LEIK FNP practice Questions 2025/2026 With Complete
Solutions
An elderly patient with a productive cough and fever is
diagnosed with pneumonia. Which organisms are capable of
causing community acquired pneumonia?
Haemophilus influenza
Mycoplasma pneumoniae
Streptococcus pnemoniae
hCG is produced by what?
Placeneta
The majority of serum alpha fetoprotein is produced by the?
Fetal liver
Stella works in the housekeeping department of a hospital. She
presents to the employee health clinic with complaints of a
needle stick to her left thumb. The needle was in one of the
garbage bags from the emergency room. The patient had a little
bleeding that stopped spontaneously. What is the next step?
Order a enzyme-linked immunosorbent assay (ELISA) test as
soon as possible
An elderly woman has been on digoxin (Lanoxin) for 10yrs. Her
electrocardiogram (EKG) is showing a new onset of A-fib. Her
pulse is 64/min. She denies syncope and dizziness. What
intervention is appropriate?
Order serum TSH, digoxin level, and and electrolyte panel.
,You note the following results on a routine urinalysis of a 37y/o
primigravida who is 30 weeks gestation. Leuk=trace, Nit=
negative, Pro=2+, blood=negative. Her weight has increased by
5 lbs during the past week. What is the most likely diagnosis?
Pregnancy induced hypertension (preeclampsia)
The NP who suspects that one of her hypertensive patients has
Cushing's syndrome would expect to find what laboratory
result?
Elevated serum cortisol levels
The first teeth to erupt during infancy are which of the
following?
Incisors
Palpation of the fetus and auscultation of fetal heart tones by the
NP. Audible fetal heart tones or cardiac activity on U/S.
The positive signs of pregnancy
Blue coloration of the cervix and vagina
Chadwick's sign
Pregnancy symptoms experienced by the woman such as
amenorrhea, breast tenderness, N/V, fatigue and increased
urinary frequency.
Presumptive signs of pregnancy
Pregnancy signs detected by the examiner such as an enlarged
uterus
Probable signs of pregnancy
,A studen has recently been informed that he has HPV infection
on the shaft of his penis. What may reveal subclinical lesions on
the penile skin?
Apply acetic acid to the penile shaft and look for acetowhite
changes.
Carol M. is a 40 y/o bank teller who has recently been diagnosed
with OCD by her therapist. What would her symptoms include?
1. Ritualistic behaviors that pt feels compelled to repeat
2. Attempts to ignore or suppress the repetitive behaviors which
increase anxiety
3. Frequent intrusive and repetitive thoughts and impulses
Which medications are indicated for the treatment of OCD?
Paxil, clomipramine (Anafranil), Luvox, Prozac, and Zoloft
You advise an 18y/o female student who has been given a
booster dose of MMR at the college health clinic that?
She should not get pregnant within the next 4wks
A 68 y/o female is suspected of having Alzheimer's disease.
What is the best initial method for assessing this condition?
Mini mental status exam
A 55y/o woman who has type 2 diabetes is concerned about her
kidneys. She has a hx of 3 UTIs within the past 8 months. She
denies dysuria and frequency at this visit. What is the best
course to follow?
Recheck the pt's urine and order a C&S for urine
, An NP is giving dietary counseling to a male alcoholic who has
recently been diagnosed with folic acid deficiency anemia. What
foods should the NP recommend for the patient?
Spinach, liver, whole wheat bread
The ELISA and Western Blot tests are both used to test for HIV.
Does a positive ELISA test mean the patient has HIV?
NO, the Western Blot is needed to confirm diagnosis.
Heger's Sing is considered what?
A probable sign of pregnancy
When palpating a woman who is at 20 wks, the NP should be
able to feel the uterus at what level?
The the umbilicus
A 67 y/o female with a 50pk/yr history of smoking presents for a
routine annual physical examination. She complains of being
easily short of breath and is frequently fatigued. Physical
examination reveals diminished breath sounds, hype-resonance,
and hypertrophied respiratory accessory muscles. Her CBC
results reveal that her hematocrit level is slightly elevated. Her
pulmonary function test (PFT) results show increased total lung
capacity. What is the most likely diagnosis of this patient?
COPD
Your patient of 10 yrs is concerned about her most recent
diagnosis. She was told by her dermatologist that she has an
advanced case of Actinic Keratosis. What would you
recommend for this patient?
Solutions
An elderly patient with a productive cough and fever is
diagnosed with pneumonia. Which organisms are capable of
causing community acquired pneumonia?
Haemophilus influenza
Mycoplasma pneumoniae
Streptococcus pnemoniae
hCG is produced by what?
Placeneta
The majority of serum alpha fetoprotein is produced by the?
Fetal liver
Stella works in the housekeeping department of a hospital. She
presents to the employee health clinic with complaints of a
needle stick to her left thumb. The needle was in one of the
garbage bags from the emergency room. The patient had a little
bleeding that stopped spontaneously. What is the next step?
Order a enzyme-linked immunosorbent assay (ELISA) test as
soon as possible
An elderly woman has been on digoxin (Lanoxin) for 10yrs. Her
electrocardiogram (EKG) is showing a new onset of A-fib. Her
pulse is 64/min. She denies syncope and dizziness. What
intervention is appropriate?
Order serum TSH, digoxin level, and and electrolyte panel.
,You note the following results on a routine urinalysis of a 37y/o
primigravida who is 30 weeks gestation. Leuk=trace, Nit=
negative, Pro=2+, blood=negative. Her weight has increased by
5 lbs during the past week. What is the most likely diagnosis?
Pregnancy induced hypertension (preeclampsia)
The NP who suspects that one of her hypertensive patients has
Cushing's syndrome would expect to find what laboratory
result?
Elevated serum cortisol levels
The first teeth to erupt during infancy are which of the
following?
Incisors
Palpation of the fetus and auscultation of fetal heart tones by the
NP. Audible fetal heart tones or cardiac activity on U/S.
The positive signs of pregnancy
Blue coloration of the cervix and vagina
Chadwick's sign
Pregnancy symptoms experienced by the woman such as
amenorrhea, breast tenderness, N/V, fatigue and increased
urinary frequency.
Presumptive signs of pregnancy
Pregnancy signs detected by the examiner such as an enlarged
uterus
Probable signs of pregnancy
,A studen has recently been informed that he has HPV infection
on the shaft of his penis. What may reveal subclinical lesions on
the penile skin?
Apply acetic acid to the penile shaft and look for acetowhite
changes.
Carol M. is a 40 y/o bank teller who has recently been diagnosed
with OCD by her therapist. What would her symptoms include?
1. Ritualistic behaviors that pt feels compelled to repeat
2. Attempts to ignore or suppress the repetitive behaviors which
increase anxiety
3. Frequent intrusive and repetitive thoughts and impulses
Which medications are indicated for the treatment of OCD?
Paxil, clomipramine (Anafranil), Luvox, Prozac, and Zoloft
You advise an 18y/o female student who has been given a
booster dose of MMR at the college health clinic that?
She should not get pregnant within the next 4wks
A 68 y/o female is suspected of having Alzheimer's disease.
What is the best initial method for assessing this condition?
Mini mental status exam
A 55y/o woman who has type 2 diabetes is concerned about her
kidneys. She has a hx of 3 UTIs within the past 8 months. She
denies dysuria and frequency at this visit. What is the best
course to follow?
Recheck the pt's urine and order a C&S for urine
, An NP is giving dietary counseling to a male alcoholic who has
recently been diagnosed with folic acid deficiency anemia. What
foods should the NP recommend for the patient?
Spinach, liver, whole wheat bread
The ELISA and Western Blot tests are both used to test for HIV.
Does a positive ELISA test mean the patient has HIV?
NO, the Western Blot is needed to confirm diagnosis.
Heger's Sing is considered what?
A probable sign of pregnancy
When palpating a woman who is at 20 wks, the NP should be
able to feel the uterus at what level?
The the umbilicus
A 67 y/o female with a 50pk/yr history of smoking presents for a
routine annual physical examination. She complains of being
easily short of breath and is frequently fatigued. Physical
examination reveals diminished breath sounds, hype-resonance,
and hypertrophied respiratory accessory muscles. Her CBC
results reveal that her hematocrit level is slightly elevated. Her
pulmonary function test (PFT) results show increased total lung
capacity. What is the most likely diagnosis of this patient?
COPD
Your patient of 10 yrs is concerned about her most recent
diagnosis. She was told by her dermatologist that she has an
advanced case of Actinic Keratosis. What would you
recommend for this patient?
