LEIK FNP CERTIFICATION REVIEW
(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Am30-year-
oldmchefmcomplainsmofmpruriticmhivesmovermhermchestmandmarms,mbutmdeniesmdifficultymswallowing
mormbreathing.mShemreportsmamfamilymhistorymofmallergicmrhinitismandmasthma.mWhichmofmthemfollo
wingminterventionsmismmostmappropriate?
A.mObtainmamcompletemandmthoroughmhistory
B.mRecommendmanmoralmantihistaminemsuchmasmdiphenhydraminem25mmgmPOmQID
C.mGivemanminjectionmofmepinephrinem1:1000mintramuscularlymstat
D.mCallm911m-mCORRECTmANSWERA)mObtainmamcompletemandmthoroughmhistory
Beforemprescribingmmedications,mamthoroughmhistorymmustmbemobtainedmtomdeterminempossiblemc
ausesmofmhives.mThempatientmdeniedmdifficultymwithmswallowingmandmbreathing,msomtheremwasmnom
medicalmemergencymthatmwouldmrequiremcallingm911.
Whichmofmthemfollowingmfindingsmismmostmlikelyminmyoungmprimigravidasmwithmpregnancy-
inducedmhypertension?
A.mAbdominalmcrampingmandmconstipation
B.mEdemamofmthemfacemandmthemuppermextremities
C.mShortnessmofmbreath
D.mDysuriamandmfrequencym-
mCORRECTmANSWERB)mEdemamofmthemfacemandmthemuppermextremities
Commonmsignsmandmsymptomsmofmpregnancy-
inducedmhypertensionmincludemedemamofmthemfacemandmthemuppermextremities,mweightmgain,mblur
redmvision,melevatedmbloodmpressure,mproteinuria,mandmheadaches
,WhichmofmthemfollowingmsymptomsmismassociatedmwithmB12mdeficiencymanemia?
A.mSpoon-shapedmnailsmandmpica
B.mAbnormalmneurologicalmexam
C.mVeganmdiet
D.mTinglingmandmnumbnessmofmbothmfeetm-
mCORRECTmANSWERD)mTinglingmandmnumbnessmofmbothmfeet
VitaminmB12mdeficiencymanemiamcanmcausemnervemcellmdamagemifmnotmtreated.mSymptomsmofmB12
mdeficiencymanemiammaymincludemtinglingmormnumbnessminmfingersmandmtoes,mdifficultymwalking,m
moodmchangesmormdepression,mmemorymloss,mdisorientation,mandmdementia.
Amsecondmtriplemscreenmonmam35-year-
oldmprimigravidamrevealsmabnormallymlowmlevelsmofmalphamfetoproteinmandmestriolmandmhighmlevel
smofmhumanmchorionicmgonadotropin.mWhichmofmthemfollowingminterventionsmismthembestmchoicemf
ormthismpatient?
A.mOrdermanmultrasound
B.mOrdermamcomputedmtomographym(CT)mscanmofmthemabdomen
C.mOrdermam24-hourmurinemformproteinmclearance
D.mAssessmformamhistorymofmillicitmdrugmormalcoholmusem-
mCORRECTmANSWERA)mOrdermanmultrasound
Abnormallymlowmlevelsmofmalphamfetoproteinmandmestriolmandmhighmlevelsmofmhumanmchorionicmgo
nadotropinmaremabnormalmduringmpregnancy.mAnmultrasoundmshouldmbemorderedmtomfurthermeval
uatemthemfetusmformcharacteristicsmofmDownmsyndromemand/ormfetalmdemise.
Allmofmthemfollowingmaremtruemstatementsmaboutmdiverticulamexcept:
A.mDiverticulamaremlocatedminmthemcolon
B.mAmlow-fibermdietmismassociatedmwithmthemcondition
C.mMostmdiverticulaminmthemcolonmareminfectedmwithmgram-negativembacteria
D.mSupplementingmwithmfiber,msuchmasmpsylliumm(Metamucil),mismrecommendedm-
mCORRECTmANSWERC)mMostmdiverticulaminmthemcolonmareminfectedmwithmgram-negativembacteria
, Diverticulaminmthemcolonmcanmbeminfectedmwithmbothmgram-negativemandmgram-positive
Patientsmwhomaremdiagnosedmwithmgonorrheamshouldmalsombemtreatedmformwhichmofmthemfollowin
gminfections?
A.mChancroid
B.mChlamydiamtrachomatis
C.mHerpesmgenitalis
D.mPelvicminflammatorymdiseasem(PID)m-mCORRECTmANSWERB)mChlamydiamtrachomatis
Whenmdiagnosedmwithmgonorrhea,mthempatientmshouldmalsombemtreatedmformChlamydiamtrachoma
tis.
Kyphosismismamlatemsignmof:
A.mRheumatoidmarthritis
B.mOsteopenia
C.mOsteoporosis
D.mOsteoarthritism-mCORRECTmANSWERC)mOsteoporosis
Kyphosismismamcurvaturemofmthemspinemthatmcausesmamroundingmofmthemback,mwhichmleadsmtomamslo
uchingmposture.mSeveremthinningmofmthembonesm(osteoporosis)mcontributesmtomthismcurvatureminmt
hemspine.mSymptomsmthatmmaymoccurmwithmseveremcasesmofmkyphosismincludemdifficultymbreathin
g,mfatigue,mandmbackmpain.
Am35-year-
oldmprimigravidamwhomismatm18mweeksmgestationmismexpectingmtwins.mWhatmwouldmyoumwouldmex
pectmhermalphamfetoproteinm(AFP)mvaluesmtombe?
A.mNormal
B.mHighermthanmnormal
C.mLowermthanmnormal
D.mNonemofmthemabovem-mCORRECTmANSWERB)mHighermthanmnormal
(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Am30-year-
oldmchefmcomplainsmofmpruriticmhivesmovermhermchestmandmarms,mbutmdeniesmdifficultymswallowing
mormbreathing.mShemreportsmamfamilymhistorymofmallergicmrhinitismandmasthma.mWhichmofmthemfollo
wingminterventionsmismmostmappropriate?
A.mObtainmamcompletemandmthoroughmhistory
B.mRecommendmanmoralmantihistaminemsuchmasmdiphenhydraminem25mmgmPOmQID
C.mGivemanminjectionmofmepinephrinem1:1000mintramuscularlymstat
D.mCallm911m-mCORRECTmANSWERA)mObtainmamcompletemandmthoroughmhistory
Beforemprescribingmmedications,mamthoroughmhistorymmustmbemobtainedmtomdeterminempossiblemc
ausesmofmhives.mThempatientmdeniedmdifficultymwithmswallowingmandmbreathing,msomtheremwasmnom
medicalmemergencymthatmwouldmrequiremcallingm911.
Whichmofmthemfollowingmfindingsmismmostmlikelyminmyoungmprimigravidasmwithmpregnancy-
inducedmhypertension?
A.mAbdominalmcrampingmandmconstipation
B.mEdemamofmthemfacemandmthemuppermextremities
C.mShortnessmofmbreath
D.mDysuriamandmfrequencym-
mCORRECTmANSWERB)mEdemamofmthemfacemandmthemuppermextremities
Commonmsignsmandmsymptomsmofmpregnancy-
inducedmhypertensionmincludemedemamofmthemfacemandmthemuppermextremities,mweightmgain,mblur
redmvision,melevatedmbloodmpressure,mproteinuria,mandmheadaches
,WhichmofmthemfollowingmsymptomsmismassociatedmwithmB12mdeficiencymanemia?
A.mSpoon-shapedmnailsmandmpica
B.mAbnormalmneurologicalmexam
C.mVeganmdiet
D.mTinglingmandmnumbnessmofmbothmfeetm-
mCORRECTmANSWERD)mTinglingmandmnumbnessmofmbothmfeet
VitaminmB12mdeficiencymanemiamcanmcausemnervemcellmdamagemifmnotmtreated.mSymptomsmofmB12
mdeficiencymanemiammaymincludemtinglingmormnumbnessminmfingersmandmtoes,mdifficultymwalking,m
moodmchangesmormdepression,mmemorymloss,mdisorientation,mandmdementia.
Amsecondmtriplemscreenmonmam35-year-
oldmprimigravidamrevealsmabnormallymlowmlevelsmofmalphamfetoproteinmandmestriolmandmhighmlevel
smofmhumanmchorionicmgonadotropin.mWhichmofmthemfollowingminterventionsmismthembestmchoicemf
ormthismpatient?
A.mOrdermanmultrasound
B.mOrdermamcomputedmtomographym(CT)mscanmofmthemabdomen
C.mOrdermam24-hourmurinemformproteinmclearance
D.mAssessmformamhistorymofmillicitmdrugmormalcoholmusem-
mCORRECTmANSWERA)mOrdermanmultrasound
Abnormallymlowmlevelsmofmalphamfetoproteinmandmestriolmandmhighmlevelsmofmhumanmchorionicmgo
nadotropinmaremabnormalmduringmpregnancy.mAnmultrasoundmshouldmbemorderedmtomfurthermeval
uatemthemfetusmformcharacteristicsmofmDownmsyndromemand/ormfetalmdemise.
Allmofmthemfollowingmaremtruemstatementsmaboutmdiverticulamexcept:
A.mDiverticulamaremlocatedminmthemcolon
B.mAmlow-fibermdietmismassociatedmwithmthemcondition
C.mMostmdiverticulaminmthemcolonmareminfectedmwithmgram-negativembacteria
D.mSupplementingmwithmfiber,msuchmasmpsylliumm(Metamucil),mismrecommendedm-
mCORRECTmANSWERC)mMostmdiverticulaminmthemcolonmareminfectedmwithmgram-negativembacteria
, Diverticulaminmthemcolonmcanmbeminfectedmwithmbothmgram-negativemandmgram-positive
Patientsmwhomaremdiagnosedmwithmgonorrheamshouldmalsombemtreatedmformwhichmofmthemfollowin
gminfections?
A.mChancroid
B.mChlamydiamtrachomatis
C.mHerpesmgenitalis
D.mPelvicminflammatorymdiseasem(PID)m-mCORRECTmANSWERB)mChlamydiamtrachomatis
Whenmdiagnosedmwithmgonorrhea,mthempatientmshouldmalsombemtreatedmformChlamydiamtrachoma
tis.
Kyphosismismamlatemsignmof:
A.mRheumatoidmarthritis
B.mOsteopenia
C.mOsteoporosis
D.mOsteoarthritism-mCORRECTmANSWERC)mOsteoporosis
Kyphosismismamcurvaturemofmthemspinemthatmcausesmamroundingmofmthemback,mwhichmleadsmtomamslo
uchingmposture.mSeveremthinningmofmthembonesm(osteoporosis)mcontributesmtomthismcurvatureminmt
hemspine.mSymptomsmthatmmaymoccurmwithmseveremcasesmofmkyphosismincludemdifficultymbreathin
g,mfatigue,mandmbackmpain.
Am35-year-
oldmprimigravidamwhomismatm18mweeksmgestationmismexpectingmtwins.mWhatmwouldmyoumwouldmex
pectmhermalphamfetoproteinm(AFP)mvaluesmtombe?
A.mNormal
B.mHighermthanmnormal
C.mLowermthanmnormal
D.mNonemofmthemabovem-mCORRECTmANSWERB)mHighermthanmnormal
