LEIK FNP TEST BANK 500 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+ ANCC
FAMILY NURSING PRACTITIONER 2026
The S1 heart sound is caused by:
A) Closure of the atrioventricular valves
B) Closure of the semilunar valves
C) Opening of the atrioventricular valves
D) Opening of the semilunar valves A) Closure of the atrioventricular valves
Closure of the AV valves causes the S1 sound heard when auscultating heart sounds.
Patients with Down syndrome are at higher risk for all of the following except:
A) Atlantoaxial instability
B) Congenital heart disease
C) Early onset of Alzheimer's disease
D) Melanoma D) Melanoma
Patients with the diagnosis of Down syndrome are at higher risk for atlantoaxial instability,
congenital heart defects, and early onset of Alzheimer 's disease. Children with Down syndrome
who participate in sport activities must be carefully examined for these conditions prior to
participation to prevent injury.
Duvall and Miller used developmental theory to describe the family. Which of the following
statements is true?
A) Each family is developmentally unique in comparison to other families
B) Families demonstrate common forms of membership across developmental stages
C) Families complete each developmental task separately
D) Families change over time because of the influence of environmental factors B) Families
demonstrate common forms of membership across developmental stages
1|Page
,Families progress through similar developmental stages and experience similar changes through
this process.
The following abnormal lab results may be seen in patients with acute mononucleosis except:
A) Lymphocytosis and/or atypical lymphocytes
B) Positive EBV titers for immunoglobulin (Ig) M and Ig G
C) Elevated liver function tests
D) Elevated creatinine and BUN A) Lymphocytosis and/or atypical lymphocytes
Common symptoms of mononucleosis include positive EBV titers, elevated liver enzymes, and
elevated creatinine and BUN.
Which of the following is considered an abnormal result on a Weber test?
A) Lateralization to one ear
B) No lateralization in either ear
C) Air conduction lasts longer than bone conduction
D) Bone conduction lasts longer than air conduction A) Lateralization to one ear
The Weber test is performed by placing a tuning fork on top of the head. A normal Weber test is
when no lateralization occurs. Lateralization to one ear occurs with hearing impairment.
All of the following are considered benign physiologic variants except:
A) Internal tibial torsion
B) Supernumerary nipples
C) Split uvula
D) Cheilosis D) Cheilosis
Cheilosis is a skin disorder in which fissures and maceration occur in the corner of the mouth
A 65-year-old woman's bone density result shows severe demineralization of cortical bone. All
of the following pharmacologic agents are useful in treating this condition except:
A) Raloxifene (Evista)
B) Calcitonin (Miacalcin)
C) Medroxyprogesterone (Depo-Provera)
D) Calcium with Vitamin D C) Medroxyprogesterone (Depo-Provera)
2|Page
,Common treatments for osteoporosis include calcium and Vitamin D, Evista, Miacalcin, and
bisphosphonates. Depo- Provera is a type of contraception.
A fracture on the navicular area of the wrist is usually caused by falling forward and landing on
the hands. The affected wrist is hyperextended to break the fall. The nurse practitioner is aware
that all of the following statements are true except:
A) It has higher rate of nonunion compared with the other bones in the wrist when it is
fractured
B) The fracture frequently does not show up on an x-ray film when it is taken immediately after
the injury
C) The x-ray film will show the fracture if the film is repeated in 2 weeks
D) These fractures always require surgical intervention to stabilize the joint D) These
fractures always require surgical intervention to stabilize the joint
A fracture of the navicular area of the wrist occurs when one tries to break a fall with the hands,
thus hyperextending the wrist. Immediately following the injury, the fracture may not show on
x-ray; however, fracture is usually visible on x-ray if the x-ray is repeated in 2 weeks. The need
for surgery is dependent on the extent of the fracture.
The mother of a 13-year-old male with Down syndrome is in the family nurse practitioner's
office and wants a sports physical done for her son. She reports that he wants to join the
football team in his school. You would tell the mother that her son:
A) Can play a regular football game as long as he wears maximum protective football gear
B) Cannot play some contact sports because of an increased risk of cervical spine injury
C) Can play certain contact sports after he has been checked for cervical instability
D) None of the above B) Cannot play some contact sports because of an increased risk of
cervical spine injury
Children with the diagnosis of Down syndrome are at higher risk for atlantoaxial instability,
congenital heart defects, and early onset of Alzheimer's disease. Therefore, due to the risk of
cervical spine injury, some contact sports are not advised
The mother of an 8-year-old boy reports the presence of a round red rash on the child's left
lower leg. It appeared 1 week after the child returned from visiting his grandparents, who live in
3|Page
, Massachusetts. During the skin exam, the maculopapular rash is noted to have areas of central
clearing making it resemble a round target. Which of the following is best described?
A) Erythema migrans
B) Rocky Mountain spotted fever
C) Meningococcemia
D) Larva migrans A) Erythema migrans
Erythema migrans is an annular lesion that enlarges and with time has central clearing. This is
commonly caused by a bite from an infected tick and can cause Lyme disease if not treated
appropriately. Lyme disease is most commonly seen in the northeastern United States.
Some pharmacologic agents may cause confusion in the elderly. Which of the following
pharmacologic agents is most likely to cause confusion in this population?
A) Cimetidine (Tagamet), digoxin (Lanoxin), diphenhydramine (Benadryl)
B) Acetaminophen (Tylenol), aspirin (Bayer), indomethacin (Indocin)
C) Sucralfate (Carafate), docusate sodium (Surfak), psyllium (Metamucil)
D) Cephalexin (Keflex), amoxicillin (Amoxil), clarithromycin (Biaxin) A) Cimetidine (Tagamet),
digoxin (Lanoxin), diphenhydramine (Benadryl)
Medications that commonly cause confusion in the elderly include cimetidine, lanoxin, and
diphenhydramine.
A 55-year-old female with a history of migraine headaches has recently been diagnosed with
Stage II hypertension. Her EKG strips reveal second-degree heart block. The chest x-ray is
normal. Which of the following drugs should this patient avoid?
A) ACE inhibitors
B) Angiotensin receptor blockers
C) Diuretics
D) Calcium channel blockers D) Calcium channel blockers
Common side effects of calcium channel blockers include headaches, edema of the lower
extremities, and heart block or bradycardia. Contraindications for calcium channel blockers
include second- or third-degree AV block, bradycardia, and congestive heart failure.
4|Page
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+ ANCC
FAMILY NURSING PRACTITIONER 2026
The S1 heart sound is caused by:
A) Closure of the atrioventricular valves
B) Closure of the semilunar valves
C) Opening of the atrioventricular valves
D) Opening of the semilunar valves A) Closure of the atrioventricular valves
Closure of the AV valves causes the S1 sound heard when auscultating heart sounds.
Patients with Down syndrome are at higher risk for all of the following except:
A) Atlantoaxial instability
B) Congenital heart disease
C) Early onset of Alzheimer's disease
D) Melanoma D) Melanoma
Patients with the diagnosis of Down syndrome are at higher risk for atlantoaxial instability,
congenital heart defects, and early onset of Alzheimer 's disease. Children with Down syndrome
who participate in sport activities must be carefully examined for these conditions prior to
participation to prevent injury.
Duvall and Miller used developmental theory to describe the family. Which of the following
statements is true?
A) Each family is developmentally unique in comparison to other families
B) Families demonstrate common forms of membership across developmental stages
C) Families complete each developmental task separately
D) Families change over time because of the influence of environmental factors B) Families
demonstrate common forms of membership across developmental stages
1|Page
,Families progress through similar developmental stages and experience similar changes through
this process.
The following abnormal lab results may be seen in patients with acute mononucleosis except:
A) Lymphocytosis and/or atypical lymphocytes
B) Positive EBV titers for immunoglobulin (Ig) M and Ig G
C) Elevated liver function tests
D) Elevated creatinine and BUN A) Lymphocytosis and/or atypical lymphocytes
Common symptoms of mononucleosis include positive EBV titers, elevated liver enzymes, and
elevated creatinine and BUN.
Which of the following is considered an abnormal result on a Weber test?
A) Lateralization to one ear
B) No lateralization in either ear
C) Air conduction lasts longer than bone conduction
D) Bone conduction lasts longer than air conduction A) Lateralization to one ear
The Weber test is performed by placing a tuning fork on top of the head. A normal Weber test is
when no lateralization occurs. Lateralization to one ear occurs with hearing impairment.
All of the following are considered benign physiologic variants except:
A) Internal tibial torsion
B) Supernumerary nipples
C) Split uvula
D) Cheilosis D) Cheilosis
Cheilosis is a skin disorder in which fissures and maceration occur in the corner of the mouth
A 65-year-old woman's bone density result shows severe demineralization of cortical bone. All
of the following pharmacologic agents are useful in treating this condition except:
A) Raloxifene (Evista)
B) Calcitonin (Miacalcin)
C) Medroxyprogesterone (Depo-Provera)
D) Calcium with Vitamin D C) Medroxyprogesterone (Depo-Provera)
2|Page
,Common treatments for osteoporosis include calcium and Vitamin D, Evista, Miacalcin, and
bisphosphonates. Depo- Provera is a type of contraception.
A fracture on the navicular area of the wrist is usually caused by falling forward and landing on
the hands. The affected wrist is hyperextended to break the fall. The nurse practitioner is aware
that all of the following statements are true except:
A) It has higher rate of nonunion compared with the other bones in the wrist when it is
fractured
B) The fracture frequently does not show up on an x-ray film when it is taken immediately after
the injury
C) The x-ray film will show the fracture if the film is repeated in 2 weeks
D) These fractures always require surgical intervention to stabilize the joint D) These
fractures always require surgical intervention to stabilize the joint
A fracture of the navicular area of the wrist occurs when one tries to break a fall with the hands,
thus hyperextending the wrist. Immediately following the injury, the fracture may not show on
x-ray; however, fracture is usually visible on x-ray if the x-ray is repeated in 2 weeks. The need
for surgery is dependent on the extent of the fracture.
The mother of a 13-year-old male with Down syndrome is in the family nurse practitioner's
office and wants a sports physical done for her son. She reports that he wants to join the
football team in his school. You would tell the mother that her son:
A) Can play a regular football game as long as he wears maximum protective football gear
B) Cannot play some contact sports because of an increased risk of cervical spine injury
C) Can play certain contact sports after he has been checked for cervical instability
D) None of the above B) Cannot play some contact sports because of an increased risk of
cervical spine injury
Children with the diagnosis of Down syndrome are at higher risk for atlantoaxial instability,
congenital heart defects, and early onset of Alzheimer's disease. Therefore, due to the risk of
cervical spine injury, some contact sports are not advised
The mother of an 8-year-old boy reports the presence of a round red rash on the child's left
lower leg. It appeared 1 week after the child returned from visiting his grandparents, who live in
3|Page
, Massachusetts. During the skin exam, the maculopapular rash is noted to have areas of central
clearing making it resemble a round target. Which of the following is best described?
A) Erythema migrans
B) Rocky Mountain spotted fever
C) Meningococcemia
D) Larva migrans A) Erythema migrans
Erythema migrans is an annular lesion that enlarges and with time has central clearing. This is
commonly caused by a bite from an infected tick and can cause Lyme disease if not treated
appropriately. Lyme disease is most commonly seen in the northeastern United States.
Some pharmacologic agents may cause confusion in the elderly. Which of the following
pharmacologic agents is most likely to cause confusion in this population?
A) Cimetidine (Tagamet), digoxin (Lanoxin), diphenhydramine (Benadryl)
B) Acetaminophen (Tylenol), aspirin (Bayer), indomethacin (Indocin)
C) Sucralfate (Carafate), docusate sodium (Surfak), psyllium (Metamucil)
D) Cephalexin (Keflex), amoxicillin (Amoxil), clarithromycin (Biaxin) A) Cimetidine (Tagamet),
digoxin (Lanoxin), diphenhydramine (Benadryl)
Medications that commonly cause confusion in the elderly include cimetidine, lanoxin, and
diphenhydramine.
A 55-year-old female with a history of migraine headaches has recently been diagnosed with
Stage II hypertension. Her EKG strips reveal second-degree heart block. The chest x-ray is
normal. Which of the following drugs should this patient avoid?
A) ACE inhibitors
B) Angiotensin receptor blockers
C) Diuretics
D) Calcium channel blockers D) Calcium channel blockers
Common side effects of calcium channel blockers include headaches, edema of the lower
extremities, and heart block or bradycardia. Contraindications for calcium channel blockers
include second- or third-degree AV block, bradycardia, and congestive heart failure.
4|Page
