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LEIK FNP Practice Questions with correct answers
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LEIK FNP Practice Questions with correct answers
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LEIK FNP Practice Questions withcorrect 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 |- |ANSWERS✔✔ |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 |- |ANSWERS✔✔ |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 |- |ANSWERS✔✔ |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 |- |ANSWERS✔✔
|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 |- |ANSWERS✔✔ |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 |- |ANSWERS✔✔ |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 |- |ANSWERS✔✔ |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.
All |of |the |following |are |correct |statements |regarding |the |role |of |the |person |named |in
|a |durable |power |of |attorney |except:
A) |The |agent's |decisions |are |legally |binding
B) |The |agent |can |make |decisions |in |other |areas |of |the |patient's |life |such |as
|financial
issues
C) |The |agent |can |decide |for |the |patient |who |is |on |life |support |when |that |life
|support
can |be |terminated
D) |The |patient's |spouse |has |a |right |to |override |the |agent's |decisions |- |ANSWERS✔✔
|D) |The |patient's |spouse |has |a |right |to |override |the |agent's |decisions |
The |person |named |in |a |durable |power |of |attorney |(the |agent) |is |designated |by |the
|patient |to |make |all |medical |decisions, |as |well |as |any |decisions |regarding |the
|patient's |private |affairs |in |the |event |that |the |patient |becomes |incompetent |and
|unable |to |make |his/her |own |decisions. |No |one |has |the |ability |to |override |the
|agent's |decision.
All |of |the |following |are |true |statements |regarding |Munchausen |syndrome |except:
A) |It |is |considered |a |mental |illness
B) |The |patient |has |a |medical |illness |that |causes |an |anxiety |reaction |and |denial
C) |The |patient |fakes |an |illness |in |order |to |gain |attention |from |health |care |providers
D) |The |patient |has |an |inconsistent |medical |history |along |with |a |past |history |of
frequent |hospitalizations |- |ANSWERS✔✔ |B) |The |patient |has |a |medical |illness |that
|causes |an |anxiety |reaction |and |denial |
Munchausen |syndrome |is |a |psychiatric |disorder |in |which |the |patient |fakes |a
|medical |illness |or |disorder |to |gain |attention |from |health |care |provid- |ers. |These
|patients |commonly |use |the |emergency |department |frequently |to |gain |attention.
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