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UPDATED LEIK 2021/ FNP REVIEW, FIRST EXAM EDGE - ANCC PREP TEST PART 1 PSI FNP PRACTICE 2024

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LEIK 2021/ FNP REVIEW, FIRST EXAM EDGE - ANCC PREP TEST PART 1 PSI FNP PRACTICE 2024 A nurse practitioner working in a community health clinic sees a male patient who expresses concern about starting a homosexual relationship with a new partner. Which of the following is the best plan to fol...

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  • 1 février 2024
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  • 2021/2022
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ACELEARNERS
LEIK 2021/ FNP REVIEW, FIRST EXAM EDGE -
ANCC PREP TEST PART 1 PSI FNP PRACTICE
2024
A nurse practitioner working in a community health clinic sees a male patient who expresses

concern about starting a homosexual relationship with a new partner. Which of the following is

the best plan to follow during this visit? (Select all that apply.)

Contact the patient's partner to schedule HIV testing

Educate the patient about using barrier devices during sex

Prescribe daily oral PrEP

Draw a blood sample for a combination HIV antigen/antibody test

Schedule a follow-up appointment in 1 month to review test results and discuss options for

PrEP - CORRECT ANSWER Educate the patient about using barrier devices during sex;

draw a blood sample for a combination HIV antigen/antibody test; schedule a follow-up

appointment in 1 month to review test results and discuss options for PrEP



Education on using barriers during sexual activity (e.g., condom/dental dams) is important.

Daily oral preexposure prophylaxis (PrEP), such as tenofovir emtricitabine, is recommended for

sexually active persons who are at risk for HIV. PrEP is used in HIV-negative persons, so the

nurse practitioner must wait for the test results before prescribing. It is appropriate to schedule a

1-month follow-up to review the test results and discuss PrEP options (if test is negative). It is

not appropriate ethically or legally to contact the partner; however, it would be appropriate for

the patient to encourage his partner to get tested.

,LEIK 2021/ FNP REVIEW, FIRST EXAM EDGE -
ANCC PREP TEST PART 1 PSI FNP PRACTICE
2024
An older adult male presents with complaints of sharp flank and back pain. The patient has

difficulty answering questions because of severity of pain. Blood pressure is 90/60 mmHg. The

patient has a 20-pack-year smoking history. Abdomen is distended upon palpitation. Which

diagnosis is most likely?

Congestive heart failure

Infective endocarditis

Dissecting abdominal aortic aneurysm

Acute myocardial infarction - CORRECT ANSWER Dissecting abdominal aortic aneurysm.

Dissecting abdominal aortic aneurysm is a sudden onset of severe, sharp, excruciating pain

located in the abdomen, back, or flank area, accompanied by a distended abdomen and

hypotension. Older male adults with a smoking history and hypertension are at higher risk.

Congestive heart failure symptoms are dyspnea, fatigue, dry cough, and swollen feet and

ankles. Patients with infective endocarditis present with fever, chills, and malaise, along with

the presence of a new murmur. Acute myocardial infarction generally presents with a gradual

onset of intense and heavy chest discomfort that feels like a squeezing, tightness, and heavy

pressure in the chest.

Mrs. Harris a 67-year-old woman who is in the early stages of Alzheimer disease. She suffers

from mild dementia. In this type of Alzheimer dementia which of the following would you use

as the mainstay treatment?

,LEIK 2021/ FNP REVIEW, FIRST EXAM EDGE -
ANCC PREP TEST PART 1 PSI FNP PRACTICE
2024
Vitamin E 1000 IU twice daily

cholinesterase inhibitors

NSAIDS

Selgiline 5 mg twice daily - CORRECT ANSWER cholinesterase inhibitors



The mainstay treatment for mild to moderate stage Alzheimer-type dementia is the use of

cholinesterase inhibitors. These include donepezil (Aricept), rivastigmine (Exelon), and

galantamine (Razadyne). They have a clear, although minor and time-limited benefit.

When listening to your 86-year-old patient's heart murmur, you note that it is so loud that it can

be heard with the stethoscope completely off the chest. How do you grade the murmur?



IV/VI.

I/VI.

V/VI.

VI/VI. - CORRECT ANSWER VI/VI.



Grading heart murmurs follows this system: I/VI: Heart murmur makes faint sound and may not

be heard when patient changes position. II/VI: Heart murmur is quiet but can be heard as soon

as the stethoscope is placed on the chest. III/VI: Heart murmur is moderately loud. IV/VI: Heart

murmur is loud and accompanied by a palpable thrill. V/VI: Heart murmur is very loud and can

, LEIK 2021/ FNP REVIEW, FIRST EXAM EDGE -
ANCC PREP TEST PART 1 PSI FNP PRACTICE
2024
be heard with the stethoscope partially off the chest. VI/VI: Heart murmur is very loud and can

be heard with the stethoscope completely off the patient's chest.

Which of the following persons would not be a candidate for the antipneumococcal vaccine?



a 65-year-old healthy female living with her family

a 35-year-old patient with HIV infection

a 58-year-old male resident of a nursing home

a 55-year-old female living alone - CORRECT ANSWER a 55-year-old female living alone



The antipneumococcal vaccine is not indicated for an otherwise healthy person who is under the

age of 65 unless there are other health factors involved. Living alone has no bearing on the need

for the vaccine. The vaccine is indicated for persons with HIV infection, persons living in

nursing homes, and all adults 65 years or older regardless of health status.

Which of the following diseases is more likely to cause chronic pelvic pain rather than acute

pelvic pain?



ectopic pregnancy

PID

ovarian cysts

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