LEIK FNP Exam 2025–2026 Accurate Real
Exam Questions and Verified Correct
Answers
An elderly male of Mediterranean descent has a routine complete blood count (CBC) done
for an annual physical. The following are his lab test results: hemoglobin of 13.0 g/dL, a
hematocrit of 39%, and an MCV of 72 fL. His PSA result is 3.2 ng/mL. The urinalysis
shows no leukocytes and few epithelial cells. Which of the following laboratory tests are
indicated for this patient?
A) Serum iron, serum ferritin, total iron binding capacity (TIBC), and
the red cell differential width (RDW).
B) Serum B12 and folate level with a peripheral smear.
C) CBC with white cell differential and urinalysis.
D) Urine culture and sensitivity with microscopic exam of the urine - answer>>>A
large ethnic group from Southeast Asia is the Filipinos (from the Philippine Islands). Alpha
thalassemia is more common in this ethnic group compared with beta thalassemia, which
is more common in people of Mediterranean descent.
alpha-thalassaemia and beta-thalassaemia traits are two commonly encountered
haemoglobinopathies in South East Asia. Both present with hypochromia and
microcytosis.
How to answer ? - answer>>>You must go through three steps to answer this question
correctly:
,First step: A hemoglobin of less than 13.5 g/dL in males (but not in females) is indicative
of anemia. An MCV of 72 fL is indicative of microcytic anemia (norm 80-100 fL). Second
step: The MCV will direct you in the differential diagnosis (microcytic, normocytic, or
macrocytic). Third step: The differential diagnosis for microcytic anemia is iron deficiency
and alpha/beta thalassemia trait/minor for the exams.
In iron-deficiency anemia, the following results are found: decrease---- and elevated ---
- answer>>>Decreased (serum ferritin and serum iron levels).
Elevated (TIBC/transferrin levels and the RDW).
The gold standard test to diagnose any anemia involving abnormal hemoglobin
(thalassemia, sickle cell, - answer>>>HGB electrophoresis
In alpha or beta thalassemia trait or minor, the following results are found: Normal to
high ------ and normal answer>>>Normal to high (serum ferritin and serum iron
levels) Normal
(TIBC/transferrin levels)
Remember iron deficiency...
Decreased (serum ferritin and serum iron levels).
Elevated (TIBC/transferrin levels and the RDW).
Alpha thalassemia - answer>>>Filipinos
Beta thalassemia - answer>>>Mediterranean
The red cell distribution width (RDW) is a measure of the variability in size of
RBCs (or anisocytosis). An elevated RDW is indicative of Anemia -
answer>>>Iron deficiency
, According to the HIPAA of 1996, which of the following examples demonstrates
noncompliance?
A) The sign-in sheet on the front desk is covered so that other patients' names are not
visible to new patients.
B) The medical assistant calls the patient who is in the waiting room using his/her first name.
C) A patient's chart that is hanging on the door of the examination room is turned backward.
D) The nurse practitioner calls the daughter of an elderly diabetic patient and leaves a
detailed message on her answering machine regarding her mother's laboratory results.
III. - answer>>>Correct Answer: Option D D) The nurse practitioner calls the daughter of
an elderly diabetic patient and leaves a detailed message on her answering machine
regarding her mother's laboratory results.
Option b ok- can use or first name
Option D demonstrates two examples of HIPAA noncompliance. First, there is no mention
that the patient gave consent for her daughter to have access to her medical information.
Second, the NP did not follow the "minimum necessary requirement" rule when she left a
detailed message on the daughter's answering machine. 2) The best action in this case is
for the NP to call the elderly patient's home and to leave only her name, the name of the
clinic, and phone number that the patient can call back.
"Will performing this action prevent the disease or the social condition from
happening?" If it does, then it is considered as .........prevention (if it does not, then it
is ...................................................................................................... prevention). -
answer>>>Does then primary of not then secondary
Exam Questions and Verified Correct
Answers
An elderly male of Mediterranean descent has a routine complete blood count (CBC) done
for an annual physical. The following are his lab test results: hemoglobin of 13.0 g/dL, a
hematocrit of 39%, and an MCV of 72 fL. His PSA result is 3.2 ng/mL. The urinalysis
shows no leukocytes and few epithelial cells. Which of the following laboratory tests are
indicated for this patient?
A) Serum iron, serum ferritin, total iron binding capacity (TIBC), and
the red cell differential width (RDW).
B) Serum B12 and folate level with a peripheral smear.
C) CBC with white cell differential and urinalysis.
D) Urine culture and sensitivity with microscopic exam of the urine - answer>>>A
large ethnic group from Southeast Asia is the Filipinos (from the Philippine Islands). Alpha
thalassemia is more common in this ethnic group compared with beta thalassemia, which
is more common in people of Mediterranean descent.
alpha-thalassaemia and beta-thalassaemia traits are two commonly encountered
haemoglobinopathies in South East Asia. Both present with hypochromia and
microcytosis.
How to answer ? - answer>>>You must go through three steps to answer this question
correctly:
,First step: A hemoglobin of less than 13.5 g/dL in males (but not in females) is indicative
of anemia. An MCV of 72 fL is indicative of microcytic anemia (norm 80-100 fL). Second
step: The MCV will direct you in the differential diagnosis (microcytic, normocytic, or
macrocytic). Third step: The differential diagnosis for microcytic anemia is iron deficiency
and alpha/beta thalassemia trait/minor for the exams.
In iron-deficiency anemia, the following results are found: decrease---- and elevated ---
- answer>>>Decreased (serum ferritin and serum iron levels).
Elevated (TIBC/transferrin levels and the RDW).
The gold standard test to diagnose any anemia involving abnormal hemoglobin
(thalassemia, sickle cell, - answer>>>HGB electrophoresis
In alpha or beta thalassemia trait or minor, the following results are found: Normal to
high ------ and normal answer>>>Normal to high (serum ferritin and serum iron
levels) Normal
(TIBC/transferrin levels)
Remember iron deficiency...
Decreased (serum ferritin and serum iron levels).
Elevated (TIBC/transferrin levels and the RDW).
Alpha thalassemia - answer>>>Filipinos
Beta thalassemia - answer>>>Mediterranean
The red cell distribution width (RDW) is a measure of the variability in size of
RBCs (or anisocytosis). An elevated RDW is indicative of Anemia -
answer>>>Iron deficiency
, According to the HIPAA of 1996, which of the following examples demonstrates
noncompliance?
A) The sign-in sheet on the front desk is covered so that other patients' names are not
visible to new patients.
B) The medical assistant calls the patient who is in the waiting room using his/her first name.
C) A patient's chart that is hanging on the door of the examination room is turned backward.
D) The nurse practitioner calls the daughter of an elderly diabetic patient and leaves a
detailed message on her answering machine regarding her mother's laboratory results.
III. - answer>>>Correct Answer: Option D D) The nurse practitioner calls the daughter of
an elderly diabetic patient and leaves a detailed message on her answering machine
regarding her mother's laboratory results.
Option b ok- can use or first name
Option D demonstrates two examples of HIPAA noncompliance. First, there is no mention
that the patient gave consent for her daughter to have access to her medical information.
Second, the NP did not follow the "minimum necessary requirement" rule when she left a
detailed message on the daughter's answering machine. 2) The best action in this case is
for the NP to call the elderly patient's home and to leave only her name, the name of the
clinic, and phone number that the patient can call back.
"Will performing this action prevent the disease or the social condition from
happening?" If it does, then it is considered as .........prevention (if it does not, then it
is ...................................................................................................... prevention). -
answer>>>Does then primary of not then secondary
