M. Leik -www.npreview.com schedules

I attended your review course at Otterbein in June.
I took the ANCC FNP exam on Tuesday and got
my results that I PASSED...I can't thank you 
enough for a great course!

Many things we covered were on the test, several
questions nearly word for word. Being familiar with so much with so much of the wording and content was very comforting! 
Overall, I got 133/150 questions right, the form said the required passing score was 100. My strongest areas
were assessment & diagnosis (92% and 95.5%, respectively). Thanks so much for a great class that was also enjoyable. I will recommend your course to all my
friends at OSU".
Erin A. Yontz,MSN, FNP,BC, Ohio

First of all, I passed the exam! Your review course definitely helped. It was an excellent review. In addition to your course/book, I used her review CDs and books, which in retrospect was way too much in depth and not very focused
(we are not printing the name here). Your course was much more on target, less extraneous information and the right depth.....
David Wilman, MSN, NP-C, Ohio

I just wanted to thank you again for offering your
course. I know it made a difference in my passing
the ANCC exam in December. I have taken the
exam three other times and failing by 10 or less points.
My primary problem area was diagnosis and planning.I averaged between 50-65% on each of the preceding exams. For the December test, I used only your study materials and scored 80% in diagnosis/planning.

I have struggled for four and half years to get the exam behind and now thanks to your excellent course,
it is a thing of the past. I have taken the liberty to share
my experience with your course with some of my former instructors". 
Randy York, FNP"C", Texas

"The course put it all together for me and boosted
my confidence. I passed my certification exam
on my first try!

Thanks Maria - you are a great instructor!"
Bobbie Smith, MSN, RNC, CFNP
Zanesville, Ohio

National ARNP Services, Inc.
18010 NW 15 Court Pembroke Pines, FL 33029

(954) 336-7639

(print notes at the bottom of this page)


Compliments of Maria Leik at www.NPREVIEW.com
Email: npreviews@gmail.com.
Feel free to print this guide.

1st Generation: cephalexin (Keflex) 
2nd Generation: cefprozil (Cefzil), cefuroxime (Ceftin), cefaclor (Ceclor).
3rd Generation: IM ceftriaxone (Rocephin), 
cefdinir (Omnicef), cefixime (Suprax)

NOTE:Penicillin-allergic patients may be allergic to cephs. (cross-sensitivity). All antibiotics can cause Clostridium difficile overgrowth, pseudomembranous colitis,CDAD. Used for: strep throat, cellulitis, pneumonia, sinusitis, otitis media, secondary infection COPD, GC (Suprax, Rocephin)

1st Generation: po penicillin V (Veetids), IM benzathine penicillin (Bicillin L-A). 2nd Generation: dicloxacillin (Dynapen)
NOTE: Penicillin-allergic, can use macrolides, cephalosporins, newer quinolones (age >18 years), preferred for strep throat. Also cellulitis, AOM, sinusitis

MACROLIDES (most are Cat. B and two are Cat. C)
*There are 2 macrolides that should be avoided during pregnancy (both are Cat. C)
1. erythromycin estolate (Ilosone)  2. clarithromycin 
Category B macrolides:
Erythromycin (Ery-Tab, E-mycin), azithromycin (Zithromax, Z-Pack), clarithromycin (Biaxin)
Macrolides may: Increased risk of arrythmias, prolong the QT interval, nausea/GI upset, diarrhea, etc. 

NOTE: This drug class has more drug-drug interactions compared with the other classes of antibiotics.

Warfarin (Coumadin - increase risk bleeding), theophylline, carbamezapine (Tegretol), benzodiazepines (alprazolam, midazolam - slows down clearance so last longer), cisapride (risk extrasystoles, prolongs QT interval), HMG-CoA reductase inhibitors (lovastatin, simvastatin -increased risk rhabdomyolysis ,quinidine (risk arrythymias)

Tetracyclines (Category D)
Tetracycline, doxycycline, minocycline (Minocin)
Stains actively growing tooth enamel. Used for: chlamydia STDs, atypical pneumonia, UTIs, otitis media, PCP in AIDs, Lyme disease

SULFONAMIDES (Cat. C 1st & 3rd trimester)
Trimethoprim-sulfamethazole (Bactrim, Septra),
sulfadiazine, sulfisoxazole. Nitrofurantoin also has sulfa and should be avoided in the last month of pregnancy (hyperbilirubinemia). Avoid sulfas with G6PD anemia (hemolysis/jaundice). 

NOTE: Avoid combining sulfas with warfarin (increases INR).
Avoid sulfas in pregnant women in the 1st trimester (folate antagonist) and 3rd trimester (hyperbilirubinemia).
G6PD anemia (hemolysis). Rash (Stevens-Johnson syndrome). Monitor INR if on warfarin (bleeds). Used for: UTIs, pyelonephritis, toxoplasmosis, AOM, etc.

Older forms: ciprofloxacin (Cipro), ofloxacin (Floxin). For gram-negatives, pseudomonas, some atypical bacteria. Best antipseudomonal antibiotic is ciprofloxacin.
Newer€ forms: levofloxacin (Levaquin), gemifloxacin (Factive), gatifloxacin (Tequin). 

NOTE: Careful, this drug class has a lot of drug interactions and causes prolongation of QT interval.

Warning: Achilles & other types of tendon rupture. Interacts with theophylline, phenytoin, anticoagulants.
Avoid using in pregnancy, lactation, & children <18 years (affects cartilage development) .
If on Coumadin (Cat. X), monitor INR. 

Used for: UTIs, pyelonephritis, pneumonia, sinusitis, otitis media (newer forms), anthrax, bone infections, joint infections, GI, prostatitis, epididymitis

Maria Codina Leik, MSN, FNP-BC, AGPCNP-BC is the best-selling author of two NP Review Books. She has been in clinical practice for 22 years in the primary care area.

Her books are available at:

It is also sold at Amazon.com, Ebay, 

Family Nurse Practitioner Certification
Intensive Review. Fast Facts & Practice

Adult Nurse Practitioner Certification
Intensive Review. Fast Facts & Practice

Why should you take a 2nd Review Course

Several of my former students have told me that they
have taken up to THREE different review courses (and STILL did not pass the exam!). After taking my review course- the student passed with flying colors!

I have former students who have told me that they lost a GREAT JOB offer because they failed the certification exam and the employer could not afford to wait another 3-4 months ( to retake the certification exam).

You will find a lot of exam tips and sample questions on my site.

Believe in yourself!!!. If you failed the exam before, DO NOT
give up.  It takes a lot of GUTS to keep on trying...

Believe in your heart that you can DO IT. Please do not give up on yourself. You passed your NP program, so you will pass that darn certification exam...

God Bless you all. Good Luck with your exam!


Updated this Page: April 2016
*All the contents of this website are subject to change without notice.*
ALL CONTENTS  of this website are under copyright protection.

Primary Care NP

FNP Review



Free Questions

Maria LEIK Intensive Nurse Practitioner REVIEWS
Nurse Practitioner Review Courses: AANPCP & ANCC Exams
Maria Codina LEIK = Nurse Practitioner Intensive Reviews
National ARNP Services, Inc.
" Pass Your exam. The FIRST time." "High-Yield. Intensive. Up-to-date."


Just want to take a moment to formally thank you for helping me pass the ANCC certification exam! Your review course was instrumental in my success. I know you went over and above to make certain that all of us as participants got the tools and information needed to pass the exam.

It had been 10 years since I graduated from NP school so I really needed a good review and Maria Leik you certainly provided it!!!! Thanks again.

Mary Brown, MS, MSN, FNP-BC

Passed AANP FNP Exam
Hi Maria,
I am a Port St. Lucie FAU student and took your review class this past weekend in Jupiter.
Just wanted to let you know that I just took the AANP and PASSED!
Your course was most helpful out of everything that I had studied. I reviewed the book from the review class on Monday and Tuesday and just took the test today! Yay!!! Thanks for everything,

Karen Mercer, MSN, FNP-BC

PASSED the AANP FNP Credentialing Exam!

I took the AANP yesterday.There were 2-3 questions we did not discuss directly. Almost all the questions were  included in your review.
I believe that whoever wants to pass the exam just needs to listen to your review and study your book. I did not take any time off to prepare for the exam since I passed ANCC in June.
Therefore, the AANP did not matter to me.I simply went and took the test. That is all I did. I really appreciate you guys effort in helping all future NPs pass the test.

Best regards.- Jenny L., Boca Raton, FL

Great NP review course
I want to say thank you for a great review course!!!
I took the ---------- review course at Barry University. After her review, I felt that her review was not as helpful as I expected. After taking your review, I said "WOW"!

You went over the information that was really helpful, straight to the point. Your review was not rushed and I really enjoyed the quizzes and common signs that you recommended that we should know, because YES, they were on the test!.

Your family nurse practitioner review book was also helpful and I want to say thank you. I took the AANP adult exam ... and I passed with your help.
Always - Susan Piligian, ARNP,BC, Florida


By: Maria T. Leik, MSN, FNP-BC, ANP-BC, GNP--BC
www.NPReview.com or Call
954-336-7639 or Email npreviews@gmail.com

Stimulant/Sympathomimetic Contraindications
Examples: decongestants (Sudafe), cold meds, amphetamines (Ritalin, Adderall), cocaine

Avoid stimulants/sympathomimetics with:
Avoid with hypertension, arrhythmias, post-MI, etc.
Avoid with stroke/CVA or TIAs
Avoid if hx of seizures

Caffeine will increase the effects of stimulants
Phenylephrine eye drops (mydriatic): avoid in
acute narrow- angle glaucoma
Be careful: BPH since may cause urinary retention


1) The Advisory Committee on Immunization Practices (ACIP) recommends routine vaccination with meningococcal conjugate vaccine (Menactra) to all of the following groups except: 
1. Entering college freshman who plan on residing in dormitories
2. Pre-teen to teenagers aged 11 and€“ 18 years
3. Persons with sickle cell disease or splenectomy
4. Adults aged 65 years or older who reside in nursing homes

2) The cones of the retina are responsible for what type of vision:
1. peripheral vision and night vision
2. central vision and 20/20 vision
3. peripheral vision
4. night vision

3) All of the following are correct statements about G6PD anemia except:
1. It is classified as a hemolytic anemia
2. The intake of sulfa-containing drugs should be avoided
3. These patients are at higher risk of autoimmune disorders
4. Foods such as fava beans can precipitate hemolysis in these patients.

4) A 35 year old male with a BMI of 28 is seen for a routine PE. Vital signs are: BP 134/80, Pulse 80/min., Resp. 20/min. The lipid profile results are: HDL 35, LDL 120. FBS is 120 mg/dL. What is the best initial treatment plan to follow for this patient:
1) Advise the patient that he needs to loose 40 pounds
2) Recommend moderate exercise for at least 30 minutes for most days of the week
3) Initiate a prescription of Zocor 20 mg daily
4) Refer the patient to a cardiologist for a stress test

Answer Key: (1) 4; (2) 2; (3) 3; (4) 2
One of the Highest Passing Rates of any review course. We have helped hundreds of NPs. PASS the ANCC/AANPCP Nurse Credentialing Exams since 1997.
EXAM TIPS: Non-Clinical Topics

According to the U.S. Department of Health, Education
and Welfare (1971), what is the definition of licensure?
It is €œa process by which an agency of the state government grants permission to individuals accountable for the practice of a profession to engage in the practice of that profession and prohibits all others from legally doing so€.

Voluntary process by which a professional or 
non-governmental agency (ie: ANCC, AANP) certifies that a practitioner has met predetermined standards specified by that profession.

Per the ANCC - what is the value of certification?
Certification protects the public by enabling anyone to
identify competent people more readily
aids the profession by encouraging and recognizing professional achievement and enhances professionalism.
Services accessed 9/1/10)

There will be several questions that address HIPAA on the ANCC exam. The questions will assess whether you 
know how HIPAA rules are "applied" in the real world.

Updated/New Notes
Expected lifespan of 6 months or less. If patient does not want to participate in hospice care, can't force. Patient does not fit criteria if refuses (even if terminally ill).

Palliative Care
Follows palliative care model (quality of life is goal). Pain management, physical and psychological counseling if needed. Patient must agree not to pursue curative treatment

Hello and Welcome!
I know your time is PRECIOUS.

PS: I am way... behind on all my emails/phone calls.
Regarding LinkIn.com and Facebook (or other social website) invitations, thank you for thinking about me. I am a big believer in internet privacy. Your emails/contact information will NEVER be released to other parties. I never send out junk email.

ABOUT ME: I hate to talk about myself. I really do.....

Here goes. I humbly submit my background...
I am currently board-certified by both the ANCC & AANPCP as an FNP-C, and AGPCNP-BC. I have been teaching my NP review courses since 1997 and practice as an NP clinician since 1991 (I was an RN for 8 years before I became an NP). 

I have been an adjunct instructor and clinical preceptor for NP students. I have also been a preceptor for medical school students.
I received my SN degree from the University of Illinois at Chicago and my Master's in Nursing from Florida International University.
I am the author of two best-selling NP review books

 "Family Nurse Practitioner Certification Intensive Review.
Fast Facts & Practice Questions"

"Adult Nurse Practitioner Certification Intensive Review. Fast Facts & Practice Questions" 

I was lucky enought to be invited to write the Dermatology chapter for Hector-Dunphy's and Winland-Brown's "The Art and Science of Advance Practice Nursing" (1st ed). I have to say that my most challenging job is motherhood. Both my daughters are still fairly young - one is aged 6 years and the other is now 11 years old. Well, enough said for now...

PS: the company is growing quickly. I will be selling audio tapes, questions, and other materials soon.

EXAM Tips...

Study these topics:
Sensitivity: ability of a test to pick individuals who have the disease
Specificity: ability of a test to detect individuals who are healthy (or who do not have the disease).

Screening test for temporal arteritis is sed rate
Know how thiazides slow down bone loss
Osgood-Schlatter disease
S3 heart (heart failure)
S4 heart sound (LVH)
Scarlet fever (the sandpaper rash)
Most common type skin cancer (basal)
Cancer with highest mortality (lung)

Medical Ethics
Learn several ethical concepts (beneficience, etc). Usually about three of these are in the exam. 

Patient Advocacy
The daughter of an elderly patient tells the NP that she does not want her to have surgery or she does not want the NP to inform the patient that she has been diagnosed with cancer.
The NP protects the right of the patient. The patient has the right to self-determination.

Approved Florida Board of Nursing Provider

Provider #50- 16662
Approved Florida BON Provider since 1997

All courses are awarded contact
Use it for the AANPCP if you failed their exam.
Application Process
Online applications are preferred.


(512) 442-5202

You need a testing ID # before you can schedule an appointment.

Testing  ID #
*The testing ID # is sent to you by Prometric ( 1-2 weeks after you get your approval-to-test letter 

Processing Time 
ANCC average processing time is 3 weeks. 
AANPCP takes about 2 - 3 weeks. If you made errors in your application, you will get an email.

IT will delay your application, so be careful with the AANPCP forms.
 If you applied before you graduate, it may take only 1 week to get approved after they receive the final transcript. 

​For your scores to be released to you SBON, sign the consent form (to mail your scores).

Approved Florida Provider  
Florida CEBroker Approved Provider #50-1401


Ask yourself these few questions:

WHO wants to sit in a review course with up to 100 to 200 students?

WHO wants to be TOLD not to ask questions during the actual review class because it will slow the class down?

WHO wants to wait until the end of the review course before asking the lecturer a question?

WHO wants to sit in the back of the  a large class and hear other students talking & whispering to each other because they feel disengaged?

WHO wants to feel like a "number"?

WHO wants to listen to substitute instructors?

WHO wants to enjoy the beaches and warm weather of South Florida?

I insist on smaller classes because I have found from 15 years of experience teaching NP review courses that student
LEARN BETTER this way. Period!

I make sure that all of my review courses are up to date and contain some of the LATEST TOPICs on the ANCC & AANP exams.

I treat each student as an individual. Yes, I allow my students to ask questions during the course.

YES, I do take time with each of my students.

My live review courses are all GUARANTEED.

WHY? Because my PASSING RATES ARE SO HIGH  that I do not have to worry about loosing money.
  It really is that SIMPLE.

I consider myself very lucky to be able to do what I love. GOD bless you with your exam.

With warm regards,
Maria T. Leik, MSN, FNP-BC, ANP-BC, GNP-BC

Board-certified by both ANCC & AANP
National ARNP Services, Inc.
Clinical practice
since 1991.
NP Salary Survey Sample Questions
I get a LOT ot of students who have taken from one to two review courses and still DID NOT PASS!
Many tell me that I am their "last chance"!

NP Certification Info

JNC 7 or JNC 8?
Review Course Materials Included

Review Course Manual, Non-Clinical Notes, handouts, our popular sample exam questions 
I give the most materials and FREE exams out of any national review course company.
Review Course Materials are not for sale! 
You can only get them by attending a
review course.
Approved Florida Provider #50-1401
CEBroker Approved Provider #50-1401.

Passed the AANP FNP exam this morning! Thank you again! I only used your review course and skimmed through your most recent addition of the FNP review book and passed my first try!
Crystal Santiago

Student failed the ANCC exam (score 348).
After taking my course -PASSED (score 412).
PS: ANCC minimum passing score is 350 out of 500.

Hi Maria and all webinar classmates,
I just want to let everyone know that God allowed me to pass the AANP exam today. It has been a very difficult journey and I am so glad that it is over! The first time I took AANP exam I did not pass. I took ANCC and did not pass but today God allowed me to pass! God bless everyone!
Thank you Maria for your webinar!!!!!!!!!!!
JoVonne Osborne

Hi Maria,
I just got my score in the mail from AANP. I scored 606 the first time I scored 482. What a big difference!
JoVonne Osborne

This is Jovonne's story...
I graduated in January 2011. Took a review course called
--------- (name given by student, but I am witholding it) before graduation. I took ANCC May 5 failed. I studied all summer then took AANP September 7 failed. I took ANCC September 27 failed. I cried and I was so disappointed.

I knew the webinar would be perfect for me because I did not want to sit though a 9 hour class, I'm too impatient and I felt like that was too much info to be cramming when I took the other review course. I feel like God led me to your website.

I took the webinar and studied for two weeks after we finished the last class. I did just what you told me to do and God allowed me to pass the AANP exam March 5. When I saw the word passed I just started praising God I was so happy that I forgot about the other people at the testing site that was taking their tests. It's a great feeling.

There were so many questions that your webinar covered that was on my test.I just want to thank God for allowing me to find you and utilize your services to help me with that exam. I'm sorry this email is so long but I am so thankful. You can use any part of this email I know it is too long to use all but feel free to use what you want.

For those who failed keep the faith you will eventually pass if you don't give up. I realized that I was doing something wrong when I studied and failed those test and I knew I needed help.
Maria you gave us so many test taking strategies that I did not learn in my other review. I forgot to add that I also listened to the _____ tapes over the summer but still failed the both exams after listening to those CDs.

Thank you Maria!!! God bless!
Jovonne Osborne 

My reply to Jovonne...
Oh my gosh... Wow. You made my week!!!  What can I say, Jovonne?  It warms my heart when I hear stories like yours. Indeed, I count myself as lucky for having YOU as my student. Thank you so much for your generous letter.
Nurse Practitioner Review CoursesNurse Practitioner Review Courses
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For the latest news and updates about certification exams, 
go to or the ANCC and AANP certification.
ANCC website www.nursecredentialing.org
AANP website www.aanpcertification.org

Please NOTE:
There are numerous sample questions and notes on the ANCC and AANPCP certification exams for FNPs and ANPs all over this website.

Approved Florida Board of Nursing Provider
CEBroker Provider #50-16662
Approved FL BON Provider since 1997

Do you want to get a group discount and save money?
We will help you with the marketing.
Very easy.

Ask your NP program director if they are interested in a review course in your school. Maria Codina Leik
Call Angelica

UPDATED Information for my FNP and ANP Certification Intensive Review books (2nd Edition) link

*Money-back Guarantee OR you can retake as many courses as you want (both live and webinars) within a 6 month period.
We are with you all the way - we are a small review course
company.  And we are PROUD of it. You are not a "number" to us

We try our best to help our students pass their certification exam. We ARE generous - we give you FREE sample questions. Maria is the author of two of the best-selling review books for nurse practitiones - she is an EXPERT regarding review course content. She is a popular speaker and review course consultant.exam the 

Maria T. Codina Leik is the author of two best-selling review guides for Family NPs, Adult NPs/Adult Gerontology NPs. The 2nd Edition was released in August 2013.
She has been teaching her review courses since 1997.

Why take Maria Codina Leik's review courses?
*Money back Guaranteed
Review courses VERY FOCUSED

Learn  the latest TOPICS and questions
Fantastic Non-Clinical Handouts 
AVOID getting information that is NOT important for passing the exam. Do NOT waste time on unrelevant information. It will confuse you and waste your time.
AVOID a large crowd of students (200- 500 students). Very distracting. Hard to learn. Noisy.

TEST-TAKING techniques.I will advise you on which areas to concentrate your review study time.
Learn Maria's learning system  (LEIK Review System)
Unique MNEMONIC system

Live or Webinar Review?
Both types of courses contain the same content and materials. Both courses are exactly the SAME. 

Both are taught "live" and are not pre-recorded). You can ask me questions in real time. Same slides, book, and handouts. Same instructor.....

Family NP (FNP)

Adult-Gerontology Primary Care (A-GNP) 

Adult NP (ANP)

 Phone (954) 336 - 7639

99% to 100%!
Office Hours: M-F 9:00 - 6:00 PM (EST)

Second Edition 

I GUARANTEE that you WILL PASS your exam or your MONEY-BACK*.

If I can help NPs (who failed exams) PASS, 
YOUR chances of PASSING 
with me ARE even much HIGHER!

THINK about it...


While I am not the person who usually takes time to write companies (I am very thoughtful with personal thank you notes) I wanted to take a moment to thank you for your Adult/Gero prep course. 
Before taking your course, I had taken a competitors – and, I did not pass...I took the exam yesterday - and passed. After the two our mark, I had completed the questions and had two hours to review. I finished in a total of three hours.  Sheri H
About Us

Posted September 2014
JNC 8 Guidelines is now available 
on this website. 

Add this page to your favorites.
New Apps in the Apple store now available!
AGNP Questions app and FNP Questions app
Question and Answer App (Springer Publishing) contains several hundred questions. You can quiz yourself as many times as you want (graded).  Rationales are listed for each question.  
Note: the questions are the same as the o

I passed my ANCC boards and wanted to express my gratitude for the FNP intensive review book and app. I read this book from front to back, did all the questions (twice) and used the app (FNP Q & A) on my iphone. Your book clarifies and delivers information in a comprehensive style and covers EVERYTHING. I felt prepared and confident after I read/studied your book... Thank you for taking the time to deliver information in a  straightforward style !!!!!! 
It works not only for the test but for the foundation/building blocks of a novice NP. I am grateful for your commitment to helping NP's not only pass the test but to truly gain a clear understanding and comprehension of important concepts. 
Pamela R - Maine