Leik FNP Certification Review Family Nurse Practitioner
Exam Prep with Practice Questions and Correct Answers
2026
1. In a clinical scenario, if a 70-year-old patient with a history of poorly
controlled hypertension presents with AV nicking and left ventricular
hypertrophy, what should be the immediate focus of the nurse practitioner’s
assessment?
Assess for signs of stroke or other cardiovascular complications.
Focus solely on managing blood pressure levels.
Conduct a comprehensive eye examination without further
cardiovascular assessment.
Evaluate for signs of renal infection.
2. A 28-year-old student is seen in the school health clinic with complaints of a
hacking nonproductive cough, rhinorrhea, pharyngitis, and malaise for the
past 2 weeks. He does not take any medications, denies any allergies, and has
no significant medical history. Physical examination reveals a low-grade
temperature of 99.9°F, respirations of 16 breaths/min, pulse of 90 beats/min,
and scattered rales and wheezing of the lungs. The patient does not appear
toxic. The total white blood cell count is 10,500/μL. What is the most likely
diagnosis?
Bacterial pneumonia
Acute bronchitis
Atypical pneumonia
Pertussis
,3. Which of the following would be considered a positive Mantoux test for
people who are younger than 4 years of age, drug users, microbio lab
workers, recent immigrants from high risk countries or exposed to high risk
categories?
>20mm induration
this group would actually be more likely to give false positives
>15mm induration
>5mm induration
>10mm induration
4. Describe the relationship between B12 deficiency anemia and neurological
symptoms.
B12 deficiency anemia primarily affects red blood cell production
without neurological implications.
B12 deficiency anemia is unrelated to nerve function.
B12 deficiency anemia can lead to neurological symptoms such as
tingling and numbness due to its role in nerve health.
B12 deficiency anemia causes only gastrointestinal symptoms, not
neurological ones.
5. In a scenario where a 35-year-old primigravida has abnormal triple screen
results, what would be the most appropriate next step in management?
Order an ultrasound
Order a computed tomography (CT) scan of the abdomen
Order a 24-hour urine for protein clearance
Assess for a history of illicit drug or alcohol use
,6. Why is obtaining a complete and thorough history important in the case of a
patient with hives?
It is necessary to determine the severity of the allergic reaction.
It allows for immediate treatment of the hives.
It provides information for a potential referral to a specialist.
It helps identify potential triggers and underlying conditions related
to the patient's symptoms.
7. Which of the following findings is most likely a result of pregnancy-induced
hypertension (PIH)?
Shortness of breath.
Edema of the face and the upper extremities
Abdominal cramping and constipation
Dysuria and increased frequency of urination
8. Which of the following lab value may be elevated on the liver function panel
of an alcohol abuser?
Serum bilirubin
Serum GGT (gamma glutamyl transferase)
Blood urea nitrogen
Serum creatinine
9. When inspecting the chest of a patient with emphysema, what would you
most likely observe?
Intercostal retractions
Central cyanosis
, Obesity
Barrel chest
10. If a 50-year-old woman reports experiencing hot flashes and irregular
menstrual periods, what would be the most appropriate next step in her
care?
Refer her to a specialist without further assessment.
Prescribe hormone replacement therapy immediately.
Advise her to wait until her periods stop completely.
Conduct a thorough assessment to confirm menopause and discuss
management options.
11. Which of the following is true of factitious disorder (Munchausen's
syndrome)?
The person fakes illness to gain attention
It is a pseudoneurologic disturbance
The person may exhibit an attitude of la belle indifference
The person has a lack of conscious control over symptoms
12. A patient presents with a slow onset of low-grade fever, headaches, and
muscle aches. They tell you they recently had rhinovirus. Which condition are
you most suspicious of?
These symptoms are characteristic of every type of pneumonia
Atypical pneumonia
Lobar pneumonia
Bronchopneumonia
Exam Prep with Practice Questions and Correct Answers
2026
1. In a clinical scenario, if a 70-year-old patient with a history of poorly
controlled hypertension presents with AV nicking and left ventricular
hypertrophy, what should be the immediate focus of the nurse practitioner’s
assessment?
Assess for signs of stroke or other cardiovascular complications.
Focus solely on managing blood pressure levels.
Conduct a comprehensive eye examination without further
cardiovascular assessment.
Evaluate for signs of renal infection.
2. A 28-year-old student is seen in the school health clinic with complaints of a
hacking nonproductive cough, rhinorrhea, pharyngitis, and malaise for the
past 2 weeks. He does not take any medications, denies any allergies, and has
no significant medical history. Physical examination reveals a low-grade
temperature of 99.9°F, respirations of 16 breaths/min, pulse of 90 beats/min,
and scattered rales and wheezing of the lungs. The patient does not appear
toxic. The total white blood cell count is 10,500/μL. What is the most likely
diagnosis?
Bacterial pneumonia
Acute bronchitis
Atypical pneumonia
Pertussis
,3. Which of the following would be considered a positive Mantoux test for
people who are younger than 4 years of age, drug users, microbio lab
workers, recent immigrants from high risk countries or exposed to high risk
categories?
>20mm induration
this group would actually be more likely to give false positives
>15mm induration
>5mm induration
>10mm induration
4. Describe the relationship between B12 deficiency anemia and neurological
symptoms.
B12 deficiency anemia primarily affects red blood cell production
without neurological implications.
B12 deficiency anemia is unrelated to nerve function.
B12 deficiency anemia can lead to neurological symptoms such as
tingling and numbness due to its role in nerve health.
B12 deficiency anemia causes only gastrointestinal symptoms, not
neurological ones.
5. In a scenario where a 35-year-old primigravida has abnormal triple screen
results, what would be the most appropriate next step in management?
Order an ultrasound
Order a computed tomography (CT) scan of the abdomen
Order a 24-hour urine for protein clearance
Assess for a history of illicit drug or alcohol use
,6. Why is obtaining a complete and thorough history important in the case of a
patient with hives?
It is necessary to determine the severity of the allergic reaction.
It allows for immediate treatment of the hives.
It provides information for a potential referral to a specialist.
It helps identify potential triggers and underlying conditions related
to the patient's symptoms.
7. Which of the following findings is most likely a result of pregnancy-induced
hypertension (PIH)?
Shortness of breath.
Edema of the face and the upper extremities
Abdominal cramping and constipation
Dysuria and increased frequency of urination
8. Which of the following lab value may be elevated on the liver function panel
of an alcohol abuser?
Serum bilirubin
Serum GGT (gamma glutamyl transferase)
Blood urea nitrogen
Serum creatinine
9. When inspecting the chest of a patient with emphysema, what would you
most likely observe?
Intercostal retractions
Central cyanosis
, Obesity
Barrel chest
10. If a 50-year-old woman reports experiencing hot flashes and irregular
menstrual periods, what would be the most appropriate next step in her
care?
Refer her to a specialist without further assessment.
Prescribe hormone replacement therapy immediately.
Advise her to wait until her periods stop completely.
Conduct a thorough assessment to confirm menopause and discuss
management options.
11. Which of the following is true of factitious disorder (Munchausen's
syndrome)?
The person fakes illness to gain attention
It is a pseudoneurologic disturbance
The person may exhibit an attitude of la belle indifference
The person has a lack of conscious control over symptoms
12. A patient presents with a slow onset of low-grade fever, headaches, and
muscle aches. They tell you they recently had rhinovirus. Which condition are
you most suspicious of?
These symptoms are characteristic of every type of pneumonia
Atypical pneumonia
Lobar pneumonia
Bronchopneumonia
