LEIK FNP Practice Questions and Answers 100% Solved
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 CORRECT ANS-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
, LEIK FNP Practice Questions and Answers 100% Solved
D) The patient's spouse has a right to override the agent's decisions CORRECT ANS-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 CORRECT ANS-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?
, LEIK FNP Practice Questions and Answers 100% Solved
A) Calcium channel blockers
B) Angiotensin-converting enzyme (ACE) inhibitors
C) Beta-blockers
D) Diuretics CORRECT ANS-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 CORRECT ANS-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.
, LEIK FNP Practice Questions and Answers 100% Solved
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 CORRECT ANS-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.
Which of the following symptoms is associated with B12 deficiency anemia?
A) Spoon-shaped nails and pica
B) An abnormal neurological exam
C) A vegan diet
D) Tingling and numbness of both feet CORRECT ANS-D) Tingling and numbness of both
feet
Vitamin B12 deficiency anemia can cause nerve cell damage if not treated. Symptoms of B12
deficiency anemia may include tingling or numbness in fingers and toes, difficulty walking,
mood changes or depression, memory loss, disorientation, and dementia.
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