LEIK FNP Practice Questions And Verified Detailed Answers
2025-2026 100% pass
All of the following are possible causes for secondary hypertension except:
A) Acute pyelonephritis
B) Pheochromocytoma
C) Renovascular stenosis
D) Coarctation of the aorta - Answer A) Acute pyelonephritis
Pheochromocytoma is an adrenal gland tumor in which there is increased production of
the hormones adrenaline and noradrena- line, which may cause long-term elevation in
blood pressure. Renovascular steno- sis is a narrowing of one or both arteries leading to
the kidneys. It can cause severe hypertension and irreversible kidney damage.
Coarctation of the aorta is a con- genital heart defect of the aorta; it is a narrowing of
the aorta that causes the heart to work harder to get blood to flow through the narrow
aortic passageway to other organs, which in turn causes an increase in blood pressure.
Fitz-Hugh-Curtis syndrome is associated with which following infection?
A) Syphilis
B) Chlamydia trachomatis
C) Herpes genitalis
D) Lymphogranuloma venereum - Answer B) Chlamydia trachomatis
Fitz-Hugh-Curtis is a complication of having pelvic inflammatory disease that was
caused by a vaginal infection, such as gonorrhea or Chlamydia trachomatis. This
causes inflammation and infection in the pelvic cavity. Left untreated, this infection can
cause adhesions that stretch from the peritoneum to the liver.
,A nursing home resident reports to his physician that his previous roommate was
recently started on tuberculosis treatment. A Mantoux test and chest x-ray are ordered
for the patient. What is the minimum size of induration considered positive for this
patient?
A) 3 mm
B) 5 mm
C) 10 mm
D) 15 mm - Answer B) 5 mm
To perform the Mantoux test, a dose of 5 tuberculin units in 0.1 mL solution is injected
intradermally into the forearm and read 48 to 72 hours later. Results are measured by
the size of the induration, not ery- thema. Standard results of 10 mm or less are
considered negative for a low- risk population. For a high-risk population, such as a
recent exposure, 5 mm of induration or greater is a positive result.
In small children with acquired immunodeficiency syndrome (AIDS), which of the
following vaccines is contraindicated?
A) Diphtheria and tetanus (Td)
B) Hepatitis B and mumps
C) Varicella
D) Td and oral polio - Answer C) Varicella
The data regarding efficacy of the varicella vaccine are insufficient; therefore, varicella
vaccine is contraindicated in HIV-infected individuals.
A 44-year-old female who is undergoing treatment for infertility complains of not having
a menstrual period for a few months. The night before, she started spotting and is now
having cramp-type pains in her pelvic area. Her blood pressure (BP) is 160/80, the pulse
rate is 110, and she is afebrile. Her labs reveal a mild anemia with mild leukocytosis. On
,pelvic exam, the uterine fundus is found above the symphy- sis pubis. The cervical os is
dilated at 3 cm. Which of the following is most likely?
A) Inevitable abortion
B) Threatened abortion
C) Incomplete abortion
D) Acute pelvic inflammatory disease - Answer A) Inevitable abortion
Inevitable abortion is defined as vaginal bleeding with pain and cervical dilation and/or
effacement. Threatened abortion is defined as vaginal bleeding with absent or minimal
pain and a closed, long, and thick cervix. Incomplete abortion is moderate to diffuse
vaginal bleeding, with the passage of tissue and painful uterine cramping or
contractions. Acute pelvic inflammatory disease is a sudden onset of inflammation and
pain that affects the pelvic area, cervix, uterus, and ovaries, which is caused by
infection.
A 14-year-old female who is sexually active is brought in by her mother for an
immunization update. According to the mother, her daughter had 1 dose of hepatitis B
vaccine. Which of the following vaccines would you administer at this visit?
A) Td and hepatitis B
B) DTaP (diphtheria, tetanus, acellular pertussis) and hepatitis B
C) Hepatitis B only
D) MMR (measles, mumps, rubella) and Td - Answer A) Td and hepatitis B
The CDC recommends Td and hepatitis B for 14-year-old females. It is recommended for
her to continue the hepatitis series, which includes a total of 3 injections.
An Rh-negative pregnant woman with negative rubella titers should be vaccinated at
what time period in pregnancy?
, A) She can be vaccinated at any time in her pregnancy
B) During the second trimester
C) During the third trimester
D) During the postpartum period - Answer D)During the post partum period
Rubella should be administered to the woman during the postpartum period. Rubella is
contraindicated during pregnancy.
Medicare Part B will pay for all of the following services except:
A) Outpatient physician visits that are medically necessary
B) Durable medical equipment
C) Outpatient laboratory and radiology tests
D) Eyeglasses and routine dental care - Answer D) Eyeglasses and routine dental care
Medicare Part B covers: 1) outpatient physician visits, labs, x-rays; 2) durable medical
equipment; 3) mammograms/ colonoscopy after age 50 years annually; and 4)
rehabilitation.
Which of the following is used to screen for color blindness in a 7-year-old boy?
A) Snellen chart
B) Ishihara chart
C) Cover/uncover test
D) Red reflex - Answer B) Ishihara chart
The Ishihara chart is used for screening for color blindness.
2025-2026 100% pass
All of the following are possible causes for secondary hypertension except:
A) Acute pyelonephritis
B) Pheochromocytoma
C) Renovascular stenosis
D) Coarctation of the aorta - Answer A) Acute pyelonephritis
Pheochromocytoma is an adrenal gland tumor in which there is increased production of
the hormones adrenaline and noradrena- line, which may cause long-term elevation in
blood pressure. Renovascular steno- sis is a narrowing of one or both arteries leading to
the kidneys. It can cause severe hypertension and irreversible kidney damage.
Coarctation of the aorta is a con- genital heart defect of the aorta; it is a narrowing of
the aorta that causes the heart to work harder to get blood to flow through the narrow
aortic passageway to other organs, which in turn causes an increase in blood pressure.
Fitz-Hugh-Curtis syndrome is associated with which following infection?
A) Syphilis
B) Chlamydia trachomatis
C) Herpes genitalis
D) Lymphogranuloma venereum - Answer B) Chlamydia trachomatis
Fitz-Hugh-Curtis is a complication of having pelvic inflammatory disease that was
caused by a vaginal infection, such as gonorrhea or Chlamydia trachomatis. This
causes inflammation and infection in the pelvic cavity. Left untreated, this infection can
cause adhesions that stretch from the peritoneum to the liver.
,A nursing home resident reports to his physician that his previous roommate was
recently started on tuberculosis treatment. A Mantoux test and chest x-ray are ordered
for the patient. What is the minimum size of induration considered positive for this
patient?
A) 3 mm
B) 5 mm
C) 10 mm
D) 15 mm - Answer B) 5 mm
To perform the Mantoux test, a dose of 5 tuberculin units in 0.1 mL solution is injected
intradermally into the forearm and read 48 to 72 hours later. Results are measured by
the size of the induration, not ery- thema. Standard results of 10 mm or less are
considered negative for a low- risk population. For a high-risk population, such as a
recent exposure, 5 mm of induration or greater is a positive result.
In small children with acquired immunodeficiency syndrome (AIDS), which of the
following vaccines is contraindicated?
A) Diphtheria and tetanus (Td)
B) Hepatitis B and mumps
C) Varicella
D) Td and oral polio - Answer C) Varicella
The data regarding efficacy of the varicella vaccine are insufficient; therefore, varicella
vaccine is contraindicated in HIV-infected individuals.
A 44-year-old female who is undergoing treatment for infertility complains of not having
a menstrual period for a few months. The night before, she started spotting and is now
having cramp-type pains in her pelvic area. Her blood pressure (BP) is 160/80, the pulse
rate is 110, and she is afebrile. Her labs reveal a mild anemia with mild leukocytosis. On
,pelvic exam, the uterine fundus is found above the symphy- sis pubis. The cervical os is
dilated at 3 cm. Which of the following is most likely?
A) Inevitable abortion
B) Threatened abortion
C) Incomplete abortion
D) Acute pelvic inflammatory disease - Answer A) Inevitable abortion
Inevitable abortion is defined as vaginal bleeding with pain and cervical dilation and/or
effacement. Threatened abortion is defined as vaginal bleeding with absent or minimal
pain and a closed, long, and thick cervix. Incomplete abortion is moderate to diffuse
vaginal bleeding, with the passage of tissue and painful uterine cramping or
contractions. Acute pelvic inflammatory disease is a sudden onset of inflammation and
pain that affects the pelvic area, cervix, uterus, and ovaries, which is caused by
infection.
A 14-year-old female who is sexually active is brought in by her mother for an
immunization update. According to the mother, her daughter had 1 dose of hepatitis B
vaccine. Which of the following vaccines would you administer at this visit?
A) Td and hepatitis B
B) DTaP (diphtheria, tetanus, acellular pertussis) and hepatitis B
C) Hepatitis B only
D) MMR (measles, mumps, rubella) and Td - Answer A) Td and hepatitis B
The CDC recommends Td and hepatitis B for 14-year-old females. It is recommended for
her to continue the hepatitis series, which includes a total of 3 injections.
An Rh-negative pregnant woman with negative rubella titers should be vaccinated at
what time period in pregnancy?
, A) She can be vaccinated at any time in her pregnancy
B) During the second trimester
C) During the third trimester
D) During the postpartum period - Answer D)During the post partum period
Rubella should be administered to the woman during the postpartum period. Rubella is
contraindicated during pregnancy.
Medicare Part B will pay for all of the following services except:
A) Outpatient physician visits that are medically necessary
B) Durable medical equipment
C) Outpatient laboratory and radiology tests
D) Eyeglasses and routine dental care - Answer D) Eyeglasses and routine dental care
Medicare Part B covers: 1) outpatient physician visits, labs, x-rays; 2) durable medical
equipment; 3) mammograms/ colonoscopy after age 50 years annually; and 4)
rehabilitation.
Which of the following is used to screen for color blindness in a 7-year-old boy?
A) Snellen chart
B) Ishihara chart
C) Cover/uncover test
D) Red reflex - Answer B) Ishihara chart
The Ishihara chart is used for screening for color blindness.
