LEIK FNP LATEST 2026 EXAM STUDY GUIDE QUESTIONS
AND SOLUTIONS RATED A+
✔✔diastolic murmur
diastolic rumble, best heard at the apex with patient in the left lateral position
best heard with the bell of the stethoscope
often associated with an opening snap, and s1 may be louder than usual
DOE common - ✔✔mitral stenosis
✔✔changes in leads V1, V2, V3, V4 - ✔✔anterior left ventricle, LAD
✔✔Changes in II, III, aVF - ✔✔inferior left ventricle, RCA or LCA
✔✔changes in I, aVL, V5, V6 - ✔✔lateral left ventricle, left circumflex
✔✔changes in V4 on the right side of the chest (V4R) acute change is ST segment
elevation - ✔✔right ventricular MI, RCA
✔✔JNC8 normal b/p - ✔✔<120/<80
✔✔pre htn - ✔✔120-139/80-89. Recheck 1 year
✔✔Stage I htn - ✔✔140-159/90-99. Recheck 2 mos
✔✔Stage II htn - ✔✔>=160/>=100. Treat and recheck 1 month.
✔✔Diagnosis in pregnancy - ✔✔>30 above base or >140, >15 above base or >90.
Refer to high-risk ob
✔✔abdominal pain - ✔✔
✔✔pain in back, flank, abdomen, groin - ✔✔AAA
✔✔pain in epigastrium, periumbilical region, and RLQ - ✔✔appendicitis
✔✔pain in epigastrium, RUQ, right scapula - ✔✔cholecystitis
✔✔pain in epigastrium, abdomen, back, and flanks - ✔✔pancreatitis
✔✔generalized pain in abdomen and either shoulder - ✔✔ectopic pregnancy
✔✔pain in RUQ, abdomen, left shoulder - ✔✔splenic rupture
, ✔✔acute abdomen signs - ✔✔
✔✔psoas sign - ✔✔flex thigh against resistance, lying on left side, hyperextend right
thigh against resistance. If pain elicited, indicates peritoneal irritation
✔✔obturator test - ✔✔patient supine and knee flexed 90* with the foot on the bed,
immobilize ankle on bed and internally and externally rotate hip. If pain elicited,
suggestive or pelvic abscess or appendicitis
✔✔Markle's sign - ✔✔patient stand on toes, forcefully drop down onto heels. If pain,
suggestive of appendicitis or peritoneal irritation
✔✔Rovsing's sign - ✔✔palpation in LLQ causes pain in RLQ; suggestive of peritonitis or
appendicitis.
✔✔ Primary prevention - ✔✔prevent disease/injury/condition
✔✔Secondary prevention - ✔✔detect disease/condition as early as possible
✔✔tertiary prevention - ✔✔limiting further harm and disability
✔✔18yoF, strong vaginal odor
large amount grayish white discharge coating walls, milk-like consistency
Microscopy reveals mature squamous epithelial cells with numerous bacteria noted on
the cell borders.
Vag pH 6.0 - ✔✔bacterial vaginosis (only vag condition with alkaline pH)
✔✔Vag discharge white, thick curd-like consistency, redness and itching in vulvovagina
d/t inflammation
Microscopy shows large number WBCs, pseudohyphae, and spores (spaghetti and
meatballs) - ✔✔cadidiasis
✔✔Vag d/c copious, bubbly, and green in color. Lots of inflammation resulting in itching
and redness. Considered an STD. - ✔✔trichomoniasis
✔✔Outpatient antibiotic treatment for CAP in healthy patients with no comorbidities -
✔✔macrolides (azithromycin, clarithromycin, erythromycin)
✔✔This htn med causes dry cough and angioedema - ✔✔ACE inhibitor "-prils"
✔✔This htn med causes swollen ankles and headache - ✔✔CCBs- "-ipines", Diltiazem,
& Verapamil
AND SOLUTIONS RATED A+
✔✔diastolic murmur
diastolic rumble, best heard at the apex with patient in the left lateral position
best heard with the bell of the stethoscope
often associated with an opening snap, and s1 may be louder than usual
DOE common - ✔✔mitral stenosis
✔✔changes in leads V1, V2, V3, V4 - ✔✔anterior left ventricle, LAD
✔✔Changes in II, III, aVF - ✔✔inferior left ventricle, RCA or LCA
✔✔changes in I, aVL, V5, V6 - ✔✔lateral left ventricle, left circumflex
✔✔changes in V4 on the right side of the chest (V4R) acute change is ST segment
elevation - ✔✔right ventricular MI, RCA
✔✔JNC8 normal b/p - ✔✔<120/<80
✔✔pre htn - ✔✔120-139/80-89. Recheck 1 year
✔✔Stage I htn - ✔✔140-159/90-99. Recheck 2 mos
✔✔Stage II htn - ✔✔>=160/>=100. Treat and recheck 1 month.
✔✔Diagnosis in pregnancy - ✔✔>30 above base or >140, >15 above base or >90.
Refer to high-risk ob
✔✔abdominal pain - ✔✔
✔✔pain in back, flank, abdomen, groin - ✔✔AAA
✔✔pain in epigastrium, periumbilical region, and RLQ - ✔✔appendicitis
✔✔pain in epigastrium, RUQ, right scapula - ✔✔cholecystitis
✔✔pain in epigastrium, abdomen, back, and flanks - ✔✔pancreatitis
✔✔generalized pain in abdomen and either shoulder - ✔✔ectopic pregnancy
✔✔pain in RUQ, abdomen, left shoulder - ✔✔splenic rupture
, ✔✔acute abdomen signs - ✔✔
✔✔psoas sign - ✔✔flex thigh against resistance, lying on left side, hyperextend right
thigh against resistance. If pain elicited, indicates peritoneal irritation
✔✔obturator test - ✔✔patient supine and knee flexed 90* with the foot on the bed,
immobilize ankle on bed and internally and externally rotate hip. If pain elicited,
suggestive or pelvic abscess or appendicitis
✔✔Markle's sign - ✔✔patient stand on toes, forcefully drop down onto heels. If pain,
suggestive of appendicitis or peritoneal irritation
✔✔Rovsing's sign - ✔✔palpation in LLQ causes pain in RLQ; suggestive of peritonitis or
appendicitis.
✔✔ Primary prevention - ✔✔prevent disease/injury/condition
✔✔Secondary prevention - ✔✔detect disease/condition as early as possible
✔✔tertiary prevention - ✔✔limiting further harm and disability
✔✔18yoF, strong vaginal odor
large amount grayish white discharge coating walls, milk-like consistency
Microscopy reveals mature squamous epithelial cells with numerous bacteria noted on
the cell borders.
Vag pH 6.0 - ✔✔bacterial vaginosis (only vag condition with alkaline pH)
✔✔Vag discharge white, thick curd-like consistency, redness and itching in vulvovagina
d/t inflammation
Microscopy shows large number WBCs, pseudohyphae, and spores (spaghetti and
meatballs) - ✔✔cadidiasis
✔✔Vag d/c copious, bubbly, and green in color. Lots of inflammation resulting in itching
and redness. Considered an STD. - ✔✔trichomoniasis
✔✔Outpatient antibiotic treatment for CAP in healthy patients with no comorbidities -
✔✔macrolides (azithromycin, clarithromycin, erythromycin)
✔✔This htn med causes dry cough and angioedema - ✔✔ACE inhibitor "-prils"
✔✔This htn med causes swollen ankles and headache - ✔✔CCBs- "-ipines", Diltiazem,
& Verapamil
