LEIK FNP EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 600 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED
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.
,LEIK FNP EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 600 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED
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.
, LEIK FNP EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 600 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED
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
Primary
Prevent Disease/Injury/Condition) - (answer) Youth violence prevention (e.g., youth recreational center
for high-risk inner-city youth, mentoring teens, teaching teens better communication skills).
Bullying prevention (e.g., antibullying school programs).
Personal safety promotion (e.g., seatbelts, airbags, helmets).
Disease prevention (e.g., immunizations, using sunscreen).
Healthy lifestyle promotion (e.g., sleep 7-8 hours/night, avoid sunlight 10 a.m. to 4 p.m., healthy diet,
exercise).
ANSWERS (VERIFIED
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.
,LEIK FNP EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 600 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED
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.
, LEIK FNP EXAM NEWEST 2025 ACTUAL EXAM COMPLETE 600 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED
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
Primary
Prevent Disease/Injury/Condition) - (answer) Youth violence prevention (e.g., youth recreational center
for high-risk inner-city youth, mentoring teens, teaching teens better communication skills).
Bullying prevention (e.g., antibullying school programs).
Personal safety promotion (e.g., seatbelts, airbags, helmets).
Disease prevention (e.g., immunizations, using sunscreen).
Healthy lifestyle promotion (e.g., sleep 7-8 hours/night, avoid sunlight 10 a.m. to 4 p.m., healthy diet,
exercise).
