LEIK FNP Practice Exam Questions
with 100% Correct Verified Answers
Best Graded A+
Congestive Heart Failure - CORRECT ANSWERS A 68 y/o woman with hypertension and diabetes is
seen buy the NP, for dry cough that worsens at night when she lies in bed. She has SOB which
worsens when she exerts herself. The pt's pulse is 90/min and regular. The patient has gained 6 lbs.
over the past 2 months. She is on a nitroglycerine patch and furosemide daily. The best explanation
for her symptoms is:
Advise the patient that she has a normal exam - CORRECT ANSWERS A NP is doing a fundoycopic
exam on a 35 y/o female during a routine physical exam. He notices that she has sharp disc margins
and a yellowish orange color in the macular area. The ration of the veins to arteries is 3:2. What is
the most appropriate action?
The patient can see at 20ft what a person with normal vision can see at 30 ft (near-sided) - CORRECT
ANSWERS During a sports physical, you note that the vision of an 18 y/o male athlete is 20/30 in
both eyes. What dose this mean?
Somogi phenomenon - CORRECT ANSWERS A 30 y/o type 2 diabetic is on reg insulin and lente
insulin in the morning and evening. She denies changes in her diet or any illness, but recently started
attending aerobic classes in the afternoon. Because of her work-outs, her blood sugars have dipped
below 50mg/dL very early in the morning. Her fasting glucose before breakfast is now elevated and
higher than normal. How is this best described?
HCV RNA - CORRECT ANSWERS A 40 y/o female is positive for anti-hepatitis C virus (HCV). Which
test is appropriate for follow up?
Check the ankle and brachial blood pressure before and after exercise. - CORRECT ANSWERS When
the NP is evaluating a patient for intermittent claudication he/she would first do what?
,Erythromycin
Phenytoin (Dilantin)
Cimetidine (Tagamet) - CORRECT ANSWERS The following drugs interact with theophylline
Mitral regurgitation - CORRECT ANSWERS You note a high pitched and blowing pan-systolic murmur
in a 70 y/o male. It is Grade II/VI and is best heard in the apical area. What is the most likely
diagnosis?
Strabismus - CORRECT ANSWERS The cover/uncover test is a screening tool for what?
Color blindness - CORRECT ANSWERS The Ishihara tool is a screening for what condition?
Visual Aquity - CORRECT ANSWERS The Snellen chart is a tool used to evaluate what?
Advise the mother that this is normal in infants up to 2 months old - CORRECT ANSWERS The
mother of a 4-wk old infant is concerned that her infant's eyes are crossed for a few seconds
occasionally. The NP would:
Height, Age, Gender - CORRECT ANSWERS What factors are important in determining the peak
expiratory flow volume?
Squamous epithelial cells and endocervical cells - CORRECT ANSWERS You are reviewing a Pap
smear report on a 25 y/o female. What cells should be on the pap smear to be considered an
adequate specimen?
It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic - CORRECT
ANSWERS 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 - CORRECT ANSWERS The NP would test the obturator and iliopsoas muscle to
evaluate for what?
A prescription of methyldopa (Aldomet) to control BP - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS
The following statement regarding Munchausen syndrome is false:
Beta-blockers - CORRECT ANSWERS Which antihypertensive medications should the NP avoid when
treating patient with emphysema?
Perform a complete and thorough history - CORRECT ANSWERS 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 - CORRECT ANSWERS Which finding is most likely in young
primigravidas with pregnancy induced hypertension?
Tingling and numbness of both feet - CORRECT ANSWERS Which symptom is associated with B12
deficiency anemia?
Order an ultrasound - CORRECT ANSWERS 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 - CORRECT ANSWERS Pts. diagnosed with gonorrhea should also be treated
for what other infections?
Osteoporosis - CORRECT ANSWERS Kyphosis is a late sign of
with 100% Correct Verified Answers
Best Graded A+
Congestive Heart Failure - CORRECT ANSWERS A 68 y/o woman with hypertension and diabetes is
seen buy the NP, for dry cough that worsens at night when she lies in bed. She has SOB which
worsens when she exerts herself. The pt's pulse is 90/min and regular. The patient has gained 6 lbs.
over the past 2 months. She is on a nitroglycerine patch and furosemide daily. The best explanation
for her symptoms is:
Advise the patient that she has a normal exam - CORRECT ANSWERS A NP is doing a fundoycopic
exam on a 35 y/o female during a routine physical exam. He notices that she has sharp disc margins
and a yellowish orange color in the macular area. The ration of the veins to arteries is 3:2. What is
the most appropriate action?
The patient can see at 20ft what a person with normal vision can see at 30 ft (near-sided) - CORRECT
ANSWERS During a sports physical, you note that the vision of an 18 y/o male athlete is 20/30 in
both eyes. What dose this mean?
Somogi phenomenon - CORRECT ANSWERS A 30 y/o type 2 diabetic is on reg insulin and lente
insulin in the morning and evening. She denies changes in her diet or any illness, but recently started
attending aerobic classes in the afternoon. Because of her work-outs, her blood sugars have dipped
below 50mg/dL very early in the morning. Her fasting glucose before breakfast is now elevated and
higher than normal. How is this best described?
HCV RNA - CORRECT ANSWERS A 40 y/o female is positive for anti-hepatitis C virus (HCV). Which
test is appropriate for follow up?
Check the ankle and brachial blood pressure before and after exercise. - CORRECT ANSWERS When
the NP is evaluating a patient for intermittent claudication he/she would first do what?
,Erythromycin
Phenytoin (Dilantin)
Cimetidine (Tagamet) - CORRECT ANSWERS The following drugs interact with theophylline
Mitral regurgitation - CORRECT ANSWERS You note a high pitched and blowing pan-systolic murmur
in a 70 y/o male. It is Grade II/VI and is best heard in the apical area. What is the most likely
diagnosis?
Strabismus - CORRECT ANSWERS The cover/uncover test is a screening tool for what?
Color blindness - CORRECT ANSWERS The Ishihara tool is a screening for what condition?
Visual Aquity - CORRECT ANSWERS The Snellen chart is a tool used to evaluate what?
Advise the mother that this is normal in infants up to 2 months old - CORRECT ANSWERS The
mother of a 4-wk old infant is concerned that her infant's eyes are crossed for a few seconds
occasionally. The NP would:
Height, Age, Gender - CORRECT ANSWERS What factors are important in determining the peak
expiratory flow volume?
Squamous epithelial cells and endocervical cells - CORRECT ANSWERS You are reviewing a Pap
smear report on a 25 y/o female. What cells should be on the pap smear to be considered an
adequate specimen?
It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic - CORRECT
ANSWERS 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 - CORRECT ANSWERS The NP would test the obturator and iliopsoas muscle to
evaluate for what?
A prescription of methyldopa (Aldomet) to control BP - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS
The following statement regarding Munchausen syndrome is false:
Beta-blockers - CORRECT ANSWERS Which antihypertensive medications should the NP avoid when
treating patient with emphysema?
Perform a complete and thorough history - CORRECT ANSWERS 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 - CORRECT ANSWERS Which finding is most likely in young
primigravidas with pregnancy induced hypertension?
Tingling and numbness of both feet - CORRECT ANSWERS Which symptom is associated with B12
deficiency anemia?
Order an ultrasound - CORRECT ANSWERS 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 - CORRECT ANSWERS Pts. diagnosed with gonorrhea should also be treated
for what other infections?
Osteoporosis - CORRECT ANSWERS Kyphosis is a late sign of
