LEIK FNP EXAM PREP LEIK FNP PACTICE EXAM

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LEIK FNP EXAM PREP/ LEIK FNP PACTICE EXAM

NEWEST 2025 TEST BANK| COMPLETE 650 ACTUAL

EXAM QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) ALREADY GRADED

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Which of the following antihypertensive medications should the nurse practitioner avoid when treating patients with emphysema?

• Calcium channel blockers
• Angiotensin-converting enzyme (ACE) inhibitors
• Beta-blockers
• Diuretics - Correct Answer - C) Beta-blockers

Beta-blockers should be avoided in patients with a history of emphysema. Studies have shown evidence of a reduction in forced expiratory volume in 1 second (FEV1), increased airway hyperresponsiveness, and inhibition of bronchodilator response to beta agonists in patients receiving non-selective beta- blockers and high doses of cardio selective beta-blockers.

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?

• Perform a complete and thorough history
• Prescribe an oral antihistamine such as diphenhydramine 25 mg PO

QID

• Give an injection of epinephrine 1:1000 intramuscularly stat 1 / 4

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• Call 911 - Correct Answer - A) Perform a complete and thorough

history Prior to prescribing medications, a complete and thorough history must be performed to determine possible causes of hives. The patient denied difficulty with swallowing and breathing, so there was no medical emergency to require calling 911.

Which of the following findings is most likely in young primigravida’s with pregnancy-induced hypertension?

• Abdominal cramping and constipation
• Edema of the face and the upper extremities
• Shortness of breath
• Dysuria and frequency - Correct Answer - 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 BP, proteinuria, and headaches.

Which of the following symptoms is associated with B12 deficiency anemia?

• Spoon-shaped nails and pica
• An abnormal neurological exam
• A vegan diets
• Tingling and numbness of both feet - Correct Answer - D) Tingling

and numbness of both feet

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pg. 3 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.

Patients who are diagnosed with gonorrhea should also be treated for which of the following infections?

• Chancroid
• Chlamydia trachomatis
• Herpes genitals
• PID (pelvic inflammatory disease) - Correct Answer - B) Chlamydia

trachomatis When diagnosed with gonorrhea, the patient should also be treated for Chlamydia trachomatis.

Kyphosis is a late sign of:

• Old age
• Osteopenia
• Osteoporosis
• Osteoarthritis - Correct Answer - 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.

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pg. 4 A 35-year-old primigravida who is at 28 weeks of gestation is expecting twins. What would you would expect her alpha fetoprotein (AFP) values to be?

• Normal
• Higher than normal
• Lower than normal
• None of the above - Correct Answer - B) Higher than normal

Alpha fetoprotein is produced in the fetal and maternal liver. Higher levels of alpha fetoprotein are commonly seen in multiple gestations due to the growing fetuses and enlargement of the livers.

Which of the following antihypertensive medications has beneficial effects for an elderly White female with osteoporosis?

• Calcium channel blocker
• Angiotensin-converting enzyme (ACE) inhibitor
• Beta-blocker
• Diuretic - Correct Answer - A) Calcium channel blocker

Calcium channel blockers act by blocking the cal- cium channels in the heart muscle and the blood vessels, thereby keeping more calcium in the bones.

The Lachman maneuver is used to detect which of the following?

• Knee instability
• Nerve damage of the knee due to past knee injuries
• The integrity of the patellar tendon
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