LEIK FNP PRACTICE QUESTIONS REVIEW GUIDE // A+
GRADED PRESENTATION // FAMILY NURSE PRACTITIONER
EXAM PREP DIAGNOSTIC REASONING CLINICAL
MANAGEMENT AND EVIDENCE-BASED PRACTICE FOR
COMPLETE STUDENT MASTERY // ACADEMIC YEAR
2025/2026
A 39-year-old migrant worker presents to the clinic 2.5 days after a
purified protein derivative (PPD) test. What minimum size of induration
would be considered posi- tive for this patient?
A) 3 mm B) 5 mm C) 10 mm D) 15 mm - THE CORRECT ANSWER -C)
10 mm
The PPD is administered on the volar aspect of the lower arm and read
48 hours after the test is given. The PPD result must have induration
and measure 10 mm or greater to be positive in a low-risk patient.
Induration (firmness with palpation) must be present. If the site has
erythema but no induration, result would be negative. Color is not
important.
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 a right to override the agent's decisions -
THE CORRECT ANSWER -D) The patient's spouse has a right to
override the agent's decisions
The person named in a durable power of attorney (the agent) is
designated by the patient to make all medical decisions, as well as any
decisions regarding the patient's private affairs in the event that the
patient becomes incompetent and unable to make his/her own
decisions. No one has the ability to override the agent's decision.
All of the following are true statements regarding Munchausen syndrome
except:
A) It is considered a mental illness
B) The patient has a medical illness that causes an anxiety reaction and
denial
C) The patient fakes an illness in order to gain attention from health care
providers
D) The patient has an inconsistent medical history along with a past
history of
frequent hospitalizations - THE CORRECT ANSWER -B) The patient
has a medical illness that causes an anxiety reaction and denial
Munchausen syndrome is a psychiatric disorder in which the patient
fakes a medical illness or disorder to gain attention from health care
provid- ers. These patients commonly use the emergency department
frequently to gain attention.
Which of the following antihypertensive medications should the nurse
practitioner avoid when treating patients with emphysema?
A) Calcium channel blockers
,B) Angiotensin-converting enzyme (ACE) inhibitors
C) Beta-blockers
D) Diuretics - THE CORRECT ANSWER -C) Beta-blockers
Beta-blockers should be avoided in patients with a history of
emphysema. Studies have shown evidence of a reduction in forced
expiratory volume in 1 second (FEV1), increased airway
hyperresponsiveness, and inhibition of bronchodilator response to beta
agonists in patients receiving non-selective beta- blockers and high
doses of cardioselective beta-blockers.
A 30-year-old chef complains of pruritic hives over her chest and arms
but denies difficulty swallowing or breathing. She reports a family history
of allergic rhinitis and asthma. Which of the following interventions is
most appropriate?
A) Perform a complete and thorough history
B) Prescribe an oral antihistamine such as diphenhydramine 25 mg PO
QID
C) Give an injection of epinephrine 1:1000 intramuscularly stat
D) Call 911 - THE CORRECT ANSWER -A) Perform a complete and
thorough history
Prior to prescribing medications, a complete and thorough history must
be performed to determine possible causes of hives. The patient denied
difficulty with swallowing and breathing, so there was no medical
emergency to require calling 911.
Which of the following findings is most likely in young primigravidas with
pregnancy-induced hypertension?
A) Abdominal cramping and constipation
, B) Edema of the face and the upper extremities
C) Shortness of breath
D) Dysuria and frequency - THE CORRECT ANSWER -B) Edema of the
face and the upper extremities
Common signs and symptoms of pregnancy-induced hypertension
include edema of the face and the upper extremities, weight gain,
blurred vision, elevated BP, proteinuria, and headaches.
Which of the following symptoms is associated with B12 deficiency
anemia?
A) Spoon-shaped nails and pica
B) An abnormal neurological exam
C) A vegan diet
D) Tingling and numbness of both feet - THE CORRECT ANSWER -D)
Tingling and numbness of both feet
Vitamin B12 deficiency anemia can cause nerve cell damage if not
treated. Symptoms of B12 deficiency anemia may include tingling or
numbness in fingers and toes, difficulty walking, mood changes or
depression, memory loss, disorientation, and dementia.
A second triple screen on a 35-year-old primigravida reveals abnormally
low lev- els of the alpha fetoprotein and estriol and high levels of human
chorionic gonad- otropin. Which of the following interventions is the best
choice for this patient?
A) Order an ultrasound
B) Order a computed tomography (CT) scan of the abdomen
C) Order a 24-hour urine for protein clearance
GRADED PRESENTATION // FAMILY NURSE PRACTITIONER
EXAM PREP DIAGNOSTIC REASONING CLINICAL
MANAGEMENT AND EVIDENCE-BASED PRACTICE FOR
COMPLETE STUDENT MASTERY // ACADEMIC YEAR
2025/2026
A 39-year-old migrant worker presents to the clinic 2.5 days after a
purified protein derivative (PPD) test. What minimum size of induration
would be considered posi- tive for this patient?
A) 3 mm B) 5 mm C) 10 mm D) 15 mm - THE CORRECT ANSWER -C)
10 mm
The PPD is administered on the volar aspect of the lower arm and read
48 hours after the test is given. The PPD result must have induration
and measure 10 mm or greater to be positive in a low-risk patient.
Induration (firmness with palpation) must be present. If the site has
erythema but no induration, result would be negative. Color is not
important.
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 a right to override the agent's decisions -
THE CORRECT ANSWER -D) The patient's spouse has a right to
override the agent's decisions
The person named in a durable power of attorney (the agent) is
designated by the patient to make all medical decisions, as well as any
decisions regarding the patient's private affairs in the event that the
patient becomes incompetent and unable to make his/her own
decisions. No one has the ability to override the agent's decision.
All of the following are true statements regarding Munchausen syndrome
except:
A) It is considered a mental illness
B) The patient has a medical illness that causes an anxiety reaction and
denial
C) The patient fakes an illness in order to gain attention from health care
providers
D) The patient has an inconsistent medical history along with a past
history of
frequent hospitalizations - THE CORRECT ANSWER -B) The patient
has a medical illness that causes an anxiety reaction and denial
Munchausen syndrome is a psychiatric disorder in which the patient
fakes a medical illness or disorder to gain attention from health care
provid- ers. These patients commonly use the emergency department
frequently to gain attention.
Which of the following antihypertensive medications should the nurse
practitioner avoid when treating patients with emphysema?
A) Calcium channel blockers
,B) Angiotensin-converting enzyme (ACE) inhibitors
C) Beta-blockers
D) Diuretics - THE CORRECT ANSWER -C) Beta-blockers
Beta-blockers should be avoided in patients with a history of
emphysema. Studies have shown evidence of a reduction in forced
expiratory volume in 1 second (FEV1), increased airway
hyperresponsiveness, and inhibition of bronchodilator response to beta
agonists in patients receiving non-selective beta- blockers and high
doses of cardioselective beta-blockers.
A 30-year-old chef complains of pruritic hives over her chest and arms
but denies difficulty swallowing or breathing. She reports a family history
of allergic rhinitis and asthma. Which of the following interventions is
most appropriate?
A) Perform a complete and thorough history
B) Prescribe an oral antihistamine such as diphenhydramine 25 mg PO
QID
C) Give an injection of epinephrine 1:1000 intramuscularly stat
D) Call 911 - THE CORRECT ANSWER -A) Perform a complete and
thorough history
Prior to prescribing medications, a complete and thorough history must
be performed to determine possible causes of hives. The patient denied
difficulty with swallowing and breathing, so there was no medical
emergency to require calling 911.
Which of the following findings is most likely in young primigravidas with
pregnancy-induced hypertension?
A) Abdominal cramping and constipation
, B) Edema of the face and the upper extremities
C) Shortness of breath
D) Dysuria and frequency - THE CORRECT ANSWER -B) Edema of the
face and the upper extremities
Common signs and symptoms of pregnancy-induced hypertension
include edema of the face and the upper extremities, weight gain,
blurred vision, elevated BP, proteinuria, and headaches.
Which of the following symptoms is associated with B12 deficiency
anemia?
A) Spoon-shaped nails and pica
B) An abnormal neurological exam
C) A vegan diet
D) Tingling and numbness of both feet - THE CORRECT ANSWER -D)
Tingling and numbness of both feet
Vitamin B12 deficiency anemia can cause nerve cell damage if not
treated. Symptoms of B12 deficiency anemia may include tingling or
numbness in fingers and toes, difficulty walking, mood changes or
depression, memory loss, disorientation, and dementia.
A second triple screen on a 35-year-old primigravida reveals abnormally
low lev- els of the alpha fetoprotein and estriol and high levels of human
chorionic gonad- otropin. Which of the following interventions is the best
choice for this patient?
A) Order an ultrasound
B) Order a computed tomography (CT) scan of the abdomen
C) Order a 24-hour urine for protein clearance
