Leik Fnp Practice Questions With All
Correct Answers
A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for many years to
control her Stage II hypertension. Her blood pressure (BP) at this visit is 168/96.
She is currently complaining of pain on her right hip and on both knees. She has
increased her dose of ibuprofen (Motrin) from 400 mg 3 times day (TID) to 800
mg TID. She is still in pain and would like something stronger. Which of the
following statements is the best explanation of the effects of ibuprofen (Motrin) on
her disease?
A) It increases the chances of adverse effects to her health
B) It inhibits the effect of renal prostaglandins and blunts the effectiveness of the
diuretic
C) It prolongs the therapeutic effects of hydrochlorothiazide and other diuretics
D) None of the statements are true - ✔✔✔ANSWER-B) It inhibits the effect of
renal prostaglandins and blunts the effectiveness of the diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which
predisposes the kidney to ischemia. NSAIDs and diuretics can cause acute prerenal
failure by decreasing renal blood flow.
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.
Correct Answers
A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for many years to
control her Stage II hypertension. Her blood pressure (BP) at this visit is 168/96.
She is currently complaining of pain on her right hip and on both knees. She has
increased her dose of ibuprofen (Motrin) from 400 mg 3 times day (TID) to 800
mg TID. She is still in pain and would like something stronger. Which of the
following statements is the best explanation of the effects of ibuprofen (Motrin) on
her disease?
A) It increases the chances of adverse effects to her health
B) It inhibits the effect of renal prostaglandins and blunts the effectiveness of the
diuretic
C) It prolongs the therapeutic effects of hydrochlorothiazide and other diuretics
D) None of the statements are true - ✔✔✔ANSWER-B) It inhibits the effect of
renal prostaglandins and blunts the effectiveness of the diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which
predisposes the kidney to ischemia. NSAIDs and diuretics can cause acute prerenal
failure by decreasing renal blood flow.
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.
