ANCC FNP Exam Review Questions LEIK part 1 with correct Answers

The Lachman Maneuver is used to detect which of the following? A: Instability of the knee B: Nerve Damage of the knee due to past knee injuries C: Integrity of the patellar tendon D: Tears of the meniscus - Answer- instability of the knee A 28-year old multipara who is at 32 weeks gestation presents to your office complaining of a sudden onset of small amounts of bright-red vaginal bleeding. She has had several episodes and appears anxious. On exam, her uterus is soft to palpation. Which of the following is most likely? A: placenta abruptio B: placenta previa C: acute cervicitis D: Molar Pregnancy (hydatidiform mole) - Answer- Placental previa A 30 year old woman who is sexually active complains of a large amount of milk-like vaginal discharge for several weeks. A microscopy slide reveals a large number of cells that have BLURRED margins. Very few white blood cells are seen. The vaginal pH is 6.0. What is most likely? A: Trichomonas infections B: Bacterial Vaginosis C: Candidal infection D: A normal finding - Answer- Bacterial Vaginosis Signs and symptoms of depression include all of the following except: A: anhedonia B: Low Self-esteem C: Apathy D: Apraxia - Answer- apraxia All of the following are cover under Medicare part B except: A: person aged 65 years or older B: Durable medical equipment C: Mammograms annually starting at age 50 D: outpatient anesthesiologists services - Answer- Outpatient Anesthesiologist services All of the following are complications of severe preeclampsia except: A: Liver Failure B: Hypertensive Encephalopathy C: Pulmonary Edema D: Placenta Previa - Answer- Placenta Previa Koplik's spots are associated with: A: poxvirus infections B: Rubeola C: Kawasaki's disease D: Rubella - Answer- Rubeola A middle-aged woman who works in the housekeeping department of a hospital presents to the employee health clinic with a complaint of a needlestick to her left thumb. The needle was in one of the garbage bags from the ER. The patient had a little bleeding that stopped spontaneously. Which of the following is the next step? A: order an enzyme-linked immunosorbent assay (ELISA) test as soon as possible B: recommend a tetanus booster in 1 week C: offer the patient hepatitis B immunoglobulin D: order a chest xray - Answer- Order an ELISA test as soon as possible. A 20year old patient has recently been diagnosed with migraines. The NP is educating the pt about factors that are known to be trigger for migraine headaches. WHich of the following is INCORRECT advice ? A: avoid foods high in tyramine content B: avoid foods high in potassium content C: get enough sleep D: avoid fermented foods - Answer- Avoid foods with high potassium content Hegar's sign is considered a: A: positive sign of pregnancy B: Probable sign of pregnancy C: presumptive sign of pregnancy D: Problem in pregnancy - Answer- Probable sign of pregnancy. The positive signs for pregnancy include: A. palpation of the fetus and auscultation of fetal heart tones by the NP B: palpation of the fetus and a positive quantitative serum pregnancy test C: Fetal heart tones and a positive quantitative serum pregnancy test D: fetal heart tones and feeling of movement of the fetus by the mother - Answer- Palpation of the fetus and Auscultation of the fetal heart tones. Chadwick's Sign is characterized by: A: softening of the cervix B: Blue coloration of the cervix and vagina C: softening of the uterine isthmus D: nausea and vomiting during the first trimester of pregnancy - Answer- Blue coloration of the vagina and cervix Rovsing's Sign is associated with which of the following? A: an acute abdomen, such as during a ruptured appendix B: knee instability C: Damage to the meniscus of the knee D: Acute cholelithiasis - Answer- An acute abdomen such as during a ruptured appendix a patient is positive for anti-HCV (hepatitis C virus Antibody). WHat is the next step to further evaluate this patient? A: refer the patient to a gastroenterologist B order a hepatitis C RNA test C. order a hepatitis B comprehensive panel D. The pt is immune to hep C and no further testing is indicated - Answer- Order a hepatitis C RNA test During a routine physical exam of an elderly woman, a triangular thickening of the bulbar conjunctivia on the temporal side is noted to be encroaching on the cornea. She denies any eye pain or visual changes. Which of the following is most likely? A: corneal Arcus B: pterygium C: pinguecula D: chalazion - Answer- Pterygium A young primagravida reports to you that she is starting to feel the baby's movements in her uterus. This is considered to be which of the following? A: presumptive sign B: probable sign C: positive sign D possible sign - Answer- presumptive sign Which of the following viral infections is associated with occasional abnormal forms of lymphocytes during an acute infection? A: Cytomegalovirus (CMV) B epstein-barr virus (EBV) C: Human papillomavirus (HPV) D: coxsackievirus - Answer- Epstein-Barr virus EBV What does a potassium hydroxide (KOH) prep help the nurse practitioner diagnose? A: Herpes zoster infections B: Fungal infections C: Herpes simplex infections D: Viral infections - Answer- Fungal infections A menopausal woman with osteopenia is attending a dietary education class. Which of the following foods are recommended? A: yogurt and sardines B: spinach and red meat C: Cheese and red meat D: low-fat cheese and whole grain - Answer- Yogurt and sardines a patient who has been prescribed warfarin sodium (Coumadin) is advised to avoid eating large amounts of leafy green vegetables because: A: the high vitamin K level will decrease the INR B: they have too much ascorbic acid, which can interact with the medicine C: the high-fiber content will decrease the absorption of the warfarin (coumadin) D: The vitamins in the vegetables will bind with, and inactivate, the warfarin (Coumadin) - Answer- The high vitamin K levels will decrease the INR You note a HIGH pitched and BLOWING pansystolic murmur while assessing a 70-year old male patient. It is a grade 2/6 and is best heard at the apical area. Which of the following is most likely? A: ventricular Septal Defect B: Tricuspid regurgitation C: Mitral regurgitation D: mitral stenosis - Answer- Mitral regurgitation you are reviewing a pap smear result for a 25-year old woman. Which of the following cells should be obtained in a pap smear sample to be classified as a satisfactory specimen? A: clue cells and endometrial cells B: vaginal cells and cervical cells C: squamous epithelial cells and endocervical cells D: leukocytes and RBC's - Answer- Squamous epithelial cells and endocervical cells Koilonychia is associated with which of the following conditions? A: lead poisoning B: beta thalassemia trait C: B12 deficiency anemia D: Iron-deficiency anemia - Answer- Iron-deficiency anemia Heberden's nodes are commonly found in which of the following diseases? A: rheumatoid arthritis B: Degenerative Joint disease C: Psoriatic arthritis D: septic arthritis - Answer- Degenerative Joint disease (OA) Swim therapy (aqua therapy) for a 13-year old with cerebral palsy is an example of: A: primary prevention B: Secondary prevention C: tertiary prevention D: health prevention - Answer- Tertiary Prevention A small abscess on a hair follicle on the eyelid is called: A: hordeolum B: Pterygium C: Pinguecula D: ptosis - Answer- hordeolum Beta Thalassemia minor is considered a: A: macrocytic anemia B: normocytic anemia C: microcytic anemia