QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE
2026/2027 GRADED A+ .
,1. 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 ✓✓ CORRECT ANSWER b. identify modifiable cardiovascular risk factors
2. A 56-year old male patient screened for diabetes has a fasting plasma glucose level of 96mg/dl. The nurse
practitioner management plan includes ✓✓ CORRECT ANSWER
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 ✓✓ CORRECT ANSWER a. repeat fasting plasma glucose in three years
3. 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 ✓✓ CORRECT ANSWER d. Paroxetine
4. The most common sustained rhythmic disorder, which consists of fibrillatory p waves is ✓✓ CORRECT
ANSWER
a. AV block
b. atrial tachycardia
,c. atrial fibrillation
d. atrial flutter ✓✓ CORRECT ANSWER c. atrial fibrillation
5. 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 ✓✓ CORRECT ANSWER c. is a contributing factor for frequent urinary tract infections
6. 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 ✓✓ CORRECT ANSWER d. Confusion Assessment Model
7. A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea_ is ✓
✓ CORRECT ANSWER
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine ✓✓ CORRECT ANSWER d. Morphine
8. 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 ✓✓ CORRECT ANSWER d. eye exam with an opthlamologist
, 9. Which characteristic of delerium helps to distinguish it from dementia?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired attention ✓✓ CORRECT ANSWER c. acute onset
10. The majority of patients enrolled in hospice care die ✓✓ CORRECT ANSWER
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home ✓✓ CORRECT ANSWER d. at home
11. A middle aged patient has been diagnosed with Parkinson's disease. What influences the nurse practitioners
descision to begin pharmacological treat-ment 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 ✓✓ CORRECT ANSWER d.symptomsinterfering withfunctionalability
12. 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 ✓✓ CORRECT ANSWER d. all of the above
13. 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