LEIK FNP EXAM PRACTICE FOR
FAMILY NURSE PRACTITIONER
BOARD EXAM
1. A 72-year-old male presents with a new onset of a harsh, mid-systolic crescendo-
decrescendo murmur heard best at the second intercostal space, right sternal border, which
radiates to the carotids. Which of the following is the most likely diagnosis?
A. Mitral Regurgitation
B. Mitral Valve Prolapse
C. Aortic Stenosis
D. Aortic Regurgitation
Answer: C
Conceptual Explanation: Aortic stenosis is characterized by a systolic murmur heard at
the right upper sternal border that often radiates to the neck. It is common in the elderly
due to calcification.
,2. Which of the following physical examination findings is most specific for a diagnosis of
acute appendicitis?
A. Murphy’s sign
B. Rovsing’s sign
C. Chvostek’s sign
D. Cullen’s sign
Answer: B
Conceptual Explanation: Rovsing’s sign is positive when pressure applied to the left
lower quadrant causes pain in the right lower quadrant, indicating peritoneal irritation
associated with appendicitis.
3. A patient with a history of hypertension and chronic kidney disease (CKD) is newly
diagnosed with heart failure. Which medication class is the first-line choice for mortality
reduction, but requires close monitoring of potassium levels?
A. Calcium Channel Blockers
B. Loop Diuretics
C. Beta-Blockers
D. ACE Inhibitors
Answer: D
, Conceptual Explanation: ACE inhibitors are renal protective in CKD but can cause
hyperkalemia, especially in patients with impaired renal function.
4. A 4-year-old child presents with a ‘barking’ cough and inspiratory stridor. The NP suspects
croup. Which virus is the most common causative agent of this condition?
A. Parainfluenza virus
B. Respiratory syncytial virus (RSV)
C. Adenovirus
D. Influenza A
Answer: A
Conceptual Explanation: Parainfluenza virus is the leading cause of croup
(laryngotracheobronchitis) in children.
5. Which cranial nerve is primarily affected in a patient diagnosed with Bell’s Palsy?
A. Cranial Nerve VII
B. Cranial Nerve V
C. Cranial Nerve VIII
D. Cranial Nerve X
Answer: A
Conceptual Explanation: Bell’s Palsy involves inflammation or compression of the Facial
Nerve (CN VII), leading to unilateral facial drooping.
FAMILY NURSE PRACTITIONER
BOARD EXAM
1. A 72-year-old male presents with a new onset of a harsh, mid-systolic crescendo-
decrescendo murmur heard best at the second intercostal space, right sternal border, which
radiates to the carotids. Which of the following is the most likely diagnosis?
A. Mitral Regurgitation
B. Mitral Valve Prolapse
C. Aortic Stenosis
D. Aortic Regurgitation
Answer: C
Conceptual Explanation: Aortic stenosis is characterized by a systolic murmur heard at
the right upper sternal border that often radiates to the neck. It is common in the elderly
due to calcification.
,2. Which of the following physical examination findings is most specific for a diagnosis of
acute appendicitis?
A. Murphy’s sign
B. Rovsing’s sign
C. Chvostek’s sign
D. Cullen’s sign
Answer: B
Conceptual Explanation: Rovsing’s sign is positive when pressure applied to the left
lower quadrant causes pain in the right lower quadrant, indicating peritoneal irritation
associated with appendicitis.
3. A patient with a history of hypertension and chronic kidney disease (CKD) is newly
diagnosed with heart failure. Which medication class is the first-line choice for mortality
reduction, but requires close monitoring of potassium levels?
A. Calcium Channel Blockers
B. Loop Diuretics
C. Beta-Blockers
D. ACE Inhibitors
Answer: D
, Conceptual Explanation: ACE inhibitors are renal protective in CKD but can cause
hyperkalemia, especially in patients with impaired renal function.
4. A 4-year-old child presents with a ‘barking’ cough and inspiratory stridor. The NP suspects
croup. Which virus is the most common causative agent of this condition?
A. Parainfluenza virus
B. Respiratory syncytial virus (RSV)
C. Adenovirus
D. Influenza A
Answer: A
Conceptual Explanation: Parainfluenza virus is the leading cause of croup
(laryngotracheobronchitis) in children.
5. Which cranial nerve is primarily affected in a patient diagnosed with Bell’s Palsy?
A. Cranial Nerve VII
B. Cranial Nerve V
C. Cranial Nerve VIII
D. Cranial Nerve X
Answer: A
Conceptual Explanation: Bell’s Palsy involves inflammation or compression of the Facial
Nerve (CN VII), leading to unilateral facial drooping.
