Page 1 of 408
LEIK FNP PRACTICE EXAM STUDY GUIDE
LATEST UPDATE THIS YEAR ALL WITH 850
QUESTIONS AND CORRECT DETAILED
ANSWERS & RATIONALES
Question: All of the following are infections that affect mostly the labia and vagina except:
A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis - CORRECT ANSWER✔✔D) Chlamydia trachomatis
Infections that commonly affect the labia and vagina include bacterial vaginosis, candidiasis, and
trichomoniasis. Chlamydia trachomatis commonly affects the cervix, endometrial lining ,
fallopian tubes, and pelvic cavity.
Question: The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for:
A) Cholecystitis
B) Acute appendicitis
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C) Inguinal hernia
D) Gastriculcer - CORRECT ANSWER✔✔B) Acute appendicitis.
Signs and symptoms of an acute abdomen include invol- untary guarding, rebound tenderness,
boardlike abdomen, and a positive obtu- rator and psoas sign. A positive obturator sign occurs
when pain is elicted by internal rotation of the right hip from 90 degrees hip/knee flexion. The
psoas sign is positive when pain occurs with passive extension of the thigh while the patient is
lying on his/her side with knees extended, or when pain occurs with active flexion of his/her
thigh at the hip.
Question: Treatment for mild preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet count
D) A prescription of methyldopa (Aldomet) to control blood pressure - CORRECT ANSWER✔✔D)
A prescription of methyldopa (Aldomet) to control blood pressure
Recommended care for women diagnosed with preeclampsia includes bed rest with bath- room
privileges, weight and BP monitoring, and closely following urine protein and serum protein,
creatinine, and platelet counts. Oral medications are not used as first-line treatment.
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Question: All of the following services are covered under Medicare Part A except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons - CORRECT ANSWER✔✔C) Nursing home care
Medicare A coverage includes inpatient hospitalization and skilled care given in a certified
skilled nursing facility. Most nursing home care is custodial care (help with bathing, dressing,
using a bathroom, and eating). This care is not covered by Medicare A.
Question: A 28-year-old student is seen in the school health clinic with complaints of a hacking
cough that is productive of small amounts of sputum and a runny nose. He does not take any
medications, denies any allergies, and has no significant medical history. Physical examination
reveals a low-grade temperature of 99.9 degrees Fahrenheit, respirations of 16/min, a pulse of
90 beats per minute, and diffuse fine crackles in the base of the lungs. A chest radiograph (x-ray)
shows diffuse infiltrates on the lower lobe of the right lung. The total white blood cell count is
10,500/uL. What is the most likely diagnosis?
A) Streptococcal pneumonia
B) Mycoplasma pneumonia
C) Acute bronchitis
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D) Legionnaires disease - CORRECT ANSWER✔✔B) Mycoplasma pneumonia
Mycoplasma pneumonia is the organism most com- monly seen in children and young adults. It
is easily spread from droplets, from sneezing and coughing, in close proximity. Diagnosis is
based on symptoms and x-ray results of infiltrates in lower lobes.
Question: A 39-year-old migrant worker presents to the clinic 2.5 days after a purified protein
derivative (PPD) test. What minimum size of induration would be considered posi- tive for this
patient?
A) 3 mm
B) 5 mm
C) 10 mm
D) 15 mm - CORRECT ANSWER✔✔C) 10 mm
The PPD is administered on the volar aspect of the lower arm and read 48 hours after the test is
given. The PPD result must have induration and measure 10 mm or greater to be positive in a
low-risk patient. Induration (firmness with palpation) must be present. If the site has erythema
but no induration, result would be negative. Color is not important.
Question: All of the following are correct statements regarding the role of the person named in
a durable power of attorney except:
LEIK FNP PRACTICE EXAM STUDY GUIDE
LATEST UPDATE THIS YEAR ALL WITH 850
QUESTIONS AND CORRECT DETAILED
ANSWERS & RATIONALES
Question: All of the following are infections that affect mostly the labia and vagina except:
A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis - CORRECT ANSWER✔✔D) Chlamydia trachomatis
Infections that commonly affect the labia and vagina include bacterial vaginosis, candidiasis, and
trichomoniasis. Chlamydia trachomatis commonly affects the cervix, endometrial lining ,
fallopian tubes, and pelvic cavity.
Question: The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for:
A) Cholecystitis
B) Acute appendicitis
, Page 2 of 408
C) Inguinal hernia
D) Gastriculcer - CORRECT ANSWER✔✔B) Acute appendicitis.
Signs and symptoms of an acute abdomen include invol- untary guarding, rebound tenderness,
boardlike abdomen, and a positive obtu- rator and psoas sign. A positive obturator sign occurs
when pain is elicted by internal rotation of the right hip from 90 degrees hip/knee flexion. The
psoas sign is positive when pain occurs with passive extension of the thigh while the patient is
lying on his/her side with knees extended, or when pain occurs with active flexion of his/her
thigh at the hip.
Question: Treatment for mild preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet count
D) A prescription of methyldopa (Aldomet) to control blood pressure - CORRECT ANSWER✔✔D)
A prescription of methyldopa (Aldomet) to control blood pressure
Recommended care for women diagnosed with preeclampsia includes bed rest with bath- room
privileges, weight and BP monitoring, and closely following urine protein and serum protein,
creatinine, and platelet counts. Oral medications are not used as first-line treatment.
, Page 3 of 408
Question: All of the following services are covered under Medicare Part A except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons - CORRECT ANSWER✔✔C) Nursing home care
Medicare A coverage includes inpatient hospitalization and skilled care given in a certified
skilled nursing facility. Most nursing home care is custodial care (help with bathing, dressing,
using a bathroom, and eating). This care is not covered by Medicare A.
Question: A 28-year-old student is seen in the school health clinic with complaints of a hacking
cough that is productive of small amounts of sputum and a runny nose. He does not take any
medications, denies any allergies, and has no significant medical history. Physical examination
reveals a low-grade temperature of 99.9 degrees Fahrenheit, respirations of 16/min, a pulse of
90 beats per minute, and diffuse fine crackles in the base of the lungs. A chest radiograph (x-ray)
shows diffuse infiltrates on the lower lobe of the right lung. The total white blood cell count is
10,500/uL. What is the most likely diagnosis?
A) Streptococcal pneumonia
B) Mycoplasma pneumonia
C) Acute bronchitis
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D) Legionnaires disease - CORRECT ANSWER✔✔B) Mycoplasma pneumonia
Mycoplasma pneumonia is the organism most com- monly seen in children and young adults. It
is easily spread from droplets, from sneezing and coughing, in close proximity. Diagnosis is
based on symptoms and x-ray results of infiltrates in lower lobes.
Question: A 39-year-old migrant worker presents to the clinic 2.5 days after a purified protein
derivative (PPD) test. What minimum size of induration would be considered posi- tive for this
patient?
A) 3 mm
B) 5 mm
C) 10 mm
D) 15 mm - CORRECT ANSWER✔✔C) 10 mm
The PPD is administered on the volar aspect of the lower arm and read 48 hours after the test is
given. The PPD result must have induration and measure 10 mm or greater to be positive in a
low-risk patient. Induration (firmness with palpation) must be present. If the site has erythema
but no induration, result would be negative. Color is not important.
Question: All of the following are correct statements regarding the role of the person named in
a durable power of attorney except:
