FNP Leik Practice test 2 Questions with complete solution
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Course
LEIK FNP
Institution
LEIK FNP
FNP Leik Practice test 2 Questions with complete solution A 75 year old female presents in the office complaining that her heart "keeps skipping beats and goes very fast". The patient also reports dizziness and shortness of breath, especially with activity. Her pulse is 120 beats/minute and irregul...
FNP Leik Practice test 2
A 75 year old female presents in the office complaining that her heart "keeps
skipping beats and goes very fast". The patient also reports dizziness and
shortness of breath, especially with activity. Her pulse is 120 beats/minute and
irregular. The NP orders a 12-lead EKG and considers an echocardiogram.
The NP will likely prescribe:
a. chlorthalidone 12.mg daily
b. warfarin (Coumadin) 5 mg daily
c. warfarin (Coumadin) 2.5 mg daily
d. chlorthalidone 25 mg daily
c. warfarin (Coumadin) 2.5 mg daily
A young adult male visits the urgent care clinic after falling and landing on his
buttock. He complaints of feeling electrical impulses traveling down both legs
and inability to urinate. Upon physical exam, the NP notes decreased lower
extremity strength and reflexes. Which diagnosis is most likely?
A. cauda equina syndrome
B. lumbar stenosis
C. fibromyalgia
D. Paget's disease
A. cauda equina syndrome
A 35 y/o patient is being worked up for microscopic hematuria. All of the
following are differentials for microscopy hematuria except:
A. kidney stones
B. bladder cancer
,C. acute pyelonephritis
D. renal artery stenosis
D. renal artery stenosis
A 22 y/o female presents to urgent care with signs of a broken arm, stating
that she fell at home. Upon assessment, the NP observes numerous bruises
in various stages of healing, and the patients live-in boyfriend response
aggressively to all questions posed to the patient. which of the following
intervention is most appropriate?
A. call security and have the boyfriend removed from the exam room
B. ask the boyfriend why he will not let the patient answer the questions
C. inform the boyfriend that the rest of the exam must be private, show him to
the waiting room, and tell him you will retrieve him as soon as you finish.
D. state your suspicions to the couple and ask them to provide a truthful
answer to the injuries
C. inform the boyfriend that the rest of the exam must be private, show him to
the waiting room, and tell him you will retrieve him as soon as you finish.
The NP is assessing a 13 y/o male who presents with back pain and
nausea/vomiting x 24 hours. He reports feeling dull pain and muscle spasm in
his back after a direct hit to the side during football practice. BP 140/84, tempe
99.1, HR 98, RR 26. What is most likely diagnosis?
A. appendicitis
B. bruised kidney
C. cholecystitis
D. ruptured vertebral disk
B. bruised kidney
,Which of the following is a first-line medication for tinea unguium?
A. oral terbinafine (lamisil)
B. efinaconazole 10% solution
C. azeliac acid
D. metronidazole topical get
A. oral terbinafine (lamisil)
An elderly patient was burned when a large pot of boiling water fell off the
stove. According to Lund-Browder chart, the patient has reddened skin and
several bullae on approx 4% of the abdominal area. The patient is allergic to
sulfa products. Which of the following intervention is most appropriate?
A. treat with benzocaine spray
B. gentle rupture blisters
C. treat with silver sulfadiazine
D. treat with bacitracin zinc
D. treat with bacitracin zinc
An asian mother presents with her newborn. Upon exam, the NP notes black-
colored patches on the newborns lumboscaral area. How will the NP
document these findings?
A. milia
B. erythema toxic neonatorum
C. Mongolian spots
D. port wine stain
, C. Mongolian spots
Which antipsychotic medication is most likely to produce extrapyramidal
effects?
A. Sertraline
B. Citalopram
C. Aripiprazole
D. Haloperidol
D. Haloperidol
A toddler with congenital heart disease is seen for a 1-week history of facial
and lower-extremity edema accompanied by shortness of breath. The child's
mother reports that the child's appetite has been poor. The chest x-ray reveals
that the child has congestive heart failure (CHF). Which of the following heart
sounds are found in these patients?
A) S1 and S2
B) S1, S2, and S3
C) S1, S2, and S4
D) Still's murmur and S4
B) S1, S2, and S3
A 14 year old male patient presents with acute pain in his left testicle radiating
to the lower abdomen lasting 2 hours. Which of the following if the best
intervention?
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