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LEIK 2021 EXAMEDGE FNP REVIEW, FIRST EXAM EDGE - ANCC PREP TEST PART 1., PSI FNP PRACTICE QUESTIONS WITH CORRECT ANSWERS.
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LEIK 2021 EXAMEDGE FNP REVIEW, FIRST EXAM EDGE - ANCC PREP TEST PART 1., PSI FNP PRACTICE QUESTIONS WITH CORRECT ANSWERS.

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  • October 4, 2024
  • 119
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • leik 2021 examedge fnp review first exam edge a

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LEIK 2021 EXAMEDGE FNP REVIEW,
FIRST EXAM EDGE - ANCC PREP TEST
PART 1., PSI FNP PRACTICE
QUESTIONS WITH CORRECT ANSWERS

A ggnurse ggpractitioner ggworking ggin gga ggcommunity gghealth ggclinic ggsees gga ggmale
ggpatient ggwho ggexpresses ggconcern ggabout ggstarting gga gghomosexual ggrelationship
ggwith gga ggnew ggpartner. ggWhich ggof ggthe ggfollowing ggis ggthe ggbest ggplan ggto ggfollow
ggduring ggthis ggvisit? gg(Select ggall ggthat ggapply.)
Contact ggthe ggpatient's ggpartner ggto ggschedule ggHIV ggtesting
Educate ggthe ggpatient ggabout ggusing ggbarrier ggdevices ggduring ggsex
Prescribe ggdaily ggoral ggPrEP
Draw gga ggblood ggsample ggfor gga ggcombination ggHIV ggantigen/antibody ggtest
Schedule gga ggfollow-up ggappointment ggin gg1 ggmonth ggto ggreview ggtest ggresults ggand
ggdiscuss ggoptions ggfor ggPrEP gg- ggAnswer ggEducate ggthe ggpatient ggabout ggusing
ggbarrier ggdevices ggduring ggsex; ggdraw gga ggblood ggsample ggfor gga ggcombination
ggHIV ggantigen/antibody ggtest; ggschedule gga ggfollow-up ggappointment ggin gg1 ggmonth
ggto ggreview ggtest ggresults ggand ggdiscuss ggoptions ggfor ggPrEP


Education ggon ggusing ggbarriers ggduring ggsexual ggactivity gg(e.g., ggcondom/dental
ggdams) ggis ggimportant. ggDaily ggoral ggpreexposure ggprophylaxis gg(PrEP), ggsuch ggas
ggtenofovir ggemtricitabine, ggis ggrecommended ggfor ggsexually ggactive ggpersons ggwho
ggare ggat ggrisk ggfor ggHIV. ggPrEP ggis ggused ggin ggHIV-negative ggpersons, ggso ggthe
ggnurse ggpractitioner ggmust ggwait ggfor ggthe ggtest ggresults ggbefore ggprescribing. ggIt ggis
ggappropriate ggto ggschedule gga gg1-month ggfollow-up ggto ggreview ggthe ggtest ggresults
ggand ggdiscuss ggPrEP ggoptions gg(if ggtest ggis ggnegative). ggIt ggis ggnot ggappropriate
ggethically ggor gglegally ggto ggcontact ggthe ggpartner; gghowever, ggit ggwould ggbe
ggappropriate ggfor ggthe ggpatient ggto ggencourage gghis ggpartner ggto ggget ggtested.


An ggolder ggadult ggmale ggpresents ggwith ggcomplaints ggof ggsharp ggflank ggand ggback
ggpain. ggThe ggpatient gghas ggdifficulty gganswering ggquestions ggbecause ggof ggseverity
ggof ggpain. ggBlood ggpressure ggis gg90/60 ggmmHg. ggThe ggpatient gghas gga gg20-pack-
year ggsmoking gghistory. ggAbdomen ggis ggdistended ggupon ggpalpitation. ggWhich
ggdiagnosis ggis ggmost gglikely?
Congestive ggheart ggfailure
Infective ggendocarditis
Dissecting ggabdominal ggaortic gganeurysm
Acute ggmyocardial gginfarction gg- ggAnswer ggDissecting ggabdominal ggaortic gganeurysm.

,Dissecting ggabdominal ggaortic gganeurysm ggis gga ggsudden ggonset ggof ggsevere,
ggsharp, ggexcruciating ggpain gglocated ggin ggthe ggabdomen, ggback, ggor ggflank ggarea,
ggaccompanied ggby gga ggdistended ggabdomen ggand gghypotension. ggOlder ggmale
ggadults ggwith gga ggsmoking gghistory ggand gghypertension ggare ggat gghigher ggrisk.
ggCongestive ggheart ggfailure ggsymptoms ggare ggdyspnea, ggfatigue, ggdry ggcough, ggand
ggswollen ggfeet ggand ggankles. ggPatients ggwith gginfective ggendocarditis ggpresent ggwith
ggfever, ggchills, ggand ggmalaise, ggalong ggwith ggthe ggpresence ggof gga ggnew ggmurmur.
ggAcute ggmyocardial gginfarction gggenerally ggpresents ggwith gga gggradual ggonset ggof
ggintense ggand ggheavy ggchest ggdiscomfort ggthat ggfeels gglike gga ggsqueezing,
ggtightness, ggand ggheavy ggpressure ggin ggthe ggchest.


Mrs. ggHarris gga gg67-year-old ggwoman ggwho ggis ggin ggthe ggearly ggstages ggof
ggAlzheimer ggdisease. ggShe ggsuffers ggfrom ggmild ggdementia. ggIn ggthis ggtype ggof
ggAlzheimer ggdementia ggwhich ggof ggthe ggfollowing ggwould ggyou gguse ggas ggthe
ggmainstay ggtreatment?


Vitamin ggE gg1000 ggIU ggtwice ggdaily
cholinesterase gginhibitors
NSAIDS
Selgiline gg5 ggmg ggtwice ggdaily gg- ggAnswer ggcholinesterase gginhibitors

The ggmainstay ggtreatment ggfor ggmild ggto ggmoderate ggstage ggAlzheimer-type
ggdementia ggis ggthe gguse ggof ggcholinesterase gginhibitors. ggThese gginclude ggdonepezil
gg(Aricept), ggrivastigmine gg(Exelon), ggand gggalantamine gg(Razadyne). ggThey gghave
gga ggclear, ggalthough ggminor ggand ggtime-limited ggbenefit.


When gglistening ggto ggyour gg86-year-old ggpatient's ggheart ggmurmur, ggyou ggnote ggthat
ggit ggis ggso ggloud ggthat ggit ggcan ggbe ggheard ggwith ggthe ggstethoscope ggcompletely ggoff
ggthe ggchest. ggHow ggdo ggyou gggrade ggthe ggmurmur?


IV/VI.
I/VI.
V/VI.
VI/VI. gg- ggAnswer ggVI/VI.

Grading ggheart ggmurmurs ggfollows ggthis ggsystem: ggI/VI: ggHeart ggmurmur ggmakes
ggfaint ggsound ggand ggmay ggnot ggbe ggheard ggwhen ggpatient ggchanges ggposition.
ggII/VI: ggHeart ggmurmur ggis ggquiet ggbut ggcan ggbe ggheard ggas ggsoon ggas ggthe
ggstethoscope ggis ggplaced ggon ggthe ggchest. ggIII/VI: ggHeart ggmurmur ggis ggmoderately
ggloud. ggIV/VI: ggHeart ggmurmur ggis ggloud ggand ggaccompanied ggby gga ggpalpable
ggthrill. ggV/VI: ggHeart ggmurmur ggis ggvery ggloud ggand ggcan ggbe ggheard ggwith ggthe
ggstethoscope ggpartially ggoff ggthe ggchest. ggVI/VI: ggHeart ggmurmur ggis ggvery ggloud
ggand ggcan ggbe ggheard ggwith ggthe ggstethoscope ggcompletely ggoff ggthe ggpatient's
ggchest.

,Which ggof ggthe ggfollowing ggpersons ggwould ggnot ggbe gga ggcandidate ggfor ggthe
ggantipneumococcal ggvaccine?


a gg65-year-old gghealthy ggfemale ggliving ggwith ggher ggfamily
a gg35-year-old ggpatient ggwith ggHIV gginfection
a gg58-year-old ggmale ggresident ggof gga ggnursing gghome
a gg55-year-old ggfemale ggliving ggalone gg- ggAnswer gga gg55-year-old ggfemale ggliving
ggalone


The ggantipneumococcal ggvaccine ggis ggnot ggindicated ggfor ggan ggotherwise gghealthy
ggperson ggwho ggis ggunder ggthe ggage ggof gg65 ggunless ggthere ggare ggother gghealth
ggfactors gginvolved. ggLiving ggalone gghas ggno ggbearing ggon ggthe ggneed ggfor ggthe
ggvaccine. ggThe ggvaccine ggis ggindicated ggfor ggpersons ggwith ggHIV gginfection,
ggpersons ggliving ggin ggnursing gghomes, ggand ggall ggadults gg65 ggyears ggor ggolder
ggregardless ggof gghealth ggstatus.


Which ggof ggthe ggfollowing ggdiseases ggis ggmore gglikely ggto ggcause ggchronic ggpelvic
ggpain ggrather ggthan ggacute ggpelvic ggpain?


ectopic ggpregnancy
PID
ovarian ggcysts
interstitial ggcystitis gg- ggAnswer gginterstitial ggcystitisInterstitial ggcystitis ggis ggmore gglikely
ggto ggcause ggchronic ggpelvic ggpain ggrather ggthan ggacute ggpelvic ggpain ggas ggin ggthe
ggother ggchoices. ggOther ggcauses ggof ggchronic ggpelvic ggpain gginclude:
ggendometriosis, ggleiomyomas, ggand ggmalignancy.


You gghave gga gg58-year-old ggmale ggpatient ggwith ggpossible ggpancreatic ggcancer.
ggYou ggwill ggnot ggorder ggan ggabdominal ggultrasound ggfor ggdiagnosis ggbecause ggit ggis
gglimited ggby ggwhich ggof ggthe ggfollowing?


previous gghistory ggof ggpancreatic ggdisease
patient's ggage
the ggpresence ggof ggintestinal gggas
size ggof ggtumor gg- ggAnswer ggthe ggpresence ggof ggintestinal gggas

The ggusefulness ggof ggabdominal ggultrasound ggis gglimited ggby ggthe ggpresence ggof
ggintestinal gggas. ggAbdominal ggCT ggscan ggis ggmore gghelpful ggin ggidentifying
ggpancreatic ggcancer.


A gg58-year-old ggmale ggpresents ggin ggthe ggoffice ggwith gga ggglucose ggof gg309 ggmg/dL
ggand ggis ggsymptomatic ggfor ggType ggII ggdiabetes ggmellitus. ggWhat ggshould ggbe ggdone
ggto ggmanage gghim ggFIRST?


Start gginsulin
Start ggmetformin ggplus ggpioglitazone

, Have gghim ggreturn ggtomorrow ggto ggrecheck gghis ggblood ggglucose
Start ggmetformin gg- ggAnswer ggStart gginsulin

Most ggoral ggagents ggwill gghave gglittle ggeffect ggon gghis ggglucose ggand ggit ggshould ggbe
gglowered ggimmediately. ggTherefore, gginsulin ggis ggthe ggbest ggagent ggto ggreduce ggthe
ggblood ggsugar ggso ggthat ggoral ggagents ggwill gghave gga ggchance ggto ggwork. ggHe
ggshould ggreturn ggto ggthe ggclinic ggthe ggnext ggday ggfor gga ggrecheck ggof ggthe ggblood
ggglucose ggand ggmedication ggadjustment.


Utilization ggreview ggcan ggbest ggbe ggdescribed ggas ggwhich ggof ggthe ggfollowing?

a ggsystem ggof ggmonitoring ggand ggassessing ggfor gghigh-risk ggareas ggand ggprocedures
the ggprocess ggof ggevaluating ggthe ggappropriateness ggof gginpatient gghospitalization
the ggprocess ggused ggfor ggaccreditation
the ggprocess ggused ggfor ggcase ggmanagement gg- ggAnswer ggthe ggprocess ggof
ggevaluating ggthe ggappropriateness ggof gginpatient gghospitalization


A ggutilization ggreview ggis ggthe ggprocess ggof ggevaluating ggthe ggappropriateness ggof
gginpatient gghospitalization. ggProof ggof ggthe ggmedical ggnecessity ggfor ggthe ggpatient's
gghospitalization ggis ggdone ggmainly ggthrough ggchart ggreviews. ggIf ggthe ggreviewer ggand
ggpayor ggdo ggnot ggagree, ggthe ggclaim ggcan ggbe ggdenied, ggresulting ggin ggdenial ggof
ggpayment ggto ggthe gghealth ggfacility.


John ggis gga ggpatient ggwith ggacute ggrenal ggfailure. ggHis gginability ggto ggregulate
ggelectrolytes ggmight ggbe ggevidenced ggby ggall ggbut ggwhich ggof ggthe ggfollowing
ggconditions?


hyperkalemia
hyperlipidemia
hypocalcemia
hypernatremia gg- ggAnswer gghyperlipidemia

This ggpatient's gginability ggto ggregulate ggelectrolytes ggmight ggbe ggevidenced ggby
gghyperkalemia, gghypernatremia, gghyponatremia, gghypokalemia, gghypermagnesemia,
gghyperphosphatemia, ggand gghypocalcemia. ggHyperlipidemia ggis ggabnormally
ggelevated gglevels ggof ggany ggor ggall gglipids ggand/or gglipoproteins ggin ggthe ggblood.


Which ggof ggthe ggfollowing ggstatements ggabout ggevaluation ggand ggfollow-up ggof gga
ggpatient ggwith ggIBD ggis ggleast ggaccurate?


Most ggpatients ggfollow gga ggcyclic ggcourse ggof ggremission ggand ggflare-up.
An ggestimated gg50% ggto gg65% ggof ggpatients ggwith ggCrohn's ggdisease ggundergo
ggsurgery ggat ggsome ggpoint ggin ggtheir gglives ggfor ggintestinal ggresection ggor
ggcolectomy.
Overall ggmortality ggfor ggulcerative ggcolitis ggis ggbetween gg35% ggand gg40%.

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