7/7/26, 12:38 FAC-C CERTIFICATION EXAM
PM
Leik FNP Exam Questions 400+ Verified Questions
& Answers 2026–2027 | Family Nurse Practitioner
Certification Review | AANP & ANCC Exam Prep
Study Guide.
It inhibits the effect of renal prostaglandins and blunts the effectiveness of the
diuretic
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
The NP would test the obturator and iliopsoas muscle to evaluate for what?
A prescription of methyldopa (Aldomet) to control BP
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
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
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
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,7/7/26, 12:38 FAC-C CERTIFICATION EXAM
PM
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
2/77
,7/7/26, 12:38 FAC-C CERTIFICATION EXAM
PM
of the right lung. The total white blood cell count is 10,500/uL. What is the
likely diagnosis?
10mm
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
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
The following statement regarding Munchausen syndrome is false:
Beta-blockers
Which antihypertensive medications should the NP avoid when treating patient
with emphysema?
Perform a complete and thorough history
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
Which finding is most likely in young primigravidas with pregnancy induced
hypertension?
Tingling and numbness of both feet
Which symptom is associated with B12 deficiency anemia?
3/77
, 7/7/26, 12:38 FAC-C CERTIFICATION EXAM
PM
Order an ultrasound
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
Pts. diagnosed with gonorrhea should also be treated for what other infections?
Osteoporosis
Kyphosis is a late sign of
Higher than normal
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
Which of the following antihypertensive medications has beneficial effects for
an elderly white female with osteoporosis?
Knee instability
The Lachman maneuver is used to detect which of the following?
Tanner Stage III
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
Fetal TORCH infections can cause microcephaly, mental retardation,
hepatosplenomegaly, and intrauterine growth retardation. The acronym for
TORCH stands for:.
Laryngeal neoplasia
HPV infection of the larynx has been associated with:
4/77
PM
Leik FNP Exam Questions 400+ Verified Questions
& Answers 2026–2027 | Family Nurse Practitioner
Certification Review | AANP & ANCC Exam Prep
Study Guide.
It inhibits the effect of renal prostaglandins and blunts the effectiveness of the
diuretic
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
The NP would test the obturator and iliopsoas muscle to evaluate for what?
A prescription of methyldopa (Aldomet) to control BP
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
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
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
1/77
,7/7/26, 12:38 FAC-C CERTIFICATION EXAM
PM
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
2/77
,7/7/26, 12:38 FAC-C CERTIFICATION EXAM
PM
of the right lung. The total white blood cell count is 10,500/uL. What is the
likely diagnosis?
10mm
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
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
The following statement regarding Munchausen syndrome is false:
Beta-blockers
Which antihypertensive medications should the NP avoid when treating patient
with emphysema?
Perform a complete and thorough history
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
Which finding is most likely in young primigravidas with pregnancy induced
hypertension?
Tingling and numbness of both feet
Which symptom is associated with B12 deficiency anemia?
3/77
, 7/7/26, 12:38 FAC-C CERTIFICATION EXAM
PM
Order an ultrasound
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
Pts. diagnosed with gonorrhea should also be treated for what other infections?
Osteoporosis
Kyphosis is a late sign of
Higher than normal
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
Which of the following antihypertensive medications has beneficial effects for
an elderly white female with osteoporosis?
Knee instability
The Lachman maneuver is used to detect which of the following?
Tanner Stage III
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
Fetal TORCH infections can cause microcephaly, mental retardation,
hepatosplenomegaly, and intrauterine growth retardation. The acronym for
TORCH stands for:.
Laryngeal neoplasia
HPV infection of the larynx has been associated with:
4/77
