ESTUDYR
LEIK FNP MOST TESTED QUESTIONS AND ANSWERS
GRADED A+ WITH RATIONALES
1. Suspected pneumonia following bronchitis
A 14-year-old male treated for bronchitis returns with fever 103°F, pleuritic right-sided chest
pain, and green sputum. Which physical exam finding is most likely?
A. Decreased tactile fremitus
B. Bilateral wheezing
C. Normal percussion note
D. ⬛Right lower lobe crackles
Correct Answer: ⬛D
Rationale:
Bacterial pneumonia causes alveolar consolidation, producing localized crackles. Fremitus is
increased—not decreased.
2. Nursemaid’s elbow reduction
After successful reduction of radial head subluxation, which finding best confirms success?
A. Immediate resolution of swelling
B. Restoration of pulse and sensation
C. ⬛Child resumes use of affected arm
D. Audible click during manipulation
Correct Answer: ⬛C
Rationale:
The definitive indicator of successful reduction is return of spontaneous arm use, often within
minutes.
3. Alternative treatment for Mycoplasma pneumonia
An 18-year-old with Mycoplasma pneumonia cannot tolerate erythromycin. Which is the best
alternative?
A. ⬛Azithromycin
B. Cephalexin
,ESTUDYR
C. Amoxicillin
D. Clindamycin
Correct Answer: ⬛A
Rationale:
Mycoplasma lacks a cell wall. Macrolides (azithromycin) are first-line. Beta-lactams are
ineffective.
4. Koplik spots indicate which illness?
A 10-month-old has cough, coryza, rash, and white papules on buccal mucosa.
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. ⬛Measles
Correct Answer: ⬛D
Rationale:
Koplik spots are pathognomonic for measles (rubeola).
5. Spirometry confirms asthma by identifying
Post-albuterol spirometry confirms asthma by showing:
A. Oxygen saturation
B. Pulmonary fibrosis
C. Chronic CO₂ retention
D. ⬛Reversible airway obstruction
Correct Answer: ⬛D
Rationale:
Asthma is defined by reversibility of airflow obstruction after bronchodilator use.
6. Acute bacterial sinusitis
An 18-year-old has maxillary pain and purulent discharge for 14 days.
, ESTUDYR
A. ⬛Amoxicillin-clavulanate
B. Ceftriaxone
C. Levofloxacin
D. Erythromycin
Correct Answer: ⬛A
Rationale:
Persistent symptoms >10 days indicate bacterial sinusitis. Augmentin is first-line.
7. Leading cause of cancer death in women
A. Cervical
B. Ovarian
C. Breast
D. ⬛Lung
Correct Answer: ⬛D
Rationale:
Lung cancer causes more female cancer deaths than breast, ovarian, or cervical cancer.
8. Presentation of uncomplicated chlamydia
A 29-year-old male with chlamydia may present with:
A. Urticaria
B. ⬛No symptoms
C. Green discharge
D. Penile ulcer
Correct Answer: ⬛B
Rationale:
Chlamydia is often asymptomatic, especially in males.
9. Assessing abstract thinking
Which question assesses abstract reasoning?
LEIK FNP MOST TESTED QUESTIONS AND ANSWERS
GRADED A+ WITH RATIONALES
1. Suspected pneumonia following bronchitis
A 14-year-old male treated for bronchitis returns with fever 103°F, pleuritic right-sided chest
pain, and green sputum. Which physical exam finding is most likely?
A. Decreased tactile fremitus
B. Bilateral wheezing
C. Normal percussion note
D. ⬛Right lower lobe crackles
Correct Answer: ⬛D
Rationale:
Bacterial pneumonia causes alveolar consolidation, producing localized crackles. Fremitus is
increased—not decreased.
2. Nursemaid’s elbow reduction
After successful reduction of radial head subluxation, which finding best confirms success?
A. Immediate resolution of swelling
B. Restoration of pulse and sensation
C. ⬛Child resumes use of affected arm
D. Audible click during manipulation
Correct Answer: ⬛C
Rationale:
The definitive indicator of successful reduction is return of spontaneous arm use, often within
minutes.
3. Alternative treatment for Mycoplasma pneumonia
An 18-year-old with Mycoplasma pneumonia cannot tolerate erythromycin. Which is the best
alternative?
A. ⬛Azithromycin
B. Cephalexin
,ESTUDYR
C. Amoxicillin
D. Clindamycin
Correct Answer: ⬛A
Rationale:
Mycoplasma lacks a cell wall. Macrolides (azithromycin) are first-line. Beta-lactams are
ineffective.
4. Koplik spots indicate which illness?
A 10-month-old has cough, coryza, rash, and white papules on buccal mucosa.
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. ⬛Measles
Correct Answer: ⬛D
Rationale:
Koplik spots are pathognomonic for measles (rubeola).
5. Spirometry confirms asthma by identifying
Post-albuterol spirometry confirms asthma by showing:
A. Oxygen saturation
B. Pulmonary fibrosis
C. Chronic CO₂ retention
D. ⬛Reversible airway obstruction
Correct Answer: ⬛D
Rationale:
Asthma is defined by reversibility of airflow obstruction after bronchodilator use.
6. Acute bacterial sinusitis
An 18-year-old has maxillary pain and purulent discharge for 14 days.
, ESTUDYR
A. ⬛Amoxicillin-clavulanate
B. Ceftriaxone
C. Levofloxacin
D. Erythromycin
Correct Answer: ⬛A
Rationale:
Persistent symptoms >10 days indicate bacterial sinusitis. Augmentin is first-line.
7. Leading cause of cancer death in women
A. Cervical
B. Ovarian
C. Breast
D. ⬛Lung
Correct Answer: ⬛D
Rationale:
Lung cancer causes more female cancer deaths than breast, ovarian, or cervical cancer.
8. Presentation of uncomplicated chlamydia
A 29-year-old male with chlamydia may present with:
A. Urticaria
B. ⬛No symptoms
C. Green discharge
D. Penile ulcer
Correct Answer: ⬛B
Rationale:
Chlamydia is often asymptomatic, especially in males.
9. Assessing abstract thinking
Which question assesses abstract reasoning?
