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JEN LEIK FNP Practice Questions and Correct Answers | Latest Update

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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...

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  • September 28, 2024
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  • 2024/2025
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Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025


JEN LEIK FNP Practice Questions and
Correct Answers | Latest Update
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


 B) Mycoplasma pneumonia




Mycoplasma pneumonia is the organism most commonly 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.




Which of the following antihypertensive medications has beneficial effects for an elderly

White female with osteoporosis?



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A) Calcium channel blocker


B) Angiotensin-converting enzyme (ACE) inhibitor


C) Beta-blocker


D) Diuretic


 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.




All of the following are false statements regarding acute gastritis except:




A) Chronic intake of nonsteroidal anti-inflammatory drugs (NSAIDs) can cause the disorder


B) Chronic lack of dietary fiber is the main cause of the disorder


C) The screening test for the disorder is the barium swallow test


D) The gold standard to evaluate the disorder is a colonoscopy


 C) The screening test for the disorder is the barium swallow test




The gold standard for diagnosing gastric disease is biopsy of gastric and/or duodenal tissue

by upper endoscopy. Chronic use of NSAIDs disrupts the production of prostaglandins, which



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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025

decreases blood supply and then breaks down the protective layer of the mucosa, which leads

to gastric disease.




Epidemiologic studies show that Hashimoto's disease occurs most commonly in:




A) Middle-aged to older women


B) Smokers


C) Obese individuals


D) Older men


 A) Middle-aged to older women




Hashimoto's disease commonly occurs in middle-aged to older women.




A 63-year-old patient with a 10-year history of poorly controlled hypertension presents with

a cluster of physical exam findings. Which of the following indicate target organ damage

commonly seen in hypertensive patients?




A) Pedal edema, hepatomegaly, and enlarged kidneys


B) Hepatomegaly, AV nicking, bibasilar crackles


C) Renal infection, S3, neuromuscular abnormalities




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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025

D) Glaucoma, jugular vein atrophy, heart failure


 B) Hepatomegaly, AV nicking, bibasilar crackles




With long-term, uncontrolled hypertension, organ damage may occur. Organs commonly

affected include: brain (stroke), eyes (retinopathy, AV nicking, bleeding, blindness), heart

(heart dis- ease, left ventricular hypertrophy, MI, and/or CHF), and kidneys (renal failure,

proteinuria).




While performing a Pap smear on a postmenopausal patient, several areas of flat white skin

lesions that are irregularly shaped are found on the patient's labia. The patient reports that

the lesions are extremely itchy and have been present for several years without much change.

Which condition is best described?




A) Chronic scabies infection


B) Lichen sclerosus


C) Chronic candidal vaginitis


D) A physiologic variant found in some older women


 B) Lichen sclerosus




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