LEIK FNP REVIEW UPDATED EXAM
QUESTIONS AND VERIFIED CORRECT
SOLUTIONS | NURSING STUDY GUIDE
2026/2027 LATEST
Mr. Brown is a 65-year-old carpenter complaining of morning stiffness and pain in both his
hands and right knee upon awakening. He feels some relief after warming up. On exam, the
nurse notices the presence of Heberden's nodes. Which of the fol- lowing is most likely?
A) Osteoporosis
B) Rheumatoid arthritis
C) Degenerative joint disease
D) Reiter's syndrome - ANS✔✔---C) Degenerative joint disease
Heberden's nodes are commonly seen in degenerative joint disease. Heberden's nodes are bony
nodules located on the distal interphalangeal joints (DIPs).
What does a positive posterior drawer sign in a 10-year-old soccer player signify?
A) An abnormal knee
B) Instability of the knee
C) A large amount of swelling on the knee
Page 1 of 296
,D) An injury of the meniscus - ANS✔✔---B) Instability of the knee
The drawer sign is performed on the knee or ankle to assess for knee instability. The affected knee
will have more laxity when compared to the unaffected knee.
A multigravida who is at 28 weeks of gestation has a fundal height of 29 cm. Which of the
following is the best recommendation for this patient?
A) Advise the mother that her pregnancy is progressing well
B) Order an ultrasound of the uterus
C) Refer her to an obstetrician for an amniocentesis
D) Recommend bed rest with bathroom privileges - ANS✔✔---A) Advise the mother that her
pregnancy is progressing well
From 20-35 weeks' gestation, fundal height should equal weeks gestation. If greater than 2 cm
within the gestational week of pregnancy, further testing should be performed to evaluate fetal
growth
A multigravida who is at 34 weeks of gestation wants to know at what level her uterine fundus
should be. The best answer is to advise the mother that her fun- dus is:
A) Midway between the umbilicus and the lower ribs
B) At the level of the umbilicus
C) From 33 to 35 cm
D) From 32 to 34 cm - ANS✔✔---C) From 33 to 35 cm
After 20 weeks gestation, fundal height in centimeters should measure approximately the same as
the number of weeks of gestation
Which of the following laboratory tests is used in primary care to evaluate renal function?
2|Page
,A) Electrolyte panel
B) Creatinine
C) Alkaline phosphatase
D) Blood urea nitrogen (BUN) to creatinine ratio - ANS✔✔---B) Creatinine
Serum creatinine is measured to evaluate renal function. Creatinine is the end product of creatine
metabolism. Creatinine clearance is not affected by fluid or dietary intake of meat.
All of the following are false statements regarding acute gastritis except:
A) Chronic intake of nonsteroidal anti-inflammatory drugs (NSAIDs) can cause the disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening test for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy - ANS✔✔---C) The screening test
for the disorder is the barium swallow test
The gold standard for diagnosing gastric disease is biopsy of gastric and/or duodenal tissue by
upper endoscopy. Chronic use of NSAIDs disrupts the production of prostaglandins, which
decreases blood supply and then breaks down the protective layer of the mucosa, which leads to
gastric disease.
Signs and symptoms of depression include all of the following except:
A) Anhedonia and changes in appetite
B) Decreased energy and irritability
C) Apathy and low self-esteem
D) Apraxia and fatigue - ANS✔✔---D) Apraxia and fatigue
, Apraxia is a disorder of the nervous system in which the brain is affected and the patient is unable
to move the arms/legs when asked to do so. Common signs of depression include anhedonia (loss
of interest in activities that the patient finds pleasurable), unintentional weight loss or gain, fatigue,
change in appetite, insomnia or hypersomnia, feelings of guilt and worthlessness, and recurrent
thoughts of suicide. Which of the following is an accurate description of eliciting for Murphy's
sign?
A) Upon deep inspiration by the patient, palpate firmly in the right upper quad- rant of the abdomen
below the costovertebral angle
B) Bend the patient's hips and knees at 90 degrees, then passively rotate hip exter- nally, then
internally
C) Ask the patient to squat, then place the stethoscope on the apical area
D) Press into the abdomen deeply, then release it suddenly - ANS✔✔---A) Upon deep inspiration
by the patient, palpate firmly in the right upper quad- rant of the abdomen below the
costovertebral angle
Murphy's sign is positive if pain occurs when performing RUQ palpation while the patient takes
a deep inspiration, causing the patient to abruptly stop the deep breath due to pain. As the liver is
palpated, it will descend and push up against the inflamed gallbladder and cause sharp pain
(cholecystitis).
A 28-year-old multipara who is at 32 weeks of gestation presents to your office complaining of
a sudden onset of small amounts of bright red vaginal bleeding. She has had several episodes
and appears anxious. On exam, her uterus is soft to palpation. Which of the following is most
likely?
A) Placenta abruptio
B) Placenta previa
4|Page
QUESTIONS AND VERIFIED CORRECT
SOLUTIONS | NURSING STUDY GUIDE
2026/2027 LATEST
Mr. Brown is a 65-year-old carpenter complaining of morning stiffness and pain in both his
hands and right knee upon awakening. He feels some relief after warming up. On exam, the
nurse notices the presence of Heberden's nodes. Which of the fol- lowing is most likely?
A) Osteoporosis
B) Rheumatoid arthritis
C) Degenerative joint disease
D) Reiter's syndrome - ANS✔✔---C) Degenerative joint disease
Heberden's nodes are commonly seen in degenerative joint disease. Heberden's nodes are bony
nodules located on the distal interphalangeal joints (DIPs).
What does a positive posterior drawer sign in a 10-year-old soccer player signify?
A) An abnormal knee
B) Instability of the knee
C) A large amount of swelling on the knee
Page 1 of 296
,D) An injury of the meniscus - ANS✔✔---B) Instability of the knee
The drawer sign is performed on the knee or ankle to assess for knee instability. The affected knee
will have more laxity when compared to the unaffected knee.
A multigravida who is at 28 weeks of gestation has a fundal height of 29 cm. Which of the
following is the best recommendation for this patient?
A) Advise the mother that her pregnancy is progressing well
B) Order an ultrasound of the uterus
C) Refer her to an obstetrician for an amniocentesis
D) Recommend bed rest with bathroom privileges - ANS✔✔---A) Advise the mother that her
pregnancy is progressing well
From 20-35 weeks' gestation, fundal height should equal weeks gestation. If greater than 2 cm
within the gestational week of pregnancy, further testing should be performed to evaluate fetal
growth
A multigravida who is at 34 weeks of gestation wants to know at what level her uterine fundus
should be. The best answer is to advise the mother that her fun- dus is:
A) Midway between the umbilicus and the lower ribs
B) At the level of the umbilicus
C) From 33 to 35 cm
D) From 32 to 34 cm - ANS✔✔---C) From 33 to 35 cm
After 20 weeks gestation, fundal height in centimeters should measure approximately the same as
the number of weeks of gestation
Which of the following laboratory tests is used in primary care to evaluate renal function?
2|Page
,A) Electrolyte panel
B) Creatinine
C) Alkaline phosphatase
D) Blood urea nitrogen (BUN) to creatinine ratio - ANS✔✔---B) Creatinine
Serum creatinine is measured to evaluate renal function. Creatinine is the end product of creatine
metabolism. Creatinine clearance is not affected by fluid or dietary intake of meat.
All of the following are false statements regarding acute gastritis except:
A) Chronic intake of nonsteroidal anti-inflammatory drugs (NSAIDs) can cause the disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening test for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy - ANS✔✔---C) The screening test
for the disorder is the barium swallow test
The gold standard for diagnosing gastric disease is biopsy of gastric and/or duodenal tissue by
upper endoscopy. Chronic use of NSAIDs disrupts the production of prostaglandins, which
decreases blood supply and then breaks down the protective layer of the mucosa, which leads to
gastric disease.
Signs and symptoms of depression include all of the following except:
A) Anhedonia and changes in appetite
B) Decreased energy and irritability
C) Apathy and low self-esteem
D) Apraxia and fatigue - ANS✔✔---D) Apraxia and fatigue
, Apraxia is a disorder of the nervous system in which the brain is affected and the patient is unable
to move the arms/legs when asked to do so. Common signs of depression include anhedonia (loss
of interest in activities that the patient finds pleasurable), unintentional weight loss or gain, fatigue,
change in appetite, insomnia or hypersomnia, feelings of guilt and worthlessness, and recurrent
thoughts of suicide. Which of the following is an accurate description of eliciting for Murphy's
sign?
A) Upon deep inspiration by the patient, palpate firmly in the right upper quad- rant of the abdomen
below the costovertebral angle
B) Bend the patient's hips and knees at 90 degrees, then passively rotate hip exter- nally, then
internally
C) Ask the patient to squat, then place the stethoscope on the apical area
D) Press into the abdomen deeply, then release it suddenly - ANS✔✔---A) Upon deep inspiration
by the patient, palpate firmly in the right upper quad- rant of the abdomen below the
costovertebral angle
Murphy's sign is positive if pain occurs when performing RUQ palpation while the patient takes
a deep inspiration, causing the patient to abruptly stop the deep breath due to pain. As the liver is
palpated, it will descend and push up against the inflamed gallbladder and cause sharp pain
(cholecystitis).
A 28-year-old multipara who is at 32 weeks of gestation presents to your office complaining of
a sudden onset of small amounts of bright red vaginal bleeding. She has had several episodes
and appears anxious. On exam, her uterus is soft to palpation. Which of the following is most
likely?
A) Placenta abruptio
B) Placenta previa
4|Page
