BARKLEY 3P EXAM 2026 ALL CORRECT
STUDY QUESTIONS AND VERIFIED
ANSWERS MULTIPLE CHOICES WITH
RATIONALES 100% ASSURED PASS
RATED A+
,BARKLEY 3P EXAM 2026 ALL CORRECT STUDY QUESTIONS
AND VERIFIED ANSWERS MULTIPLE CHOICES WITH
RATIONALES 100% ASSURED PASS RATED A+
When counseling a pregnant patient on drug use during pregnancy, it is important that the nurse
practitioner advises her:
a. "The placenta provides a good protective barrier for your baby against almost all drugs you
might ingest."
b. "The placenta will screen out most harmful drugs, so they will never reach significant levels in
your baby."
c. "The placenta will protect your baby against narcotic exposure, but all other drugs will
permeate within 15 minutes to an hour."
d. "The placenta is a barrier as far as time is concerned only- ultimately, your baby will be
exposed to any drug that you take." - Answer>>> d. "The placenta is a barrier as far as time is
concerned only- ultimately, your baby will be exposed to any drug that you take."
A patient is diagnosed with acute inflammatory demyelinating polyneuropathy and resulting
Gillian-Barre syndrome. The patient needs to be assessed for which of the following?
a. Cerebrospinal fluid high in protein (500 mg/dl) without cellular abnormality
b. Decreased levels if acetylcholine
c. Asymmetric paralysis
d. Demyelination of the central nervous system nerves - Answer>>> a. Cerebrospinal fluid high
in protein (500 mg/dl) without cellular abnormality- Most will have when it is viral or bacterial.
Acetylcholine is not affected by GBS, effect on DTR's or numbness/ paralysis will be symmetric,
demyelination of peripheral nerve system NOT CNS
,Which of the following is not a step in the Hirschberg test?
a. Shine a light towards patient's eyes to assess parallel alignment
b. Assess reflection of light on the corneas
c. Hold the light about 12 inches from the patient
d. Ask the patient to stare straight ahead at your nose - Answer>>> d. Ask the patient to stare
straight ahead at your nose
Asking patient to stare at the nose is one of the steps of the COVER test, which assesses muscle
weakness in the eye. The Hirschberg test is designed to assess symmetry of the light reflex
within the corneas. It is performed by shining a light towards the patient's eyes and directing
them to stare ahead as the nurse holds the light 12 inches away. Symmetrical light reflection in
the eye indicates that they eye muscles are properly aligned.
Which of the following statements is true regarding contraceptives?
a. Because oral contraceptives may cause harm to the fetus, they are pregnancy category X drugs
in pregnancy.
b. Oral contraceptives are linked to the promotion of ovarian, endometrial, and breast cancer.
c. By increasing angiotensin and aldosterone, oral contraceptives may increase blood pressure.
d. Oral contraceptives may reduce the effects of theophylline, benzodiazepines, and tricyclic
antidepressants - Answer>>> c. By increasing angiotensin and aldosterone, oral contraceptives
may increase blood pressure.
estrogen promotes aldosterone production= sodium retention & HTN. Also believed stimulates
hepatic production of angiotensinogen, affecting renal system via elevated angiotensin & BP.
OCP are category X, but because serve no use, decrease incidence of ovarian and endometrial ca
and don't increase risk of breast ca. OCP containing progestin may enhance effects of
theophylline, benzos, and tricyclic antidepressants by decreasing clearance.
, You are advising a patient who has been diagnosed with autosomal dominant polycystic kidney
disease. Which of the following accurately describes the condition?
a. "this disease may cause you to lose function of one of your kidneys, but we will monitor it as
it progresses"
b. "this disease is a cause of kidney cancer and is treatable with chemotherapy."
c. "you got this disease from having chronic problems with kidney stones. Now you will need
dialysis."
d. "You will need a kidney transplant to treat this disease. You will be placed on the transplant
list." - Answer>>> d. "You will need a kidney transplant to treat this disease. You will be placed
on the transplant list."- effective way to treat PCKD, also need to treat symptoms- BP meds &
diuretics, loss of function of both kidneys, not just 1, Not associated with kidney CA, PCKD may
cause development of kidney stones, dialysis may help if end stage disease, but is inherited and
not from having kidney stones.
In infectious mononucleosis (IM), the Monospot test detects which of the following antibodies
within the first few weeks after infection?
a. Immunoglobulin E (IgE)
b. Immunoglobulin M (IgM)
c. Immunoglobulin G (IgG)
d. Immunoglobulin A (IgA) - Answer>>> b. Immunoglobulin M (IgM)- IgM detected 2 weeks -
6 months after exposure. IgG in recovers, IgE is an allergic rxn, IgA is protective barrier from
outside substances.
You are auscultating Jon's chest. When he sits up and leans forward, you can hear a high pitched,
blowing murmur at S2. What does this type of murmur most likely indicate?
a. Mitral stenosis
STUDY QUESTIONS AND VERIFIED
ANSWERS MULTIPLE CHOICES WITH
RATIONALES 100% ASSURED PASS
RATED A+
,BARKLEY 3P EXAM 2026 ALL CORRECT STUDY QUESTIONS
AND VERIFIED ANSWERS MULTIPLE CHOICES WITH
RATIONALES 100% ASSURED PASS RATED A+
When counseling a pregnant patient on drug use during pregnancy, it is important that the nurse
practitioner advises her:
a. "The placenta provides a good protective barrier for your baby against almost all drugs you
might ingest."
b. "The placenta will screen out most harmful drugs, so they will never reach significant levels in
your baby."
c. "The placenta will protect your baby against narcotic exposure, but all other drugs will
permeate within 15 minutes to an hour."
d. "The placenta is a barrier as far as time is concerned only- ultimately, your baby will be
exposed to any drug that you take." - Answer>>> d. "The placenta is a barrier as far as time is
concerned only- ultimately, your baby will be exposed to any drug that you take."
A patient is diagnosed with acute inflammatory demyelinating polyneuropathy and resulting
Gillian-Barre syndrome. The patient needs to be assessed for which of the following?
a. Cerebrospinal fluid high in protein (500 mg/dl) without cellular abnormality
b. Decreased levels if acetylcholine
c. Asymmetric paralysis
d. Demyelination of the central nervous system nerves - Answer>>> a. Cerebrospinal fluid high
in protein (500 mg/dl) without cellular abnormality- Most will have when it is viral or bacterial.
Acetylcholine is not affected by GBS, effect on DTR's or numbness/ paralysis will be symmetric,
demyelination of peripheral nerve system NOT CNS
,Which of the following is not a step in the Hirschberg test?
a. Shine a light towards patient's eyes to assess parallel alignment
b. Assess reflection of light on the corneas
c. Hold the light about 12 inches from the patient
d. Ask the patient to stare straight ahead at your nose - Answer>>> d. Ask the patient to stare
straight ahead at your nose
Asking patient to stare at the nose is one of the steps of the COVER test, which assesses muscle
weakness in the eye. The Hirschberg test is designed to assess symmetry of the light reflex
within the corneas. It is performed by shining a light towards the patient's eyes and directing
them to stare ahead as the nurse holds the light 12 inches away. Symmetrical light reflection in
the eye indicates that they eye muscles are properly aligned.
Which of the following statements is true regarding contraceptives?
a. Because oral contraceptives may cause harm to the fetus, they are pregnancy category X drugs
in pregnancy.
b. Oral contraceptives are linked to the promotion of ovarian, endometrial, and breast cancer.
c. By increasing angiotensin and aldosterone, oral contraceptives may increase blood pressure.
d. Oral contraceptives may reduce the effects of theophylline, benzodiazepines, and tricyclic
antidepressants - Answer>>> c. By increasing angiotensin and aldosterone, oral contraceptives
may increase blood pressure.
estrogen promotes aldosterone production= sodium retention & HTN. Also believed stimulates
hepatic production of angiotensinogen, affecting renal system via elevated angiotensin & BP.
OCP are category X, but because serve no use, decrease incidence of ovarian and endometrial ca
and don't increase risk of breast ca. OCP containing progestin may enhance effects of
theophylline, benzos, and tricyclic antidepressants by decreasing clearance.
, You are advising a patient who has been diagnosed with autosomal dominant polycystic kidney
disease. Which of the following accurately describes the condition?
a. "this disease may cause you to lose function of one of your kidneys, but we will monitor it as
it progresses"
b. "this disease is a cause of kidney cancer and is treatable with chemotherapy."
c. "you got this disease from having chronic problems with kidney stones. Now you will need
dialysis."
d. "You will need a kidney transplant to treat this disease. You will be placed on the transplant
list." - Answer>>> d. "You will need a kidney transplant to treat this disease. You will be placed
on the transplant list."- effective way to treat PCKD, also need to treat symptoms- BP meds &
diuretics, loss of function of both kidneys, not just 1, Not associated with kidney CA, PCKD may
cause development of kidney stones, dialysis may help if end stage disease, but is inherited and
not from having kidney stones.
In infectious mononucleosis (IM), the Monospot test detects which of the following antibodies
within the first few weeks after infection?
a. Immunoglobulin E (IgE)
b. Immunoglobulin M (IgM)
c. Immunoglobulin G (IgG)
d. Immunoglobulin A (IgA) - Answer>>> b. Immunoglobulin M (IgM)- IgM detected 2 weeks -
6 months after exposure. IgG in recovers, IgE is an allergic rxn, IgA is protective barrier from
outside substances.
You are auscultating Jon's chest. When he sits up and leans forward, you can hear a high pitched,
blowing murmur at S2. What does this type of murmur most likely indicate?
a. Mitral stenosis
