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LEIK FNP Family Primary Care EXAM LATEST % WITH ANSWERS GCU
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- Grand Canyon University
LEIK FNP Family Primary Care EXAM LATEST % WITH ANSWERS GCU
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LEIK FNP Family Primary Care EXAM LATEST2024-2025 100% WITH ANSWERS GCU
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
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
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
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.
Which of the following antihypertensive medications should the nurse
practitioner avoid when treating patients with emphysema?
A) Calcium channel blockers
B) Angiotensin-converting enzyme (ACE) inhibitors
C) Beta-blockers
D) Diuretics
C) Beta-blockers
Beta-blockers should be avoided in patients with a history of emphysema. Studies
have shown evidence of a reduction in forced expiratory volume in 1 second
(FEV1), increased airway hyperresponsiveness, and inhibition of bronchodilator
response to beta agonists in patients receiving non-selective beta- blockers and
high doses of cardioselective beta-blockers.
A 30-year-old chef complains of pruritic hives over her chest and arms but denies
difficulty swallowing or breathing. She reports a family history of allergic rhinitis
and asthma. Which of the following interventions is most appropriate?
, A) Perform a complete and thorough history
B) Prescribe an oral antihistamine such as diphenhydramine 25 mg PO QID
C) Give an injection of epinephrine 1:1000 intramuscularly stat
D) Call 911
A) Perform a complete and thorough history
Prior to prescribing medications, a complete and thorough history must be
performed to determine possible causes of hives. The patient denied difficulty
with swallowing and breathing, so there was no medical emergency to require
calling 911.
Which of the following findings is most likely in young primigravidas with
pregnancy-induced hypertension?
A) Abdominal cramping and constipation
B) Edema of the face and the upper extremities
C) Shortness of breath
D) Dysuria and frequency
B) Edema of the face and the upper extremities
Common signs and symptoms of pregnancy-induced hypertension include edema
of the face and the upper extremities, weight gain, blurred vision, elevated BP,
proteinuria, and headaches.
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