LEIK FNP Practice Questions EXAM QUESTION AND
ANSWER FALL 2025/26 -THE UNIVERSITY OF TEXAS AT
ARLINGTON
A 17-year-old high school student is considering her birth control options. She wants to know more
about Seasonale. Which of the following statements is false?
A) Taking Seasonale results in only 4 periods per year
B) Her period will occur within the 7 days when she is on the inert pills
C) It is a progesterone-only method of birth control and does not contain estrogen
D) Take 1 tablet daily for 84 consecutive days followed by 7 days of inert pills - answer- ; C) It is a
progesterone-only method of birth control and does not contain estrogen
Seasonale is an extended-cycle form of birth control. It contains both levonorgestrel and ethinyl
estradiol. There are 84 pink tablets (active) and 7 white pills (inert). In general, more spotting
(breakthrough bleeding) is experienced
with extended-cycle pills during the first few months of use (compared with the monthly birth control
pills).
Which of the following diseases is associated with a high risk of giant cell arteritis?
A) History of transient ischemia attacks (TIA)
B) Frequent migraine headaches with focal neurologic findings
C) Polymyalgia rheumatica
D) Systemic lupus erythematosus (SLE) - answer- ; C) Polymyalgia rheumatica
,Giant cell arteritis (also known as temporal arteritis) is more common among patients with PMR. It can
cause permanent blindness if it is not treated. PMR patients are taught how to recognize it. The quick
onset of vision loss in one eye, accompanied by a tender indurated artery and scalp tenderness on the
same side, are classic symptoms. The screening
test is the sedimentation rate and C-reactive protein test. Both will be markedly elevated.
Which of the following is a good example of how the "utilitarian" principle is applied?
A) Helping a patient decide the type of treatment that he/she wants
B) Using limited societal financial resources on programs that will positively affect the largest number of
people possible and have the lowest possible negative outcomes
C) Minimize the bad outcome when choosing treatment choices for a patient
D) Health caregivers should be more careful when using health care financial resources - answer- ; B)
Using limited societal financial resources on programs that will positively affect the largest number of
people possible and have the lowest possible negative outcomes
Generally, the utilitarian principle refers to societal programs that will affect or benefit the largest
number of people in a positive manner. It is not
used to refer to an individual or to one person.
All of the following clinical findings are classified as major criteria that are necessary to diagnose pelvic
inflammatory disease (PID). Which of the following is classified as a minor criterion?
A) Cervical motion tenderness
B) Adnexal tenderness
C) Uterine tenderness
D) Oral temperature of more than 101°F (more than 38°C) - answer- ; D) Oral temperature of more than
101°F (more than 38°C)
,PID is a clinical diagnosis. The presence of at least 1 of the major criteria (cervical motion tenderness,
adnexal tenderness, uterine tenderness) when combined with the history is highly suggestive of PID.
Minor criteria are not necessary, but they help to support the diagnosis of PID (oral temperature of
more than 101°F or more than 38°C), mucopurulent cervical or vaginal discharge, elevated
sedimentation rate, elevated C-reactive protein, large amount of WBCs on saline microscopy of the
vaginal fluid, or laboratory documentation of cervical infection with N. gonorrhoeae or C.
trachomatis).
What structure of the eye is responsible for 20/20 vision (sharpest vision)?
A) Rods
B) Cones
C) Optic disc
D) Fovea of the macula - answer- ; D) Fovea of the macula
The fovea is located on the center of the macula and is responsible for the sharpest vision ("20/20
vision") in the eyes. On the fovea, the only receptors are the cones, which allow us to see things in color
and in detail. The macula is responsible for central vision.
An nurse practitioner, who is a recent graduate, is asking an experienced nurse practitioner's opinion
about managing a patient who has multiple health problems. What type of relationship exists between
the nurse practitioners?
A) Collaborative relationship
B) Consultative relationship
C) Referral relationship
D) Formal relationship - answer- ; B) Consultative relationship
A consultative relationship is an informal process between two or more providers who exchange
information about a patient occasionally.
, A 15-year-old female who attends a public school is referred to the nurse practitioner by one of her
teachers. The teen has been missing school and is falling behind in her schoolwork. After closing the
exam room door, the nurse practitioner starts to interview the teen, asking about her moods, her
appetite, her sleep, whether she any plan of hurting herself or others, and other questions. What is the
level of health prevention that the nurse practitioner is performing?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Dropout prevention program - answer- ; B) Secondary prevention
The nurse practitioner is evaluating the teenager for
major depression. Because the teenager already has the disease (depression), it is a screening "test." All
screening tests/labs (mammography, Pap smears, etc.) are
secondary prevention activities.
All of the following signs and symptoms are present with an anticholinergic drug overdose except:
A) Dilated pupils
B) Flushing and tachycardia
C) Hypertension
D) Confusion - answer- ; C) Hypertension
Drugs with strong anticholinergic properties include diphenhydramine, scopolamine, TCAs,
antipsychotics, and others. The mnemonic is
"dry as a bone, red as a beet, mad as a hatter, blind as a bat." Look for a low-grade temperature.
ANSWER FALL 2025/26 -THE UNIVERSITY OF TEXAS AT
ARLINGTON
A 17-year-old high school student is considering her birth control options. She wants to know more
about Seasonale. Which of the following statements is false?
A) Taking Seasonale results in only 4 periods per year
B) Her period will occur within the 7 days when she is on the inert pills
C) It is a progesterone-only method of birth control and does not contain estrogen
D) Take 1 tablet daily for 84 consecutive days followed by 7 days of inert pills - answer- ; C) It is a
progesterone-only method of birth control and does not contain estrogen
Seasonale is an extended-cycle form of birth control. It contains both levonorgestrel and ethinyl
estradiol. There are 84 pink tablets (active) and 7 white pills (inert). In general, more spotting
(breakthrough bleeding) is experienced
with extended-cycle pills during the first few months of use (compared with the monthly birth control
pills).
Which of the following diseases is associated with a high risk of giant cell arteritis?
A) History of transient ischemia attacks (TIA)
B) Frequent migraine headaches with focal neurologic findings
C) Polymyalgia rheumatica
D) Systemic lupus erythematosus (SLE) - answer- ; C) Polymyalgia rheumatica
,Giant cell arteritis (also known as temporal arteritis) is more common among patients with PMR. It can
cause permanent blindness if it is not treated. PMR patients are taught how to recognize it. The quick
onset of vision loss in one eye, accompanied by a tender indurated artery and scalp tenderness on the
same side, are classic symptoms. The screening
test is the sedimentation rate and C-reactive protein test. Both will be markedly elevated.
Which of the following is a good example of how the "utilitarian" principle is applied?
A) Helping a patient decide the type of treatment that he/she wants
B) Using limited societal financial resources on programs that will positively affect the largest number of
people possible and have the lowest possible negative outcomes
C) Minimize the bad outcome when choosing treatment choices for a patient
D) Health caregivers should be more careful when using health care financial resources - answer- ; B)
Using limited societal financial resources on programs that will positively affect the largest number of
people possible and have the lowest possible negative outcomes
Generally, the utilitarian principle refers to societal programs that will affect or benefit the largest
number of people in a positive manner. It is not
used to refer to an individual or to one person.
All of the following clinical findings are classified as major criteria that are necessary to diagnose pelvic
inflammatory disease (PID). Which of the following is classified as a minor criterion?
A) Cervical motion tenderness
B) Adnexal tenderness
C) Uterine tenderness
D) Oral temperature of more than 101°F (more than 38°C) - answer- ; D) Oral temperature of more than
101°F (more than 38°C)
,PID is a clinical diagnosis. The presence of at least 1 of the major criteria (cervical motion tenderness,
adnexal tenderness, uterine tenderness) when combined with the history is highly suggestive of PID.
Minor criteria are not necessary, but they help to support the diagnosis of PID (oral temperature of
more than 101°F or more than 38°C), mucopurulent cervical or vaginal discharge, elevated
sedimentation rate, elevated C-reactive protein, large amount of WBCs on saline microscopy of the
vaginal fluid, or laboratory documentation of cervical infection with N. gonorrhoeae or C.
trachomatis).
What structure of the eye is responsible for 20/20 vision (sharpest vision)?
A) Rods
B) Cones
C) Optic disc
D) Fovea of the macula - answer- ; D) Fovea of the macula
The fovea is located on the center of the macula and is responsible for the sharpest vision ("20/20
vision") in the eyes. On the fovea, the only receptors are the cones, which allow us to see things in color
and in detail. The macula is responsible for central vision.
An nurse practitioner, who is a recent graduate, is asking an experienced nurse practitioner's opinion
about managing a patient who has multiple health problems. What type of relationship exists between
the nurse practitioners?
A) Collaborative relationship
B) Consultative relationship
C) Referral relationship
D) Formal relationship - answer- ; B) Consultative relationship
A consultative relationship is an informal process between two or more providers who exchange
information about a patient occasionally.
, A 15-year-old female who attends a public school is referred to the nurse practitioner by one of her
teachers. The teen has been missing school and is falling behind in her schoolwork. After closing the
exam room door, the nurse practitioner starts to interview the teen, asking about her moods, her
appetite, her sleep, whether she any plan of hurting herself or others, and other questions. What is the
level of health prevention that the nurse practitioner is performing?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Dropout prevention program - answer- ; B) Secondary prevention
The nurse practitioner is evaluating the teenager for
major depression. Because the teenager already has the disease (depression), it is a screening "test." All
screening tests/labs (mammography, Pap smears, etc.) are
secondary prevention activities.
All of the following signs and symptoms are present with an anticholinergic drug overdose except:
A) Dilated pupils
B) Flushing and tachycardia
C) Hypertension
D) Confusion - answer- ; C) Hypertension
Drugs with strong anticholinergic properties include diphenhydramine, scopolamine, TCAs,
antipsychotics, and others. The mnemonic is
"dry as a bone, red as a beet, mad as a hatter, blind as a bat." Look for a low-grade temperature.
