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Leik FNP certification review questions with answers,
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Leik FNP certification review questions with answers
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Leik FNP certification review questionswith answers
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 |- |ANSWERS✔✔ |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.
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 |- |ANSWERS✔✔ |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 |- |ANSWERS✔✔ |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
B. |Order |a |computed |tomography |(CT) |scan |of |the |abdomen
C. |Order |a |24-hour |urine |for |protein |clearance
D. |Assess |for |a |history |of |illicit |drug |or |alcohol |use |- |ANSWERS✔✔ |A) |Order |an
|ultrasound
Abnormally |low |levels |of |alpha |fetoprotein |and |estriol |and |high |levels |of |human
|chorionic |gonadotropin |are |abnormal |during |pregnancy. |An |ultrasound |should |be
|ordered |to |further |evaluate |the |fetus |for |characteristics |of |Down |syndrome |and/or
|fetal |demise.
All |of |the |following |are |true |statements |about |diverticula |except:
A. |Diverticula |are |located |in |the |colon
B. |A |low-fiber |diet |is |associated |with |the |condition
C. |Most |diverticula |in |the |colon |are |infected |with |gram-negative |bacteria
D. |Supplementing |with |fiber, |such |as |psyllium |(Metamucil), |is |recommended |-
|ANSWERS✔✔ |C) |Most |diverticula |in |the |colon |are |infected |with |gram-negative
|bacteria
Diverticula |in |the |colon |can |be |infected |with |both |gram-negative |and |gram-positive
Patients |who |are |diagnosed |with |gonorrhea |should |also |be |treated |for |which |of |the
|following |infections?
A. |Chancroid
B. |Chlamydia |trachomatis
C. |Herpes |genitalis
D. |Pelvic |inflammatory |disease |(PID) |- |ANSWERS✔✔ |B) |Chlamydia |trachomatis
, When |diagnosed |with |gonorrhea, |the |patient |should |also |be |treated |for |Chlamydia
|trachomatis.
Kyphosis |is |a |late |sign |of:
A. |Rheumatoid |arthritis
B. |Osteopenia
C. |Osteoporosis
D. |Osteoarthritis |- |ANSWERS✔✔ |C) |Osteoporosis
Kyphosis |is |a |curvature |of |the |spine |that |causes |a |rounding |of |the |back, |which
|leads |to |a |slouching |posture. |Severe |thinning |of |the |bones |(osteoporosis)
|contributes |to |this |curvature |in |the |spine. |Symptoms |that |may |occur |with |severe
|cases |of |kyphosis |include |difficulty |breathing, |fatigue, |and |back |pain.
A |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 |- |ANSWERS✔✔ |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 |- |ANSWERS✔✔ |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.
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