FNP Leik 2024/2025 Study test in depth
Examination and 100% correctly verified
Solutions
Which diagnostic test is used to confirm a dx of vaginal candida
infection:
A. pH
B. Whiff test
C. Wet mount
D. Tzanck smear - correct answer C. Wet mount
A 65-year-old woman who has had T2DM x 20 years is concerned
about her kidneys. She has a hx of 3 UTI within the past 8
months but is currently asymptomatic. The NP will:
A. recheck urine during visit, send for culture and sensitivity,
and refer to nephro
B. order a UA to be repeated monthly
C. order a CT of the kidneys
D. provide empiric treatment for a UTI - correct answer A.
recheck urine during visit, send for culture and sensitivity, and
refer to nephro
- due to hx of 3 UTIs in last 8 months, referral to Nephro is
prudent.
Which of the following is associated with male aging?
,A. increased levels of estrogen
B. decreased sperm production
C. increased production of sperm
D. decreased concentration of sperm - correct answer B.
decreased sperm production
An underweight 15 y/o female cross country runner presents
with complaints of progressive bilateral leg pain for 5-6 weeks.
Upon exam, the NP notes inflammation in the left tibial area dn
that the patient has pes planus. patient history reveals
amenorrhea x 1 year. Which diagnosis is most likely?
A. plantar fascitis
B. medial tibial stress syndrome
C. Mortons neuroma
D. DJD - correct answer B. medial tibial stress syndrome
Which lab results suggest a diagnosis of hypothyroidism?
A. Elevated TSH, low free T4
B. Elevated TSH, normal free T4
C. High free T4
D. Normal free T4 - correct answer A. Elevated TSH, low
free T4
The NP is caring for a 4 y/o with sickle cell disease who is
experiencing a febrile illness. Which hemopoietic lab value will
the NP use to evaluate the efficiency of the patients bone marrow
response?
,A. B lymphocytes
B. C-reactive protein
C. Prothrombin time
D. Reticulocyte count - correct answer D. Reticulocyte count
When examining a preschool child, the NP notes wheezing and
diffuse crackles upon auscultation of lungs. Throat exam appears
erythematous without pus or exudate. RR are 24. Temp is 99.2.
The mother reports the child has been coughing for several
weeks. CXR shows diffuse interstitial infiltrates. the NP orders all
of the following except:
A. Azithromycin x 5 days
B. increased fluids
C. antitussive PRN
D. albuterol nebulizer - correct answer D. albuterol
nebulizer
A woman who was recently diagnosed with lupus complains that
her hands and feet always feel cold, even in the summertime.
Sometimes her fingertips become numb and turns a blue color.
The fingertips eventually turn dark red in color. Which of the
following is most likely?
a. chronic arterial insufficiency
b. normal reaction when one feels very cold
c. peripheral vascular disease
d. Raynaud's phenomenon - correct answer d. Raynaud's
phenomenon
, A thrill initially presents at which grade level of a heart murmur?
a. Grade V
b. Grade II
c. Grade III
d. Grade IV - correct answer d. Grade IV
The NP is educating a 72 y/o with a history of ulcerative colitis
regarding screening for colon cancer. The patient reports fatigue
and frequent bloody stools. Based on the patients assessment
and history, what diagnostic testing should be performed
annually ?
A. abdominal xray
B. colonscopy
C. fecal occult blood testing
D. abdominal CT
E. HGB A1C - correct answer B. colonscopy
C. fecal occult blood testing
A patient has several well defined primary lesions <20mm over
the trunk and extremities. After completing a dermascopic exam,
the NP diagnoses Bowen's disease. Which treatment would the
NP recommend?
A. Moh's surgery
B. radiation therapy
C. curettage and electrodessication
D. standard excision - correct answer C. curettage and
electrodessication
Examination and 100% correctly verified
Solutions
Which diagnostic test is used to confirm a dx of vaginal candida
infection:
A. pH
B. Whiff test
C. Wet mount
D. Tzanck smear - correct answer C. Wet mount
A 65-year-old woman who has had T2DM x 20 years is concerned
about her kidneys. She has a hx of 3 UTI within the past 8
months but is currently asymptomatic. The NP will:
A. recheck urine during visit, send for culture and sensitivity,
and refer to nephro
B. order a UA to be repeated monthly
C. order a CT of the kidneys
D. provide empiric treatment for a UTI - correct answer A.
recheck urine during visit, send for culture and sensitivity, and
refer to nephro
- due to hx of 3 UTIs in last 8 months, referral to Nephro is
prudent.
Which of the following is associated with male aging?
,A. increased levels of estrogen
B. decreased sperm production
C. increased production of sperm
D. decreased concentration of sperm - correct answer B.
decreased sperm production
An underweight 15 y/o female cross country runner presents
with complaints of progressive bilateral leg pain for 5-6 weeks.
Upon exam, the NP notes inflammation in the left tibial area dn
that the patient has pes planus. patient history reveals
amenorrhea x 1 year. Which diagnosis is most likely?
A. plantar fascitis
B. medial tibial stress syndrome
C. Mortons neuroma
D. DJD - correct answer B. medial tibial stress syndrome
Which lab results suggest a diagnosis of hypothyroidism?
A. Elevated TSH, low free T4
B. Elevated TSH, normal free T4
C. High free T4
D. Normal free T4 - correct answer A. Elevated TSH, low
free T4
The NP is caring for a 4 y/o with sickle cell disease who is
experiencing a febrile illness. Which hemopoietic lab value will
the NP use to evaluate the efficiency of the patients bone marrow
response?
,A. B lymphocytes
B. C-reactive protein
C. Prothrombin time
D. Reticulocyte count - correct answer D. Reticulocyte count
When examining a preschool child, the NP notes wheezing and
diffuse crackles upon auscultation of lungs. Throat exam appears
erythematous without pus or exudate. RR are 24. Temp is 99.2.
The mother reports the child has been coughing for several
weeks. CXR shows diffuse interstitial infiltrates. the NP orders all
of the following except:
A. Azithromycin x 5 days
B. increased fluids
C. antitussive PRN
D. albuterol nebulizer - correct answer D. albuterol
nebulizer
A woman who was recently diagnosed with lupus complains that
her hands and feet always feel cold, even in the summertime.
Sometimes her fingertips become numb and turns a blue color.
The fingertips eventually turn dark red in color. Which of the
following is most likely?
a. chronic arterial insufficiency
b. normal reaction when one feels very cold
c. peripheral vascular disease
d. Raynaud's phenomenon - correct answer d. Raynaud's
phenomenon
, A thrill initially presents at which grade level of a heart murmur?
a. Grade V
b. Grade II
c. Grade III
d. Grade IV - correct answer d. Grade IV
The NP is educating a 72 y/o with a history of ulcerative colitis
regarding screening for colon cancer. The patient reports fatigue
and frequent bloody stools. Based on the patients assessment
and history, what diagnostic testing should be performed
annually ?
A. abdominal xray
B. colonscopy
C. fecal occult blood testing
D. abdominal CT
E. HGB A1C - correct answer B. colonscopy
C. fecal occult blood testing
A patient has several well defined primary lesions <20mm over
the trunk and extremities. After completing a dermascopic exam,
the NP diagnoses Bowen's disease. Which treatment would the
NP recommend?
A. Moh's surgery
B. radiation therapy
C. curettage and electrodessication
D. standard excision - correct answer C. curettage and
electrodessication
