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Leik FNP certification review- Questions and Answers
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Leik FNP certification review- Questions and Answers
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Leik FNP certification review- Questions and AnswersA 35-year-old primigravida who is at 18 weeks gestation is expecting twins. What would you
would expect her alpha fetoprotein (AFP) values to be?
A. Normal
B. Higher than normal
C. Lower than normal
D. None of the above CORRECT ANS-B) Higher than normal
Alpha fetoprotein (AFP) is produced in the fetal and maternal liver. Higher levels of AFP are
commonly seen in multiple gestations due to the growing liver in each fetus, which
cumulatively lead to higher AFP levels.
Which of the following antihypertensive medications has beneficial effects for an elderly
White woman with osteoporosis?
A. Calcium channel blockers
B. Angiotensin-converting enzyme (ACE) inhibitors
C. Beta-blockers
D. Thiazide diuretics CORRECT ANS-D) Thiazide diuretics
Thiazide diuretics have a favorable effect in patients with osteopenia and osteoporosis by
slowing down the kidney's excretion of calcium and increasing distal tubule calcium
reabsorption. This results in decreased bone demineralization. Thiazide diuretics are a good
choice of therapy for this population because they treat hypertension and slow bone loss.
The Lachman maneuver is used to detect which of the following?
, Leik FNP certification review- Questions and Answers
A. Instability of the knee
B. Nerve damage of the knee due to past knee injuries
C. Integrity of the patellar tendon
D. Tears on the meniscus of the knee CORRECT ANS-A) Instability of the knee
The Lachman maneuver is a test performed to assess for knee instability (i.e., damage to the
motion of anterior translation [laxity] of the anterior cruciate ligament [ACL]). The maneuver
should be tested on both knees, comparing the injured and the opposite knee, the uninjured
knee is used as the "control." The test is positive if the injured knee slips back further (laxity).
Perform the test by bending the knee 30 degrees. Stabilize the femur with one hand. Place
the other hand under the proximal tibia at the level of the joint line and then pull forward.
The laxity is graded on a 0 (normal)-to-3 scale (1.0-1.5 cm of translation).
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. Obtain a complete and thorough history
B. Recommend 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) Obtain a complete and thorough history
Before prescribing medications, a thorough history must be obtained to determine possible
causes of hives. The patient denied difficulty with swallowing and breathing, so there was no
medical emergency that would require calling 911.
, Leik FNP certification review- Questions and Answers
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 blood pressure, proteinuria,
and headaches
Which of the following symptoms is associated with B12 deficiency anemia?
A. Spoon-shaped nails and pica
B. Abnormal neurological exam
C. 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.
A second triple screen on a 35-year-old primigravida reveals abnormally low levels of alpha
fetoprotein and estriol and high levels of human chorionic gonadotropin. Which of the
following interventions is the best choice for this patient?
A. Order an ultrasound
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