LEIK FNP LATEST 2026 MAIN FINALS QUESTIONS AND
SOLUTIONS RATED A+
✔✔Which of the following is used to screen for color blindness in a 7-year-old boy?
A) Snellen chart
B) Ishihara chart
C) Cover/uncover test
D) Red reflex - ✔✔B) Ishihara chart
The Ishihara chart is used for screening for color blindness.
✔✔A 67-year-old retired clerk presents with complaints of shortness of breath and
weight gain over a 2-week period. A nonproductive cough accompanies her symptoms.
The lung exam is positive for fine crackles in the lower lobes with no wheezing. The
exam is positive for egophony. Which of the following conditions is most likely?
A) Acute exacerbation of asthma
B) Left-heart failure
C) Right-heart failure
D) Chronic obstructive pulmonary disease - ✔✔B) Left-heart failure
Signs and symptoms of left-heart failure include tachypnea, labored breathing, and rales
or crackles in the lower bases of the lungs, which can develop into pulmonary edema.
✔✔Which of the following drugs is most likely to relieve the patient's symptoms?
A) Atenolol (Tenormin)
B) Trimethoprim/sulfamethoxazole (Bactrim DS)
C) Furosemide (Lasix)
D) Hydrocodone/guaifenesin syrup (Hycotuss) - ✔✔C) Furosemide (Lasix)
Lasix would be used to help remove the extra fluid load.
✔✔A patient has recently been diagnosed with migraine headache with aura. She
wants advice on what she should eliminate from her diet to reduce her risk of
headaches. The best response is to advise this patient to avoid:
A) Foods with aspartame (Equal) because they can trigger migraines
B) Foods with monosodium glutamate because they promote diuresis
C) Foods with garlic because they promote hypertension
D) Foods with nitrates because they do not induce flushing - ✔✔A) Foods with
aspartame (Equal) because they can trigger migraines
,Dietary triggers for migraine headaches include foods that contain aspartame, tyramine,
nitrites, MSG, and/or red wine. These foods are thought to cause a change in the blood
vessels and increased blood flow to the brain.
✔✔A patient with a history of mitral valve prolapse (MVP) is requesting prophylaxis
before her dental surgery. Which of the following would you prescribe this patient?
A) Amoxicillin a half hour before and 2 hours after the procedure
B) Amoxicillin 1 hour before the procedure
C) Amoxicillin 1 hour before and 3 hours after the procedure
D) Prophylaxis is not recommended for this patient - ✔✔D) Prophylaxis is not
recommended for this patient
The American Heart Association does not recommend routine antibiotic prophylaxis
prior to dental procedures except for patients who are at high risk for bacterial
endocarditis (a prosthetic cardiac valve, previous history of bacterial endocarditis,
congenital heart defects, etc.).
✔✔Koplik's spots are associated with:
A) Poxvirus infections
B) Measles
C) Kawasaki's disease
D) Reye's syndrome - ✔✔B) Measles
Signs and symptoms of the measles include fever over 101°F, coryza, cough,
conjunctivitis, rash, and Koplik's spots on buccal mucosa.
✔✔Stella, a new mother, complains to you that she has been feeling irritable and jittery
almost daily for the past few months. She complains of frequent palpitations and more
frequent bowel movements along with weight loss. Her BP is 160/70, her pulse is 110,
and she is afebrile. All of the following conditions should be considered in the differential
diagnosis for this patient except:
A) Mitral regurgitation
B) Graves' disease
C) Generalized anxiety disorder
D) Illicit drug use - ✔✔A) Mitral regurgitation
Signs and symptoms of mitral regurgitation do not include frequent bowel movements
with weight loss.
✔✔An elderly patient with a productive cough and fever is diagnosed with pneumonia.
All of the following organisms are capable of causing community-acquired pneumonia
except:
,A) Haemophilus influenzae
B) Mycoplasma pneumoniae
C) Treponema pallidum
D) Streptococcus pneumoniae - ✔✔C) Treponema pallidum
Treponema pallidum is a gram-negative spirochete bacterium that causes syphilis
✔✔Human chorionic gonadotropin (hCG) is produced by the:
A) Placenta
B) Hypothalamus
C) Anterior pituitary
D) Ovaries - ✔✔A) Placenta
HCG is produced by the placenta.
✔✔The majority of serum alpha fetoprotein is produced by the:
A) Fetal liver
B) Mother's liver
C) Placenta
D) Fetal neural tube - ✔✔A) Fetal liver
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 a complaint of a needlestick 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. Which of the following is the next step?
A) Order an enzyme-linked immunosorbent assay (ELISA) test as soon as possible
B) Recommend a tetanus booster in 1 week
C) Offer the patient hepatitis B immunoglobulin
D) Order a chest x-ray - ✔✔A) Order an enzyme-linked immunosorbent assay (ELISA)
test as soon as possible
Employee health clinic protocols for needlesticks recommend ordering an ELISA test as
soon as possible to establish baseline blood work for the employee.
✔✔An elderly woman has been on digoxin (Lanoxin) for 10 years. Her electrocardio-
graph (EKG) is showing a new onset of atrial fibrillation. Her pulse is 64/min. She denies
syncope and dizziness. Which of the following interventions is most appropriate?
A) Order an electrolyte panel and a digoxin level
, B) Order a serum thyroid-stimulating hormone (TSH), digoxin level, and an electrolyte
panel
C) Order a serum digoxin level and decrease her digoxin dose by half while waiting for
results
D) Discontinue the digoxin and order another 12-lead EKG - ✔✔B) Order a serum
thyroid-stimulating hormone (TSH), digoxin level, and an electrolyte panel
Obtaining baseline blood work to evaluate for causes of new- onset atrial fibrillation is
recommended prior to decreasing or stopping medications. Thyroid disease is a
common cause of new-onset atrial fibrillation.
✔✔You note the following result on a routine urinalysis of a 37-year-old primigravida
who is at 30 weeks of gestation. Leukocyte = trace, nitrite = negative, protein = 2 +,
blood = negative. Her weight has increased by 5 lbs during the past week. Which of the
following is most likely?
A) HELLP syndrome
B) Pregnancy-induced hypertension (preeclampsia)
C) Eclampsia of pregnancy
D) Primary hypertension - ✔✔B) Pregnancy-induced hypertension (preeclampsia)
The classic triad of symptoms of preeclampsia includes hypertension, edema (weight
gain), and proteinuria.
✔✔The nurse practitioner who suspects that one of her hypertensive patients has
Cushing's syndrome would expect to find which of the following laboratory results?
A) Hyponatremia
B) Hypoglycemia
C) Elevated serum cortisol levels
D) Decreased urine 17-ketosteroids - ✔✔C) Elevated serum cortisol levels
Elevated serum cortisol levels are seen with Cushing's syndrome.
✔✔The first teeth to erupt during infancy are which of the following?
A) First molars
B) Second molars
C) Incisors
D) Canines - ✔✔C) Incisors
The incisors are the first teeth to erupt during infancy.
✔✔The positive signs of pregnancy include:
SOLUTIONS RATED A+
✔✔Which of the following is used to screen for color blindness in a 7-year-old boy?
A) Snellen chart
B) Ishihara chart
C) Cover/uncover test
D) Red reflex - ✔✔B) Ishihara chart
The Ishihara chart is used for screening for color blindness.
✔✔A 67-year-old retired clerk presents with complaints of shortness of breath and
weight gain over a 2-week period. A nonproductive cough accompanies her symptoms.
The lung exam is positive for fine crackles in the lower lobes with no wheezing. The
exam is positive for egophony. Which of the following conditions is most likely?
A) Acute exacerbation of asthma
B) Left-heart failure
C) Right-heart failure
D) Chronic obstructive pulmonary disease - ✔✔B) Left-heart failure
Signs and symptoms of left-heart failure include tachypnea, labored breathing, and rales
or crackles in the lower bases of the lungs, which can develop into pulmonary edema.
✔✔Which of the following drugs is most likely to relieve the patient's symptoms?
A) Atenolol (Tenormin)
B) Trimethoprim/sulfamethoxazole (Bactrim DS)
C) Furosemide (Lasix)
D) Hydrocodone/guaifenesin syrup (Hycotuss) - ✔✔C) Furosemide (Lasix)
Lasix would be used to help remove the extra fluid load.
✔✔A patient has recently been diagnosed with migraine headache with aura. She
wants advice on what she should eliminate from her diet to reduce her risk of
headaches. The best response is to advise this patient to avoid:
A) Foods with aspartame (Equal) because they can trigger migraines
B) Foods with monosodium glutamate because they promote diuresis
C) Foods with garlic because they promote hypertension
D) Foods with nitrates because they do not induce flushing - ✔✔A) Foods with
aspartame (Equal) because they can trigger migraines
,Dietary triggers for migraine headaches include foods that contain aspartame, tyramine,
nitrites, MSG, and/or red wine. These foods are thought to cause a change in the blood
vessels and increased blood flow to the brain.
✔✔A patient with a history of mitral valve prolapse (MVP) is requesting prophylaxis
before her dental surgery. Which of the following would you prescribe this patient?
A) Amoxicillin a half hour before and 2 hours after the procedure
B) Amoxicillin 1 hour before the procedure
C) Amoxicillin 1 hour before and 3 hours after the procedure
D) Prophylaxis is not recommended for this patient - ✔✔D) Prophylaxis is not
recommended for this patient
The American Heart Association does not recommend routine antibiotic prophylaxis
prior to dental procedures except for patients who are at high risk for bacterial
endocarditis (a prosthetic cardiac valve, previous history of bacterial endocarditis,
congenital heart defects, etc.).
✔✔Koplik's spots are associated with:
A) Poxvirus infections
B) Measles
C) Kawasaki's disease
D) Reye's syndrome - ✔✔B) Measles
Signs and symptoms of the measles include fever over 101°F, coryza, cough,
conjunctivitis, rash, and Koplik's spots on buccal mucosa.
✔✔Stella, a new mother, complains to you that she has been feeling irritable and jittery
almost daily for the past few months. She complains of frequent palpitations and more
frequent bowel movements along with weight loss. Her BP is 160/70, her pulse is 110,
and she is afebrile. All of the following conditions should be considered in the differential
diagnosis for this patient except:
A) Mitral regurgitation
B) Graves' disease
C) Generalized anxiety disorder
D) Illicit drug use - ✔✔A) Mitral regurgitation
Signs and symptoms of mitral regurgitation do not include frequent bowel movements
with weight loss.
✔✔An elderly patient with a productive cough and fever is diagnosed with pneumonia.
All of the following organisms are capable of causing community-acquired pneumonia
except:
,A) Haemophilus influenzae
B) Mycoplasma pneumoniae
C) Treponema pallidum
D) Streptococcus pneumoniae - ✔✔C) Treponema pallidum
Treponema pallidum is a gram-negative spirochete bacterium that causes syphilis
✔✔Human chorionic gonadotropin (hCG) is produced by the:
A) Placenta
B) Hypothalamus
C) Anterior pituitary
D) Ovaries - ✔✔A) Placenta
HCG is produced by the placenta.
✔✔The majority of serum alpha fetoprotein is produced by the:
A) Fetal liver
B) Mother's liver
C) Placenta
D) Fetal neural tube - ✔✔A) Fetal liver
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 a complaint of a needlestick 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. Which of the following is the next step?
A) Order an enzyme-linked immunosorbent assay (ELISA) test as soon as possible
B) Recommend a tetanus booster in 1 week
C) Offer the patient hepatitis B immunoglobulin
D) Order a chest x-ray - ✔✔A) Order an enzyme-linked immunosorbent assay (ELISA)
test as soon as possible
Employee health clinic protocols for needlesticks recommend ordering an ELISA test as
soon as possible to establish baseline blood work for the employee.
✔✔An elderly woman has been on digoxin (Lanoxin) for 10 years. Her electrocardio-
graph (EKG) is showing a new onset of atrial fibrillation. Her pulse is 64/min. She denies
syncope and dizziness. Which of the following interventions is most appropriate?
A) Order an electrolyte panel and a digoxin level
, B) Order a serum thyroid-stimulating hormone (TSH), digoxin level, and an electrolyte
panel
C) Order a serum digoxin level and decrease her digoxin dose by half while waiting for
results
D) Discontinue the digoxin and order another 12-lead EKG - ✔✔B) Order a serum
thyroid-stimulating hormone (TSH), digoxin level, and an electrolyte panel
Obtaining baseline blood work to evaluate for causes of new- onset atrial fibrillation is
recommended prior to decreasing or stopping medications. Thyroid disease is a
common cause of new-onset atrial fibrillation.
✔✔You note the following result on a routine urinalysis of a 37-year-old primigravida
who is at 30 weeks of gestation. Leukocyte = trace, nitrite = negative, protein = 2 +,
blood = negative. Her weight has increased by 5 lbs during the past week. Which of the
following is most likely?
A) HELLP syndrome
B) Pregnancy-induced hypertension (preeclampsia)
C) Eclampsia of pregnancy
D) Primary hypertension - ✔✔B) Pregnancy-induced hypertension (preeclampsia)
The classic triad of symptoms of preeclampsia includes hypertension, edema (weight
gain), and proteinuria.
✔✔The nurse practitioner who suspects that one of her hypertensive patients has
Cushing's syndrome would expect to find which of the following laboratory results?
A) Hyponatremia
B) Hypoglycemia
C) Elevated serum cortisol levels
D) Decreased urine 17-ketosteroids - ✔✔C) Elevated serum cortisol levels
Elevated serum cortisol levels are seen with Cushing's syndrome.
✔✔The first teeth to erupt during infancy are which of the following?
A) First molars
B) Second molars
C) Incisors
D) Canines - ✔✔C) Incisors
The incisors are the first teeth to erupt during infancy.
✔✔The positive signs of pregnancy include:
