LEIK FNP Practice Questions NRNP 6541 ||2026/2027 LATEST
SPRING SUMMER ACTUAL EXAM ACTUAL EXAM Complete
Verified Questions And Correct Detailed Answers|
GUARANTEED PASS Graded A+
Which of the following patients is least likely to become an alcoholic?
A) A patient whose father has a history of alcoholism
B) A patient whose wife complains that he drinks too much
C) A patient who drinks one cup of wine nightly with dinner
D) A patient who feels he drinks all the time C) A patient who drinks one cup of wine nightly with
dinner
Excessive use or exposure to alcohol puts that patient at risk for becoming an alcoholic. A patient who
drinks one glass of wine at dinner has a lower risk of becoming an alcoholic than someone who has been
exposed to alcohol while growing up, one who drinks all the time, or one whose family believes he is
drinking excessively.
The following conditions are absolute contraindications for the use of oral contraceptives except:
A) Hepatomas
B) History of emboli that resolved with heparin therapy 15 years ago
C) A family history of migraines with aura
D) A history of gallbladder disease during pregnancy C) A family history of migraines with aura
All of the items are contraindications, but a family history does not substantiate a need to avoid oral
contraceptives.
The most common cause of cancer deaths in males is:
1
,A) Lung cancer
B) Prostate cancer
C) Colon cancer
D) Skin cance A) Lung cancer
Lung cancer is the most common cause of cancer deaths in men. Prostate cancer and colon cancer are
the second and third causes of cancer death in men.
Which of the following findings are seen in a patient with folate-deficiency anemia?
A) Microcytic and hypochromic RBCs
B) Microcytic and normochromic RBCs
C) Normal size and color of the RBCs
D) Macrocytic and normocytic RBCs D) Macrocytic and normocytic RBCs
Folate-deficiency anemia is diagnosed by macrocytic, normocytic red blood cell.
When confirming a case of temporal arteritis, the erythrocyte sedimentation rate (ESR) is expected to
be:
A) Normal
B) Lower than normal
C) Elevated
D) Indeterminate result C) Elevated
Temporal arteritis can be diagnosed by having an elevated erythrocyte sedimentation rate.
Mrs. Green, age 45, is complaining of generalized morning stiffness, especially in both her wrist and
hands. It is much worse in the morning and lasts for a few hours. She also complains of fatigue and
generalized body aches that have been present for the past few months. Which of the following is most
likely?
A) Osteoporosis
2
,B) Rheumatoid arthritis
C) Osteoarthritis
D) Gout B) Rheumatoid arthritis
Signs and symptoms of rheumatoid arthritis include symmetrical joint stiffness, swelling, and pain in the
hands, wrists, elbows, ankles, and shoulders. Other common complaints include fatigue, malaise, fever,
and generalized body aches.
During a well child visit, a new father wants to know if he can give fresh whole milk to his 6-month-old
son. The nurse practitioner would recommend that:
A) He can start giving whole milk but not skim milk by 6 months of age
B) He should not give whole milk to his son until the boy is at least 12 months of age
C) He can give whole milk to his son at anytime
D) He should not give whole milk to his son without diluting it with water B) He should not give
whole milk to his son until the boy is at least 12 months of age
The American Academy of Pediatrics does not recommend offering whole milk to children younger than
12 months of age.
Which of the following drugs is effective therapy for treating pain in patients who are having an acute
exacerbation of gout?
A) Acetaminophen (Tylenol)
B) Systemic steroids
C) Indomethacin (Indocin)
D) Allopurinol (Zyloprim) C) Indomethacin (Indocin)
Common medications used for acute flare-ups of gout include two NSAIDs, such as indomethacin and
naproxen sodium, BID prn. Colchicine may be added to the NSAIDs if relief is not obtained. Maintenance
therapy consists of allopurinol and/or probenecid.
The complications of untreated gout include:
A) Loss of joint mobility and renal failure
3
, B) Loss of joint mobility and liver failure
C) An increased risk of urinary tract infections
D) Bladder cancer A) Loss of joint mobility and renal failure
Complications of untreated gout are loss of joint mobility and renal failure. High uric acid levels can also
lead to kidney stones.
A 21-year-old female who is complaining of random palpitations is diagnosed with mitral valve prolapse
(MVP). Her echocardiogram (EKG) reveals redundant and thickened leaflets. You note a Grade III/VI
systolic murmur with an ejection click during physical examination. You would recommend:
A) Endocarditis prophylaxis for most dental and urologic procedures
B) Endocarditis prophylaxis is not necessary
C) Lifetime anticoagulation therapy with warfarin sodium
D) Endocarditis prophylaxis for dental procedures only B) Endocarditis prophylaxis is not necessary
Prophylaxis treatment for endocarditis is no longer recommended for MVP.
You note bony nodules located at the proximal interphalangeal joints on both the hands of your 65-year-
old female patient. Which of the following is most likely?
A) Bouchard's node
B) Heberden's node
C) Osteoarthritic nodules
D) Tophi deposits A) Bouchard's node
Bony nodules at the proximal interphalangeal joints of the hands are called Bouchard's nodes.
Heberden's nodes are nodules on the distal interphalangeal joints. Tophi deposits are seen with gout,
where high levels of uric acid in the blood occur and cause nodules in the joint that can eventually
destroy the bone. Osteoarthritic nodules develop in the joints of the hands.
Which chronic illness disproportionately affects the Hispanic population?
A) Diabetes mellitus
4
SPRING SUMMER ACTUAL EXAM ACTUAL EXAM Complete
Verified Questions And Correct Detailed Answers|
GUARANTEED PASS Graded A+
Which of the following patients is least likely to become an alcoholic?
A) A patient whose father has a history of alcoholism
B) A patient whose wife complains that he drinks too much
C) A patient who drinks one cup of wine nightly with dinner
D) A patient who feels he drinks all the time C) A patient who drinks one cup of wine nightly with
dinner
Excessive use or exposure to alcohol puts that patient at risk for becoming an alcoholic. A patient who
drinks one glass of wine at dinner has a lower risk of becoming an alcoholic than someone who has been
exposed to alcohol while growing up, one who drinks all the time, or one whose family believes he is
drinking excessively.
The following conditions are absolute contraindications for the use of oral contraceptives except:
A) Hepatomas
B) History of emboli that resolved with heparin therapy 15 years ago
C) A family history of migraines with aura
D) A history of gallbladder disease during pregnancy C) A family history of migraines with aura
All of the items are contraindications, but a family history does not substantiate a need to avoid oral
contraceptives.
The most common cause of cancer deaths in males is:
1
,A) Lung cancer
B) Prostate cancer
C) Colon cancer
D) Skin cance A) Lung cancer
Lung cancer is the most common cause of cancer deaths in men. Prostate cancer and colon cancer are
the second and third causes of cancer death in men.
Which of the following findings are seen in a patient with folate-deficiency anemia?
A) Microcytic and hypochromic RBCs
B) Microcytic and normochromic RBCs
C) Normal size and color of the RBCs
D) Macrocytic and normocytic RBCs D) Macrocytic and normocytic RBCs
Folate-deficiency anemia is diagnosed by macrocytic, normocytic red blood cell.
When confirming a case of temporal arteritis, the erythrocyte sedimentation rate (ESR) is expected to
be:
A) Normal
B) Lower than normal
C) Elevated
D) Indeterminate result C) Elevated
Temporal arteritis can be diagnosed by having an elevated erythrocyte sedimentation rate.
Mrs. Green, age 45, is complaining of generalized morning stiffness, especially in both her wrist and
hands. It is much worse in the morning and lasts for a few hours. She also complains of fatigue and
generalized body aches that have been present for the past few months. Which of the following is most
likely?
A) Osteoporosis
2
,B) Rheumatoid arthritis
C) Osteoarthritis
D) Gout B) Rheumatoid arthritis
Signs and symptoms of rheumatoid arthritis include symmetrical joint stiffness, swelling, and pain in the
hands, wrists, elbows, ankles, and shoulders. Other common complaints include fatigue, malaise, fever,
and generalized body aches.
During a well child visit, a new father wants to know if he can give fresh whole milk to his 6-month-old
son. The nurse practitioner would recommend that:
A) He can start giving whole milk but not skim milk by 6 months of age
B) He should not give whole milk to his son until the boy is at least 12 months of age
C) He can give whole milk to his son at anytime
D) He should not give whole milk to his son without diluting it with water B) He should not give
whole milk to his son until the boy is at least 12 months of age
The American Academy of Pediatrics does not recommend offering whole milk to children younger than
12 months of age.
Which of the following drugs is effective therapy for treating pain in patients who are having an acute
exacerbation of gout?
A) Acetaminophen (Tylenol)
B) Systemic steroids
C) Indomethacin (Indocin)
D) Allopurinol (Zyloprim) C) Indomethacin (Indocin)
Common medications used for acute flare-ups of gout include two NSAIDs, such as indomethacin and
naproxen sodium, BID prn. Colchicine may be added to the NSAIDs if relief is not obtained. Maintenance
therapy consists of allopurinol and/or probenecid.
The complications of untreated gout include:
A) Loss of joint mobility and renal failure
3
, B) Loss of joint mobility and liver failure
C) An increased risk of urinary tract infections
D) Bladder cancer A) Loss of joint mobility and renal failure
Complications of untreated gout are loss of joint mobility and renal failure. High uric acid levels can also
lead to kidney stones.
A 21-year-old female who is complaining of random palpitations is diagnosed with mitral valve prolapse
(MVP). Her echocardiogram (EKG) reveals redundant and thickened leaflets. You note a Grade III/VI
systolic murmur with an ejection click during physical examination. You would recommend:
A) Endocarditis prophylaxis for most dental and urologic procedures
B) Endocarditis prophylaxis is not necessary
C) Lifetime anticoagulation therapy with warfarin sodium
D) Endocarditis prophylaxis for dental procedures only B) Endocarditis prophylaxis is not necessary
Prophylaxis treatment for endocarditis is no longer recommended for MVP.
You note bony nodules located at the proximal interphalangeal joints on both the hands of your 65-year-
old female patient. Which of the following is most likely?
A) Bouchard's node
B) Heberden's node
C) Osteoarthritic nodules
D) Tophi deposits A) Bouchard's node
Bony nodules at the proximal interphalangeal joints of the hands are called Bouchard's nodes.
Heberden's nodes are nodules on the distal interphalangeal joints. Tophi deposits are seen with gout,
where high levels of uric acid in the blood occur and cause nodules in the joint that can eventually
destroy the bone. Osteoarthritic nodules develop in the joints of the hands.
Which chronic illness disproportionately affects the Hispanic population?
A) Diabetes mellitus
4
