Leik FNP Practice
Questions – Family Nurse
Practitioner Exam Prep
with Answers &
Rationales (Board Review
2026) | Graded A+ |
Guaranteed success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,The nurse practitioner would test the obturator and B) Acute appendicitis.
iliopsoas muscle to evaluate for:
Signs and symptoms of an acute abdomen include invol- untary guarding,
A) Cholecystitis rebound tenderness, boardlike abdomen, and a positive obtu- rator and psoas
B) Acute appendicitis sign. A positive obturator sign occurs when pain is elicted by internal rotation of
C) Inguinal hernia the right hip from 90 degrees hip/knee flexion. The psoas sign is positive when
D) Gastriculcer 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 D) A prescription of methyldopa (Aldomet) to control blood pressure
following except:
Recommended care for women diagnosed with preeclampsia includes bed rest
A) Bed rest except for bathroom privileges with bath- room privileges, weight and BP monitoring, and closely following urine
B) Close monitoring of weight and blood pressure protein and serum protein, creatinine, and platelet counts. Oral medications are
C) Close follow-up of urinary protein, serum creatinine, not used as first-line treatment.
and platelet count
D) A prescription of methyldopa (Aldomet) to control
blood pressure
All of the following services are covered under Medicare C) Nursing home care
Part A except:
Medicare A coverage includes inpatient hospitalization and skilled care given in a
A) Inpatienthospitalizations certified skilled nursing facility. Most nursing home care is custodial care (help
B) Medicines administered to a patient while hospitalized with bathing, dressing, using a bathroom, and eating). This care is not covered by
C) Nursing home care Medicare A.
D) Surgeons
A 28-year-old student is seen in the school health clinic B) Mycoplasma pneumonia
with complaints of a hacking cough that is productive of
small amounts of sputum and a runny nose. He does not Mycoplasma pneumonia is the organism most com- monly seen in children and
take any medications, denies any allergies, and has no young adults. It is easily spread from droplets, from sneezing and coughing, in
significant medical history. Physical examination reveals a close proximity. Diagnosis is based on symptoms and x-ray results of infiltrates in
low-grade temperature of 99.9 degrees Fahrenheit, lower lobes.
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
D) Legionnaires disease
A 39-year-old migrant worker presents to the clinic 2.5 C) 10 mm
days after a purified protein derivative (PPD) test. What
minimum size of induration would be considered posi- The PPD is administered on the volar aspect of the lower arm and read 48 hours
tive for this patient? 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)
A) 3 mm B) 5 mm C) 10 mm D) 15 mm must be present. If the site has erythema but no induration, result would be
negative. Color is not important.
, All of the following are correct statements regarding the D) The patient's spouse has a right to override the agent's decisions
role of the person named in a durable power of attorney
except: The person named in a durable power of attorney (the agent) is designated by
the patient to make all medical decisions, as well as any decisions regarding the
A) The agent's decisions are legally binding patient's private affairs in the event that the patient becomes incompetent and
B) The agent can make decisions in other areas of the unable to make his/her own decisions. No one has the ability to override the
patient's life such as financial agent's decision.
issues
C) The agent can decide for the patient who is on life
support when that life support
can be terminated
D) The patient's spouse has a right to override the agent's
decisions
All of the following are true statements regarding B) The patient has a medical illness that causes an anxiety reaction and denial
Munchausen syndrome except:
Munchausen syndrome is a psychiatric disorder in which the patient fakes a
A) It is considered a mental illness medical illness or disorder to gain attention from health care provid- ers. These
B) The patient has a medical illness that causes an anxiety patients commonly use the emergency department frequently to gain attention.
reaction and denial
C) The patient fakes an illness in order to gain attention
from health care providers
D) The patient has an inconsistent medical history along
with a past history of
frequent hospitalizations
Which of the following antihypertensive medications C) Beta-blockers
should the nurse practitioner avoid when treating patients
with emphysema? Beta-blockers should be avoided in patients with a history of emphysema. Studies
have shown evidence of a reduction in forced expiratory volume in 1 second
A) Calcium channel blockers (FEV1), increased airway hyperresponsiveness, and inhibition of bronchodilator
B) Angiotensin-converting enzyme (ACE) inhibitors response to beta agonists in patients receiving non-selective beta- blockers and
C) Beta-blockers high doses of cardioselective beta-blockers.
D) Diuretics
A 30-year-old chef complains of pruritic hives over her A) Perform a complete and thorough history
chest and arms but denies difficulty swallowing or
breathing. She reports a family history of allergic rhinitis Prior to prescribing medications, a complete and thorough history must be
and asthma. Which of the following interventions is most performed to determine possible causes of hives. The patient denied difficulty
appropriate? with swallowing and breathing, so there was no medical emergency to require
calling 911.
A) Perform a complete and thorough history
B) Prescribe an oral antihistamine such as
diphenhydramine 25 mg PO QID
C) Give an injection of epinephrine 1:1000 intramuscularly
stat
D) Call 911
Questions – Family Nurse
Practitioner Exam Prep
with Answers &
Rationales (Board Review
2026) | Graded A+ |
Guaranteed success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,The nurse practitioner would test the obturator and B) Acute appendicitis.
iliopsoas muscle to evaluate for:
Signs and symptoms of an acute abdomen include invol- untary guarding,
A) Cholecystitis rebound tenderness, boardlike abdomen, and a positive obtu- rator and psoas
B) Acute appendicitis sign. A positive obturator sign occurs when pain is elicted by internal rotation of
C) Inguinal hernia the right hip from 90 degrees hip/knee flexion. The psoas sign is positive when
D) Gastriculcer 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 D) A prescription of methyldopa (Aldomet) to control blood pressure
following except:
Recommended care for women diagnosed with preeclampsia includes bed rest
A) Bed rest except for bathroom privileges with bath- room privileges, weight and BP monitoring, and closely following urine
B) Close monitoring of weight and blood pressure protein and serum protein, creatinine, and platelet counts. Oral medications are
C) Close follow-up of urinary protein, serum creatinine, not used as first-line treatment.
and platelet count
D) A prescription of methyldopa (Aldomet) to control
blood pressure
All of the following services are covered under Medicare C) Nursing home care
Part A except:
Medicare A coverage includes inpatient hospitalization and skilled care given in a
A) Inpatienthospitalizations certified skilled nursing facility. Most nursing home care is custodial care (help
B) Medicines administered to a patient while hospitalized with bathing, dressing, using a bathroom, and eating). This care is not covered by
C) Nursing home care Medicare A.
D) Surgeons
A 28-year-old student is seen in the school health clinic B) Mycoplasma pneumonia
with complaints of a hacking cough that is productive of
small amounts of sputum and a runny nose. He does not Mycoplasma pneumonia is the organism most com- monly seen in children and
take any medications, denies any allergies, and has no young adults. It is easily spread from droplets, from sneezing and coughing, in
significant medical history. Physical examination reveals a close proximity. Diagnosis is based on symptoms and x-ray results of infiltrates in
low-grade temperature of 99.9 degrees Fahrenheit, lower lobes.
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
D) Legionnaires disease
A 39-year-old migrant worker presents to the clinic 2.5 C) 10 mm
days after a purified protein derivative (PPD) test. What
minimum size of induration would be considered posi- The PPD is administered on the volar aspect of the lower arm and read 48 hours
tive for this patient? 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)
A) 3 mm B) 5 mm C) 10 mm D) 15 mm must be present. If the site has erythema but no induration, result would be
negative. Color is not important.
, All of the following are correct statements regarding the D) The patient's spouse has a right to override the agent's decisions
role of the person named in a durable power of attorney
except: The person named in a durable power of attorney (the agent) is designated by
the patient to make all medical decisions, as well as any decisions regarding the
A) The agent's decisions are legally binding patient's private affairs in the event that the patient becomes incompetent and
B) The agent can make decisions in other areas of the unable to make his/her own decisions. No one has the ability to override the
patient's life such as financial agent's decision.
issues
C) The agent can decide for the patient who is on life
support when that life support
can be terminated
D) The patient's spouse has a right to override the agent's
decisions
All of the following are true statements regarding B) The patient has a medical illness that causes an anxiety reaction and denial
Munchausen syndrome except:
Munchausen syndrome is a psychiatric disorder in which the patient fakes a
A) It is considered a mental illness medical illness or disorder to gain attention from health care provid- ers. These
B) The patient has a medical illness that causes an anxiety patients commonly use the emergency department frequently to gain attention.
reaction and denial
C) The patient fakes an illness in order to gain attention
from health care providers
D) The patient has an inconsistent medical history along
with a past history of
frequent hospitalizations
Which of the following antihypertensive medications C) Beta-blockers
should the nurse practitioner avoid when treating patients
with emphysema? Beta-blockers should be avoided in patients with a history of emphysema. Studies
have shown evidence of a reduction in forced expiratory volume in 1 second
A) Calcium channel blockers (FEV1), increased airway hyperresponsiveness, and inhibition of bronchodilator
B) Angiotensin-converting enzyme (ACE) inhibitors response to beta agonists in patients receiving non-selective beta- blockers and
C) Beta-blockers high doses of cardioselective beta-blockers.
D) Diuretics
A 30-year-old chef complains of pruritic hives over her A) Perform a complete and thorough history
chest and arms but denies difficulty swallowing or
breathing. She reports a family history of allergic rhinitis Prior to prescribing medications, a complete and thorough history must be
and asthma. Which of the following interventions is most performed to determine possible causes of hives. The patient denied difficulty
appropriate? with swallowing and breathing, so there was no medical emergency to require
calling 911.
A) Perform a complete and thorough history
B) Prescribe an oral antihistamine such as
diphenhydramine 25 mg PO QID
C) Give an injection of epinephrine 1:1000 intramuscularly
stat
D) Call 911
