LEIK FNP PRACTICE QUESTIONS WITH ALL 175 MULTIPLE
CHOICE QUESTIONS, 100% CORRECT ANSWERS AND
RATIONALE
A menopausal woman with osteopenia is attending a dietary education class. Which of the following
foods are recommended?
A) Yogurt and sardines
B) Spinach and red meat
C) Cheese and red meat
D) Low-fat cheese and whole grain - CORRECT ANSWERS-A) Yogurt and sardines
Postmenopausal women are advised to increase their dietary intake of calcium and vitamin D to help
protect their bones from osteope- nia/osteoporosis. Foods that are high in calcium and vitamin D include
yogurt and sardines.
A patient who is on warfarin sodium (Coumadin) is advised to avoid eating large amounts of leafy green
vegetables because:
A) The high Vitamin K levels will increase bleeding time
B) They have too much ascorbic acid, which can interact with the medicine
C) The high fiber content will decrease the absorption of the Coumadin
D) The vitamins in the vegetables will bind and inactivate Coumadin - CORRECT ANSWERS-A)
The high Vitamin K levels will increase bleeding time
Foods containing Vitamin K may enhance the anticoagulation effect of Coumadin, thus increasing
bleeding time.
,You are following up a 65-year-old male who has been on a new prescription of fluvastatin (Lescol) for 6
weeks. During a follow-up visit, he reports feeling extremely fatigued and having dark-colored urine. He
denies any generalized muscle soreness. Which of the following is the most appropriate treatment plan?
A) Order a CBC with differential
B) Order a liver function profile
C) Recommend an increase in fluid intake and rest
D) Order a urine for C&S test - CORRECT ANSWERS-B) Order a liver function profile
Statin medications, such as Lescol, can affect liver function and increase liver enzymes, as well as cause
the patient to feel weak, fatigued, and have muscle aches. Therefore, checking the liver function profile
is recommended.
Which of the following diagnoses is most likely in this patient?
A) Rhabdomyolysis
B) Acute drug-induced hepatitis
C) Acute mononucleosis
D) A major depressive episode - CORRECT ANSWERS-B) Acute drug-induced hepatitis
Liver enzymes, such as ALT and AST, can be elevated with the use of medications, such as statin
medications. High liver enzymes can cause an acute drug-induced hepatitis.
What would you advise him regarding his fluvastatin (Lescol) prescription?
A) Continue taking the medicine until the lab results are available
B) Take half the usual daily dose until the lab results are available
C) Take the medicine every other day instead of daily until the lab results are available
D) Stop taking the medicine until the lab results are available - CORRECT ANSWERS-D) Stop
taking the medicine until the lab results are available
,When liver enzymes are affected by medications, such as statin medications, the patient is advised to
stop taking the medicine until the lab results are available.
All of the following children are within the parameters of normal growth and development for their age
group except:
A) A 2-month-old who coos and smiles
B) A 14-month-old who understands complex commands
C) A 20-month-old who can walk without support
D) A 3-year-old who can speak in three- to four-word sentences - CORRECT ANSWERS-B) A
14-month-old who understands complex commands
A 14-month-old child should developmentally be able to say "mama" and "dada," know his own name,
and know at least 2-4 words. A 2-year-old is able to understand simple commands.
You are reviewing the bilirubin level on a 3-day-old full-term neonate. You note that it is 10 mg/dL. The
infant has a slight yellow color to his skin, mucous membranes, and sclera. The infant is feeding well, is
not irritable, and has 8 to 10 wet diapers per day. Which of the following is a true statement?
A) Keep on monitoring the infant's bilirubin level until it returns back to normal in about 1 week
B) Recommend that the infant be treated with phototherapy 10 minutes a day until the bilirubin level is
back down to a normal range
C) Refer the infant to a neonatologist as soon as possible
D) Refer the infant to the neonatal intensive care unit - CORRECT ANSWERS-A) Keep on
monitoring the infant's bilirubin level until it returns back to normal in about 1 week
Bilirubin is excreted through the urine and feces. Increased fluids and wetting 8-10 diapers a day is
sufficient fluid intake/excretion to help bring down the bilirubin level. Levels should continue to be
monitored and should improve in approximately 1 week.
, All of the following statements are correct regarding the Td vaccine except:
A) Fever occurs in up to 80% of the patients
B) A possible side effect is induration on the injection site
C) The Td is given every 10 years
D) The DPT and DT should not be given beyond the seventh birthday - CORRECT ANSWERS-A)
Fever occurs in up to 80% of the patients
Side effects of the Td vaccine include induration at the injection site. Td is given in adults every 10 years.
The DPT and DT should not be given beyond 7 years of age. Fever may occur, but studies do not support
80% of patients having fever.
Which of the following is recommended by JNC 7 as first-line treatment for hypertension in patients with
microalbuminuria?
A) Angiotensin-converting enzyme (ACE) inhibitors
B) Diuretics
C) Calcium channel blockers
D) Beta-blockers - CORRECT ANSWERS-A) Angiotensin-converting enzyme (ACE) inhibitors
First line of treatment for hypertension in patients with microalbuminuria is ACE inhibitors. ACE
inhibitors are renal protective.
A woman is being evaluated by the nurse practitioner for complaints of dyspareunia. A microscopy slide
reveals a large number of atrophic squamous epithelial cells. The vaginal pH is 4.0. There are very few
leukocytes and no RBCs are seen on the wet smear. Which of the following is most likely?
A) Atrophic vaginitis
B) Bacterial vaginosis
CHOICE QUESTIONS, 100% CORRECT ANSWERS AND
RATIONALE
A menopausal woman with osteopenia is attending a dietary education class. Which of the following
foods are recommended?
A) Yogurt and sardines
B) Spinach and red meat
C) Cheese and red meat
D) Low-fat cheese and whole grain - CORRECT ANSWERS-A) Yogurt and sardines
Postmenopausal women are advised to increase their dietary intake of calcium and vitamin D to help
protect their bones from osteope- nia/osteoporosis. Foods that are high in calcium and vitamin D include
yogurt and sardines.
A patient who is on warfarin sodium (Coumadin) is advised to avoid eating large amounts of leafy green
vegetables because:
A) The high Vitamin K levels will increase bleeding time
B) They have too much ascorbic acid, which can interact with the medicine
C) The high fiber content will decrease the absorption of the Coumadin
D) The vitamins in the vegetables will bind and inactivate Coumadin - CORRECT ANSWERS-A)
The high Vitamin K levels will increase bleeding time
Foods containing Vitamin K may enhance the anticoagulation effect of Coumadin, thus increasing
bleeding time.
,You are following up a 65-year-old male who has been on a new prescription of fluvastatin (Lescol) for 6
weeks. During a follow-up visit, he reports feeling extremely fatigued and having dark-colored urine. He
denies any generalized muscle soreness. Which of the following is the most appropriate treatment plan?
A) Order a CBC with differential
B) Order a liver function profile
C) Recommend an increase in fluid intake and rest
D) Order a urine for C&S test - CORRECT ANSWERS-B) Order a liver function profile
Statin medications, such as Lescol, can affect liver function and increase liver enzymes, as well as cause
the patient to feel weak, fatigued, and have muscle aches. Therefore, checking the liver function profile
is recommended.
Which of the following diagnoses is most likely in this patient?
A) Rhabdomyolysis
B) Acute drug-induced hepatitis
C) Acute mononucleosis
D) A major depressive episode - CORRECT ANSWERS-B) Acute drug-induced hepatitis
Liver enzymes, such as ALT and AST, can be elevated with the use of medications, such as statin
medications. High liver enzymes can cause an acute drug-induced hepatitis.
What would you advise him regarding his fluvastatin (Lescol) prescription?
A) Continue taking the medicine until the lab results are available
B) Take half the usual daily dose until the lab results are available
C) Take the medicine every other day instead of daily until the lab results are available
D) Stop taking the medicine until the lab results are available - CORRECT ANSWERS-D) Stop
taking the medicine until the lab results are available
,When liver enzymes are affected by medications, such as statin medications, the patient is advised to
stop taking the medicine until the lab results are available.
All of the following children are within the parameters of normal growth and development for their age
group except:
A) A 2-month-old who coos and smiles
B) A 14-month-old who understands complex commands
C) A 20-month-old who can walk without support
D) A 3-year-old who can speak in three- to four-word sentences - CORRECT ANSWERS-B) A
14-month-old who understands complex commands
A 14-month-old child should developmentally be able to say "mama" and "dada," know his own name,
and know at least 2-4 words. A 2-year-old is able to understand simple commands.
You are reviewing the bilirubin level on a 3-day-old full-term neonate. You note that it is 10 mg/dL. The
infant has a slight yellow color to his skin, mucous membranes, and sclera. The infant is feeding well, is
not irritable, and has 8 to 10 wet diapers per day. Which of the following is a true statement?
A) Keep on monitoring the infant's bilirubin level until it returns back to normal in about 1 week
B) Recommend that the infant be treated with phototherapy 10 minutes a day until the bilirubin level is
back down to a normal range
C) Refer the infant to a neonatologist as soon as possible
D) Refer the infant to the neonatal intensive care unit - CORRECT ANSWERS-A) Keep on
monitoring the infant's bilirubin level until it returns back to normal in about 1 week
Bilirubin is excreted through the urine and feces. Increased fluids and wetting 8-10 diapers a day is
sufficient fluid intake/excretion to help bring down the bilirubin level. Levels should continue to be
monitored and should improve in approximately 1 week.
, All of the following statements are correct regarding the Td vaccine except:
A) Fever occurs in up to 80% of the patients
B) A possible side effect is induration on the injection site
C) The Td is given every 10 years
D) The DPT and DT should not be given beyond the seventh birthday - CORRECT ANSWERS-A)
Fever occurs in up to 80% of the patients
Side effects of the Td vaccine include induration at the injection site. Td is given in adults every 10 years.
The DPT and DT should not be given beyond 7 years of age. Fever may occur, but studies do not support
80% of patients having fever.
Which of the following is recommended by JNC 7 as first-line treatment for hypertension in patients with
microalbuminuria?
A) Angiotensin-converting enzyme (ACE) inhibitors
B) Diuretics
C) Calcium channel blockers
D) Beta-blockers - CORRECT ANSWERS-A) Angiotensin-converting enzyme (ACE) inhibitors
First line of treatment for hypertension in patients with microalbuminuria is ACE inhibitors. ACE
inhibitors are renal protective.
A woman is being evaluated by the nurse practitioner for complaints of dyspareunia. A microscopy slide
reveals a large number of atrophic squamous epithelial cells. The vaginal pH is 4.0. There are very few
leukocytes and no RBCs are seen on the wet smear. Which of the following is most likely?
A) Atrophic vaginitis
B) Bacterial vaginosis
