LEIK FNP PRACTICE QUESTIONS AND
SOLUTIONS GRADED A+
◉ 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.
◉ Which of the following findings is most likely in young
primigravidas with pregnancy-induced hypertension?
,A) Abdominal cramping and constipation
B) Edema of the face and the upper extremities
C) Shortness of breath
D) Dysuria and frequency.
Answer: B) Edema of the face and the upper extremities
Common signs and symptoms of pregnancy-induced hypertension
include edema of the face and the upper extremities, weight gain,
blurred vision, elevated BP, proteinuria, and headaches.
◉ A second triple screen on a 35-year-old primigravida reveals
abnormally low lev- els of the alpha fetoprotein and estriol and high
levels of human chorionic gonad- otropin. Which of the following
interventions is the best choice for this patient?
A) Order an ultrasound
B) Order a computed tomography (CT) scan of the abdomen
C) Order a 24-hour urine for protein clearance
D) Assess for a history of illicit drug or alcohol use.
Answer: A) Order an ultrasound
,Abnormally low levels of alpha fetoprotein and estriol and high
levels of human chorionic gonadotropin are abnormal during
pregnancy. An ultrasound should be ordered to further evaluate the
fetus for characteristics of Down syndrome and/or fetal demise.
◉ Patients who are diagnosed with gonorrhea should also be treated
for which of the following infections?
A) Chancroid
B) Chlamydia trachomatis
C) Herpes genitalis
D) PID (pelvic inflammatory disease).
Answer: B) Chlamydia trachomatis
When diagnosed with gonorrhea, the patient should also be treated
for Chlamydia trachomatis.
◉ A 35-year-old primigravida who is at 28 weeks of gestation is
expecting twins. What would you would expect her alpha
fetoprotein (AFP) values to be?
A) Normal
B) Higher than normal
C) Lower than normal
, D) None of the above.
Answer: B) Higher than normal
Alpha fetoprotein is produced in the fetal and maternal liver. Higher
levels of alpha fetoprotein are commonly seen in multiple gestations
due to the growing fetuses and enlargement of the livers.
◉ Which of the following antihypertensive medications has
beneficial effects for an elderly White female with osteoporosis?
A) Calcium channel blocker
B) Angiotensin-converting enzyme (ACE) inhibitor
C) Beta-blocker
D) Diuretic.
Answer: A) Calcium channel blocker
Calcium channel blockers act by blocking the cal- cium channels in
the heart muscle and the blood vessels, thereby keeping more
calcium in the bones.
◉ When an adolescent male's penis grows more in length than
width, at which of the following Tanner stages is he classified?
SOLUTIONS GRADED A+
◉ 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.
◉ Which of the following findings is most likely in young
primigravidas with pregnancy-induced hypertension?
,A) Abdominal cramping and constipation
B) Edema of the face and the upper extremities
C) Shortness of breath
D) Dysuria and frequency.
Answer: B) Edema of the face and the upper extremities
Common signs and symptoms of pregnancy-induced hypertension
include edema of the face and the upper extremities, weight gain,
blurred vision, elevated BP, proteinuria, and headaches.
◉ A second triple screen on a 35-year-old primigravida reveals
abnormally low lev- els of the alpha fetoprotein and estriol and high
levels of human chorionic gonad- otropin. Which of the following
interventions is the best choice for this patient?
A) Order an ultrasound
B) Order a computed tomography (CT) scan of the abdomen
C) Order a 24-hour urine for protein clearance
D) Assess for a history of illicit drug or alcohol use.
Answer: A) Order an ultrasound
,Abnormally low levels of alpha fetoprotein and estriol and high
levels of human chorionic gonadotropin are abnormal during
pregnancy. An ultrasound should be ordered to further evaluate the
fetus for characteristics of Down syndrome and/or fetal demise.
◉ Patients who are diagnosed with gonorrhea should also be treated
for which of the following infections?
A) Chancroid
B) Chlamydia trachomatis
C) Herpes genitalis
D) PID (pelvic inflammatory disease).
Answer: B) Chlamydia trachomatis
When diagnosed with gonorrhea, the patient should also be treated
for Chlamydia trachomatis.
◉ A 35-year-old primigravida who is at 28 weeks of gestation is
expecting twins. What would you would expect her alpha
fetoprotein (AFP) values to be?
A) Normal
B) Higher than normal
C) Lower than normal
, D) None of the above.
Answer: B) Higher than normal
Alpha fetoprotein is produced in the fetal and maternal liver. Higher
levels of alpha fetoprotein are commonly seen in multiple gestations
due to the growing fetuses and enlargement of the livers.
◉ Which of the following antihypertensive medications has
beneficial effects for an elderly White female with osteoporosis?
A) Calcium channel blocker
B) Angiotensin-converting enzyme (ACE) inhibitor
C) Beta-blocker
D) Diuretic.
Answer: A) Calcium channel blocker
Calcium channel blockers act by blocking the cal- cium channels in
the heart muscle and the blood vessels, thereby keeping more
calcium in the bones.
◉ When an adolescent male's penis grows more in length than
width, at which of the following Tanner stages is he classified?
