Leik / ExamEdge FNP Practice Test 2026 – Family Nurse
Practitioner Exam Review Guide
1. What is a contraindication for prescribing Aldactone?
All of the above
Only hyperkalemia
Only renal insufficiency
Only type 2 diabetes mellitus with microalbuminuria
2. Which of the following is true of the recommendations for the prevention and
treatment of overweight in children?
Schools should ensure that children and adolescents get 30 to 60
minutes of physical exercise each week.
Prevention and intervention programs should focus exclusively on
overweight children's health.
Treatment should begin early and promote permanent changes in
lifestyle.
Effective prevention and intervention programs should promote only
weight loss.
3. What is the primary purpose of utilization review in healthcare?
the process used for case management
a system of monitoring and assessing for high-risk areas and
procedures
the process of evaluating the appropriateness of inpatient
hospitalization
the process used for accreditation
,4. Which of the following is a prenatal diagnostic test that involves the removal
of a small amount of the placenta?
Noninvasive prenatal testing (NIPT)
Nuchal translucency screening
Chorionic villus sampling (CVS)
Amniocentesis
5. A 26-year-old man presents with acute abdominal pain. As part of the
evaluation for acute appendicitis, you order a WBC with differential and
anticipate the following results:
total WBCs 16,500 mm3; neutrophils 66%; bands 8%; lymphocytes
22%
total WBCs 4,500 mm3; neutrophils 35%; bands 2%; lymphocytes 45%
total WBCs 18,100 mm3; neutrophils 55%; bands 3%; lymphocytes 28%
total WBCs 14,000 mm3; neutrophils 55%; bands 3%; lymphocytes 38%
6. Describe why hyperkalemia, renal insufficiency, and type 2 diabetes mellitus
with microalbuminuria are considered contraindications for Aldactone.
These conditions can lead to increased potassium levels and
worsen renal function, making Aldactone unsafe.
These conditions only affect the efficacy of Aldactone.
Aldactone is safe in all these conditions.
These conditions are unrelated to Aldactone's mechanism of action.
7. A patient presents with symptoms suggestive of endometriosis but has not
undergone any diagnostic procedures. If laparoscopy is performed and
, confirms the diagnosis, what would be the next appropriate step in
management?
Schedule a follow-up appointment in six months.
Advise the patient to monitor symptoms without intervention.
Refer the patient for genetic testing.
Discuss treatment options including medication and surgery.
8. The nurse is planning to administer the pneumococcus vaccination to a client.
Which of the following would indicate that a client is a candidate for this
vaccination?
Age 65, Recovering form an appendectomy, Diagnosis of Hepatitis
Age 60, Recent knee replacement, Diagnosis of Urinary Tract Infection
Age 55, Diagnosis of pulmonary disease, Diagnosis of hypertension
Age 70, Diagnosis of heart failure, Diagnosis of asthma
9. Describe the role of systemic corticosteroids in the treatment of Bell's palsy
and their timing in relation to disease progression.
Systemic corticosteroids are effective no matter when they are started
during the disease progression.
Systemic corticosteroids can limit the length and severity of
paralysis if started early in the disease progression.
Systemic corticosteroids are the only treatment necessary for Bell's
palsy.
Systemic corticosteroids have no effect on the severity of paralysis.
10. Describe how utilization review impacts patient care in a hospital setting.
, Utilization review is a method for training nursing staff on patient
management.
Utilization review impacts patient care by ensuring that hospital
admissions are necessary and appropriate, which can help optimize
resource use.
Utilization review is primarily focused on the financial aspects of
patient care.
Utilization review is used to determine the best treatment protocols
for all patients.
11. If a healthcare provider is working with a family to manage a child's obesity,
which approach should they prioritize to ensure long-term success?
Promoting healthy eating habits and physical activity through family
involvement.
Encouraging the child to follow a fad diet.
Focusing solely on dietary restrictions without exercise.
Setting strict weight loss goals for the child.
12. What is the diagnostic procedure that is considered the gold standard for
confirming endometriosis?
laparoscopy
CA 125
pelvic ultrasound
MRI
13. What is the primary treatment recommended for immediate lowering of
glucose levels in a patient?
Practitioner Exam Review Guide
1. What is a contraindication for prescribing Aldactone?
All of the above
Only hyperkalemia
Only renal insufficiency
Only type 2 diabetes mellitus with microalbuminuria
2. Which of the following is true of the recommendations for the prevention and
treatment of overweight in children?
Schools should ensure that children and adolescents get 30 to 60
minutes of physical exercise each week.
Prevention and intervention programs should focus exclusively on
overweight children's health.
Treatment should begin early and promote permanent changes in
lifestyle.
Effective prevention and intervention programs should promote only
weight loss.
3. What is the primary purpose of utilization review in healthcare?
the process used for case management
a system of monitoring and assessing for high-risk areas and
procedures
the process of evaluating the appropriateness of inpatient
hospitalization
the process used for accreditation
,4. Which of the following is a prenatal diagnostic test that involves the removal
of a small amount of the placenta?
Noninvasive prenatal testing (NIPT)
Nuchal translucency screening
Chorionic villus sampling (CVS)
Amniocentesis
5. A 26-year-old man presents with acute abdominal pain. As part of the
evaluation for acute appendicitis, you order a WBC with differential and
anticipate the following results:
total WBCs 16,500 mm3; neutrophils 66%; bands 8%; lymphocytes
22%
total WBCs 4,500 mm3; neutrophils 35%; bands 2%; lymphocytes 45%
total WBCs 18,100 mm3; neutrophils 55%; bands 3%; lymphocytes 28%
total WBCs 14,000 mm3; neutrophils 55%; bands 3%; lymphocytes 38%
6. Describe why hyperkalemia, renal insufficiency, and type 2 diabetes mellitus
with microalbuminuria are considered contraindications for Aldactone.
These conditions can lead to increased potassium levels and
worsen renal function, making Aldactone unsafe.
These conditions only affect the efficacy of Aldactone.
Aldactone is safe in all these conditions.
These conditions are unrelated to Aldactone's mechanism of action.
7. A patient presents with symptoms suggestive of endometriosis but has not
undergone any diagnostic procedures. If laparoscopy is performed and
, confirms the diagnosis, what would be the next appropriate step in
management?
Schedule a follow-up appointment in six months.
Advise the patient to monitor symptoms without intervention.
Refer the patient for genetic testing.
Discuss treatment options including medication and surgery.
8. The nurse is planning to administer the pneumococcus vaccination to a client.
Which of the following would indicate that a client is a candidate for this
vaccination?
Age 65, Recovering form an appendectomy, Diagnosis of Hepatitis
Age 60, Recent knee replacement, Diagnosis of Urinary Tract Infection
Age 55, Diagnosis of pulmonary disease, Diagnosis of hypertension
Age 70, Diagnosis of heart failure, Diagnosis of asthma
9. Describe the role of systemic corticosteroids in the treatment of Bell's palsy
and their timing in relation to disease progression.
Systemic corticosteroids are effective no matter when they are started
during the disease progression.
Systemic corticosteroids can limit the length and severity of
paralysis if started early in the disease progression.
Systemic corticosteroids are the only treatment necessary for Bell's
palsy.
Systemic corticosteroids have no effect on the severity of paralysis.
10. Describe how utilization review impacts patient care in a hospital setting.
, Utilization review is a method for training nursing staff on patient
management.
Utilization review impacts patient care by ensuring that hospital
admissions are necessary and appropriate, which can help optimize
resource use.
Utilization review is primarily focused on the financial aspects of
patient care.
Utilization review is used to determine the best treatment protocols
for all patients.
11. If a healthcare provider is working with a family to manage a child's obesity,
which approach should they prioritize to ensure long-term success?
Promoting healthy eating habits and physical activity through family
involvement.
Encouraging the child to follow a fad diet.
Focusing solely on dietary restrictions without exercise.
Setting strict weight loss goals for the child.
12. What is the diagnostic procedure that is considered the gold standard for
confirming endometriosis?
laparoscopy
CA 125
pelvic ultrasound
MRI
13. What is the primary treatment recommended for immediate lowering of
glucose levels in a patient?
