen in both eyes and can develop
over hours or weeks. Headache is a common complaint). What is the name of this
clinical finding?
✔✔Gastroesophageal reflux (GERD) - ✔✔A high school teacher complains of a dry
cough for the past 6wks. It worsens when he is supine. He has episodes of heartburn,
which he self-treats with an OTC antacid. He shows mints for his "bad breath". What is
the possible cause for the patient's cough?
✔✔Cataracts - ✔✔The red reflex is elicited by shining a light int he eyes of the infant at
an angle with the light about 15in. away. What is the NP screening for?
✔✔Alzheimer's Disease - ✔✔A 44 y/o patient with Down syndrome starts to develop
imparted memory and difficulty with his usual daily life routines. He is having problems
functioning at the job that he has done for the past 10 yrs. The physical exam and
routine labs are all negative. The vital signs are normal. His appetite is normal. The
most likely diagnosis is?
✔✔Delirium - ✔✔An acute decline in mental status that is temporary. Common causes:
fever, shock, drugs, alcohol, and dehydration
✔✔Leukoplakia and oral cancer - ✔✔What is a condition associated with chronic use of
chewing tobacco?
✔✔Doxycycline (Vibramycin) 100mg PO BID x 21 days - ✔✔The recommended
treatment for erythema migrans or Lyme Disease is?
✔✔The Nurse Practice Act of the state where they practice - ✔✔NPs and Clinical nurse
specialists derive their legal right to practice from:?
✔✔Order a mammogram and refer her to a breast surgeon - ✔✔You are checking a 75
yo woman;s breast during an annual gynecological exam. The left nipple and areola are
scaly and reddened. The patient denies pain or pruritis. She has noticed this scaliness
on her left nipple for the past 8 months. Her dermatologist gave her a potent topical
steroid, which she used twice a day for 1 month. The patient never went back for the
follow-up. She still has the rash and wants an evaluation. What is the best intervention
for this patient?
✔✔A child recently diagnosed with leukemia
An infant whose family is homeless
, A Hispanic child with asthma who is using a steroid inhaler - ✔✔What are some of the
high risk signs for Tuberculosis?
✔✔This is a normal finding in some young athletes - ✔✔During a sports physical exam
of a 14 y/o might school athlete, the nurse practitioner notices a split of the S2
component of the heart sound during deep inspiration. She noted that it disappears
upon expiration. The heart rate is regular and no murmurs are auscultated. What can
we determine from this exam
✔✔3: 55y/o woman, hypertension, hypercholesterolemia - ✔✔A 55 y/o female with a
BMI of 24 and history of asthma has hypertension that has been under control with
HCTZ 12.5mg daily. Her total cholesterol is 230g/dl. How may risk factors for coronary
heart disease does she have?
✔✔Gastrointestinal problems - ✔✔A common side effect of metformin therapy is?
✔✔Atrial fibrillation - ✔✔While doing a cardiac exam on a 45 y/o male, you note an
irregular rhythm with a pulse rate of 110 ppm. The patient is alert and is not in distress.
What is the most likely diagnosis?
✔✔Congestive Heart Failure - ✔✔A 68 y/o woman with hypertension and diabetes is
seen buy the NP, for dry cough that worsens at night when she lies in bed. She has
SOB which worsens when she exerts herself. The pt's pulse is 90/min and regular. The
patient has gained 6 lbs. over the past 2 months. She is on a nitroglycerine patch and
furosemide daily. The best explanation for her symptoms is:
✔✔Advise the patient that she has a normal exam - ✔✔A NP is doing a fundoycopic
exam on a 35 y/o female during a routine physical exam. He notices that she has sharp
disc margins and a yellowish orange color in the macular area. The ration of the veins to
arteries is 3:2. What is the most appropriate action?
✔✔The patient can see at 20ft what a person with normal vision can see at 30 ft (near-
sided) - ✔✔During a sports physical, you note that the vision of an 18 y/o male athlete is
20/30 in both eyes. What dose this mean?
✔✔Somogi phenomenon - ✔✔A 30 y/o type 2 diabetic is on reg insulin and lente insulin
in the morning and evening. She denies changes in her diet or any illness, but recently
started attending aerobic classes in the afternoon. Because of her work-outs, her blood
sugars have dipped below 50mg/dL very early in the morning. Her fasting glucose
before breakfast is now elevated and higher than normal. How is this best described?
✔✔HCV RNA - ✔✔A 40 y/o female is positive for anti-hepatitis C virus (HCV). Which
test is appropriate for follow up?
