FNP Leik Practice Questions and Answers – Family Nurse
Practitioner Certification Exam Study Guide
1. The recommended medicine for patient with hypertension occurring along
with diabetes and heart failure is:
Diuretic
ACE inhibitor
Beta adrenolytics (B adrenoceptors antagonists)
Ca channel inhibitor
2. If a patient presents with a rash at the tip of the nose and temple area along
with joint pain and fatigue, what should be your next step in management?
Refer the patient to a dermatologist for skin evaluation.
Advise the patient to increase hydration and rest.
Prescribe topical steroids for the rash.
Conduct further diagnostic testing for lupus erythematosus.
3. If a patient presents with a new skin lesion that is asymmetrical, has multiple
colors, and is larger than 6mm, what should be your next step in
management?
Monitor the lesion for changes over time.
Refer the patient for a dermatological evaluation.
Prescribe topical antibiotics.
Advise the patient to apply sunscreen daily.
,4. What is the recommended frequency for checking TSH levels during thyroid
hormone replacement therapy?
Every month
Every 3 months
Every 6-8 weeks
Every 12 months
5. What is the recommended action if a patient's A1C is above 7% while on
metformin 500 mg BID?
Switch to insulin therapy immediately.
Continue with the current metformin dosage.
Discontinue metformin and monitor the patient.
Consider adding another medication or increasing the metformin
dosage.
6. Bites & Stings. What is the recommended method for removal of an
embedded tick?
Apply heat to the tick's posterior until it releases
Grasp near its head with tweezers and pull straight and steady
Immerse the body part in water and drown the tick
Smother it with vaseline or a similar substance
7. A 65-year-old woman with a history of hypertension and recent diagnosis of
osteopenia is prescribed thiazide diuretics. What potential benefit might this
medication provide in her case?
It will have no effect on her bone health.
, It may help maintain her bone density.
It will completely cure her osteopenia.
It will increase her risk of fractures.
8. If a patient presents with symptoms of fatigue and has a vitamin B12 level of
180 pg/mL, what would be the most appropriate next step in management?
Advise the patient to increase dietary intake of vitamin B12 only.
Initiate vitamin B12 supplementation and further evaluate for
underlying causes of deficiency.
Monitor the patient without any intervention.
Refer the patient for a blood transfusion immediately.
9. A 82-year-old man with T2DM on maximum dose of metformin has an A1C of
7.9%. What is your plan at this visit for A1C?
Continue metformin and add sulfonylurea
Continue metformin and add dulaglutide (Trulicity) 0.75mg once
weekly
Discontinue metformin and start basal insulin at 15 units QHS
Continue metformin and encourage lifestyle change
10. Define Pernicious Anemia
binds oxygen
condition that results in increased blood viscosity
condition that results in a low number of RBCs due to not enough
vitamin B12
Hormone that stimulates RBC production
, immature erythrocyte
11. Describe the significance of a vitamin B12 level below 200 pg/mL in a clinical
context.
A vitamin B12 level below 200 pg/mL is irrelevant to patient health.
A vitamin B12 level below 200 pg/mL suggests an excess of vitamin
B12 in the body.
A vitamin B12 level below 200 pg/mL indicates a deficiency that may
lead to neurological and hematological issues.
A vitamin B12 level below 200 pg/mL is considered normal and
requires no intervention.
12. What condition is characterized by the presence of Koplik's spots?
Scarlet fever
Chickenpox
Rubella
Measles
13. A patient with a history of falling forward with an outstretched hand to break
the fall now presents with pain on palpation of the anatomic snuffbox. What
is the likely diagnosis?
Wrist sprain
Carpal tunnel syndrome
Radial head fracture
Scaphoid (Navicular) fracture
14. What is the primary purpose of using fluorescein in ophthalmology?
Practitioner Certification Exam Study Guide
1. The recommended medicine for patient with hypertension occurring along
with diabetes and heart failure is:
Diuretic
ACE inhibitor
Beta adrenolytics (B adrenoceptors antagonists)
Ca channel inhibitor
2. If a patient presents with a rash at the tip of the nose and temple area along
with joint pain and fatigue, what should be your next step in management?
Refer the patient to a dermatologist for skin evaluation.
Advise the patient to increase hydration and rest.
Prescribe topical steroids for the rash.
Conduct further diagnostic testing for lupus erythematosus.
3. If a patient presents with a new skin lesion that is asymmetrical, has multiple
colors, and is larger than 6mm, what should be your next step in
management?
Monitor the lesion for changes over time.
Refer the patient for a dermatological evaluation.
Prescribe topical antibiotics.
Advise the patient to apply sunscreen daily.
,4. What is the recommended frequency for checking TSH levels during thyroid
hormone replacement therapy?
Every month
Every 3 months
Every 6-8 weeks
Every 12 months
5. What is the recommended action if a patient's A1C is above 7% while on
metformin 500 mg BID?
Switch to insulin therapy immediately.
Continue with the current metformin dosage.
Discontinue metformin and monitor the patient.
Consider adding another medication or increasing the metformin
dosage.
6. Bites & Stings. What is the recommended method for removal of an
embedded tick?
Apply heat to the tick's posterior until it releases
Grasp near its head with tweezers and pull straight and steady
Immerse the body part in water and drown the tick
Smother it with vaseline or a similar substance
7. A 65-year-old woman with a history of hypertension and recent diagnosis of
osteopenia is prescribed thiazide diuretics. What potential benefit might this
medication provide in her case?
It will have no effect on her bone health.
, It may help maintain her bone density.
It will completely cure her osteopenia.
It will increase her risk of fractures.
8. If a patient presents with symptoms of fatigue and has a vitamin B12 level of
180 pg/mL, what would be the most appropriate next step in management?
Advise the patient to increase dietary intake of vitamin B12 only.
Initiate vitamin B12 supplementation and further evaluate for
underlying causes of deficiency.
Monitor the patient without any intervention.
Refer the patient for a blood transfusion immediately.
9. A 82-year-old man with T2DM on maximum dose of metformin has an A1C of
7.9%. What is your plan at this visit for A1C?
Continue metformin and add sulfonylurea
Continue metformin and add dulaglutide (Trulicity) 0.75mg once
weekly
Discontinue metformin and start basal insulin at 15 units QHS
Continue metformin and encourage lifestyle change
10. Define Pernicious Anemia
binds oxygen
condition that results in increased blood viscosity
condition that results in a low number of RBCs due to not enough
vitamin B12
Hormone that stimulates RBC production
, immature erythrocyte
11. Describe the significance of a vitamin B12 level below 200 pg/mL in a clinical
context.
A vitamin B12 level below 200 pg/mL is irrelevant to patient health.
A vitamin B12 level below 200 pg/mL suggests an excess of vitamin
B12 in the body.
A vitamin B12 level below 200 pg/mL indicates a deficiency that may
lead to neurological and hematological issues.
A vitamin B12 level below 200 pg/mL is considered normal and
requires no intervention.
12. What condition is characterized by the presence of Koplik's spots?
Scarlet fever
Chickenpox
Rubella
Measles
13. A patient with a history of falling forward with an outstretched hand to break
the fall now presents with pain on palpation of the anatomic snuffbox. What
is the likely diagnosis?
Wrist sprain
Carpal tunnel syndrome
Radial head fracture
Scaphoid (Navicular) fracture
14. What is the primary purpose of using fluorescein in ophthalmology?
