LEIK FNP PRACTICE QUESTIONS AND ANSWERS
2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
1) 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:
2) 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?
3) 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?
4) 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?
5) HCV RNA - CORRECT ANSWERS A 40 y/o female is positive for anti-hepatitis C virus (HCV).
Which test is appropriate for follow up?
6) 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?
7) Erythromycin
Phenytoin (Dilantin)
Cimetidine (Tagamet) - CORRECT ANSWERS The following drugs interact with theophylline
8) 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?
9) Strabismus - CORRECT ANSWERS The cover/uncover test is a screening tool for what?
10) Color blindness - CORRECT ANSWERS The Ishihara tool is a screening for what condition?
11) Visual Aquity - CORRECT ANSWERS The Snellen chart is a tool used to evaluate what?
12) 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:
13) Height, Age, Gender - CORRECT ANSWERS What factors are important in determining the
peak expiratory flow volume?
, LEIK FNP PRACTICE QUESTIONS AND ANSWERS
2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
14) 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?
15) 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.
16) Acute appendicitis - CORRECT ANSWERS The NP would test the obturator and iliopsoas
muscle to evaluate for what?
17) 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.
18) 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
19) 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?
,LEIK FNP PRACTICE QUESTIONS AND ANSWERS
2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
20) 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?
21) 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
22) The patient has a medical illness that causes an anxiety reaction and denial - CORRECT
ANSWERS The following statement regarding Munchausen syndrome is false:
23) Beta-blockers - CORRECT ANSWERS Which antihypertensive medications should the NP
avoid when treating patient with emphysema?
24) 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?
25) Edema of the face and upper extremities - CORRECT ANSWERS Which finding is most likely
in young primigravidas with pregnancy induced hypertension?
26) Tingling and numbness of both feet - CORRECT ANSWERS Which symptom is associated
with B12 deficiency anemia?
27) 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?
28) Chlamydia trachoma's - CORRECT ANSWERS Pts. diagnosed with gonorrhea should also be
treated for what other infections?
29) Osteoporosis - CORRECT ANSWERS Kyphosis is a late sign of
30) Higher than normal - CORRECT ANSWERS A 35 y/o primigravida who is at 28wks gestation is
expecting twins. What would you would expect her alpha fetal protein (AFP) to be?
Calcium channel blockers - CORRECT ANSWERS Which of the following antihypertensive
medications has beneficial effects for an elderly white female with osteoporosis?
, LEIK FNP PRACTICE QUESTIONS AND ANSWERS
2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
Knee instability - CORRECT ANSWERS The Lachman maneuver is used to detect which of the
following?
Tanner Stage III - CORRECT ANSWERS When an adolescent male's penis grows more in length than
width, at which of the following Tanner stages is he classified?
Toxoplasma gondii, other infections, rubella, cytomegalovirus and herpes - CORRECT ANSWERS
Fetal TORCH infections can cause microcephaly, mental retardation, hepatosplenomegaly, and
intrauterine growth retardation. The acronym for TORCH stands for:.
Laryngeal neoplasia - CORRECT ANSWERS HPV infection of the larynx has been associated with:
Degenerative joint disease - CORRECT ANSWERS Mr. Brown is a 65 y/o carpenter complaining of
morning stiffness and pain in both his hands and right knee upon awakening. He feels some relief
after warming up. On exam, the nurse notices the presence of Heberden's nodes. What is most likely
diagnosis?
Instability of the knee - CORRECT ANSWERS What does the positive posterior drawer sign in a 10 yr
old soccer player signify?
From 33-35 cm - CORRECT ANSWERS A multigravida who is at 34 wks gestation wants to know at
what level her uterine funds should be. The best answer is to advise the mother that her funds is:
Advise mother that her pregnancy is progressing well - CORRECT ANSWERS A multigravida who is
28wks gestation has a fundal height of 29cm. What is the best recommendation for this patient?
Creatinine - CORRECT ANSWERS Which laboratory test is used in primary care to evaluate renal
function?
Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the disorder - CORRECT
ANSWERS All of the following are false statements regarding acute gastritis except:
A) Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the disorder
2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
1) 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:
2) 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?
3) 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?
4) 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?
5) HCV RNA - CORRECT ANSWERS A 40 y/o female is positive for anti-hepatitis C virus (HCV).
Which test is appropriate for follow up?
6) 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?
7) Erythromycin
Phenytoin (Dilantin)
Cimetidine (Tagamet) - CORRECT ANSWERS The following drugs interact with theophylline
8) 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?
9) Strabismus - CORRECT ANSWERS The cover/uncover test is a screening tool for what?
10) Color blindness - CORRECT ANSWERS The Ishihara tool is a screening for what condition?
11) Visual Aquity - CORRECT ANSWERS The Snellen chart is a tool used to evaluate what?
12) 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:
13) Height, Age, Gender - CORRECT ANSWERS What factors are important in determining the
peak expiratory flow volume?
, LEIK FNP PRACTICE QUESTIONS AND ANSWERS
2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
14) 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?
15) 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.
16) Acute appendicitis - CORRECT ANSWERS The NP would test the obturator and iliopsoas
muscle to evaluate for what?
17) 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.
18) 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
19) 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?
,LEIK FNP PRACTICE QUESTIONS AND ANSWERS
2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
20) 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?
21) 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
22) The patient has a medical illness that causes an anxiety reaction and denial - CORRECT
ANSWERS The following statement regarding Munchausen syndrome is false:
23) Beta-blockers - CORRECT ANSWERS Which antihypertensive medications should the NP
avoid when treating patient with emphysema?
24) 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?
25) Edema of the face and upper extremities - CORRECT ANSWERS Which finding is most likely
in young primigravidas with pregnancy induced hypertension?
26) Tingling and numbness of both feet - CORRECT ANSWERS Which symptom is associated
with B12 deficiency anemia?
27) 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?
28) Chlamydia trachoma's - CORRECT ANSWERS Pts. diagnosed with gonorrhea should also be
treated for what other infections?
29) Osteoporosis - CORRECT ANSWERS Kyphosis is a late sign of
30) Higher than normal - CORRECT ANSWERS A 35 y/o primigravida who is at 28wks gestation is
expecting twins. What would you would expect her alpha fetal protein (AFP) to be?
Calcium channel blockers - CORRECT ANSWERS Which of the following antihypertensive
medications has beneficial effects for an elderly white female with osteoporosis?
, LEIK FNP PRACTICE QUESTIONS AND ANSWERS
2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED
A+ FOR SUCCESS
Knee instability - CORRECT ANSWERS The Lachman maneuver is used to detect which of the
following?
Tanner Stage III - CORRECT ANSWERS When an adolescent male's penis grows more in length than
width, at which of the following Tanner stages is he classified?
Toxoplasma gondii, other infections, rubella, cytomegalovirus and herpes - CORRECT ANSWERS
Fetal TORCH infections can cause microcephaly, mental retardation, hepatosplenomegaly, and
intrauterine growth retardation. The acronym for TORCH stands for:.
Laryngeal neoplasia - CORRECT ANSWERS HPV infection of the larynx has been associated with:
Degenerative joint disease - CORRECT ANSWERS Mr. Brown is a 65 y/o carpenter complaining of
morning stiffness and pain in both his hands and right knee upon awakening. He feels some relief
after warming up. On exam, the nurse notices the presence of Heberden's nodes. What is most likely
diagnosis?
Instability of the knee - CORRECT ANSWERS What does the positive posterior drawer sign in a 10 yr
old soccer player signify?
From 33-35 cm - CORRECT ANSWERS A multigravida who is at 34 wks gestation wants to know at
what level her uterine funds should be. The best answer is to advise the mother that her funds is:
Advise mother that her pregnancy is progressing well - CORRECT ANSWERS A multigravida who is
28wks gestation has a fundal height of 29cm. What is the best recommendation for this patient?
Creatinine - CORRECT ANSWERS Which laboratory test is used in primary care to evaluate renal
function?
Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the disorder - CORRECT
ANSWERS All of the following are false statements regarding acute gastritis except:
A) Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the disorder
