LEIK (AANP) FNP PRACTICE ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026/2027
Q&A | INSTANT DOWNLOAD PDF
Core Domains
Cardiovascular Disorders and EKG Interpretation
Respiratory Disorders and Pulmonary Assessment
Endocrine Disorders and Diabetes Management
Women's Health and Reproductive System
Geriatric Care and Medicare Coverage
Pharmacology and Prescribing Principles
Mental Health and Behavioral Disorders
Infectious Diseases and Immunizations
Clinical Decision-Making and Prioritization
Professional Practice and Reimbursement
Introduction
The LEIK (AANP) FNP Practice Exam assesses the advanced clinical knowledge and decision-making skills
required for family nurse practitioner certification. This examination evaluates cardiovascular,
respiratory, endocrine, women's health, geriatric, pharmacological, and mental health competencies.
Questions are structured in multiple-choice and scenario-based formats emphasizing real-world
application, differential diagnosis, and evidence-based management. Candidates must demonstrate
competency in assessing patients across the lifespan, interpreting diagnostic data, and formulating
appropriate treatment plans consistent with the AANP and ANCC certification blueprints.
SECTION ONE: QUESTIONS 1–100
Question 1
The heart sound S2 is caused by:
A. Closure of the atrioventricular valves
B. Closure of the semilunar valves
C. Opening of the atrioventricular valves
D. Opening of the semilunar valves
B. Closure of the semilunar valves
, RATIONALE: The heart sound S2 is caused by closure of the semilunar (aortic and pulmonic) valves at
the end of ventricular systole. S1 is caused by closure of the atrioventricular (mitral and tricuspid) valves
.
Question 2
A pelvic exam on a woman who is 12 weeks pregnant would reveal that her uterus is located at which of
the following areas?
A. Between the umbilicus and the suprapubic bone
B. Just rising above the suprapubic bone
C. Between the suprapubic bone and the xiphoid process
D. Between the umbilicus and the xiphoid process
B. Just rising above the suprapubic bone
RATIONALE: At 12 weeks' gestation, the uterus measures approximately the size of a grapefruit and
would be felt just above the suprapubic bone on bimanual exam. The uterus reaches the umbilicus at
approximately 20 weeks .
Question 3
All of the following are covered under Medicare Part B except:
A. Persons age 65 years or older
B. Durable medical equipment
C. Mammograms annually starting at age 50
D. Anesthesiologist's services
D. Anesthesiologist's services
RATIONALE: Medicare Part B covers outpatient physician visits, labs, x-rays, durable medical
equipment, mammograms/colonoscopy after age 50 annually, and rehabilitation. Anesthesiologist's
services are covered by Medicare Part A .
Question 4
All of the following patients are at higher risk for suicide except:
A. A 66-year-old White male whose wife of 40 years recently died
B. A high school student with a history of bipolar disorder
C. A depressed 45-year-old female with family history of suicide
D. A 17-year-old teen who has only 1 close friend in school
D. A 17-year-old teen who has only 1 close friend in school
RATIONALE: Risk factors for suicide include elderly white males (especially after death of a spouse),
past history of suicide, family history of suicide, plans for lethal weapon use, and personal history of
bipolar disorder or depression. Having only one close friend is not a primary risk factor .
Question 5
,A 70-year-old male patient complains of a bright red spot in his left eye for 2 days. He denies eye pain,
visual changes, or headaches. He has a new onset of cough from a recent viral upper respiratory
infection. The only medicine he is on is Bayer aspirin 1 tablet a day. Which of the following is most
likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage
D. Subconjunctival hemorrhage
RATIONALE: Subconjunctival hemorrhage is a benign disorder that occurs from an increase in
intraocular pressure caused by coughing, vomiting, forceful exertion, straining, or lifting. The patient's
recent viral URI with cough explains the finding .
Question 6
A 63-year-old patient with a 10-year history of poorly controlled hypertension presents with a cluster of
physical exam findings. Which of the following indicate target organ damage commonly seen in
hypertensive patients?
A. Pedal edema, hepatomegaly, and enlarged kidneys
B. Hepatomegaly, AV nicking, bibasilar crackles
C. Renal infection, S3, neuromuscular abnormalities
D. Glaucoma, jugular vein atrophy, heart failure
B. Hepatomegaly, AV nicking, bibasilar crackles
RATIONALE: With long-term uncontrolled hypertension, organ damage may occur. Organs
commonly affected include the eyes (retinopathy, AV nicking), heart (heart disease, left ventricular
hypertrophy, heart failure), and kidneys. Bibasilar crackles suggest pulmonary congestion from heart
failure .
Question 7
A 58-year-old patient has a blood pressure of 168/98 mmHg on repeated office measurements. Which
classification best describes this blood pressure?
A. Normal blood pressure
B. Elevated blood pressure
C. Stage 1 hypertension
D. Stage 2 hypertension
D. Stage 2 hypertension
RATIONALE: Under ACC/AHA classification, a systolic blood pressure of 140 mmHg or higher or a
diastolic pressure of 90 mmHg or higher is classified as stage 2 hypertension. The patient's 168/98 meets
this category .
, Question 8
A patient with hypertension asks which lifestyle intervention can significantly reduce cardiovascular risk.
Which recommendation is most appropriate?
A. Increase sodium intake
B. Follow a heart-healthy dietary pattern and increase physical activity
C. Avoid all aerobic exercise
D. Increase consumption of processed foods
B. Follow a heart-healthy dietary pattern and increase physical activity
RATIONALE: Dietary improvement, regular physical activity, weight management, and sodium
reduction are important nonpharmacologic interventions for hypertension and cardiovascular risk
reduction .
Question 9
A patient reports crushing substernal chest pressure radiating to the left arm with diaphoresis and
nausea. What is the priority?
A. Schedule an outpatient stress test
B. Treat as possible acute coronary syndrome and obtain emergency evaluation
C. Recommend an antacid and reassess in one week
D. Diagnose anxiety
B. Treat as possible acute coronary syndrome and obtain emergency evaluation
RATIONALE: Chest pressure with radiation, diaphoresis, and nausea is concerning for acute coronary
syndrome. Immediate assessment and emergency management are required .
Question 10
Which symptom is most characteristic of heart failure?
A. Orthopnea
B. Polyuria only
C. Increased appetite
D. Hyperactivity
A. Orthopnea
RATIONALE: Orthopnea—shortness of breath when lying flat—is a classic manifestation of
congestive heart failure and may occur because of pulmonary congestion .
Question 11
A patient with heart failure reports needing three pillows to sleep because of shortness of breath. What
does this symptom represent?
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026/2027
Q&A | INSTANT DOWNLOAD PDF
Core Domains
Cardiovascular Disorders and EKG Interpretation
Respiratory Disorders and Pulmonary Assessment
Endocrine Disorders and Diabetes Management
Women's Health and Reproductive System
Geriatric Care and Medicare Coverage
Pharmacology and Prescribing Principles
Mental Health and Behavioral Disorders
Infectious Diseases and Immunizations
Clinical Decision-Making and Prioritization
Professional Practice and Reimbursement
Introduction
The LEIK (AANP) FNP Practice Exam assesses the advanced clinical knowledge and decision-making skills
required for family nurse practitioner certification. This examination evaluates cardiovascular,
respiratory, endocrine, women's health, geriatric, pharmacological, and mental health competencies.
Questions are structured in multiple-choice and scenario-based formats emphasizing real-world
application, differential diagnosis, and evidence-based management. Candidates must demonstrate
competency in assessing patients across the lifespan, interpreting diagnostic data, and formulating
appropriate treatment plans consistent with the AANP and ANCC certification blueprints.
SECTION ONE: QUESTIONS 1–100
Question 1
The heart sound S2 is caused by:
A. Closure of the atrioventricular valves
B. Closure of the semilunar valves
C. Opening of the atrioventricular valves
D. Opening of the semilunar valves
B. Closure of the semilunar valves
, RATIONALE: The heart sound S2 is caused by closure of the semilunar (aortic and pulmonic) valves at
the end of ventricular systole. S1 is caused by closure of the atrioventricular (mitral and tricuspid) valves
.
Question 2
A pelvic exam on a woman who is 12 weeks pregnant would reveal that her uterus is located at which of
the following areas?
A. Between the umbilicus and the suprapubic bone
B. Just rising above the suprapubic bone
C. Between the suprapubic bone and the xiphoid process
D. Between the umbilicus and the xiphoid process
B. Just rising above the suprapubic bone
RATIONALE: At 12 weeks' gestation, the uterus measures approximately the size of a grapefruit and
would be felt just above the suprapubic bone on bimanual exam. The uterus reaches the umbilicus at
approximately 20 weeks .
Question 3
All of the following are covered under Medicare Part B except:
A. Persons age 65 years or older
B. Durable medical equipment
C. Mammograms annually starting at age 50
D. Anesthesiologist's services
D. Anesthesiologist's services
RATIONALE: Medicare Part B covers outpatient physician visits, labs, x-rays, durable medical
equipment, mammograms/colonoscopy after age 50 annually, and rehabilitation. Anesthesiologist's
services are covered by Medicare Part A .
Question 4
All of the following patients are at higher risk for suicide except:
A. A 66-year-old White male whose wife of 40 years recently died
B. A high school student with a history of bipolar disorder
C. A depressed 45-year-old female with family history of suicide
D. A 17-year-old teen who has only 1 close friend in school
D. A 17-year-old teen who has only 1 close friend in school
RATIONALE: Risk factors for suicide include elderly white males (especially after death of a spouse),
past history of suicide, family history of suicide, plans for lethal weapon use, and personal history of
bipolar disorder or depression. Having only one close friend is not a primary risk factor .
Question 5
,A 70-year-old male patient complains of a bright red spot in his left eye for 2 days. He denies eye pain,
visual changes, or headaches. He has a new onset of cough from a recent viral upper respiratory
infection. The only medicine he is on is Bayer aspirin 1 tablet a day. Which of the following is most
likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage
D. Subconjunctival hemorrhage
RATIONALE: Subconjunctival hemorrhage is a benign disorder that occurs from an increase in
intraocular pressure caused by coughing, vomiting, forceful exertion, straining, or lifting. The patient's
recent viral URI with cough explains the finding .
Question 6
A 63-year-old patient with a 10-year history of poorly controlled hypertension presents with a cluster of
physical exam findings. Which of the following indicate target organ damage commonly seen in
hypertensive patients?
A. Pedal edema, hepatomegaly, and enlarged kidneys
B. Hepatomegaly, AV nicking, bibasilar crackles
C. Renal infection, S3, neuromuscular abnormalities
D. Glaucoma, jugular vein atrophy, heart failure
B. Hepatomegaly, AV nicking, bibasilar crackles
RATIONALE: With long-term uncontrolled hypertension, organ damage may occur. Organs
commonly affected include the eyes (retinopathy, AV nicking), heart (heart disease, left ventricular
hypertrophy, heart failure), and kidneys. Bibasilar crackles suggest pulmonary congestion from heart
failure .
Question 7
A 58-year-old patient has a blood pressure of 168/98 mmHg on repeated office measurements. Which
classification best describes this blood pressure?
A. Normal blood pressure
B. Elevated blood pressure
C. Stage 1 hypertension
D. Stage 2 hypertension
D. Stage 2 hypertension
RATIONALE: Under ACC/AHA classification, a systolic blood pressure of 140 mmHg or higher or a
diastolic pressure of 90 mmHg or higher is classified as stage 2 hypertension. The patient's 168/98 meets
this category .
, Question 8
A patient with hypertension asks which lifestyle intervention can significantly reduce cardiovascular risk.
Which recommendation is most appropriate?
A. Increase sodium intake
B. Follow a heart-healthy dietary pattern and increase physical activity
C. Avoid all aerobic exercise
D. Increase consumption of processed foods
B. Follow a heart-healthy dietary pattern and increase physical activity
RATIONALE: Dietary improvement, regular physical activity, weight management, and sodium
reduction are important nonpharmacologic interventions for hypertension and cardiovascular risk
reduction .
Question 9
A patient reports crushing substernal chest pressure radiating to the left arm with diaphoresis and
nausea. What is the priority?
A. Schedule an outpatient stress test
B. Treat as possible acute coronary syndrome and obtain emergency evaluation
C. Recommend an antacid and reassess in one week
D. Diagnose anxiety
B. Treat as possible acute coronary syndrome and obtain emergency evaluation
RATIONALE: Chest pressure with radiation, diaphoresis, and nausea is concerning for acute coronary
syndrome. Immediate assessment and emergency management are required .
Question 10
Which symptom is most characteristic of heart failure?
A. Orthopnea
B. Polyuria only
C. Increased appetite
D. Hyperactivity
A. Orthopnea
RATIONALE: Orthopnea—shortness of breath when lying flat—is a classic manifestation of
congestive heart failure and may occur because of pulmonary congestion .
Question 11
A patient with heart failure reports needing three pillows to sleep because of shortness of breath. What
does this symptom represent?
