LEIK EXAM EDGE FNP REVIEW
COMPREHENSIVE TEST PAPER QUESTIONS
AND SOLUTIONS
◉ Your patient is a 9-year-old female child who is 4 feet 4 inches and
weighs 110 lb. This child has a body mass index over the 95th
percentile and is therefore overweight. You understand that all of
the following are true in regard to the management and treatment of
obesity in children EXCEPT:
Promote prevention in infancy through parent education regarding
nutritional needs and feeding strategies.
Discuss moderate modification of diet while increasing exercise.
Establish a goal for younger children to include weight reduction.
Use behavior modification strategies..
Answer: Establish a goal for younger children to include weight
reduction.
The goal for younger children is weight maintenance rather than
weight reduction while linear growth catches up. For adolescents
treated after their growth spurt, the goal may include weight
reduction.
,◉ The FNP is calculating the BMI for a female patient who wants to
lose weight. If the patient is 5 feet 6 inches and weighs 200 lbs. what
is her BMI to the nearest tenth?
23.2
33.2
32.3
30.3.
Answer: 32.3
The BMI is calculated by dividing the weight in pounds by the height
in inches squared and multiplying that by 703.200÷ 662 = 200 ÷
4,356 = 0.045913 * 703 = 32.2768, or 32.3 rounded to the nearest
tenthThis puts the woman in the obese category.
◉ When would Aldactone be contraindicated?
When the patient has hyperkalemia (serum potassium of greater
than 5.5 mEq/L.
When the patient has renal insufficiency (serum creatinine greater
than 2.0 mg/dL.
If the patient has type 2 diabetes mellitus with microalbuminuria.
All of the above.
Answer: All of the above
,The nurse practitioner would need to evaluate the patient prior to
ordering Aldactone.The following would be considered
contraindications for ordering Aldactone:When the patient has
hyperkalemia (serum potassium of greater than 5.5 mEq/L.When
the patient has renal insufficiency (serum creatinine greater than 2.0
mg/dL.If the patient has type 2 diabetes mellitus with
microalbuminuria.
◉ In diagnosing a toothache (pulpitis), the nurse practitioner has
knowledge that all of the following are correct except:
Systemic manifestations do not occur from dental caries and
pulpitis.
You should inquire about fever and chills.
Dental caries are the most frequent type of injury that causes
pulpitis.
There is diverse flora involved in the infectious process, including
gram-positive anaerobes and bacteroides..
Answer: Systemic manifestations do not occur from dental caries
and pulpitis.
Many patients present in the clinic setting with a toothache or
related symptoms. Systemic manifestations often occur and they
, include lymphadenopathy, malaise, fever, and pain. The remaining
answer choices are true regarding this condition.
◉ Louis is a 67-year-old male patient with open-angle glaucoma.
Your follow-up for Louis should include which of the following?
Caution the person to avoid exercise.
Monitor a high-protein, low-fat diet.
Monitor for side effects of beta blocker use.
Follow up IOP and visual field changes every six weeks..
Answer: Monitor for side effects of beta blocker use.
Monitor for side effects of drugs, especially with non-cardioselective
beta blocker use. Even with topical use, bronchoconstriction may be
a side effect of these drugs.
◉ Which of the following factors would increase the susceptibility of
a person for glaucoma?
corticosteroid therapy
mental illness
history of pneumonia
history of heart disease.
COMPREHENSIVE TEST PAPER QUESTIONS
AND SOLUTIONS
◉ Your patient is a 9-year-old female child who is 4 feet 4 inches and
weighs 110 lb. This child has a body mass index over the 95th
percentile and is therefore overweight. You understand that all of
the following are true in regard to the management and treatment of
obesity in children EXCEPT:
Promote prevention in infancy through parent education regarding
nutritional needs and feeding strategies.
Discuss moderate modification of diet while increasing exercise.
Establish a goal for younger children to include weight reduction.
Use behavior modification strategies..
Answer: Establish a goal for younger children to include weight
reduction.
The goal for younger children is weight maintenance rather than
weight reduction while linear growth catches up. For adolescents
treated after their growth spurt, the goal may include weight
reduction.
,◉ The FNP is calculating the BMI for a female patient who wants to
lose weight. If the patient is 5 feet 6 inches and weighs 200 lbs. what
is her BMI to the nearest tenth?
23.2
33.2
32.3
30.3.
Answer: 32.3
The BMI is calculated by dividing the weight in pounds by the height
in inches squared and multiplying that by 703.200÷ 662 = 200 ÷
4,356 = 0.045913 * 703 = 32.2768, or 32.3 rounded to the nearest
tenthThis puts the woman in the obese category.
◉ When would Aldactone be contraindicated?
When the patient has hyperkalemia (serum potassium of greater
than 5.5 mEq/L.
When the patient has renal insufficiency (serum creatinine greater
than 2.0 mg/dL.
If the patient has type 2 diabetes mellitus with microalbuminuria.
All of the above.
Answer: All of the above
,The nurse practitioner would need to evaluate the patient prior to
ordering Aldactone.The following would be considered
contraindications for ordering Aldactone:When the patient has
hyperkalemia (serum potassium of greater than 5.5 mEq/L.When
the patient has renal insufficiency (serum creatinine greater than 2.0
mg/dL.If the patient has type 2 diabetes mellitus with
microalbuminuria.
◉ In diagnosing a toothache (pulpitis), the nurse practitioner has
knowledge that all of the following are correct except:
Systemic manifestations do not occur from dental caries and
pulpitis.
You should inquire about fever and chills.
Dental caries are the most frequent type of injury that causes
pulpitis.
There is diverse flora involved in the infectious process, including
gram-positive anaerobes and bacteroides..
Answer: Systemic manifestations do not occur from dental caries
and pulpitis.
Many patients present in the clinic setting with a toothache or
related symptoms. Systemic manifestations often occur and they
, include lymphadenopathy, malaise, fever, and pain. The remaining
answer choices are true regarding this condition.
◉ Louis is a 67-year-old male patient with open-angle glaucoma.
Your follow-up for Louis should include which of the following?
Caution the person to avoid exercise.
Monitor a high-protein, low-fat diet.
Monitor for side effects of beta blocker use.
Follow up IOP and visual field changes every six weeks..
Answer: Monitor for side effects of beta blocker use.
Monitor for side effects of drugs, especially with non-cardioselective
beta blocker use. Even with topical use, bronchoconstriction may be
a side effect of these drugs.
◉ Which of the following factors would increase the susceptibility of
a person for glaucoma?
corticosteroid therapy
mental illness
history of pneumonia
history of heart disease.
