LEIK FNP CERTIFICATION EVALUATION
COMPLETE QUESTIONS AND VERIFIED
ANSWERS
●● 2. All of the following are infections that affect mostly the labia and
vagina except:
A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis
Answer: D) Chlamydia trachomatis
Infections that commonly affect the labia and vagina include bacterial
vaginosis, candidiasis, and trichomoniasis. Chlamydia trachomatis
commonly affects the cervix, endometrial lining , fallopian tubes, and
pelvic cavity.
●● The nurse practitioner would test the obturator and iliopsoas muscle
to evaluate for:
A) Cholecystitis
B) Acute appendicitis
,C) Inguinal hernia
D) Gastriculcer
Answer: B) Acute appendicitis.
Signs and symptoms of an acute abdomen include invol- untary
guarding, rebound tenderness, boardlike abdomen, and a positive obtu-
rator and psoas sign. A positive obturator sign occurs when pain is
elicted by internal rotation of the right hip from 90 degrees hip/knee
flexion. The psoas sign is positive when pain occurs with passive
extension of the thigh while the patient is lying on his/her side with
knees extended, or when pain occurs with active flexion of his/her thigh
at the hip.
●● Treatment for mild preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet
count
D) A prescription of methyldopa (Aldomet) to control blood pressure
Answer: D) A prescription of methyldopa (Aldomet) to control blood
pressure
Recommended care for women diagnosed with preeclampsia includes
bed rest with bath- room privileges, weight and BP monitoring, and
,closely following urine protein and serum protein, creatinine, and
platelet counts. Oral medications are not used as first-line treatment.
●● All of the following services are covered under Medicare Part A
except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons
Answer: C) Nursing home care
Medicare A coverage includes inpatient hospitalization and skilled care
given in a certified skilled nursing facility. Most nursing home care is
custodial care (help with bathing, dressing, using a bathroom, and
eating). This care is not covered by Medicare A.
●● 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
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.
●● 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
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.
COMPLETE QUESTIONS AND VERIFIED
ANSWERS
●● 2. All of the following are infections that affect mostly the labia and
vagina except:
A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis
Answer: D) Chlamydia trachomatis
Infections that commonly affect the labia and vagina include bacterial
vaginosis, candidiasis, and trichomoniasis. Chlamydia trachomatis
commonly affects the cervix, endometrial lining , fallopian tubes, and
pelvic cavity.
●● The nurse practitioner would test the obturator and iliopsoas muscle
to evaluate for:
A) Cholecystitis
B) Acute appendicitis
,C) Inguinal hernia
D) Gastriculcer
Answer: B) Acute appendicitis.
Signs and symptoms of an acute abdomen include invol- untary
guarding, rebound tenderness, boardlike abdomen, and a positive obtu-
rator and psoas sign. A positive obturator sign occurs when pain is
elicted by internal rotation of the right hip from 90 degrees hip/knee
flexion. The psoas sign is positive when pain occurs with passive
extension of the thigh while the patient is lying on his/her side with
knees extended, or when pain occurs with active flexion of his/her thigh
at the hip.
●● Treatment for mild preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet
count
D) A prescription of methyldopa (Aldomet) to control blood pressure
Answer: D) A prescription of methyldopa (Aldomet) to control blood
pressure
Recommended care for women diagnosed with preeclampsia includes
bed rest with bath- room privileges, weight and BP monitoring, and
,closely following urine protein and serum protein, creatinine, and
platelet counts. Oral medications are not used as first-line treatment.
●● All of the following services are covered under Medicare Part A
except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons
Answer: C) Nursing home care
Medicare A coverage includes inpatient hospitalization and skilled care
given in a certified skilled nursing facility. Most nursing home care is
custodial care (help with bathing, dressing, using a bathroom, and
eating). This care is not covered by Medicare A.
●● 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
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.
●● 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
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.
