LEIK FNP Practice Exam Preparation Test Bank
LEIK FNP PRACTICE EXAM PREPARATION TEST BANK NEWEST
2025/2026 COMPLETE 600 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) WITH DETAILED
RATIONALES |BRAND NEW VERSION!!
Stella works in the housekeeping department of a hospital. She presents to the
employee health clinic with a complaint of a needlestick to her left thumb. The
needle was in one of the garbage bags from the emergency room. The patient had
a little bleeding that stopped spontaneously. Which of the following is the next
step?
A) Order an enzyme-linked immunosorbent assay (ELISA) test as soon as possible
B) Recommend a tetanus booster in 1 week
C) Offer the patient hepatitis B immunoglobulin
D) Order a chest x-ray
A) Order an enzyme-linked immunosorbent assay (ELISA) test as soon as
possible
Employee health clinic protocols for needlesticks recommend ordering an ELISA
test as soon as possible to establish baseline blood work for the employee.
An elderly woman has been on digoxin (Lanoxin) for 10 years. Her electrocardio-
graph (EKG) is showing a new onset of atrial fibrillation. Her pulse is 64/min. She
denies syncope and dizziness. Which of the following interventions is most
appropriate?
A) Order an electrolyte panel and a digoxin level
B) Order a serum thyroid-stimulating hormone (TSH), digoxin level, and an
electrolyte panel
1|Page
, LEIK FNP Practice Exam Preparation Test Bank
C) Order a serum digoxin level and decrease her digoxin dose by half while waiting
for results
D) Discontinue the digoxin and order another 12-lead EKG
B) Order a serum thyroid-stimulating hormone (TSH), digoxin level, and an
electrolyte panel
Obtaining baseline blood work to evaluate for causes of new- onset atrial
fibrillation is recommended prior to decreasing or stopping medications. Thyroid
disease is a common cause of new-onset atrial fibrillation.
You note the following result on a routine urinalysis of a 37-year-old primigravida
who is at 30 weeks of gestation. Leukocyte = trace, nitrite = negative, protein = 2
+, blood = negative. Her weight has increased by 5 lbs during the past week.
Which of the following is most likely?
A) HELLP syndrome
B) Pregnancy-induced hypertension (preeclampsia)
C) Eclampsia of pregnancy
D) Primary hypertension
B) Pregnancy-induced hypertension (preeclampsia)
The classic triad of symptoms of preeclampsia includes hypertension, edema
(weight gain), and proteinuria.
The nurse practitioner who suspects that one of her hypertensive patients has
Cushing's syndrome would expect to find which of the following laboratory
results?
A) Hyponatremia
B) Hypoglycemia
2|Page
, LEIK FNP Practice Exam Preparation Test Bank
C) Elevated serum cortisol levels
D) Decreased urine 17-ketosteroids
C) Elevated serum cortisol levels
Elevated serum cortisol levels are seen with Cushing's syndrome.
The first teeth to erupt during infancy are which of the following?
A) First molars
B) Second molars
C) Incisors
D) Canines
C) Incisors
The incisors are the first teeth to erupt during infancy.
The positive signs of pregnancy include:
A) Palpation of the fetus and auscultation of the fetal heart tones by the nurse
practitioner
B) Palpation of the fetus and a positive quantitative serum pregnancy test
C) Fetal heart tones and a positive quantitative serum pregnancy test
D) Fetal heart tones and feeling of movement of the baby by the mother
A) Palpation of the fetus and auscultation of the fetal heart tones by the nurse
practitioner
Presumptive signs of pregnancy are symptoms experienced by the woman, such
as amenorrhea, breast tenderness, nausea/vomiting, fatigue, and increased
urinary frequency. Probable signs of pregnancy are signs detected by the
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, LEIK FNP Practice Exam Preparation Test Bank
examiner, such as an enlarged uterus. Positive signs of pregnancy are direct
evidence of pregnancy such as audible fetal heart tones or cardiac activity on
ultrasound.
Chadwick's sign is characterized by:
A) Softening of the cervix
B) Blue coloration of the cervix and vagina
C) Softening of the uterine isthmus
D) Nausea and vomiting during the first trimester of pregnancy
B) Blue coloration of the cervix and vagina
Chadwick's sign is defined as a bluish discoloration of the cervix and vagina. These
changes are caused by the increased vascularity and congestion in the pelvic area
during pregnancy.
A college student has recently been informed that he has an HPV (human
papilloma virus) infection on the shaft of his penis. Which of the following may
reveal subclinical lesions on the penile skin?
A) Perform a KOH (potassium hydroxide) exam
B) Scrape off some of the affected skin and send it for a culture and sensitivity
C) Apply acetic acid to the penile shaft and look for acetowhite changes
D) Order a serum herpes virus titer
C)Apply acetic acid to the penile shaft and look for acetowhite changes
Lesions of HPV infection will turn white with application of acetic acid.
4|Page
LEIK FNP PRACTICE EXAM PREPARATION TEST BANK NEWEST
2025/2026 COMPLETE 600 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) WITH DETAILED
RATIONALES |BRAND NEW VERSION!!
Stella works in the housekeeping department of a hospital. She presents to the
employee health clinic with a complaint of a needlestick to her left thumb. The
needle was in one of the garbage bags from the emergency room. The patient had
a little bleeding that stopped spontaneously. Which of the following is the next
step?
A) Order an enzyme-linked immunosorbent assay (ELISA) test as soon as possible
B) Recommend a tetanus booster in 1 week
C) Offer the patient hepatitis B immunoglobulin
D) Order a chest x-ray
A) Order an enzyme-linked immunosorbent assay (ELISA) test as soon as
possible
Employee health clinic protocols for needlesticks recommend ordering an ELISA
test as soon as possible to establish baseline blood work for the employee.
An elderly woman has been on digoxin (Lanoxin) for 10 years. Her electrocardio-
graph (EKG) is showing a new onset of atrial fibrillation. Her pulse is 64/min. She
denies syncope and dizziness. Which of the following interventions is most
appropriate?
A) Order an electrolyte panel and a digoxin level
B) Order a serum thyroid-stimulating hormone (TSH), digoxin level, and an
electrolyte panel
1|Page
, LEIK FNP Practice Exam Preparation Test Bank
C) Order a serum digoxin level and decrease her digoxin dose by half while waiting
for results
D) Discontinue the digoxin and order another 12-lead EKG
B) Order a serum thyroid-stimulating hormone (TSH), digoxin level, and an
electrolyte panel
Obtaining baseline blood work to evaluate for causes of new- onset atrial
fibrillation is recommended prior to decreasing or stopping medications. Thyroid
disease is a common cause of new-onset atrial fibrillation.
You note the following result on a routine urinalysis of a 37-year-old primigravida
who is at 30 weeks of gestation. Leukocyte = trace, nitrite = negative, protein = 2
+, blood = negative. Her weight has increased by 5 lbs during the past week.
Which of the following is most likely?
A) HELLP syndrome
B) Pregnancy-induced hypertension (preeclampsia)
C) Eclampsia of pregnancy
D) Primary hypertension
B) Pregnancy-induced hypertension (preeclampsia)
The classic triad of symptoms of preeclampsia includes hypertension, edema
(weight gain), and proteinuria.
The nurse practitioner who suspects that one of her hypertensive patients has
Cushing's syndrome would expect to find which of the following laboratory
results?
A) Hyponatremia
B) Hypoglycemia
2|Page
, LEIK FNP Practice Exam Preparation Test Bank
C) Elevated serum cortisol levels
D) Decreased urine 17-ketosteroids
C) Elevated serum cortisol levels
Elevated serum cortisol levels are seen with Cushing's syndrome.
The first teeth to erupt during infancy are which of the following?
A) First molars
B) Second molars
C) Incisors
D) Canines
C) Incisors
The incisors are the first teeth to erupt during infancy.
The positive signs of pregnancy include:
A) Palpation of the fetus and auscultation of the fetal heart tones by the nurse
practitioner
B) Palpation of the fetus and a positive quantitative serum pregnancy test
C) Fetal heart tones and a positive quantitative serum pregnancy test
D) Fetal heart tones and feeling of movement of the baby by the mother
A) Palpation of the fetus and auscultation of the fetal heart tones by the nurse
practitioner
Presumptive signs of pregnancy are symptoms experienced by the woman, such
as amenorrhea, breast tenderness, nausea/vomiting, fatigue, and increased
urinary frequency. Probable signs of pregnancy are signs detected by the
3|Page
, LEIK FNP Practice Exam Preparation Test Bank
examiner, such as an enlarged uterus. Positive signs of pregnancy are direct
evidence of pregnancy such as audible fetal heart tones or cardiac activity on
ultrasound.
Chadwick's sign is characterized by:
A) Softening of the cervix
B) Blue coloration of the cervix and vagina
C) Softening of the uterine isthmus
D) Nausea and vomiting during the first trimester of pregnancy
B) Blue coloration of the cervix and vagina
Chadwick's sign is defined as a bluish discoloration of the cervix and vagina. These
changes are caused by the increased vascularity and congestion in the pelvic area
during pregnancy.
A college student has recently been informed that he has an HPV (human
papilloma virus) infection on the shaft of his penis. Which of the following may
reveal subclinical lesions on the penile skin?
A) Perform a KOH (potassium hydroxide) exam
B) Scrape off some of the affected skin and send it for a culture and sensitivity
C) Apply acetic acid to the penile shaft and look for acetowhite changes
D) Order a serum herpes virus titer
C)Apply acetic acid to the penile shaft and look for acetowhite changes
Lesions of HPV infection will turn white with application of acetic acid.
4|Page
