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2024 Newest|LEIK FNP Practice Questions| UPDATE|COMPREHENSIVE FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED ANSWERS|GET IT 100% ACCURATE 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/...

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  • November 11, 2024
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EmilyCharlene
2024 Newest|LEIK FNP Practice Questions|2024-2025
UPDATE|COMPREHENSIVE FREQUENTLY MOST TESTED
QUESTIONS AND VERIFIED ANSWERS|GET IT 100% ACCURATE



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.




Copyright ©EMILYCHARLENE2025. ALL RIGHTS RESERVED
Page 1/451

,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

Copyright ©EMILYCHARLENE2025. ALL RIGHTS RESERVED
Page 2/451

,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



Copyright ©EMILYCHARLENE2025. ALL RIGHTS RESERVED
Page 3/451

, 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

Copyright ©EMILYCHARLENE2025. ALL RIGHTS RESERVED
Page 4/451

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