LEIK FNP EXAM NEWEST 2025 ACTUAL EXAM

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LEIK FNP EXAM NEWEST 2025 ACTUAL EXAM

COMPLETE 600 QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS)

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All of the following are false statements regarding acute gastritis

except:

• Chronic intake of nonsteroidal anti-inflammatory drugs

(NSAIDs) can cause the disorder

• Chronic lack of dietary fiber is the main cause of the disorder
• The screening test for the disorder is the barium swallow test
• The gold standard to evaluate the disorder is a colonoscopy -

ANSWER-C) The screening test for the disorder is the barium swallow test

Rationale; The gold standard for diagnosing gastric disease is biopsy of gastric and/or duodenal tissue by upper endoscopy. Chronic use of NSAIDs disrupts the production of prostaglandins, which decreases blood supply and then 1 / 4

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breaks down the protective layer of the mucosa, which leads to gastric disease.

Signs and symptoms of depression include all of the following

except:

• Anhedonia and changes in appetite
• Decreased energy and irritability
• Apathy and low self-esteem
• Apraxia and fatigue - ANSWER-D) Apraxia and fatigue

Rationale; Apraxia is a disorder of the nervous system in which the brain is affected and the patient is unable to move the arms/legs when asked to do so. Common signs of depression include anhedonia (loss of interest in activities that the patient finds pleasurable), unintentional weight loss or gain, fatigue, change in appetite, insomnia or hypersomnia, feelings of guilt and worthlessness, and recurrent thoughts of suicide.

Which of the following is an accurate description of eliciting for Murphy's sign?

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• Upon deep inspiration by the patient, palpate firmly in the

right upper quad- rant of the abdomen below the costovertebral angle

• Bend the patient's hips and knees at 90 degrees, then

passively rotate hip exter- nally, then internally

• Ask the patient to squat, then place the stethoscope on the

apical area

• Press into the abdomen deeply, then release it suddenly -

ANSWER-A) Upon deep inspiration by the patient, palpate firmly in the right upper quad- rant of the abdomen below the costovertebral angle

Rationale; Murphy's sign is positive if pain occurs when performing RUQ palpation while the patient takes a deep inspiration, causing the patient to abruptly stop the deep breath due to pain. As the liver is palpated, it will descend and push up against the inflamed gallbladder and cause sharp pain (cholecystitis).

A 28-year-old multipara who is at 32 weeks of gestation presents to your office complaining of a sudden onset of small amounts of bright red vaginal bleeding. She has had several episodes and 3 / 4

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appears anxious. On exam, her uterus is soft to palpation. Which of the following is most likely?

• Placenta abruptio
• Placenta previa
• Acute cervicitis
• Molar pregnancy (hydatidiform mole) - ANSWER-B)

Placenta previa

Rationale; Placenta previa occurs when abnormal implantation of the placenta occurs. A common symptom of placenta previa is painless, bright red bleeding.

Epidemiologic studies show that Hashimoto's disease occurs

most commonly in:

• Middle-aged to older women
• Smokers
• Obese individuals
• Older men - ANSWER-A) Middle-aged to older women
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