Complete Test Bank with Answer Guide – LEIK AANP FNP Practice Exam 2026/2027

COMPLETE TEST BANK WITH ANSWER GUIDE – = = = = = =




=LEIK AANP FNP PRACTICE EXAM 2026/2027
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Question 1: A 58-year- = = =




old male presents with blood pressure readings averaging
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148/92 mmHg on three separate occasions. He has no
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comorbidities. What is the most appropriate initial management?
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A. Start an ACE inhibitor
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B. Lifestyle modification only = = =




C. Start a beta-blocker
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D. Start a thiazide diuretic
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Correct Answer: D. Start a thiazide diuretic
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Rationale: According to JNC 8 and current AANP guidelines, initial
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pharmacologic treatment for stage 1 hypertension (140159/90-
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99 mmHg) in the general non-
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Black population includes a thiazide diuretic, ACE inhibitor, ARB, or
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calcium channel blocker. Thiazide diuretics are recommended as
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first-

,line therapy for most patients. Lifestyle modifications should be
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recommended concurrently, but pharmacotherapy is indicated for
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persistent BP ≥140/90 mmHg . = = = = =




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Question 2: A 44-year- = = =




old male patient comes to the clinic for his routine well visit. He has a
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history of obesity, hypertension, and migraines. He takes lisinopril
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for his hypertension. Upon examination, the nurse practitioner hear
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s a sound over the pulmonic area during inspiration that disappears
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at expiration.
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The nurse practitioner knows that this finding is:
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A. An indication of heart malformation
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B. A reason for cardiology referral
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C. A benign variant
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D. A common finding in obese patients
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Correct Answer: C. A benign variant
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Rationale: A split S2 that disappears at expiration is considered a
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benign variant known as a physiological split. It does not indicate a
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malformation of the heart and the patient does not need referral to
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cardiology for this isolated finding. A fixed split S2, however,
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would be concerning for an atrial septal defect .
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Question 3: The nurse practitioner knows that Erb's Point is located
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at the:
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A. Second intercostal space to the right of the sternum
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B. Third or fourth intercostal space to the left of the sternum
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C. Fifth intercostal space, 8-9 cm left from the midsternal line
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D. First intercostal space to the left of the sternum
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Correct Answer: B. Third or fourth intercostal space to the left of t
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he sternum
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Rationale: Erb's point is located at the third or fourth intercostal spa
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ce to the left of the sternum. The aortic area is the second intercostal
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space to the right of the sternum; the pulmonic area is the second int
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ercostal space to the left; the tricuspid area is the fourth or fifth inte
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rcostal space at the left sternal border; and the mitral area is the fif
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th intercostal space at the midclavicular line .
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Question 4: A 65-year-old woman presents for a follow-
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up examination. She is a smoker and her hypertension is now contro
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lled with medication. Her mother died at age 40 from a heart attac
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k. The fasting lipid profile shows cholesterol = 240 mg/dL, HDL = 3
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, 0, and LDL = 200. In addition to starting Therapeutic Lifestyle Chan
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ges, the nurse practitioner should start the patient on:
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A. Bile acid sequestrant
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B. A statin drug
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C. A cholesterol absorption inhibitor
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D. Low-dose aspirin = =




Correct Answer: B. A statin drug
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Rationale: This patient has multiple risk factors for cardiovascular d
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isease: age >55, smoking, family history of early heart disease, hy
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pertension, and elevated LDL. With an = = = = = =




LDL of 200, she is at high risk and requires statin therapy per ACC/
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AHA guidelines. Statins are the most effective lipidlowering agents
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for reducing cardiovascular events .
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Question 5: A 72-year- = = =




old male presents with syncope. Cardiac auscultation reveals a har
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sh crescendo-
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decrescendo systolic murmur at the right upper sternal border radi
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ating to the carotids. Carotid upstroke is delayed. The most likely di
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agnosis is: = =