FINAL EXAM (2025/2026) UPDATE|EXAM QUESTIONS
WITH MULTIPLE CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!! | TOP SCORES MADE SIMPLE |
TRUSTED TEST SOLUTIONS!
QUALITY CONTENT YOU CAN RELY ON!
Mr. A, experienced a brief onset of right sided weakness, slurred speech and confusion
yesterday. The symptoms have resolved and the CT is normal. What is the next step of the
plan for Mr. A?
a. assure the patient that he will not experience the symptoms again
b. identify modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask Answer: b. identify modifiable
cardiovascular risk factors
A 56-year old male patient screened for diabetes has a fasting plasma glucose level of
96mg/dl. The nurse practitioner management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam Answer: a. repeat fasting plasma glucose in three
years
RW, a 57 year old native American female, presents to the office. RW states she feels
irritable and has difficulty concentrating as well as fallingn asleep and staying aleep. She
states she is worried about her finances, her husband has just lost his job. The NP
diagnoses anxiety. The NP prescribes a first line treatment which is
a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxetine Answer: d. Paroxetine
The most common sustained rhythmic disorder, which consists of fibrillatory p waves is:
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter Answer: c. atrial fibrillation
According to the Sexually presentation, atrophic vaginitis
a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants Answer: c. is a contributing factor for frequent
urinary tract infections
Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model Answer: d. Confusion Assessment Model
A drug that can be used to treat two very common symptoms in a dying patient (pain and
dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine Answer: d. Morphine
Which of the following would you recommend annually for the elderly type 2 diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an opthlamologist Answer: d. eye exam with an opthlamologist
Which characteristic of delerium helps to distinguish it from dementia?
a, short term memory impairment
b. personality changes
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
, c. acute onset
d. impaired attention Answer: c. acute onset
The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home Answer: d. at home
A middle aged patient has been diagnosed with Parkinson's disease. What influences the
nurse practitioners descision to begin pharmacological treatment for this patient?
a. medications initiated at first sign of unilateral involvement
b. gait instability requiring the use of a cane
c. intentional tremors
d. symptoms interfering with functional ability Answer: d. symptoms interfering with
functional ability
Which of the following is a role of the advanced practice nurse in palliative cancer care?
a. detecting cancer in asymptomatic paitents or those with specific symptoms
b. arranging for follow up including patiennts
c. identifying and managing complications of care
d. all of the above Answer: d. all of the above
A 58 year old Caucasian mane with type 2 diabetes mellitus presents to the clinic as a new
patient. He takes metformin 500mg twice a day. His last Hgb A1c was 7%. He is up to date
on eye and foot examinations. His BP is 142/96. According to ACC 2017 guidelines for high
blood pressure in adults, what is the most appropriate first line medication?
a. lisinopril
b. furosemide
c. amlodipine
d. clonidine Answer: a. lisinopril
An older male patient is experiencing acute onset of right sided weakness, slurred speech
and confusion. What should the nurse practitioner do promptly?
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
WITH MULTIPLE CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!! | TOP SCORES MADE SIMPLE |
TRUSTED TEST SOLUTIONS!
QUALITY CONTENT YOU CAN RELY ON!
Mr. A, experienced a brief onset of right sided weakness, slurred speech and confusion
yesterday. The symptoms have resolved and the CT is normal. What is the next step of the
plan for Mr. A?
a. assure the patient that he will not experience the symptoms again
b. identify modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask Answer: b. identify modifiable
cardiovascular risk factors
A 56-year old male patient screened for diabetes has a fasting plasma glucose level of
96mg/dl. The nurse practitioner management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam Answer: a. repeat fasting plasma glucose in three
years
RW, a 57 year old native American female, presents to the office. RW states she feels
irritable and has difficulty concentrating as well as fallingn asleep and staying aleep. She
states she is worried about her finances, her husband has just lost his job. The NP
diagnoses anxiety. The NP prescribes a first line treatment which is
a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxetine Answer: d. Paroxetine
The most common sustained rhythmic disorder, which consists of fibrillatory p waves is:
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter Answer: c. atrial fibrillation
According to the Sexually presentation, atrophic vaginitis
a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants Answer: c. is a contributing factor for frequent
urinary tract infections
Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model Answer: d. Confusion Assessment Model
A drug that can be used to treat two very common symptoms in a dying patient (pain and
dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine Answer: d. Morphine
Which of the following would you recommend annually for the elderly type 2 diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an opthlamologist Answer: d. eye exam with an opthlamologist
Which characteristic of delerium helps to distinguish it from dementia?
a, short term memory impairment
b. personality changes
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
, c. acute onset
d. impaired attention Answer: c. acute onset
The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home Answer: d. at home
A middle aged patient has been diagnosed with Parkinson's disease. What influences the
nurse practitioners descision to begin pharmacological treatment for this patient?
a. medications initiated at first sign of unilateral involvement
b. gait instability requiring the use of a cane
c. intentional tremors
d. symptoms interfering with functional ability Answer: d. symptoms interfering with
functional ability
Which of the following is a role of the advanced practice nurse in palliative cancer care?
a. detecting cancer in asymptomatic paitents or those with specific symptoms
b. arranging for follow up including patiennts
c. identifying and managing complications of care
d. all of the above Answer: d. all of the above
A 58 year old Caucasian mane with type 2 diabetes mellitus presents to the clinic as a new
patient. He takes metformin 500mg twice a day. His last Hgb A1c was 7%. He is up to date
on eye and foot examinations. His BP is 142/96. According to ACC 2017 guidelines for high
blood pressure in adults, what is the most appropriate first line medication?
a. lisinopril
b. furosemide
c. amlodipine
d. clonidine Answer: a. lisinopril
An older male patient is experiencing acute onset of right sided weakness, slurred speech
and confusion. What should the nurse practitioner do promptly?
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
