LEIK FNP ACTUAL TEST PAPER 2026
QUESTIONS AND SOLUTIONS GRADED A+
●● First line for atrial fibrillation.
Answer: Coumadin.
●● INR of 5 to 8 without bleeding.
Answer: hold for 1 to 2 doses, then recheck every 2 to 3 days until
normal.
●● Those taking thiazides may also find relief with.
Answer: osteoporosis. it stimulates formation of osteoclasts.
●● Those taking thiazides can have which adverse effects.
Answer: hyperglycemia, hypokalemia, increased lipids, increased uric
acid.
●● Thiazides may worsen what conditions.
Answer: diabetes, gout, HPL, and electrolyte imbalances
●● If a patient is allergic to sulfa what diuretic should they avoid.
Answer: thiazides. instead, use triamterene or amiloride
,●● Chlorhtalidone is longer acting and more potent than HCTZ. true or
false?.
Answer: true
●● who are loop diuretics prescribed to.
Answer: edema from heart failure, cirrhosis, renal disease, hypertension.
●● black box warning for loop diuretics.
Answer: extreme diuresis
●● Adverse effects of loop diuretics.
Answer: hypovolemia, loss of electrolytes, pancreatitis, jaundice, rash,
ototoxicity
●● What are aldosterone antagonists like spironolactone used for?.
Answer: hirsutism, hypertension, severe heart failure
●● Adverse effect of spironolactone.
Answer: galactorrhea and hyperkalemia.
●● black box warning for spironolactone.
Answer: increase of benign and malignant tumors.
,●● beta blockers are first line for.
Answer: post-myocardial infarction
●● beta blockers are used for.
Answer: migraine prophylaxis, angina, arrythmias, hyperthyroidism
●● cardioselective beta blockers include.
Answer: atenolol and metropolol
●● beta blockres may cause what complication in diabetics.
Answer: they mask the hypoglycemic response.
●● what are contraindications of beta blockers.
Answer: asthma, copd, bronchitis, emphysema, bradycardia
●● A patient with an ace develops a cough. What should you do?.
Answer: stop and switch to an ARB for same renal protective effects.
●● what to monitor when giving captopril.
Answer: CBC. it may cause neutropenia, leukopenia, and
agranulocytosis
, ●● the prescriber should be careful not to mix the calcium channel
blocker verapamil with what antibiotics.
Answer: erythromycin and clarithromycin.
●● Contraindications of giving calcium channel blockers.
Answer: av block, bradycardia, congestive heart failure
●● grapefruit juice when taken with calcium channel blockers can cause
toxicity. true or false?.
Answer: true
●● drug interactions with calcium channel blockers.
Answer: intraconazole, macrolides
●● when are alpha blockers given.
Answer: hypertension with co-existing BPH
●● terazosin dosing.
Answer: 1 mg PO at bedtime
●● a good alternative for gram positive infections in those who are
penicillin allergic is.
QUESTIONS AND SOLUTIONS GRADED A+
●● First line for atrial fibrillation.
Answer: Coumadin.
●● INR of 5 to 8 without bleeding.
Answer: hold for 1 to 2 doses, then recheck every 2 to 3 days until
normal.
●● Those taking thiazides may also find relief with.
Answer: osteoporosis. it stimulates formation of osteoclasts.
●● Those taking thiazides can have which adverse effects.
Answer: hyperglycemia, hypokalemia, increased lipids, increased uric
acid.
●● Thiazides may worsen what conditions.
Answer: diabetes, gout, HPL, and electrolyte imbalances
●● If a patient is allergic to sulfa what diuretic should they avoid.
Answer: thiazides. instead, use triamterene or amiloride
,●● Chlorhtalidone is longer acting and more potent than HCTZ. true or
false?.
Answer: true
●● who are loop diuretics prescribed to.
Answer: edema from heart failure, cirrhosis, renal disease, hypertension.
●● black box warning for loop diuretics.
Answer: extreme diuresis
●● Adverse effects of loop diuretics.
Answer: hypovolemia, loss of electrolytes, pancreatitis, jaundice, rash,
ototoxicity
●● What are aldosterone antagonists like spironolactone used for?.
Answer: hirsutism, hypertension, severe heart failure
●● Adverse effect of spironolactone.
Answer: galactorrhea and hyperkalemia.
●● black box warning for spironolactone.
Answer: increase of benign and malignant tumors.
,●● beta blockers are first line for.
Answer: post-myocardial infarction
●● beta blockers are used for.
Answer: migraine prophylaxis, angina, arrythmias, hyperthyroidism
●● cardioselective beta blockers include.
Answer: atenolol and metropolol
●● beta blockres may cause what complication in diabetics.
Answer: they mask the hypoglycemic response.
●● what are contraindications of beta blockers.
Answer: asthma, copd, bronchitis, emphysema, bradycardia
●● A patient with an ace develops a cough. What should you do?.
Answer: stop and switch to an ARB for same renal protective effects.
●● what to monitor when giving captopril.
Answer: CBC. it may cause neutropenia, leukopenia, and
agranulocytosis
, ●● the prescriber should be careful not to mix the calcium channel
blocker verapamil with what antibiotics.
Answer: erythromycin and clarithromycin.
●● Contraindications of giving calcium channel blockers.
Answer: av block, bradycardia, congestive heart failure
●● grapefruit juice when taken with calcium channel blockers can cause
toxicity. true or false?.
Answer: true
●● drug interactions with calcium channel blockers.
Answer: intraconazole, macrolides
●● when are alpha blockers given.
Answer: hypertension with co-existing BPH
●● terazosin dosing.
Answer: 1 mg PO at bedtime
●● a good alternative for gram positive infections in those who are
penicillin allergic is.
