FNP LEIK EXAM PREP QUESTIONS AND
ANSWERS FULL SOLUTION
●● Case: A 70 year old male patient complains of a bright-red-colored
spot that has been present in his left eye for 2 days. He denies eye pain,
visual changes, or headaches. He has a new onset cough from a recent
viral URI. The only medicine he is taking is Bayer aspirin one tablet a
day.
Which of the following actions is appropriate follow-up for this 70 year
old patient?
A. Refer the patient to an optometrist
B. Refer the patient to an ophthalmologist
C. Advise the patient that the condition is benign and will resolve
spontaneously
D. Prescribe an ophthalmic antibiotic solution
Answer: C. Advise the patient that the condition is benign and will
resolve spontaneously
A subconjunctival hemorrhage is a benign disorder that resolves without
any treatment
●● Case: A 17 year old high school student is diagnosed by the NP with
serous otitis media of the left ear. He states that his nose is always
congested because of dust mite allergy. His medical history includes
allergic rhinitis and asthma.
,What is the expected result of the Rinne test in patients who have serous
otitis media of the left ear?
A. Air conduction (AC) > bone conduction (BC)
B. BC > AC
C. Lateralization to the left ear
D. Sound is heard by both ears
Answer: B. BC > AC
●● Case: A 17 year old high school student is diagnosed by the NP with
serous otitis media of the left ear. He states that his nose is always
congested because of dust mite allergy. His medical history includes
allergic rhinitis and asthma.
The student reports a history of chronic nasal congestion. He
occasionally has fits of sneezing when he is in a dusty room. The NP is
using an otoscope to examine his nasal tissue. The inferior nasal
turbinates appear swollen and pale. Which of the following medications
is considered first-line treatment for allergic rhinitis?
A. Azelastine (Astelin) one to two sprays in each nostril twice a day
B. Saline nasal spray one to two sprays in each nostril four times a day
as needed
C. Cetirizine (Zyrtec) one 5 mg tablet PO at bedtime
D. Budesonide (Rhinocort) one to two sprays in each nostril twice a day
Answer: D. Budesonide (Rhinocort) one to two sprays in each nostril
twice a day
,●● Which of the following is involved with sensorineural hearing loss?
(Select all that apply)
A. Outer ear
B. Middle ear
C. Inner ear
D. Cranial nerve VIII
Answer: C, D - Inner Ear + Cranial Nerve VIII
Sensorineural hearing loss (i.e., presbycusis) involves damage to both
the hair cells in the cochlea (sensory portion) and cranial nerve VIII
(neural).
●● A cauliflower-like growth with foul-smelling discharge is seen
during an otoscopic exam of the left ear of an 8-year-old boy with a
history of chronic otitis media. No tympanic membrane or ossicles are
visible and the patient seems to have difficulty hearing the nurse
practitioner's instructions. Which of the following conditions is best
described?
A) Chronic perforation of the tympanic membrane with secondary
bacterial infection
B) Chronic mastoiditis
C) Cholesteatoma
D) Cancer of the middle ea
Answer: C) Cholesteatoma
, Cholesteatoma is an abnormal growth that occurs in the middle ear that
can cause hearing loss. Difficulty hearing is common.
●● In the majority of children, the first permanent teeth start to erupt at
the age of 6 years. Which of the following are the first permanent teeth
to erupt in this time period?
A. First molars
B. Second molars
C. Lower or upper incisors
D. Canines
Answer: A
The first molars are the first permanent teeth to develop; they appear at
approximately 6 years of age
●● The Ishihara chart is useful for evaluating which of the following
conditions?
A. Nystagmus
B. Esodeviation
C. Color blindness
D. Strabismus
Answer: C
ANSWERS FULL SOLUTION
●● Case: A 70 year old male patient complains of a bright-red-colored
spot that has been present in his left eye for 2 days. He denies eye pain,
visual changes, or headaches. He has a new onset cough from a recent
viral URI. The only medicine he is taking is Bayer aspirin one tablet a
day.
Which of the following actions is appropriate follow-up for this 70 year
old patient?
A. Refer the patient to an optometrist
B. Refer the patient to an ophthalmologist
C. Advise the patient that the condition is benign and will resolve
spontaneously
D. Prescribe an ophthalmic antibiotic solution
Answer: C. Advise the patient that the condition is benign and will
resolve spontaneously
A subconjunctival hemorrhage is a benign disorder that resolves without
any treatment
●● Case: A 17 year old high school student is diagnosed by the NP with
serous otitis media of the left ear. He states that his nose is always
congested because of dust mite allergy. His medical history includes
allergic rhinitis and asthma.
,What is the expected result of the Rinne test in patients who have serous
otitis media of the left ear?
A. Air conduction (AC) > bone conduction (BC)
B. BC > AC
C. Lateralization to the left ear
D. Sound is heard by both ears
Answer: B. BC > AC
●● Case: A 17 year old high school student is diagnosed by the NP with
serous otitis media of the left ear. He states that his nose is always
congested because of dust mite allergy. His medical history includes
allergic rhinitis and asthma.
The student reports a history of chronic nasal congestion. He
occasionally has fits of sneezing when he is in a dusty room. The NP is
using an otoscope to examine his nasal tissue. The inferior nasal
turbinates appear swollen and pale. Which of the following medications
is considered first-line treatment for allergic rhinitis?
A. Azelastine (Astelin) one to two sprays in each nostril twice a day
B. Saline nasal spray one to two sprays in each nostril four times a day
as needed
C. Cetirizine (Zyrtec) one 5 mg tablet PO at bedtime
D. Budesonide (Rhinocort) one to two sprays in each nostril twice a day
Answer: D. Budesonide (Rhinocort) one to two sprays in each nostril
twice a day
,●● Which of the following is involved with sensorineural hearing loss?
(Select all that apply)
A. Outer ear
B. Middle ear
C. Inner ear
D. Cranial nerve VIII
Answer: C, D - Inner Ear + Cranial Nerve VIII
Sensorineural hearing loss (i.e., presbycusis) involves damage to both
the hair cells in the cochlea (sensory portion) and cranial nerve VIII
(neural).
●● A cauliflower-like growth with foul-smelling discharge is seen
during an otoscopic exam of the left ear of an 8-year-old boy with a
history of chronic otitis media. No tympanic membrane or ossicles are
visible and the patient seems to have difficulty hearing the nurse
practitioner's instructions. Which of the following conditions is best
described?
A) Chronic perforation of the tympanic membrane with secondary
bacterial infection
B) Chronic mastoiditis
C) Cholesteatoma
D) Cancer of the middle ea
Answer: C) Cholesteatoma
, Cholesteatoma is an abnormal growth that occurs in the middle ear that
can cause hearing loss. Difficulty hearing is common.
●● In the majority of children, the first permanent teeth start to erupt at
the age of 6 years. Which of the following are the first permanent teeth
to erupt in this time period?
A. First molars
B. Second molars
C. Lower or upper incisors
D. Canines
Answer: A
The first molars are the first permanent teeth to develop; they appear at
approximately 6 years of age
●● The Ishihara chart is useful for evaluating which of the following
conditions?
A. Nystagmus
B. Esodeviation
C. Color blindness
D. Strabismus
Answer: C
