When performing a visual acuity test, the nurse practitioner notes 20/30 in the left eye and 20/60 in the right eye. The next step is to
When performing a visual acuity test, the nurse practitioner notes 20/30 in the left eye and 20/60 in the right eye. The next step is to
Have the patient return in 2 weeks for a follow-up vision screen
Dilate the eyes and retest
Refer the patient to an ophthalmologist
Document this as a normal finding.
Question 2
The American Psychiatric Association’s Diagnostic and Statistical Manual Disorder fifth edition (DMS-5) describes Munchausen Syndrome by proxy as
A self-inflicted injury to gain attention
A caregiver making up or causing an illness or injury in a person under his or her care
An abusive behavior that does not involve the caregiver
A situation in which the abuser is often inattentive and uncaring toward the victim
Question 3
Symptoms of depression are a side effect of which neurotransmitter medication?
Dopamine
Gabapentin
Mu
Cortisol
Question 4
The right lymphatic ducts drain into what part of the circulatory system?
Arterial
Venous
Arteriovenous system
Capillary bed
Question 5
Which lesion is dark, raised and asymmetric with irregular borders?
Nevus
Actinic
Keratoacanthoma
Melanoma
Question 6
A pediatric patient has areas of scaling on the scalp, with round patches of alopecia. This clinical finding is consistent with
Tinea capitis
Seborrheic dermatitis
Trichotillomania
Alopecia areata
Question 7
A patient with an acute presentation of acute aortic regurgitation (AR) typically presents with sudden severe shortness of breath, lower extremity edema, a rapid heartbeat, and
Dry mouth
Chest pain
Decreased blood pressure
Systolic murmur
Question 8
Which of the following conditions is associated with chronic bloody diarrhea?
Irritable bowel syndrome
Crohn’s disease ***
Hepatitis A
Celiac disease
Question 9
Which condition is caused by an insufficient production of intrinsic factor by the gastric mucosa and vitamin B insufficiency?
Diarrhea
Pernicious anemia
Osteoporosis
Muscle weakness
Question 10
A 32-year old woman presents with dull puffiness of the eyes with pronounced non-pitting periorbital edema. This finding is suggestive of what condition?
Nephrotic syndrome
Myxedema
Cushing’s syndrome
Sinusitis
Question 11
A 52-year-old woman ii inquiring about estrogen replacement therapy for symptoms of menopause. Which of the following is a contraindication?
History of phlebitis
Prior or present migraine headaches
Family history of lung cancer
Prior breast or uterine carcinoma
Question 12
Patient with asthma have a pathological finding of:
Necrosis of small airways
Absence of goblet cells
Absence of ciliary regeneration
Hypertrophy of smooth muscle
Question 13
A 65-year-old patient with a history of a deep vein thrombosis (DVT) is being treated for a dental abscess. Which antibiotics is safe to use with warfarin (Coumadin).
Amoxicillin (Amoxil)
Trimethoprim/ sulfamethoxazole (Bactrim)
Ciprofloxacin (Cipro)
Clarithromycin (Biaxin)
Question 14
Primary syphilis is characterized by what type of lesion
A cluster of scattered vesicles
Chancre
Papule of many shapes
Nontender indurated penile nodule
Question 15
What is the area of fundal height palpation on a woman who is 12 weeks pregnant?
At the level of the umbilicus
At the level of the symphysis pubis
Midway between the symphysis and umbilicus
Below the symphysis pubis
Question 16
Which of the following is NOT associated with assessment finding in a patient diabetic retinopathy?
Papilledema
Dot and blot hemorrhages
Microaneurysms
Cotton wool spots
Question 17
A 3-year-old child has enterobiasis. When should the dose of mebendazole (Vermox) be repeated?
In 3 days
In 1 week
In 2 weeks
In 3 weeks
Question 18
Which area does not allow lymphatic fluid to be drained from the right lymph duct?
The right side of the head
The right upper thorax
The right arm
The right leg
Question 19
Snellen chart evaluation indicates that a patient’s vision is 20/30. What is the proper description of this result?
At 20 feet, this patient can see what a person with normal vision can see at 30 feet
At 30 feet, this patient can see what a person with normal vision can see at 30 feet
At 20 feet, this patient can see what few people can see at 30 feet
This patient has sight abilities that are worse than a patient with 20/40 vision
Question 20
Based on the mechanism of hearing, sensorineural loss in an adult involves the
Cochlea and the cochlea nerve
External ear canal and the middle ear
Ossicles and the inner ear
Transfer of sounds from the external environment into the external auditory canal
Question 21
Which of the appropriate medication choice for a 31-year-old pregnant patient diagnosed with a urinary tract infection?
Cefuroxime (Zinacef) or Nitrofurantoin (Macrobid)
Nitrofurantoin (Macrobid) or Ciprofloxacin (Cipro)
Ciprofloxacin (Cipro) or Tetracycline (Sumycin)
Tetracycline (Sumycin) or Amoxicillin (Amoxil)
Question22
Pregnant women are evaluated for syphilis with serology testing because
Syphilis during pregnancy predisposes the fetus to spontaneously abort or the newborn to have congenital syphilis.
Hormonal changes associated with pregnancy may trigger activation of talent syphilis
Syphilis may be passed to the fetus beginning in the third trimester
Untreated syphilis can cause neonatal respiratory distress
Question 23
Which of the following is a typical finding in a patient with a meniscal tear?
A positive McMurray’s test
Positive anterior drawer test
Audible click at the joint line
Fixed patellar subluxation
Question 24
Hyperkalemia is associated with:
Increased blood pressure
Alpha blockers
Diminished renal function
Loop diuretics
Question 25
Short bands of tough, flexible, ropelike, collagen fibrils that connect two bones is called:
Tendons
Fibrous connective tissue
Ligaments
Cartilage
Question 26
The finding of a dome-shaped lesion in the dermis that forms a benign closed, firm sac attached to the epidermis
A keloid
A tophi
a cutaneous cyst
chondrodermatistis
Question 27
What symptoms would lead the nurse practitioner to suspected atypical community acquired pneumonia I an 18-year-old living in …
a low-grade fever, malaise, and clear lung fields on auscultation
a low-grade fever, malaise, and crackles audible throughout the lung fields
temperature of 101 f, sore throat, and diminished breath sounds on auscultation
temperature of 102 f, dyspnea, and diminished lung sounds on auscultation
Question 28
Vitamins prescribed for pregnant women should contain what two components?
Folic acid and vitamin C
Iron and vitamin B12
Vitamin D and Iron
Folic acid and Iron
Question 29
Which medication is indicated for patients with generalized anxiety disorder (GAD)?
Buspirone (Buspar)
Citalopram (Celexa)
Imipramine (Toframil)
Bupropion HCL (Wellbutrin)
Question 30
A prostate gland that is found to be tender, swollen, boggy, and warm on a digital rectal exam is consistent with:
A normal prostate gland
Acute bacterial prostatitis
Benign prostatic hyperplasia
Carcinoma of the prostate
Question 31
Which medication can cause a false positive result for amphetamines in a urine drug screen?
Metformin
Lisinopril
Glyburide
Bupropion
Question 32
Fine, silky appearance of the hair is a common finding in:
Hypothyroidism
Hyperthyroidism
Type 2 diabetes
Celiac disease
Question 33
Which of the following is commonly associated with increased risk for prostatic hypertrophy?
Constipation
Fecal incontinence
Urinary tract infections
Prostate cancer
Question 34
Patients with bacterial meningitis experience headache symptoms due to:
Meningeal erythema
Increased intracranial pressure
Meningeal irritation
Swelling of the spinal cord
Question 35
A 42-year-old woman with a past medical history of migraine headaches is requesting prophylactic medication treatment. Which medication should not be …
Sumatriptan (Limitrex)
Amitriptyline (Elavil)
Verapamil (Verelan)
Metoprolol (Lopressor)
Question 36
What diagnostic test is performed to diagnose acute lymphocytic leukemia (ALL)?
A complete blood count with differential
Magnetic resonance imaging
A nuclear bone scan
A bone marrow examination
Question 37
Which of the following medications should NOT be prescribed during an acute gout flare?
Colchicine (Colcrys)
Allopurinol (Zyloprim)
Steroids
NSAIDs
Question 38
A 42-year-old woman with a past medical history of migraine headaches is requesting prophylactic medication treatment which medication is NOT be prescribed?
Sumatriptan (Imitrex)
Amitriptyline (Elavil)
Verapamil (Verelan)
Metoprolol (Lopressor)
Question 39
A pediatric patient has areas of scaling on the scalp, with round patches alopecia. This clinical finding is consistent with:
Tinea capitis
Seborrheic dermatitis
Trichotillomania
Alopecia areata
Question 40
What is the appropriate prophylactic medication for an 18-year-old woman with a past medical history of migraine headache?
Sumatriptan (Imitrex)
Propranolol (Inderal)
Ibuprofen (Motrin)
Dihydroergotamine (DHE)
Question 41
Which of the following is the single dose treatment for a patient with diagnose chlamydia?
Doxycycline (Vibramycin) 200mg orally
Azithromycin (Zithromax) 1 gram orally
Metronidazole (Flagyl) 2 gram orally
Ceftriaxone (Rocephin) 250 mg intramuscular
Question 42
The nurse practitioner prescribes deferoxamine (Desferal) for a pediatric patient with beta thalassemia and hemosiderosis because the medication:
Prevent blood transfusion reactions
Stimulates red blood cell production
Improves the oxygen-carrying capacity of RBCs
Eliminates excessive iron and prevent organ damage.
Question 43
The combination of benzoyl peroxide and erythromycin is prescribed for acne because benzoyl peroxide:
Improves the efficacy of erythromycin
Decreases the risk of desquamation
Decreases the risk of resistance to erythromycin
Increases the time patient can be exposed to sunlight.
Question 44
Which of the following conditions is NOT associated with the symptom of hemoptysis?
Pulmonary emboli
Chronic bronchitis
Viral pneumonia
Neoplasm of the lung
Question 45
Rh-negative women should receive Rho (D) immune globulin at what gestational time?
6 weeks
12 weeks
S28 weeks
35 weeks
Question 46
Why would a combined hormonal contraceptive be contraindicated in a 36-year-old patient with a past medical history of Type 2 diabetes, obesity, current smoking and sedentary lifestyle?
She is obese
She has type 2 diabetes mellitus
Her age and tobacco use
he leads a sedentary lifestyle.
Question 47
The nurse practitioner prescribes deferoxamine (Desferal) for a pediatric patient with beta thalassemia and hemosiderosis because the medication:
Prevents blood transfusion reactions
Stimulates red blood cell production
Improves the oxygen-carrying capacity of RBCs
Eliminates excessive iron and prevents organ damage
Question 48
During the breast examination of a perimenopausal woman. The NP detects a bloody spontaneous discharge from the right nipple. This indicates further evaluation for:
Fibroadenoma
Polycystic breast disease
An intraductal papilloma
Pituitary prolactinoma
Question 49
A 26-year-old woman complains of acute right lower abdominal pain. Which of the following conditions is NOT associated with this symptom?
Ectopic pregnancy
Pelvic inflammatory disease
Irritable bowel syndrome
Rupture ovarian follicle
Question 50
Which of the following is the single-dose treatment for a patient with diagnosis of Chlamydia?
Doxycycline (Vibramycin) 200 mg orally
Azithromycin (Zithromax) 1 gram orally
Metronidazole (Flagyl) 2 grams orally
Ceftriaxone (Rocephin) 250 mg intramuscular
Question 51
What is the appropriate prophylactic medication for an 18-year-old woman with a past medical history of migraine headache?
Sumatriptan (Imitrex)
Propranolol (Inderal)
Ibuprofen (Motrin)
Dihydroergotamine (DHE)
Question 52
The combination of benzoyl peroxide and erythromycin is prescribed for acne because benzoyl peroxide:
Improve the efficacity of erythromycin
Decreases the risk of desquamation
Decreases the risk of resistance to erythromycin
Increases the time patient can be exposed to sunlight
Question 53
Which of the following conditions is NOT associated with the symptom of hemoptysis?
Pulmonary emboli
Chronic bronchitis
Viral pneumonia
Neoplasm of the lung
Question 54
Why would a combined hormonal contraceptive be contraindicated in a 36-year-old patient with a past medical history of Type 2 diabetes, obesity, current smoking and sedentary lifestyle?
She is obese
She has Type 2 diabetes mellitus
Her age and tobacco use
She leads a sedentary lifestyle
Question 55
During an abdominal examination, the nurse practitioner percusses the bulging area of the abdomen. Which sound suggest the presence of ascitic fluid?
Tympany
Dullness
Hyperresonance
Normal resonance
Question 56
What is the drug of choice for the pediatric patient diagnosed with scabies?
Clotrimazole (Lotrimin) lotion
Permethrin (Nix) cream
Lindane (Kwell)
Selenium sulfide (Selsun)
Question 57
When interpreting a complete blood count(CBC) lab report which of the following results describes the size of the RBC’s?
Hemoglobin
Mean corpuscular volume (MCV)
Red cell distribution with (RDW)
Hematocrit.
Question 58
A patient with an acute presentation of acute aortic regurgitation (AR) typically presents with sudden severe shortness of breath, lower extremity edema, a rapid heartbeat and:
Dry cough
Chest pain
Decrease blood pressure
Systolic murmur
Question 59
An 80-year-old man is being evaluated to recent episodes of incontinence and confusion. His family states that he is usually independent with no altered mental issues but has become forgetful within the last 2 weeks. Which medication is most likely associated with these symptoms?
Cimetidine (Tagamet)
Warfarin (Coumadin)
Ramipril (Altace)
Vitamin B12
Question 60
When assessing bilateral eye movement, the nurse practitioner is assessing which cranial nerve?
CN II, III, IV
CN III, IV, VI
CN II, IV, VI
CN III, IV, VII
Question 61
What medication should be avoided when prescribing prophylactic therapy for headache in a patient with a past history of asthma and chronic migraines?
Verapamil
Propranolol
Venlafaxine
Nimodipine
Question 62
A nonpregnant woman diagnosed with trichomoniasis should be treated with:
Metronidazole (Flagyl)
Doxycycline (Vibramycin)
Clindamycin (Cleocin)
Clotrimazole (Lotrimin)
Question 63
A 17-year-old is diagnosed with mild bronchospasm. Which of the following would provide relief?
Inhaled mometasone (Asmanex)
Inhaled levalbuterol (Xopenex)
Oral Montelukast (Singulair)
Oral dextromethorphan/ guaifenesin product
Question 64
What is the mechanism of action for prostaglandin E1 (PG1) in a patient with transposition of the great arteries?
To maintain equal pressure in the ventricles
To maintain patency of the great arteries
To produce vasodilation and adequate oxygen saturation
To prevent cyanotic episodes by trapping blood in the extremities.
Question 65
Which patient causes the greatest concern for complication related to scoliosis?
13-year-old girl with a 10 degree curve
17-year-old girl with a 10 degree curve
12-year-old boy with a 5 degree curve
18-year-old boy with a 5 degree curve
Question 66
What is the mechanism of action for prostaglandin E1 (PE1) in a patient with transposition of the great arteries?
To maintain equal pressure in the ventricles
To maintain patency of the great arteries
To produce vasodilation and adequate oxygen saturation
To prevent cyanotic episodes by trapping blood in the lower extremities
Question 67
Which of the following complaints best describes lower extremity calf pain associated with peripheral artery disease?
A sharp, stabbing pain
A dull pain or cramp
An electric shock
A pulsating pain
Question 68
The immunization that protect against the contagious disease that cause fever, headache, stiff neck, photophobia, and altered mental status is:
Meningococcal vaccine
Pneumococcal vaccine
Measles, mumps, and rubella (MMR) vaccine
Varicella vaccine
Question 69
A 60-year-old man is experiencing prostatic pain when he states that the pain localized in which location?
The suprapubic area
The back
The perineum
The glans penis
Question 70
Which of the following is NOT a symptom of late-stage human immunodeficiency disease (HIV) infection?
Night sweats
Lymphadenopathy
Persistent vomiting
Extreme unexplained fatigue
Question 71
A 75-year-old man who recently lost his spouse of 50 year in an auto accident tells the nurse practitioner that he “has no purpose in this life”. The next most appropriate question for the nurse practitioner to ask is:
“Have you told your family how you feel?’
“Have you thought about hurting yourself?”
“Are you taking your medications?”
“Do have any friends?”
Question 72
Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47-year-old premenopausal woman?
Hirsutism
Gynecomastia
Oligomenorrhea
Acne
Question 73
When treating a patient with asthma who is experiencing acute wheezing which medication should be given to relieve the symptom?
Short-acting bronchodilator
Long-acting bronchodilator
Inhaled corticosteroid
Combination of methylxanthine and long-acting bronchodilator
Question 74
Before the nurse practitioner prescribes metronidazole (Flagyl) for a patient with giardiasis, it is important to inquire about:
The presence of an allergy to sulfa
A past medical history of peptic ulcer disease
Whether the patient is at least 18 years old
Whether the patient drinks alcohol
Question 75
The most common chief complaint of a woman diagnosed with trichomoniasis is:
A painless ulcerated vulval lesion with vaginal discharge.
Fever, papules, and vaginal discharge with burning
A vaginal discharge.
Dyspareunia and upper abdominal pain.
Question 76
Which structure in the eye is affected by cataract disease?
The retina
The cornea
The lens
The optic nerve
Question 77
Finding of a firm, nodular hypertrophic mass of scar tissue on the posterior surface of a pierced ear lobe is documented as:
A keloid
A tophi
A cutaneous cyst
Chondrodermatitis.
Question 78
Which medication is used as an anticoagulant reversal agent for dabigatran etexilate (Pradaxa)?
Idarucizumab (Praxbind)
Vitamin K
Protamine sulfate
Fondaparinux (Arixtra)
Question 79
Which immunization reduces a patient’s risk for infection with the virus that causes painful, localized, blistering rash?
Smallpox vaccine
Varicella vaccine (Chicken Pox)
Shingles (herpes zoster) vaccine
Meningococcal vaccine
Question 80
A 34-year-old man presents with complaints of abdominal pain. The nurse practitioner suspects hemorrhagic pancreatitis due to finding of superficial edema, bruising around the umbilicus, and what other assessment finding?
A positive Gray Turner’s sign
A positive Cullen’s sign
Kaposi’s sarcoma
Petechiae
Question 81
A 24-year-old pregnant woman with a history of iron deficiency anemia should be educated that she should take iron supplements
With milk to avoid stomach upset
With milk of magnesia at bedtime to avoid constipation
On an empty stomach between meals.
For 30 days to 6 weeks.
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