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)
PENICILLINS (Category B)
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)
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
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).
I KNOW THAT YOUR TIME IS VERY PRECIOUS!
THANK YOU FOR VISITING MY WEBSITE.
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!
MARIA CODINA LEIK
*All the contents of this website are subject to change without notice.
*Updated Page: June 2019
*All the contents of this website are subject to change without notice.*
ALL CONTENTS of this website are under copyright protection.
Maria Codina LEIK = Nurse Practitioner Intensive Reviews
National ARNP Services, Inc.
Pass Your exam. The FIRST time. The only "high-yield" review course.
PASSED THE ANCC FNP EXAM MARCH!
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.
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
SAMPLE EXAM QUESTIONS
1) Which of the following laboratory tests are recommended for an adult male with a podagra who is on furosemide (Lasix) 20 mg BID:
1. CBC with differential
2. Serum uric acid
3. Serum creatinine
4. 24-hour urine for protein and creatinine clearance
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. FBG 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) 2; (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/AANP Credentialing Exams since 1997.
Hello and Welcome!
I know your time is PRECIOUS.
THANK YOU FOR VISITING MY WEBSITE!
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).Â
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 BSN 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
"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 now teenagers, my house has high levels of estrogen. Even our dog is a girl (Shiba inu breed). The only guys in my home are my hubby, one hamster, and my six beta fishes (fierce little guys).
NEW EXAM Tips...
TSH screening test for both hypo and hyperthyroid
Free T4 is better test than the total T4.
TSH > 5 hypothyroid (3rd generation TSH)
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
S3 heart (heart failure)
S4 heart sound (LVH)
Scarlet fever (the sandpaper rash)
Most common type skin cancer (basal)
Cancer with highest mortality (lung)
Learn several ethical concepts (beneficience, etc). Usually about three of these are in the exam.
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, Georgia, & South Carolina Board of Nursing Provider
Provider #50- 16662
Approved Florida Board of Nursing Provider since 1997
All courses are awarded contact
You can use the contact hours to fulfill the AANPCP if you failed their exam.
Online applications are preferred.
You need a testing ID # before you can schedule an appointment.
Testing ID #
*The testing ID # is sent to you by Prometric or PES within 24 hrs. after your exam approval letter.
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).
WHY SHOULD I ATTEND YOUR REVIEW COURSE??
Ask yourself these few questions:
WHO wants to sit in a review course with 200 to 500 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?
HERE IS MY PHILOSOPHY ABOUT TEACHING:
I insist on smaller classes because I have found from 25 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.
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"!
Approved by State
Board of Nursing:
CEBroker Approved Provider #50-16662.
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!!!!!!!!!!!
I just got my score in the mail from AANP. I scored 606 the first time I scored 482. What a big difference!
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!
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.
ENTIRE WEBSITE Copyrighted
For the latest news and updates about certification exams,
NOTE: There are numerous sample questions/notes on the ANCC and AANPCP certification exams all over this website.
State Boards of Nursing Approved Continuing Education Provider for Nurses. CeBroker #50-16662
Approved Florida Board of Nursing Provider since 1997
The computer tutorial time at the start of the exam is free time/not counted.
200 questions/ only 175 graded.
Hours: 3 hrs
Pass: 350 or >
Retake: up to 3 times per calendar year with 60 days between exams.
AANPCP exam: 150 questions/only 135 graded.
Hours: 4 hrs
Pass: 500 or >
Retake: up to 2 times per calendar year after 15 contact hrs. CE.
After you are done with the exam, the proctor will give you the unofficial score (Pass/Fail).
You will not received a number score unless you failed.
Guaranteed OR you can retake as many webinar courses as you want within a 4 month period after completing the initial review course.
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. You are provided by email important links to use for the exam review. 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?
Review courses are VERY FOCUSED and on point.
Learn the latest TOPICS and questions.
Fantastic handouts (pdf) and links. Numerous tips for passing the exam. Do NOT waste time on irrelevant information. It will confuse you and waste your time. AVOID a large crowd of students (200- 500 students). Very distracting.
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): $450.00
Adult Gero Primary Care NP: $420.00
VERY High PASSING RATES!
Up to 99%!
ATTENTION: NEW GRADUATES
I GUARANTEE that you WILL PASS your exam or you get FREE Review Course.
I took the test Friday the 26th of February and it was number five for me, and I passed, thanks so much for a great review class. I have taken in the past .... review class no success ( I do not not give names of other courses). I have ..... (another review company), books and review CD's and tests, I had no luck with those either, I also studied ... (another review company) without success, so thank you very much. You made it simple but effective and informative. Thanks again. Forever grateful. From Dorothy K.
I am pleased to announce that with the help of your review course and test-taking skills, I have passed the ANCC FNP exam. I want to express my appreciation to you and your course considering that I have tried others, taken the AANP unsuccessfully twice and can now say I am a certified FNP-BC. If you even need to use me as an example of a success story, I am more than willing to help cause I know there are others out there that feel and have the same experience. It doesn't mean you weren't smart enough, it means you did not know how to test correctly. It would have been nice to pass on the first time but it does not always happen that way and I understand that. From Enid
I took the FNP AANP boards this weekend and passed!! I just wanted to let you all know that the ONLY study material I used was Maria's. I read her book cover to cover and attended the online review course in February and I felt so confident walking into the boards! Thank you!
From Sarah B.
I attended the January live review in Florida and wanted to update you on my progress. I took my board exam (AANPCP) on 2/25 and passed, YEAH!!! I felt so prepared after reading your book over the past few months and taking the live review. I even used the book to study for my final exam in school and passed because of your book and the exam tips in the chapters. I have rave about your book over the pay few months and the information to so many of my classmates. I actually tried to use another book and was very confused and stressed, you book is very straightforward. I want to thank you again, I feel that I was successful on my first attempt because of your book and review. Thank you!
From Shakia F, FNP-C
>Koplik's spots (small white lesions/papules clustered on the buccal mucosa by the posterior molars) are pathognomic for measles (or RUBEOLA). Do not confuse it with rubella.
>Brain natriuretic peptide (BNP or B-type natriuretic peptide is a sensitive test for heart failure.
>Secondary amenorrhea is when a woman stops to menstruate for 3 or more months. Causes include pregnancy, breastfeeding, stress, low body weight, excessive exercise, PCOS, pituitary tumor, etc.
October 19, 2017
I just wanted to thank you for helping me pass my FNP exam. I took the FNP exam on Oct 19...Everything you said to study and focus was on point. It was almost like I can hear you in my headwhile I was testing and the answers were coming so natural... Thank you very much.
February 13, 2017
Just dropping in a quick email to let you know I took my AANP certification 2/13/2017 and I passed!!! The review was crucial to my success and the questions on the test were worded similar to the study questions you provided, so you are doing an amazing job!!!! All the big stuff hit on during the review were on the test so great job covering the most relevant material. Diana S.
March 1, 2017
I wanted to tell you thank you for your tremendous help in your live webinar last week and your Adult Gerontology Intensive Review book. Today I took my AANP boards and passed!!!!!!! I read your book and studied it for 3 weeks, made note cards, test bank questions, your questions, your app and did live webinar last week to have fresh on my mind for my exam today. I felt so confident walking in and everything came so easy to me! I wrote down every pneumonic you gave, labs, antibiotics, and anything I could think of that I needed on my scratch sheet. That also helped refresh my memory.
This was the second time I took my boards today...I did very well in NP school and got my dream job so this exam was weighing heavily...the first review I did was a different review. (Won't say) . I studied hers for 4 weeks and didn't pass first time. Wish I did yours originally but it was included with my program. ... So thankful for this journey and glad certification is behind me!:)
Have a blessed week! Beth
I wanted to write and let you know that as of yesterday I passed my boards!!!!!!!!!!!!!! This was the 4th time taking the exam and I really just wanted to give up. I had taken a different review course before the first and second exams and it was just too much information and just got too hard to focus.
Taking your course this time before the 4th exam gave me the glue to hold the pieces together. It all made sense, finally!!! I wanted to give up and be done so badly but pushed through and owe a lot of it to you and your course! Thank you so much for doing what you do and giving us what we need to know, not so much information that our heads spin. You do a great job! Ahhhhh I am soooooo excited!!!! Can't wait to see what the future holds! Jennifer L.
Review Course Materials Included
Review Course Manual, Non-Clinical Notes, PDF 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. The Springer textbook is required for the course, but there is a separate textbook and sample exams that is used for the review course only.
Maria Codina Leik, MSN, FNP-BC, FNP-C, 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.
It is also sold at Amazon.com, Barnes & Noble, and other book sellers,
West Nile Virus
Most people (8 out of 10) do not develop symptoms. Symptoms are headache, fever, myalgia, joint pains, vomiting, diarrhea, or rash. Some have severe illness.
Evidence-based Medicine (EBM)
The ANCC exam will contain several evidence-based medicine related questions. You have to rate the three studies from best evidence to worse evidence.
Rate the studies based on level of evidence from the best (#1) moderate (#2), and to the worst evidence (#3). Your job is to drag the study and to drop it in correct order (that is why it is called the "Drag & Drop" format).
Exam Test Tip:
Top #1 evidence are meta-analysis of randomized controlled studies (RCTs) from the Cochrane/Medline/Pubmed/CINAHL databases.
I took the AANP exam twice and did not pass, I had taken 2 different review courses prior. I took your review course, in March and today I took the ANCC and successfully passed the first time!!! What a load has been lifted off my shoulders. I am scheduled to retake the AANP at the end of the month.
Per your awesome advice. I feel so confident now.
Thank you, Thank you from the bottom of my heart for having such a great review course that set me up for success. I will shout if from the rook top that you offer the best review course. Thank you so much for your support, sharing your knowledge and for being awesome! Thank you. Forever grateful
May 11, 2018
I wanted you to know I took your webinar a few weeks ago, I also purchased your book and studied 4-6 hours a day. I took the AANP exam this AM and I finally passed the exam. This was my fifth try and 4 years I finally did it with your help. I have taken all the review courses out there and after doing the webinar whcih help me understand how to test and what to focus areas where I was able to be successful. Thank you so very much.
April 10, 2018
Thank you so much for taking the time to write such books. Your textbook and the review book are second to none, they are so precise and direct to the point. After attending the review course in Florida, and read through your books, I cruised through the exam with ease. Thanks once again and God bless. You are my person of the year.
Dupuytren's contracture is a condition in which one or more fingers become permanently bent in a flexed position. You may feel small hard nodules under the skin of the palm. It worsens over time until the fingers can no longer be straightened.
Tx: steroid injections, PT/OT
S3 heart sound: "normal" in later pregnancy, children, and some young adults < age 35 to 40 years. S3 can also be a sign of heart failure (dyspnea, cough, wheeze, rapid weight gain, edema, fatigue, exertional dyspnea).
Patient: Obese woman (childbearing age) who complains of headaches with papilledema found on fundoscopic exam.
PASSED EXAM NOVEMBER 19, 2019
I am so grateful that I decided to take the time to do the webinar because it was just what I needed to really focus in on my studying for my AANP FNP boards. Well I am happy to say that I took the exam last week and passed!! You really honed in on the important elements to study and made the webinar very enjoyable.
PASSED EXAM SEPTEMBER 18, 2018
I want to thank Maria Leik, Angelica, and the amazing team for conducting such insightful and substantial webinar (Aug28-31, 2018). Those 4 days of intense review for the AANP/ANCC certification helped me pass the exam.
New edition ANCC FNP exam released in May 22, 2019. The
ANCC AGPCNP exam will be released on December 2019
The newer ANCC exams have less questions (175 instead of 200). Time allowed 3.5 hrs. The total number of non-clinical questions is way down on the newer ANCC FNP exam (15% versus 33%). Passing rates are not yet available for the new ANCC FNP exam. I will post them when it is released.