NSG 6440 PREDICTOR EXAM QUESTIONS AND CORRECT
ANSWERS.
This comprehensive predictor exam encompasses 100 essential questions covering
advanced practice nursing concepts across multiple specialty areas. The content
addresses pharmacology considerations, including Elavil's driving restrictions and
appropriate antibiotic selections for various infections. Clinical assessment skills are
emphasized through questions on heart sounds, skin examinations, and diagnostic
testing interpretations. Disease management protocols are covered for conditions
ranging from hypertension and diabetes to complex neurological disorders like
multiple sclerosis and Alzheimer's disease. The exam also explores APRN scope of
practice, healthcare reform priorities, and patient education strategies. Critical thinking
is required for emergency situations including anaphylaxis treatment, stroke
management with tPA administration, and recognizing necrotizing fasciitis as a
medical emergency requiring immediate intervention.
Question 1
Which of the following medications for temporomandibular disorder has the
warning that patient should NOT drive while taking it?
A) Ibuprofen
B) Elavil
C) Flexeril
D) Naproxen
Correct Answer: B) Elavil
Rationale: Elavil (amitriptyline) is a tricyclic antidepressant that can cause
significant sedation, dizziness, and drowsiness. Patients should be warned not to
drive or operate heavy machinery until they know how the medication affects them.
,The sedative effects can impair cognitive and motor skills necessary for safe
driving.
---
Question 2
Treatment for epididymitis includes which of the following?
A) Bed rest with legs elevated
B) Scrotal elevation
C) Cold compresses
D) Increased physical activity
Correct Answer: B) Scrotal elevation
Rationale: Scrotal elevation helps reduce pain and swelling in epididymitis by
promoting venous drainage and decreasing hydrostatic pressure. This is a non-
pharmacological comfort measure that should be recommended along with
antibiotic therapy, ice packs, and anti-inflammatory medications.
---
Question 3
After 6 months of Synthroid therapy, the clinician should expect which result in the
repeat thyroid-stimulating hormone studies?
A) Elevated
B) Decreased
,C) Normal
D) Undetectable
Correct Answer: C) Normal
Rationale: Synthroid (levothyroxine) is used for thyroid hormone replacement in
hypothyroidism. After 6 months of appropriate dosing, TSH levels should normalize,
indicating adequate hormone replacement. TSH is the most sensitive marker for
monitoring thyroid hormone replacement therapy.
---
Question 4
A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a
mucopurulent vaginal discharge. Her boyfriend was recently treated for
nongonococcal urethritis. What sexually transmitted disease has she most probably
been exposed to?
A) Gonorrhea
B) Syphilis
C) Chlamydia
D) Trichomoniasis
Correct Answer: C) Chlamydia
Rationale: Chlamydia trachomatis is the most common cause of nongonococcal
urethritis (NGU) in men. The presentation of dysuria, dyspareunia, and mucopurulent
discharge in a woman whose partner had NGU is classic for chlamydial infection.
Chlamydia is often asymptomatic but can present with these symptoms.
, ---
Question 5
Which of the following is the form of external otitis in which bacterial infection
extends from the auditory canal into the skull?
A) Acute otitis externa
B) Chronic otitis externa
C) Necrotizing otitis
D) Furunculosis
Correct Answer: C) Necrotizing otitis
Rationale: Necrotizing (malignant) otitis externa is a severe infection that extends
from the external auditory canal into the skull base and temporal bone. It is most
commonly caused by Pseudomonas aeruginosa and typically occurs in
immunocompromised patients, especially those with diabetes. It is a medical
emergency requiring aggressive treatment.
---
Question 6
Which causes the greatest percentage of mammalian bites?
A) Dogs
B) Cats
C) Humans
ANSWERS.
This comprehensive predictor exam encompasses 100 essential questions covering
advanced practice nursing concepts across multiple specialty areas. The content
addresses pharmacology considerations, including Elavil's driving restrictions and
appropriate antibiotic selections for various infections. Clinical assessment skills are
emphasized through questions on heart sounds, skin examinations, and diagnostic
testing interpretations. Disease management protocols are covered for conditions
ranging from hypertension and diabetes to complex neurological disorders like
multiple sclerosis and Alzheimer's disease. The exam also explores APRN scope of
practice, healthcare reform priorities, and patient education strategies. Critical thinking
is required for emergency situations including anaphylaxis treatment, stroke
management with tPA administration, and recognizing necrotizing fasciitis as a
medical emergency requiring immediate intervention.
Question 1
Which of the following medications for temporomandibular disorder has the
warning that patient should NOT drive while taking it?
A) Ibuprofen
B) Elavil
C) Flexeril
D) Naproxen
Correct Answer: B) Elavil
Rationale: Elavil (amitriptyline) is a tricyclic antidepressant that can cause
significant sedation, dizziness, and drowsiness. Patients should be warned not to
drive or operate heavy machinery until they know how the medication affects them.
,The sedative effects can impair cognitive and motor skills necessary for safe
driving.
---
Question 2
Treatment for epididymitis includes which of the following?
A) Bed rest with legs elevated
B) Scrotal elevation
C) Cold compresses
D) Increased physical activity
Correct Answer: B) Scrotal elevation
Rationale: Scrotal elevation helps reduce pain and swelling in epididymitis by
promoting venous drainage and decreasing hydrostatic pressure. This is a non-
pharmacological comfort measure that should be recommended along with
antibiotic therapy, ice packs, and anti-inflammatory medications.
---
Question 3
After 6 months of Synthroid therapy, the clinician should expect which result in the
repeat thyroid-stimulating hormone studies?
A) Elevated
B) Decreased
,C) Normal
D) Undetectable
Correct Answer: C) Normal
Rationale: Synthroid (levothyroxine) is used for thyroid hormone replacement in
hypothyroidism. After 6 months of appropriate dosing, TSH levels should normalize,
indicating adequate hormone replacement. TSH is the most sensitive marker for
monitoring thyroid hormone replacement therapy.
---
Question 4
A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a
mucopurulent vaginal discharge. Her boyfriend was recently treated for
nongonococcal urethritis. What sexually transmitted disease has she most probably
been exposed to?
A) Gonorrhea
B) Syphilis
C) Chlamydia
D) Trichomoniasis
Correct Answer: C) Chlamydia
Rationale: Chlamydia trachomatis is the most common cause of nongonococcal
urethritis (NGU) in men. The presentation of dysuria, dyspareunia, and mucopurulent
discharge in a woman whose partner had NGU is classic for chlamydial infection.
Chlamydia is often asymptomatic but can present with these symptoms.
, ---
Question 5
Which of the following is the form of external otitis in which bacterial infection
extends from the auditory canal into the skull?
A) Acute otitis externa
B) Chronic otitis externa
C) Necrotizing otitis
D) Furunculosis
Correct Answer: C) Necrotizing otitis
Rationale: Necrotizing (malignant) otitis externa is a severe infection that extends
from the external auditory canal into the skull base and temporal bone. It is most
commonly caused by Pseudomonas aeruginosa and typically occurs in
immunocompromised patients, especially those with diabetes. It is a medical
emergency requiring aggressive treatment.
---
Question 6
Which causes the greatest percentage of mammalian bites?
A) Dogs
B) Cats
C) Humans
