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FNP LATEST EXAM GUIDE WITH LATEST QUESTIONS AND ANSWERS 2024/2025 A+ GRADE GUARANTEED PASS

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FNP LATEST EXAM GUIDE WITH LATEST QUESTIONS AND ANSWERS 2024/2025 A+ GRADE GUARANTEED PASS 1.72-year-old woman has been on hydrochlorothiazide 12.5 mg for many years to control her Stage II hypertension. Her blood pressure (BP) at this visit is 168/96. She is currently complaining of pain on ...

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  • November 19, 2024
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FNP LATEST EXAM GUIDE WITH
LATEST QUESTIONS AND
ANSWERS 2024/2025 A+
GRADE GUARANTEED PASS




1.72-year-old woman has been on hydrochlorothiazide 12.5 mg for many years to
control her Stage II hypertension. Her blood pressure (BP) at this visit is 168/96. She is
currently complaining of pain on her right hip and on both knees. She has increased her
dose of ibuprofen (Motrin) from 400 mg 3 times day (TID) to 800 mg TID. She is still in
pain and would like something stronger. Which of the following statements is the best
explanation of the effects of ibuprofen (Motrin) on her disease?

A) It increases the chances of adverse effects to her health
B) It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic
C) It prolongs the therapeutic effects of hydrochlorothiazide and other diuretics
D) None of the statements are true

,CORRECT ANSWER: B effect of renal prostaglandins and blunts the effectiveness of
the diuretic.

NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which predisposes
the kidney to ischemia. NSAIDs and diuretics can cause acute prerenal failure by
decreasing renal blood flow.






X

2.A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for many years to
control her Stage II hypertension. Her blood pressure (BP) at this visit is 168/96. She is
currently complaining of pain on her right hip and on both knees. She has increased her
dose of ibuprofen (Motrin) from 400 mg 3 times day (TID) to 800 mg TID. She is still in
pain and would like something stronger. Which of the following statements is the best
explanation of the effects of ibuprofen (Motrin) on her disease?

A) It increases the chances of adverse effects to her health
B) It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic
C) It prolongs the therapeutic effects of hydrochlorothiazide and other diuretics
D) None of the statements are true

CORRECT ANSWER: B) It inhibits the effect of renal prostaglandins and blunts the
effectiveness of the diuretic

NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which predisposes
the kidney to ischemia. NSAIDs and diuretics can cause acute prerenal failure by
decreasing renal blood flow.



3. All of the following are infections that affect mostly the labia and vagina except:

A) Bacterialvaginosis
B) Candidiasis

,C) Trichomoniasis
D) Chlamydia trachomatis

CORRECT ANSWER: D) Chlamydia trachomatis

Infections that commonly affect the labia and vagina include bacterial vaginosis,
candidiasis, and trichomoniasis. Chlamydia trachomatis commonly affects the cervix,
endometrial lining , fallopian tubes, and pelvic cavity.

444Brainpower

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4.The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for:

A) Cholecystitis
B) Acute appendicitis
C) Inguinal hernia
D) Gastriculcer

CORRECT ANSWER: B) Acute appendicitis.

5.Signs and symptoms of an acute abdomen include invol- untary guarding, rebound
tenderness, boardlike abdomen, and a positive obtu- rator and psoas sign. A positive
obturator sign occurs when pain is elicted by internal rotation of the right hip from 90
degrees hip/knee flexion. The psoas sign is positive when pain occurs with passive
extension of the thigh while the patient is lying on his/her side with knees extended, or
when pain occurs with active flexion of his/her thigh at the hip.

T4XrOeatment 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 blood pressure

CORRECT ANSWER: D) A prescription of methyldopa (Aldomet) to control blood
pressure

6. for women diagnosed with preeclampsia includes bed rest with bath- room privileges,

, weight and BP monitoring, and closely following urine protein and serum protein,
creatinine, and platelet counts. Oral medications are not used as first-line treatment.

All of the following services are covered under Medicare Part A except:

A) Inpatienthospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons

CORRECT ANSWER:D Medicare A coverage includes inpatient hospitalization and
skilled care given in a certified skilled nursing facility. Most nursing home care is
custodial care (help with bathing, dressing, using a bathroom, and eating). This care is
not covered by Medicare A.



7. A 28-year-old student is seen in the school health clinic with complaints of a hacking cough that is
productive of small amounts of sputum and a runny nose. He does not take any medications, denies any
allergies, and has no significant medical history. Physical examination reveals a low-grade temperature
of 99.9 degrees Fahrenheit, respirations of 16/min, a pulse of 90 beats per minute, and diffuse fine
crackles in the base of the lungs. A chest radiograph (x-ray) shows diffuse infiltrates on the lower lobe of
the right lung. The total white blood cell count is 10,500/uL. What is the most likely diagnosis?

A) Streptococcal pneumonia
B) Mycoplasma pneumonia
C) Acute bronchitis
D) Legionnaires disease

CORRECT ANSWER: B) Mycoplasma pneumonia

Mycoplasma pneumonia is the organism most com- monly seen in children and young
adults. It is easily spread from droplets, from sneezing and coughing, in close proximity.
Diagnosis is based on symptoms and x-ray results of infiltrates in lower lobes.




8.A 39-year-old migrant worker presents to the clinic 2.5 days after a purified protein
derivative (PPD) test. What minimum size of induration would be considered posi- tive
for this patient?

A) 3 mm B) 5 mm C) 10 mm D) 15 mm

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