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FNP Leik Practice test #1 Exam Questions And Answers
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FNP Leik Practice test #1 ExamQuestions And Answers
Which of the following findings is assoc. with thyroid hypofunction?
A. Graves Disease
B. Eye Disorder
C. Thyroid storm
D. Myxedema - correct answer ✅D. Myxedema
Myxedema or myxedema coma is seen in patients with severe
hypothyroidism. It refers to the skin changes (thickened skin) seen in
chronic severe hypothyroidism. It is a medcial emergency with mortality
rates exceeding 20%. It is tx with very high doses of thyroid hormone.
A thyroid storm occurs when there is the extreme elevation of thyroid
hormone. Thyroid storm is life-threatening; if left untreated, the
mortality rate is about 90%. Call 911 if suspected.
Graves Disease is associated with thyroid hyperfunction
A 14 y/o boy is brought in by his mother, who reports that her son has
been complaining for several months of recurrent bloating, stomach
upset and occasional loose stools. She reports that he has difficulty
gaining wt. and is short for his age. She has noticed that his symptoms
worsen after eating large amounts of crackers, cookies, and bread. She
denies seeing blood in the boy's stool. Which of the following
conditions is most likely?
A. Amebiasis
B. Malabsorption
C. Chron's
,FNP Leik Practice test #1 Exam
Questions And Answers
D. Celiac Disease - correct answer ✅D. Celiac Disease
Celiac Disease is also known as celiac sprue Patients should avoid
gluten, which causes malabsorption (diarrhea, gas, bloating, and abd
pain). Foods to avoid are wheat, rye, and barley. Oats do not damage
mucosa in celiac disease. Antifiadins IgA and IgG are elevated in almost
all patients (90%)
A 67 y/o female patient presents with a 3 day old cat bite that has
become swollen, reddened and painful to touch. The NP notes there is
purulent drng at the site of the bite. Which medication will the nurse
practitioner prescribe?
A. Gentamycin
B Tetanus toxoid
C. Rabies prophylaxis
D. Amoxicillin -Clavulante(Augmentin) - correct answer ✅D. Amoxicillin
-Clavulante(Augmentin)
The patient present with symptoms associated with Pasteurella
multocida, which is an anerobic gram-negative coccobacillus found in
the oropharynx of healthy cats, dogs, and other animals. The dx of the
bacteria can be made with a gram stain culture; however, a broad
spectrum antibiotic that targets Pasteurella, as well as other gram-
positive and gram neg bacteria, is preferred for prescribed prophylaxis.
Amox-Clav is a recommended antibiotic for prophylactic tx.
Aminoglycosides such as gentamycin have demonstrated poor activity
against P. multocida. Tetanus toxoids is necessary only if the patient has
received their last tetanus vaccine greater than 5 years prior. Rabies is
,FNP Leik Practice test #1 Exam
Questions And Answers
unnecessary unless there is a possibility of exposure after a risk
assessment.
A 14 year old girl with short stature, swollen hands and feet, and a
webbed neck presents to the clinic. Upon assessment she is found to be
at Tanner stage I. Which test will the NP order to confirm diagnosis?
A. CT scan
B. Karotype
C. Prolactin level
D. Xray of the hand - correct answer ✅B. Karotype
A 67 y/o woman with a 30 pack a year hx of smoking presents for a
routine annual physical examination. She c/o being easily short of
breath and is frequently fatigued. Physical examination reveals
diminished breath sound, hyprresonance, and hypertrophied
respiratory accessory muscles. Her CBC reveals elevated HCT and her
PFT results show increased total lung capacity. Which dx is most
correct?
A. Bronchogenic carcinoma
B. COPD
C. Chronic bronchitis
D. CHF - correct answer ✅B. COPD
COPD is a progressive lung disease that includes emphysema and
chronic bronchitis. The most common risk factor is long-term cigarette
, FNP Leik Practice test #1 Exam
Questions And Answers
smoke (80-90%). Another cause is alpha-1 trypsin deficiency and
chronic fume exposure. The three cardinal symptoms of COPD are
dyspnea, chronic cough, and sputum production. The lungs are
hyperinflated which changes the shape of the chest and diaphragm,
making the mechanics of breathing more difficult Excess mucus and
obstructed airflow from progressive thickening and stiffening of the
airways finish breath sound. COPD creates a high hematocrit
percentage because of chronic hypoxemia.
An elderly male presents to the clinic for a routine physical examination.
The NP notes multiple rough, scaly patches on the patients forearms
and face and back of his ears. Which dx is most likely:
A. seborrheic keratosis
B. Senile purpura
C. Lentigines
D. Senile actinic keratosis - correct answer ✅D. Senile actinic keratosis
Senile actinic keratosis is considered the most common precancerous
lesion of squamous cell carcinoma in older adults. Actinic keratosis is a
rough, scaly patch on the skin that dev. from years of exposure to the
sun. It is most commonly found on the face, lips, ears, back of hands,
forearms, scalp, or neck. Sinle purpura presents as bright, puple-colored
patches located on the forearms and hands and are benightn.
Lintigines, also known as liver sparts are brown-colored macules located
on the hands and forearms of older adults and are benign. Seborrheic
keratoses are soft, wartlike benign lesions that fequently appear on the
back and trunk of older adults.
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