LEIK FNP practice questions REAL EXAM QUESTIONS
AND CORRECT ANSWERS ( VERIFIED ANSWERS )
ALREADY GRADED A+ / (ASSURED!!) 2025 BRAND NEW
EXAM!!
Erythema Migrans - -answer-The mother of an 8 yr old boy reports the presence of a round red rash o
the child's left lower leg. It appeared 1 wk after the child returned from visiting his grandparents who
live in Massachusetts. During the skin exam, the maculopapular rash is noted to have areas of central
clearing making it resemble a target. What is the most likely diagnosis? (an annular lesion that enlarges
and with time has a central clearing. Commonly caused by a bite from an infected tick and can cause
Lyme disease if not treated appropriately. Lyme disease is most common in the northeastern US
Cimetidine (Tagamet), Digoxin (Lanolin), Diphenhydramine (Benadryl) - -answer-Some pharmacologic
agents may cause confusion in the elderly. Which pharmacologic agents is most likely to cause confusion
in this population?
Calcium channel blockers - -answer-A 55 yr old female with a history of migraine headaches has recently
been diagnosed with Stage II hypertension. Her EKG strips reveal second-degree heart block. The chest
x-ray is normal. Which drugs should this patient avoid?
CN V - -answer-What cranial nerve is evaluated when a wisp of cotton is lightly brushed agains the
corner of the eye?
Electrolyte panel
Serum amylase level
Serum lipase level - -answer-When a patient is suspected of having acute pancreatitis, initial testing
should include all of the following
,The fat pads on an infant's feet can resemble Pes Planus - -answer-What is true regarding pes planus in
an infant?
Pes Planus - -answer-Flat Feet
Alcoholics should avoid food or drinks that contain alcohol, such as cough syrup. - -answer-What is true
regarding the rehabilitation of an alcoholic?
Absence Seizure (petit mal seizure) - -answer-A mother of a 7 yr old boy tells the FNP that his teacher
has complained to her that her son's frequent episodes of daydreaming. While the child is at home, the
mother reports that sometimes her son seems not to hear her. The child "blanks out" for a short period
of time. What is the most likely diagnosis?
-The document's objectives are not only applicable nationally, but also internationally
-One of the objectives of the document is to help people achieve physical health
-The document is formulated by a special committee formed by an alliance of all the state health
departments. - -answer-The following are correct statements regarding the Healthy People 202
Fetal Alcohol Syndorme - -answer-A newborn infant who is small for gestational age is noted to have
shortened palpebral fissures and microencephaly with a small jaw. This is most likely to be diagnosed
with:
Lung Cancer - -answer-What is the most common cause of cancer deaths in women in the US?
Cervical Cancer - -answer-HPV infection in women has been associated with the development of what?
Thrush, Kaposi's sarcoma, hairy leukoplakia of the tongue - -answer-All of the following are used in the
criteria to diagnose a person with AIDS:
Hypertrophic cardiomyopathy - -answer-What condition is the most common cause of sudden death
among athletes?
,15-18cm in the midclavicular line - -answer-The span of a normal adult liver is?
Brudzinski's sign - -answer-A pt who is complaining of 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 pt reacts by quickly flexing his hip and knee. What is the name of this positive finding?
Osgood-Schlatter disease - -answer-A neighbor's 14 yr old son, who is active in basketball, complains of
pain and swelling on both knees. On physical exam, there is tenderness over the tibial tuberosity of both
knees. What diagnosis is most likely?
Penicillin (PenVK) - -answer-A woman is 32 wks gestation with a positive throat culture for trip
pyogenes. She denies allergies but gets very nauseated with erythromycin. Which medication is the best
choice for this pregnant patient?
This is a normal finding - -answer-During a sports physical exam, a 16yr old patient is noted to have a
few beats of horizontal nystagmus on extreme lateral gaze that disappear when the eyes move back
toward midline. What best describes this clinical finding?
Acute cholecystitis - -answer-An urgent care NP is assessing a 45 yr old white woman with a BMI of 32
for complaints of intermittent right upper quadrant pain over the past few weeks that is precipitated by
eating fried foods and peanut butter. On exam, the patients heart and lungs are normal. There is no pain
over the costovertebral angle. During abdominal exam, the bowel sounds are present in all quads. While
palpating deeply on the right upper quadrant during deep inspiration, the patient complains of severe
sharp pain to the NP. What is this best described as?
Ciprofloxacin (Cipro) - -answer-What drug is recommended by the CDC as first line treatment for
treating infections of the organism Bacillus Anthrax?
Maternal age older than 35y/o - -answer-A major risk factor for Down syndrome infant is:
Lupus Erythematosus - -answer-A new pt who is 40 yrs old female postal worker is being evaluated for
complaints of new onset of an erythamotous rash on both her cheeks and on the bridge of her nose that
is accompanied by fatigue. She reports a history of Hashimoto's thyroiditis and currently being treated
with synthroid 1.25 mg daily What condition is most likely?
, Pneumococcal and influenza vaccine - -answer-A 65 yr old comes into the clinic during the first week of
November for her annual wellness visit. Her last Td booster was 9yrs ago. Which immunizations should
she get this morning?
Paroxysms of coughing that is dry or productive of mucoid sputum. - -answer-Acute bronchitis is best
characterized by?
Arcus Senilis - -answer-The NP notices a gray ring on the edge of both irises of an 80-yr old female. The
pt denies visual changes or pain. She reports that she has had the "ring" for many years. What is the
most likely diagnosis?
The patient should be evaluated for hyperlipidemia. - -answer-What would be the clinical significance of
Arcus Senilis on the irises of the eye on a 35 yr old pt?
Central vision - -answer-The cones in the retina of the eye are responsible for what?
Severe facial burns
Electrical burns
Burns that involve the cartilage of the ear - -answer-The NP would refer all of the following to a
physician:
2nd intercostal space left of the sternal border - -answer-On auscultation of the chef, a split S2 is best
heard
150/90 - -answer-According to the guidelines outlined in the Eighth Joint National Committee the target
BP goal for hypertensive pts who are aged 60yrs or older is:
Second-degree burn - -answer-What type of degree of burn would a severe burn with blistering be
classified as?
Her son's physical development is delayed and he should be evaluated by a pediatric endocrinologist - -
answer-The mother of a 16yr old boy is concerned that her son is not developing normally. On physical
AND CORRECT ANSWERS ( VERIFIED ANSWERS )
ALREADY GRADED A+ / (ASSURED!!) 2025 BRAND NEW
EXAM!!
Erythema Migrans - -answer-The mother of an 8 yr old boy reports the presence of a round red rash o
the child's left lower leg. It appeared 1 wk after the child returned from visiting his grandparents who
live in Massachusetts. During the skin exam, the maculopapular rash is noted to have areas of central
clearing making it resemble a target. What is the most likely diagnosis? (an annular lesion that enlarges
and with time has a central clearing. Commonly caused by a bite from an infected tick and can cause
Lyme disease if not treated appropriately. Lyme disease is most common in the northeastern US
Cimetidine (Tagamet), Digoxin (Lanolin), Diphenhydramine (Benadryl) - -answer-Some pharmacologic
agents may cause confusion in the elderly. Which pharmacologic agents is most likely to cause confusion
in this population?
Calcium channel blockers - -answer-A 55 yr old female with a history of migraine headaches has recently
been diagnosed with Stage II hypertension. Her EKG strips reveal second-degree heart block. The chest
x-ray is normal. Which drugs should this patient avoid?
CN V - -answer-What cranial nerve is evaluated when a wisp of cotton is lightly brushed agains the
corner of the eye?
Electrolyte panel
Serum amylase level
Serum lipase level - -answer-When a patient is suspected of having acute pancreatitis, initial testing
should include all of the following
,The fat pads on an infant's feet can resemble Pes Planus - -answer-What is true regarding pes planus in
an infant?
Pes Planus - -answer-Flat Feet
Alcoholics should avoid food or drinks that contain alcohol, such as cough syrup. - -answer-What is true
regarding the rehabilitation of an alcoholic?
Absence Seizure (petit mal seizure) - -answer-A mother of a 7 yr old boy tells the FNP that his teacher
has complained to her that her son's frequent episodes of daydreaming. While the child is at home, the
mother reports that sometimes her son seems not to hear her. The child "blanks out" for a short period
of time. What is the most likely diagnosis?
-The document's objectives are not only applicable nationally, but also internationally
-One of the objectives of the document is to help people achieve physical health
-The document is formulated by a special committee formed by an alliance of all the state health
departments. - -answer-The following are correct statements regarding the Healthy People 202
Fetal Alcohol Syndorme - -answer-A newborn infant who is small for gestational age is noted to have
shortened palpebral fissures and microencephaly with a small jaw. This is most likely to be diagnosed
with:
Lung Cancer - -answer-What is the most common cause of cancer deaths in women in the US?
Cervical Cancer - -answer-HPV infection in women has been associated with the development of what?
Thrush, Kaposi's sarcoma, hairy leukoplakia of the tongue - -answer-All of the following are used in the
criteria to diagnose a person with AIDS:
Hypertrophic cardiomyopathy - -answer-What condition is the most common cause of sudden death
among athletes?
,15-18cm in the midclavicular line - -answer-The span of a normal adult liver is?
Brudzinski's sign - -answer-A pt who is complaining of 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 pt reacts by quickly flexing his hip and knee. What is the name of this positive finding?
Osgood-Schlatter disease - -answer-A neighbor's 14 yr old son, who is active in basketball, complains of
pain and swelling on both knees. On physical exam, there is tenderness over the tibial tuberosity of both
knees. What diagnosis is most likely?
Penicillin (PenVK) - -answer-A woman is 32 wks gestation with a positive throat culture for trip
pyogenes. She denies allergies but gets very nauseated with erythromycin. Which medication is the best
choice for this pregnant patient?
This is a normal finding - -answer-During a sports physical exam, a 16yr old patient is noted to have a
few beats of horizontal nystagmus on extreme lateral gaze that disappear when the eyes move back
toward midline. What best describes this clinical finding?
Acute cholecystitis - -answer-An urgent care NP is assessing a 45 yr old white woman with a BMI of 32
for complaints of intermittent right upper quadrant pain over the past few weeks that is precipitated by
eating fried foods and peanut butter. On exam, the patients heart and lungs are normal. There is no pain
over the costovertebral angle. During abdominal exam, the bowel sounds are present in all quads. While
palpating deeply on the right upper quadrant during deep inspiration, the patient complains of severe
sharp pain to the NP. What is this best described as?
Ciprofloxacin (Cipro) - -answer-What drug is recommended by the CDC as first line treatment for
treating infections of the organism Bacillus Anthrax?
Maternal age older than 35y/o - -answer-A major risk factor for Down syndrome infant is:
Lupus Erythematosus - -answer-A new pt who is 40 yrs old female postal worker is being evaluated for
complaints of new onset of an erythamotous rash on both her cheeks and on the bridge of her nose that
is accompanied by fatigue. She reports a history of Hashimoto's thyroiditis and currently being treated
with synthroid 1.25 mg daily What condition is most likely?
, Pneumococcal and influenza vaccine - -answer-A 65 yr old comes into the clinic during the first week of
November for her annual wellness visit. Her last Td booster was 9yrs ago. Which immunizations should
she get this morning?
Paroxysms of coughing that is dry or productive of mucoid sputum. - -answer-Acute bronchitis is best
characterized by?
Arcus Senilis - -answer-The NP notices a gray ring on the edge of both irises of an 80-yr old female. The
pt denies visual changes or pain. She reports that she has had the "ring" for many years. What is the
most likely diagnosis?
The patient should be evaluated for hyperlipidemia. - -answer-What would be the clinical significance of
Arcus Senilis on the irises of the eye on a 35 yr old pt?
Central vision - -answer-The cones in the retina of the eye are responsible for what?
Severe facial burns
Electrical burns
Burns that involve the cartilage of the ear - -answer-The NP would refer all of the following to a
physician:
2nd intercostal space left of the sternal border - -answer-On auscultation of the chef, a split S2 is best
heard
150/90 - -answer-According to the guidelines outlined in the Eighth Joint National Committee the target
BP goal for hypertensive pts who are aged 60yrs or older is:
Second-degree burn - -answer-What type of degree of burn would a severe burn with blistering be
classified as?
Her son's physical development is delayed and he should be evaluated by a pediatric endocrinologist - -
answer-The mother of a 16yr old boy is concerned that her son is not developing normally. On physical
