LEIK FNP FINAL EXAM TESTBANK WITH REAL
QUESTIONS AND A+ GRADE SOLUTIONS BY
EXPERT/A+GRADED
A 72-year-old woman has been on hydrochlorothiazide 12.5
... [Show More] 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.
2. 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.
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.
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
LEIK FNP FINAL EXAM TESTBANK WITH REAL
QUESTIONS AND A+ GRADE SOLUTIONS BY
EXPERT/A+GRADED
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.
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 blood pressure - Correct AnswerD) A prescription of methyldopa (Aldomet) to control blood pressure
Recommended care 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-C) Nursing home care
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.
A 28-year-old student is seen in the [Show Less]