LEIK FNP Exam Newest 2026 Questions and
Correct Detailed Answers Already Graded A+
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 - CORRECT ANSWER-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).
A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for many years to
control her Stage II hypertension. Her blood pressure (BP) at this visit is 168/96.
She is currently complaining of pain on her right hip and on both knees. She has
increased her dose of ibuprofen (Motrin) from 400 mg 3 times day (TID) to 800
mg TID. She is still in pain and would like something stronger. Which of the
,following statements is the best explanation of the effects of ibuprofen (Motrin)
on her disease?
A) It increases the chances of adverse effects to her health
B) It inhibits the effect of renal prostaglandins and blunts the effectiveness of the
diuretic
C) It prolongs the therapeutic effects of hydrochlorothiazide and other diuretics
D) None of the statements are true - CORRECT ANSWER-B) It inhibits the
effect of renal prostaglandins and blunts the effectiveness of the diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which
predisposes the kidney to ischemia. NSAIDs and diuretics can cause acute
prerenal failure by decreasing renal blood flow.
2. 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.
The nurse practitioner would test the obturator and iliopsoas muscle to evaluate
for:
A) Cholecystitis
B) Acute appendicitis
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.
, 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.
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
Correct Detailed Answers Already Graded A+
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 - CORRECT ANSWER-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).
A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for many years to
control her Stage II hypertension. Her blood pressure (BP) at this visit is 168/96.
She is currently complaining of pain on her right hip and on both knees. She has
increased her dose of ibuprofen (Motrin) from 400 mg 3 times day (TID) to 800
mg TID. She is still in pain and would like something stronger. Which of the
,following statements is the best explanation of the effects of ibuprofen (Motrin)
on her disease?
A) It increases the chances of adverse effects to her health
B) It inhibits the effect of renal prostaglandins and blunts the effectiveness of the
diuretic
C) It prolongs the therapeutic effects of hydrochlorothiazide and other diuretics
D) None of the statements are true - CORRECT ANSWER-B) It inhibits the
effect of renal prostaglandins and blunts the effectiveness of the diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which
predisposes the kidney to ischemia. NSAIDs and diuretics can cause acute
prerenal failure by decreasing renal blood flow.
2. 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.
The nurse practitioner would test the obturator and iliopsoas muscle to evaluate
for:
A) Cholecystitis
B) Acute appendicitis
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.
, 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.
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
