LEIK FNP Clinical Evaluation and Assessment (CEA)
Practice Questions 2026–2027: Comprehensive Exam
Preparation Guide with 500+ Practice Questions, Verified
Answers, and Detailed Rationales
It inhibits the effect of renal prostaglandins and blunts the effectiveness of the
diuretic - Answer - A 72 yo woman has been on hydrochlorothiazide 12.5mg for
many years to control her Stae I HTN. Her blood pressure at this visit is 168/96.
She is currently complaining of pain in her right hip and on both knees. She has
increased her dose of ibuprofen from 400mg 3 times a day to 800mg 3 times a day.
She is still in pain and would like something stronger. Which of the following
statements is the best explanation of the effects of ibuprofen on her disease.
Acute appendicitis - Answer - The NP would test the obturator and iliopsoas
muscle to evaluate for what?
A prescription of methyldopa (Aldomet) to control BP - Answer - Treatment for
mild preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet count
D) A prescription of methyldopa (Aldomet) to control BP.
Nursing home care - Answer - All of the following services are covered under
Medicare Part A except:
A) Inpatient hospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons
,Mycoplasma pneumonia - Answer - A 28 yo student is seen in the school health
clinic with complaints of hacking cough that is productive of small amounts of
sputum and runny nose. He does not take any meds, denies any allergies, and has
no significant medical history. Physical exam reveals a low-grade temperature of
99.9 degrees F, respirations of 16/min, pulse =90, and diffuse fine crackles in the
base of the lungs. A chest x-ray shows diffuse infiltrates in the lower lobe of the
right lung. The total white blood cell count is 10,500/uL. What is the likely
diagnosis?
10mm - Answer - A 39 yo migrant worker presents to the clinic 2.5 days after a
purified protein derivative (PPD) test. What minimum size of induration would be
considered positive for this patient?
The patient's spouse has the right to override the agent's decisions - Answer - All
of the following are correct statements regarding the role of the person named in a
durable power of attorney except:
A) The agent's decisions are legally binding
B) The agent can make decisions in other areas of the patient's life such as
financial issues.
C) The agent can decide for the patient who is on life support when that life
support can be terminated.
D) The patient's spouse has the right to override the agent's decisions
The patient has a medical illness that causes an anxiety reaction and denial -
Answer - The following statement regarding Munchausen syndrome is false:
Beta-blockers - Answer - Which antihypertensive medications should the NP avoid
when treating patient with emphysema?
,Perform a complete and thorough history - Answer - A 30 y/o chef complains of
pruritic hives over her chest and arms but denies difficulty breathing. She reports a
family history of allergic rhinitis and asthma. What intervention is most
appropriate?
Edema of the face and upper extremities - Answer - Which finding is most likely in
young primigravidas with pregnancy induced hypertension?
Tingling and numbness of both feet - Answer - Which symptom is associated with
B12 deficiency anemia?
Order an ultrasound - Answer - A second triple screen on a 35 yo primigravida
reveals abnormal low levels of the alpha fetoprotein and estriol and high levels of
human chorionic gonadotropin. Which of the following interventions is the best
choice for this patient?
Chlamydia trachoma's - Answer - Pts. diagnosed with gonorrhea should also be
treated for what other infections?
Osteoporosis - Answer - Kyphosis is a late sign of
Higher than normal - Answer - A 35 y/o primigravida who is at 28wks gestation is
expecting twins. What would you would expect her alpha fetal protein (AFP) to
be?
Calcium channel blockers - Answer - Which of the following antihypertensive
medications has beneficial effects for an elderly white female with osteoporosis?
Knee instability - Answer - The Lachman maneuver is used to detect which of the
following?
, Tanner Stage III - Answer - When an adolescent male's penis grows more in length
than width, at which of the following Tanner stages is he classified?
Toxoplasma gondii, other infections, rubella, cytomegalovirus and herpes -
Answer - Fetal TORCH infections can cause microcephaly, mental retardation,
hepatosplenomegaly, and intrauterine growth retardation. The acronym for
TORCH stands for:.
Laryngeal neoplasia - Answer - HPV infection of the larynx has been associated
with:
Degenerative joint disease - Answer - Mr. Brown is a 65 y/o carpenter complaining
of morning stiffness and pain in both his hands and right knee upon awakening. He
feels some relief after warming up. On exam, the nurse notices the presence of
Heberden's nodes. What is most likely diagnosis?
Instability of the knee - Answer - What does the positive posterior drawer sign in a
10 yr old soccer player signify?
From 33-35 cm - Answer - A multigravida who is at 34 wks gestation wants to
know at what level her uterine funds should be. The best Answer is to advise the
mother that her funds is:
Advise mother that her pregnancy is progressing well - Answer - A multigravida
who is 28wks gestation has a fundal height of 29cm. What is the best
recommendation for this patient?
Creatinine - Answer - Which laboratory test is used in primary care to evaluate
renal function?
Practice Questions 2026–2027: Comprehensive Exam
Preparation Guide with 500+ Practice Questions, Verified
Answers, and Detailed Rationales
It inhibits the effect of renal prostaglandins and blunts the effectiveness of the
diuretic - Answer - A 72 yo woman has been on hydrochlorothiazide 12.5mg for
many years to control her Stae I HTN. Her blood pressure at this visit is 168/96.
She is currently complaining of pain in her right hip and on both knees. She has
increased her dose of ibuprofen from 400mg 3 times a day to 800mg 3 times a day.
She is still in pain and would like something stronger. Which of the following
statements is the best explanation of the effects of ibuprofen on her disease.
Acute appendicitis - Answer - The NP would test the obturator and iliopsoas
muscle to evaluate for what?
A prescription of methyldopa (Aldomet) to control BP - Answer - Treatment for
mild preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet count
D) A prescription of methyldopa (Aldomet) to control BP.
Nursing home care - Answer - All of the following services are covered under
Medicare Part A except:
A) Inpatient hospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons
,Mycoplasma pneumonia - Answer - A 28 yo student is seen in the school health
clinic with complaints of hacking cough that is productive of small amounts of
sputum and runny nose. He does not take any meds, denies any allergies, and has
no significant medical history. Physical exam reveals a low-grade temperature of
99.9 degrees F, respirations of 16/min, pulse =90, and diffuse fine crackles in the
base of the lungs. A chest x-ray shows diffuse infiltrates in the lower lobe of the
right lung. The total white blood cell count is 10,500/uL. What is the likely
diagnosis?
10mm - Answer - A 39 yo migrant worker presents to the clinic 2.5 days after a
purified protein derivative (PPD) test. What minimum size of induration would be
considered positive for this patient?
The patient's spouse has the right to override the agent's decisions - Answer - All
of the following are correct statements regarding the role of the person named in a
durable power of attorney except:
A) The agent's decisions are legally binding
B) The agent can make decisions in other areas of the patient's life such as
financial issues.
C) The agent can decide for the patient who is on life support when that life
support can be terminated.
D) The patient's spouse has the right to override the agent's decisions
The patient has a medical illness that causes an anxiety reaction and denial -
Answer - The following statement regarding Munchausen syndrome is false:
Beta-blockers - Answer - Which antihypertensive medications should the NP avoid
when treating patient with emphysema?
,Perform a complete and thorough history - Answer - A 30 y/o chef complains of
pruritic hives over her chest and arms but denies difficulty breathing. She reports a
family history of allergic rhinitis and asthma. What intervention is most
appropriate?
Edema of the face and upper extremities - Answer - Which finding is most likely in
young primigravidas with pregnancy induced hypertension?
Tingling and numbness of both feet - Answer - Which symptom is associated with
B12 deficiency anemia?
Order an ultrasound - Answer - A second triple screen on a 35 yo primigravida
reveals abnormal low levels of the alpha fetoprotein and estriol and high levels of
human chorionic gonadotropin. Which of the following interventions is the best
choice for this patient?
Chlamydia trachoma's - Answer - Pts. diagnosed with gonorrhea should also be
treated for what other infections?
Osteoporosis - Answer - Kyphosis is a late sign of
Higher than normal - Answer - A 35 y/o primigravida who is at 28wks gestation is
expecting twins. What would you would expect her alpha fetal protein (AFP) to
be?
Calcium channel blockers - Answer - Which of the following antihypertensive
medications has beneficial effects for an elderly white female with osteoporosis?
Knee instability - Answer - The Lachman maneuver is used to detect which of the
following?
, Tanner Stage III - Answer - When an adolescent male's penis grows more in length
than width, at which of the following Tanner stages is he classified?
Toxoplasma gondii, other infections, rubella, cytomegalovirus and herpes -
Answer - Fetal TORCH infections can cause microcephaly, mental retardation,
hepatosplenomegaly, and intrauterine growth retardation. The acronym for
TORCH stands for:.
Laryngeal neoplasia - Answer - HPV infection of the larynx has been associated
with:
Degenerative joint disease - Answer - Mr. Brown is a 65 y/o carpenter complaining
of morning stiffness and pain in both his hands and right knee upon awakening. He
feels some relief after warming up. On exam, the nurse notices the presence of
Heberden's nodes. What is most likely diagnosis?
Instability of the knee - Answer - What does the positive posterior drawer sign in a
10 yr old soccer player signify?
From 33-35 cm - Answer - A multigravida who is at 34 wks gestation wants to
know at what level her uterine funds should be. The best Answer is to advise the
mother that her funds is:
Advise mother that her pregnancy is progressing well - Answer - A multigravida
who is 28wks gestation has a fundal height of 29cm. What is the best
recommendation for this patient?
Creatinine - Answer - Which laboratory test is used in primary care to evaluate
renal function?
