ANCC FNP LEIK PART 2 LATEST EXAM REVIEW. QUESTIONS WITH ANSWERS.

ANCC FNP EXAM REVIEW
LEIK PART 2

1. The posterior fontanel should be completely closed by:
   3 months
2. On auscultation of the chest, a split s2 is best heard at:
   A: 2 ICS, right sternal border
   B: 2 ICS, Left sternal border
   C: 5th ICS, midclavicular line
   D: 4 ICS, left sternal border
3. The most common type of skin malignancy in the united states is:
   A: squamous cell skin cancer
   B: Basal cell carcinoma
   C: Melanoma
   D: dysplastic nevi
4. All of the following patients have an increased risk of developing adverse effects from
   metformin (Glucophage) except:
   A: Patients with renal disease
   B: Patients with hypoxia
   C: Obese patients
   D: Patients who are alcoholics
5. Which of the following classes of drugs is implicated with blunting the signs and
   symptoms of hypoglycemia in diabetics?
   A; CCB
   B: Diuretics
   C: Beta Blockers
   D: ARB
6. All of the following factors increase the risk of mortality for patients diagnosed w/
   bacterial pneumonia except:
   A: alcoholism

B: very young/old
C: Multiple lobar involvement
D: hypertension

7. The bacterium responsible for the highest mortality for pts with community-acquired
   pneumonia is:
   A: Streptococcus pneumoniae
   B: Mycoplasma pneumoniae
   C: Moraxella catarrhalis
   D: Haemophilus influenzae
8. What is the least common pathogen found in CAP?
   A: Moraxella catarrhalis
   B: Streptococcus pneumoniae
   C: Pseudomonas aeruginosa
   D: Mycoplasma pneumonia
9. The following statements are true about Wilms’ tumor EXCEPT:
   A: The most frequent clinical sign is a palpable abdominal mass
   B: It is a congenital tumor of the kidneys
   C: Microscopic or gross hematuria is sometimes present
   D: The tumor commonly crosses the midline of the abdomen when it is discovered.
10. A 40-year old cashier complains of periods of dizziness and palpitations that have a
    sudden onset. The EKG shows P waves before each QRS complex and a heart rate of
    170beats/min. A carotid massage decreases the heart rate to 80bpm. These findings
    best describe?
    A: Ventricular tachycardia
    B: Paroxysmal atrial tachycardia
    C: Afib
    D: Vfib
11. Which of the following drug classes is indicated for initial tx of an uncomplicated
    case of helicobacter pylori- negative peptic ulcer?
    A: PPI
    B: H2 receptor antagonists
    C: antibiotics
    D: antacids