LEIK FNP UPDATED EXAMINERS 2026 QUESTIONS
AND ANSWERS SURE A+
✔✔Medical information is given to a spouse - ✔✔Pt confidentiality is breached when?
✔✔Pt records are subpoenaed
Records are sent to the public health dept.
Records are released to insurance companies - ✔✔Pt confidentiality is NOT breached
when?
✔✔Angina pectoris - ✔✔A 55y/o male pt describes to you an episode of chest tightness
in his substernal area that radiated to his back while jogging. It was relieved
immediately when he stopped. What condition does this best describe?
✔✔Consult with a cardiologist for further evaluation - ✔✔In a 55 y/o patient with Angina
Pectoris what would the NP recommend?
✔✔TIA - ✔✔A 73 y/o patient, complains of episodic vertigo, slight confusion, and
weakness that lasts nearly an hour each time. Movement does not worsen he vertigo.
She "rests" and her symptoms subside, but she is puzzled because the weakness
"jumps from side to side," sometimes on the right and sometimes not the left of her
body. Her symptoms suggest:
,✔✔neurological defects, vertigo, confusion, weakness, hemiparesis, temporary
monocular blindness, ataxia, and diplopia - ✔✔Common signs and symptoms of
transient ischemic attack (TIA)
✔✔Eating low-fat diary foods
Performing weight bearing exercises
Vit D supplements - ✔✔What are some of the measures that have been found to help
lower the risk of osteoporosis?
✔✔Acute sinusitis - ✔✔A 28 yr old male nurse of Hispanic descent reports a history of a
cold that resolved 2 weeks ago except for a dry cough and pain over his right cheek that
worsens when he bends down. The patient denies fever. He tells the employee health
nurse practitioner that he is very allergic to both cephalexin and erythromycin. The vital
signs show that the patient's temperature is 99.2 degrees F, a pulse of 72 bpm, and a
rest. rate of 12. What is the most likely condition?
✔✔Placenta Abruptio - ✔✔A 38 yr old multigravida who is a 32 wks gestation calls the
FNP complaint of bright red vaginal bleeding. There is no watery discharge. She
complaints that her uterus feels hard and is very painful. What is the most likely
diagnosis.
✔✔Chronic bronchitis
Allergic rhinitis
Gastroesphageal reflux disease - ✔✔What are some of the causes of chronic cough?
✔✔Jarisch-Herxheimer reaction - ✔✔An immune mediated reaction precipitated by the
destruction of a large number of spirochetes due to an antibiotic injection
✔✔Tell her to return 1 wk after her period so her breasts can be rechecked. - ✔✔During
a breast exam of a 30 yr old nulliparous female, the NP palpates several rubbery mobile
areas of breast tissue. They are slightly tender to palpation. Both breasts have
symmetrical findings. There are no skin changes or any nipple discharge. The patient is
expecting her menstrual period in 5 days. What would you recommend?
✔✔The BP is higher in the arms than in the legs. - ✔✔When evaluating the BP on both
arms and legs of an infant who has a diagnosis of coarctation of the aorta, what is a
correct finding?
✔✔Coarctation of the Aorta - ✔✔In this condition, BP is higher in the arms than in the
legs due to the narrowing in the aorta. BP must rise to get adequate blood flow to the
lower extremities, therefore, the blood pressure able the coarctation rises to
compensate
, ✔✔BV wet mount - ✔✔What is the diagnosis if you see a wet mount with a large
amount of bacteria coating the squamous cells and very few leukocytes.
✔✔Mitral Valve prolapse - ✔✔A 40 yr old woman is in the office complaining of
palpitations and some light headedness for the past 6 months. These are random
episodes. The NP notices and mid-systolic click with a late systolic murmur that is best
heard in the apical area during auscultation of the chest. The NP should suspect what?
✔✔Kidney Stones
Bladder cancer
Acute Pyelonephritis - ✔✔Your 35 y/o pt is being worked up for microscopic hematuria.
What wold be appropriate differential diagnoses?
✔✔Pterygium - ✔✔During a routine physical exam of an elderly woman, a triangular
thickening of the bulbar conjunctiva on the temporal side is noted to be encroaching on
the cornea. She denies any eye pain or visual changes. What is the most likely
diagnosis?
✔✔Corneal Arcus - ✔✔A ring around the edge of the cornea
✔✔Chalazion - ✔✔A stye in the eye that may cause pain or swelling
✔✔Pinguecula - ✔✔A benign growth on the conjunctiva caused by the degeneration of
its collagen fibers. Thick yellow fibers may be seen
✔✔Discontinue his pravastatin and order a liver function profile. - ✔✔A patient who has
been on Pravastatin 20mg at bedtime for the past few months, complains of lately
feeling extremely fatigues. The patient also noticed that his urine has been a darker
color during the past 2 wks. What is the treatment plan for this patient?
✔✔Side effects of statins - ✔✔Myalgia, fatigue, elevated liver enzymes
✔✔Probable Sign - ✔✔A young primigravida reports to you that she is starting to feel
the baby's movements. What is this considered
✔✔Phalen test - ✔✔What is used to evaluate inflammation of the median nerve; used to
test for carpal tunnel syndrome.
✔✔Physiological anemia - ✔✔An increase of up to 50% of the plasma volume in
pregnant women is the reason for this type of problem
✔✔It is reversible, lasts only 1 wk, and has minimal affect. - ✔✔These statements are
true regarding the affects of aspirin on platelet function.
AND ANSWERS SURE A+
✔✔Medical information is given to a spouse - ✔✔Pt confidentiality is breached when?
✔✔Pt records are subpoenaed
Records are sent to the public health dept.
Records are released to insurance companies - ✔✔Pt confidentiality is NOT breached
when?
✔✔Angina pectoris - ✔✔A 55y/o male pt describes to you an episode of chest tightness
in his substernal area that radiated to his back while jogging. It was relieved
immediately when he stopped. What condition does this best describe?
✔✔Consult with a cardiologist for further evaluation - ✔✔In a 55 y/o patient with Angina
Pectoris what would the NP recommend?
✔✔TIA - ✔✔A 73 y/o patient, complains of episodic vertigo, slight confusion, and
weakness that lasts nearly an hour each time. Movement does not worsen he vertigo.
She "rests" and her symptoms subside, but she is puzzled because the weakness
"jumps from side to side," sometimes on the right and sometimes not the left of her
body. Her symptoms suggest:
,✔✔neurological defects, vertigo, confusion, weakness, hemiparesis, temporary
monocular blindness, ataxia, and diplopia - ✔✔Common signs and symptoms of
transient ischemic attack (TIA)
✔✔Eating low-fat diary foods
Performing weight bearing exercises
Vit D supplements - ✔✔What are some of the measures that have been found to help
lower the risk of osteoporosis?
✔✔Acute sinusitis - ✔✔A 28 yr old male nurse of Hispanic descent reports a history of a
cold that resolved 2 weeks ago except for a dry cough and pain over his right cheek that
worsens when he bends down. The patient denies fever. He tells the employee health
nurse practitioner that he is very allergic to both cephalexin and erythromycin. The vital
signs show that the patient's temperature is 99.2 degrees F, a pulse of 72 bpm, and a
rest. rate of 12. What is the most likely condition?
✔✔Placenta Abruptio - ✔✔A 38 yr old multigravida who is a 32 wks gestation calls the
FNP complaint of bright red vaginal bleeding. There is no watery discharge. She
complaints that her uterus feels hard and is very painful. What is the most likely
diagnosis.
✔✔Chronic bronchitis
Allergic rhinitis
Gastroesphageal reflux disease - ✔✔What are some of the causes of chronic cough?
✔✔Jarisch-Herxheimer reaction - ✔✔An immune mediated reaction precipitated by the
destruction of a large number of spirochetes due to an antibiotic injection
✔✔Tell her to return 1 wk after her period so her breasts can be rechecked. - ✔✔During
a breast exam of a 30 yr old nulliparous female, the NP palpates several rubbery mobile
areas of breast tissue. They are slightly tender to palpation. Both breasts have
symmetrical findings. There are no skin changes or any nipple discharge. The patient is
expecting her menstrual period in 5 days. What would you recommend?
✔✔The BP is higher in the arms than in the legs. - ✔✔When evaluating the BP on both
arms and legs of an infant who has a diagnosis of coarctation of the aorta, what is a
correct finding?
✔✔Coarctation of the Aorta - ✔✔In this condition, BP is higher in the arms than in the
legs due to the narrowing in the aorta. BP must rise to get adequate blood flow to the
lower extremities, therefore, the blood pressure able the coarctation rises to
compensate
, ✔✔BV wet mount - ✔✔What is the diagnosis if you see a wet mount with a large
amount of bacteria coating the squamous cells and very few leukocytes.
✔✔Mitral Valve prolapse - ✔✔A 40 yr old woman is in the office complaining of
palpitations and some light headedness for the past 6 months. These are random
episodes. The NP notices and mid-systolic click with a late systolic murmur that is best
heard in the apical area during auscultation of the chest. The NP should suspect what?
✔✔Kidney Stones
Bladder cancer
Acute Pyelonephritis - ✔✔Your 35 y/o pt is being worked up for microscopic hematuria.
What wold be appropriate differential diagnoses?
✔✔Pterygium - ✔✔During a routine physical exam of an elderly woman, a triangular
thickening of the bulbar conjunctiva on the temporal side is noted to be encroaching on
the cornea. She denies any eye pain or visual changes. What is the most likely
diagnosis?
✔✔Corneal Arcus - ✔✔A ring around the edge of the cornea
✔✔Chalazion - ✔✔A stye in the eye that may cause pain or swelling
✔✔Pinguecula - ✔✔A benign growth on the conjunctiva caused by the degeneration of
its collagen fibers. Thick yellow fibers may be seen
✔✔Discontinue his pravastatin and order a liver function profile. - ✔✔A patient who has
been on Pravastatin 20mg at bedtime for the past few months, complains of lately
feeling extremely fatigues. The patient also noticed that his urine has been a darker
color during the past 2 wks. What is the treatment plan for this patient?
✔✔Side effects of statins - ✔✔Myalgia, fatigue, elevated liver enzymes
✔✔Probable Sign - ✔✔A young primigravida reports to you that she is starting to feel
the baby's movements. What is this considered
✔✔Phalen test - ✔✔What is used to evaluate inflammation of the median nerve; used to
test for carpal tunnel syndrome.
✔✔Physiological anemia - ✔✔An increase of up to 50% of the plasma volume in
pregnant women is the reason for this type of problem
✔✔It is reversible, lasts only 1 wk, and has minimal affect. - ✔✔These statements are
true regarding the affects of aspirin on platelet function.
