LEIK FNP Practice Questions With Complete Solutions
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Course
LEIK FNP
Institution
LEIK FNP
LEIK FNP Practice Questions With Complete Solutions
.-It has higher rate of nonunion compared with the other bones in the wrist when fractured
-The fracture frequently does not show up on an x-ray film when it is taken immediately after injury
-The x-ray film will show the fracture if the film...
LEIK FNP Practice Questions With
Complete Solutions
.-It has higher rate of nonunion compared with the other bones in the wrist when fractured
-The fracture frequently does not show up on an x-ray film when it is taken immediately after injury
-The x-ray film will show the fracture if the film - ANSWER-A fracture on the navicular area of the wrist is
usually caused by falling forward and landing on the hands. The affected wrist is hyperextended to break
the fall. The NP is aware that the following is true:
.-The document's objectives are not only applicable nationally, but also internationally
-One of the objectives of the document is to help people achieve physical health
-The document is formulated by a special committee formed by an alliance of all the state health
departments. - ANSWER-The following are correct statements regarding the Healthy People 202
.<140/90 - ANSWER-The most current Eight Joint National Committee recommendation for the blood
pressure goal in a diabetic is:
.1. Ritualistic behaviors that pt feels compelled to repeat
2. Attempts to ignore or suppress the repetitive behaviors which increase anxiety
3. Frequent intrusive and repetitive thoughts and impulses - ANSWER-Carol M. is a 40 y/o bank teller
who has recently been diagnosed with OCD by her therapist. What would her symptoms include?
.10mm - ANSWER-A 39 yo migrant worker presents to the clinic 2.5 days after a purified protein
derivative (PPD) test. What minimum size of induration would be considered positive for this patient?
.12wks gestation uterus size - ANSWER-The approximate size of a grapefruit: just above the suprapubic
bone
.15-18cm in the midclavicular line - ANSWER-The span of a normal adult liver is?
,.150/90 - ANSWER-According to the guidelines outlined in the Eighth Joint National Committee the
target BP goal for hypertensive pts who are aged 60yrs or older is:
.20 kcal.30mL - ANSWER-What is the caloric content of infant formula an breast milk?
.2cm or greater - ANSWER-When measuring fundal height, how many centimeters variation should
warrant further testing to evaluate fetal growth
.2nd intercostal space left of the sternal border - ANSWER-On auscultation of the chef, a split S2 is best
heard
.3 months - ANSWER-The posterior fontanel should be completely closed by?
.3: 55y/o woman, hypertension, hypercholesterolemia - ANSWER-A 55 y/o female with a BMI of 24 and
history of asthma has hypertension that has been under control with HCTZ 12.5mg daily. Her total
cholesterol is 230g/dl. How may risk factors for coronary heart disease does she have?
.5mm - ANSWER-A string home resident reports to his physician that his previous roommate was
recently started on tuberculosis treatment. A Mantoux test and chest x-ray are ordered for the patient.
What is the minimum size of induration considered positive for this patient? (Remember he is high risk
d/t exposure)
.7th birthday - ANSWER-The DPT and DT should not be given after what age?
.A 17 y/o teen who has only one close friend in school - ANSWER-All of the following patients are at
higher risk for suicide except:
A) A 66 y/o with male whose wife of 40 yrs recently died
B) A high school student with a history of bipolar disorder
C) A depressed 45-y/o female with family history of suicide
D) A 17 y/o teen who has only 1 close friend at school
.A child recently diagnosed with leukemia
,An infant whose family is homeless
A Hispanic child with asthma who is using a steroid inhaler - ANSWER-What are some of the high risk
signs for Tuberculosis?
.A dilated eye exam with an ophthalmologist
A podiatrist once or twice a year
Flu shot annually
Pneumovax if over 60
Take baby ASA 81mg a day - ANSWER-What would you recommend for on an annual basis for an elderly
type 2 diabetic?
.A prescription of methyldopa (Aldomet) to control BP - ANSWER-Treatment for mild preeclampsia
includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet count
D) A prescription of methyldopa (Aldomet) to control BP.
.A probable sign of pregnancy - ANSWER-Heger's Sing is considered what?
.A sensation of spinning or rotating - ANSWER-When assessing a patient suspected of having vertigo,
what description given by the patient is most consistent with the symptom?
.A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of the abdomen
below the costovertebral angle. - ANSWER-Which of the following is an accurate description of eliciting
for Murphy's sign?
A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of the abdomen
below the costovertebral angle
B) Bend the patient at the hips and knees at 90 degrees, then passively rotate hip externally, then
internally
C) Ask the patient to quit, then place the stethoscope on the apical area.
D) Press into the abdomen deeply, then released it suddenly
, .Absence Seizure (petit mal seizure) - ANSWER-A mother of a 7 yr old boy tells the FNP that his teacher
has complained to her that her son's frequent episodes of daydreaming. While the child is at home, the
mother reports that sometimes her son seems not to hear her. The child "blanks out" for a short period
of time. What is the most likely diagnosis?
.Acute appendicitis - ANSWER-The NP would test the obturator and iliopsoas muscle to evaluate for
what?
.Acute cholecystitis - ANSWER-An urgent care NP is assessing a 45 yr old white woman with a BMI of 32
for complaints of intermittent right upper quadrant pain over the past few weeks that is precipitated by
eating fried foods and peanut butter. On exam, the patients heart and lungs are normal. There is no pain
over the costovertebral angle. During abdominal exam, the bowel sounds are present in all quads. While
palpating deeply on the right upper quadrant during deep inspiration, the patient complains of severe
sharp pain to the NP. What is this best described as?
.Acute Pelvic Inflammatory Disease - ANSWER-A sudden onset of inflammation and pain that affects the
pelvic area, cervix uterus and ovaries, which is caused by infection.
.Acute Sinusitis - ANSWER-A 12-yr old girl is complaining of a 2-wk history of facial pressure that worsens
when she bends over. She complains of tooth pain in her upper molars on the right side of her face. On
physical exam, her lung and heart sounds are normal. What is a likely diagnosis.
.Acute sinusitis - ANSWER-A 28 yr old male nurse of Hispanic descent reports a history of a cold that
resolved 2 weeks ago except for a dry cough and pain over his right cheek that worsens when he bends
down. The patient denies fever. He tells the employee health nurse practitioner that he is very allergic
to both cephalexin and erythromycin. The vital signs show that the patient's temperature is 99.2
degrees F, a pulse of 72 bpm, and a rest. rate of 12. What is the most likely condition?
.Administer the booster dose of the Td vaccine because it's been more than 5yrs. - ANSWER-Clara is a
20-yr old college student who reports to the student health clinic with a laceration in her left hand. She
tells the NP that she cut her hand while working in her garden. Her last Td booster was 5.5 yrs ago. What
is the follow up plan?
.Advise mother that her pregnancy is progressing well - ANSWER-A multigravida who is 28wks gestation
has a fundal height of 29cm. What is the best recommendation for this patient?
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