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ANCC FNP Exam Review Questions LEIK part 1
The Lachman Maneuver is used to detect which of the following?
A: Instability of the knee
B: Nerve Damage of the knee due to past knee injuries
C: Integrity of the patellar tendon
D: Tears of the meniscus - Answer--instability of the knee
A 28-year old multipara who is at 32 weeks gestation presents to your office complaining of a sudden onset of small amounts of bright-red vaginal bleeding. She has had several episodes and appears anxious.
On exam, her uterus is soft to palpation.
Which of the following is most likely?
A: placenta abruptio
B: placenta previa
C: acute cervicitis
D: Molar Pregnancy (hydatidiform mole) - Answer--Placental previa
A 30 year old woman who is sexually active complains of a large amount of milk-like vaginal discharge for several weeks. A microscopy slide reveals a large number of cells that have BLURRED margins. Very few white blood cells are seen. The vaginal pH is 6.0.
What is most likely?
A: Trichomonas infections
B: Bacterial Vaginosis
C: Candidal infection
D: A normal finding - Answer--Bacterial Vaginosis
Signs and symptoms of depression include all of the following except:
A: anhedonia
B: Low Self-esteem
C: Apathy
D: Apraxia - Answer--apraxia
All of the following are cover under Medicare part B except:
A: person aged 65 years or older
B: Durable medical equipment
C: Mammograms annually starting at age 50
D: outpatient anesthesiologists services - Answer--Outpatient Anesthesiologist services
All of the following are complications of severe preeclampsia except:
A: Liver Failure
During a routine physical exam of an elderly woman, a triangular thickening of the bulbar conjunctivia on the temporal side is noted to be encroaching on the cornea. She denies any eye pain or visual changes. Which of the following is most likely?
A: corneal Arcus
B: pterygium
C: pinguecula
D: chalazion - Answer--Pterygium
A young primagravida reports to you that she is starting to feel the baby's movements in her uterus. This is considered to be which of the following?
A: presumptive sign
B: probable sign
C: positive sign
D possible sign - Answer--presumptive sign
Which of the following viral infections is associated with occasional abnormal forms of lymphocytes during an acute infection?
A: Cytomegalovirus (CMV)
B epstein-barr virus (EBV)
C: Human papillomavirus (HPV)
D: coxsackievirus - Answer--Epstein-Barr virus EBV
A 20year old patient has recently been diagnosed with migraines. The NP is educating the pt about factors that are known to be trigger for migraine headaches. WHich of the following is INCORRECT advice?
A: avoid foods high in tyramine content
B: avoid foods high in potassium content
C: get enough sleep
D: avoid fermented foods - Answer--Avoid foods with high potassium content
Hegar's sign is considered a:
A: positive sign of pregnancy
B: Probable sign of pregnancy
C: presumptive sign of pregnancy
D: Problem in pregnancy - Answer--Probable sign of pregnancy.
The positive signs for pregnancy include:
A. palpation of the fetus and auscultation of fetal heart tones by the NP
B: palpation of the fetus and a positive quantitative serum pregnancy test
C: Fetal heart tones and a positive quantitative serum pregnancy test
D: fetal heart tones and feeling of movement of the fetus by the mother - Answer--Palpation of the fetus and Auscultation of the fetal heart tones.
Chadwick's Sign is characterized by:
A: softening of the cervix
B: Blue coloration of the cervix and vagina
C: softening of the uterine isthmus
D: nausea and vomiting during the first trimester of pregnancy - Answer--Blue coloration of the vagina and cervix
Rovsing's Sign is associated with which of the following?
A: rheumatoid arthritis
B: Degenerative Joint disease
C: Psoriatic arthritis
D: septic arthritis - Answer--Degenerative Joint disease (OA)
Swim therapy (aqua therapy) for a 13-year old with cerebral palsy is an example of:
A: primary prevention
B: Secondary prevention
C: tertiary prevention
D: health prevention - Answer--Tertiary Prevention
a patient who has been prescribed warfarin sodium (Coumadin) is advised to avoid eating large amounts of leafy green vegetables because:
A: the high vitamin K level will decrease the INR
B: they have too much ascorbic acid, which can interact with the medicine
C: the high-fiber content will decrease the absorption of the warfarin (coumadin)
D: The vitamins in the vegetables will bind with, and inactivate, the warfarin (Coumadin) - Answer--The high vitamin K levels will decrease the INR
You note a HIGH pitched and BLOWING pansystolic murmur while assessing a 70-year old male patient. It is a grade 2/6 and is best heard at the apical area. Which of the following is most likely?
A: ventricular Septal Defect
B: Tricuspid regurgitation
C: Mitral regurgitation
D: mitral stenosis - Answer--Mitral regurgitation
you are reviewing a pap smear result for a 25-year old woman. Which of the following cells should be obtained in a pap smear sample to be classified as a satisfactory specimen?
A: clue cells and endometrial cells
B: vaginal cells and cervical cells
C: squamous epithelial cells and endocervical cells
D: leukocytes and RBC's - Answer--Squamous epithelial cells and endocervical cells
A small abscess on a hair follicle on the eyelid is called:
A: hordeolum
B: Pterygium
C: Pinguecula
D: ptosis - Answer--hordeolum
Beta Thalassemia minor is considered a:
A: macrocytic anemia
B: normocytic anemia
C: microcytic anemia
D: hemolytic anemia - Answer--microcytic anemia
A bulla is defined as:
A: A solid nodule less than 1cm in size
B: a superficial vesicle filled with serous fluid greater than 1cm in size
C: a maculopapular lesion
D: a shallow ulcer - Answer--A superficial vesicle filled with serous fluid greater than 1cm in size
Podagra is associated with which of the following?
A) RA
B) Gout
C) Osteoarthritis
D) Septic arthritis - Answer--Gout
Which type of hepatitis virus infection is more likely to result in chronic hepatitis and increased risk of developing hepatocellular carcinoma? - Answer--Both Hepatitis B and Hepatitis C
A medium-pitched mid systolic murmur is best heard at the right second ICS. It radiates to the NECK. Which of the following is correct?
A: aortic stenosis
B: pulmonic stenosis
C: aortic regurgitation
D: mitral stenosis: - Answer--Aortic Stenosis
What is the caloric content of infant formula and breast milk?
A: 10kcal/30ml
B: 15kcal/30ml
C: 20kcal/30ml
D: 25kcal/30ml - Answer--20kcal/30ml
A patient who recently returned from a vacation in Latin America complains of a severe headache and stiff neck that were accompanied by a high fever for the past 12 hours. While examing the pt, the NP flexes both the pts hips and legs and then tells the pt to straighten them against resistance. The name of this test is:
A: kernig's maneuver
B: Brudzinski's maneuver
C: Murphy's sign
D: Homan's sign - Answer--Kernigs maneuver
RhoGAM's mechanism of action: - Answer--destruction of Rh-positive fetal red blood cells that are present in the mother's circulatory system. It is given to Rh negative mothers during the 28th week of pregnancy.
Which of the following findings is associated with thyroid hypofunction?
A: graves disease
B Eye disorder
C Thyroid Storm
D Myxedema - Answer--Myxedema
Which of the following conditions is associated with a positive Auspitz sign?
A: contact dermatitis
B: seborrheic dermatitis
C: systemic lupus erythematous
D: psoriasis - Answer--Psoriasis
Which of the following is used to confirm a dx of hashimoto's thyroiditis?
A: Serum TSH
B: Free T
C: Anti-thyroid peroxidase and anti-thyroglobulin antibodies
D: Thyroid ultrasound - Answer--Anti-thyroid peroxidase and anti-thyroglobulin antibodies
C: Displacement of the light reflex
D: Bulging of the tympanic membrane - Answer--Decreased mobility of the tympanic membrane as measured by tympanogram.
During a routine phycial exam of a 90-year old woman. a LOW pitched diastolic murmur grade 2/6 is auscultated. it is located on the 5th ICS on the left side of the midclavicular line. Which of the following identifications is correct? - Answer--Mitral Stenosis
which of the following is considered abnormal result on a weber test? - Answer--Lateralization to 1 ear
The span of the normal adult liver is? - Answer--6-15cm in the midclavicular line
A pt who is complaining of a new onset of severe headache is being examined. The pt is instructed to lie down on the examining table while the NP flexes his head and neck forward to his chest. The patient reacts quickly flexing his hip and knee. What is the name of this positive finding? - Answer--brudzinski's sign
