NURSING MISC 3P EXAM 1, EXAM 2,EXAM 3,EXAM 4 & EXAM 5 (ALL
IN ONE DOCUMENT) LATEST 2026/2027 COMPLETE ACCURATE
EXAM ACTUAL QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (100% CORRECT VERIFIED SOLUTIONS)
NEWEST UPDATED VERSION 2026 EDITION |FULL REVISED
NURSING MISC 3P EXAM |JUST RELEASED
1. 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:
A. Have the patient return in 2 weeks for a follow-up vision screen.
B. Refer the patient to an ophthalmologist.
C. Dilate the eyes and retest.
D. Document this as a normal finding.
CORRECT ANSWER: B
Rationale: A finding of 20/60 in either eye is a significant visual deficit that
requires prompt referral to a specialist for a comprehensive evaluation to determine
the underlying cause. This is not a normal finding and should not be dismissed or
delayed .
2. The American Psychiatric Association’s Diagnostic and Statistical Manual
Disorder fifth edition (DSM-5) describes Munchausen Syndrome by proxy as:
A. A self-inflicted injury to gain attention.
B. A caregiver making up or causing an illness or injury in a person under his or
her care.
C. An abusive behavior that does not involve the caregiver.
,D. A situation in which the abuser is often inattentive and uncaring toward the
victim.
CORRECT ANSWER: B
Rationale: Munchausen syndrome by proxy (now more commonly termed
factitious disorder imposed on another) is a mental illness in which a caregiver,
typically a parent, fabricates, exaggerates, or induces physical or psychological
health problems in a person under their care to gain attention or sympathy for
themselves .
3. Symptoms of depression are a side effect of which neurotransmitter medication?
A. Dopamine.
B. Gabapentin.
C. Mu.
D. Cortisol.
CORRECT ANSWER: D
Rationale: Cortisol is a steroid hormone, not a neurotransmitter. While the
question's parenthetical note is about neurotransmitters, cortisol is the correct
answer in the context of the options provided. Elevated or dysregulated cortisol
levels, as seen in Cushing's syndrome or chronic stress, are strongly associated
with depressive symptoms. Dopamine and GABA are neurotransmitters, while
"Mu" refers to an opioid receptor .
4. The right lymphatic ducts drain into what part of the circulatory system?
,A. Arterial.
B. Venous.
C. Arteriovenous system.
D. Capillary bed.
CORRECT ANSWER: B
Rationale: The right lymphatic duct drains lymph from the right upper quadrant of
the body into the venous system at the junction of the right subclavian and right
internal jugular veins. The thoracic duct, which drains the rest of the body, drains
into the venous system at the left subclavian and internal jugular vein junction .
5. Which lesion is dark, raised and asymmetric with irregular borders?
A. Nevus.
B. Actinic.
C. Keratoacanthoma.
D. Melanoma.
CORRECT ANSWER: D
Rationale: Melanoma is the most serious type of skin cancer and is characterized
by the ABCDEs of melanoma detection: Asymmetry, irregular Borders, variation
in Color, Diameter greater than 6mm, and Evolving/changing over time. These
features distinguish it from benign nevi .
6. A pediatric patient has areas of scaling on the scalp, with round patches of
alopecia. This clinical finding is consistent with:
, A. Tinea capitis.
B. Seborrheic dermatitis.
C. Trichotillomania.
D. Alopecia areata.
CORRECT ANSWER: A
Rationale: Tinea capitis, or ringworm of the scalp, is a fungal infection common in
children. It typically presents with round, scaly patches of alopecia (hair loss) on
the scalp, often with broken-off hair shafts .
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:
A. Dry mouth.
B. Chest pain.
C. Decreased blood pressure.
D. Systolic murmur.
CORRECT ANSWER: B
Rationale: Acute aortic regurgitation is a medical emergency. The sudden volume
overload on the left ventricle leads to acute pulmonary edema, resulting in severe
dyspnea. This is often accompanied by chest pain (angina) due to decreased
coronary perfusion and a rapid heartbeat (tachycardia). The murmur in AR is
typically a diastolic murmur .
IN ONE DOCUMENT) LATEST 2026/2027 COMPLETE ACCURATE
EXAM ACTUAL QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (100% CORRECT VERIFIED SOLUTIONS)
NEWEST UPDATED VERSION 2026 EDITION |FULL REVISED
NURSING MISC 3P EXAM |JUST RELEASED
1. 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:
A. Have the patient return in 2 weeks for a follow-up vision screen.
B. Refer the patient to an ophthalmologist.
C. Dilate the eyes and retest.
D. Document this as a normal finding.
CORRECT ANSWER: B
Rationale: A finding of 20/60 in either eye is a significant visual deficit that
requires prompt referral to a specialist for a comprehensive evaluation to determine
the underlying cause. This is not a normal finding and should not be dismissed or
delayed .
2. The American Psychiatric Association’s Diagnostic and Statistical Manual
Disorder fifth edition (DSM-5) describes Munchausen Syndrome by proxy as:
A. A self-inflicted injury to gain attention.
B. A caregiver making up or causing an illness or injury in a person under his or
her care.
C. An abusive behavior that does not involve the caregiver.
,D. A situation in which the abuser is often inattentive and uncaring toward the
victim.
CORRECT ANSWER: B
Rationale: Munchausen syndrome by proxy (now more commonly termed
factitious disorder imposed on another) is a mental illness in which a caregiver,
typically a parent, fabricates, exaggerates, or induces physical or psychological
health problems in a person under their care to gain attention or sympathy for
themselves .
3. Symptoms of depression are a side effect of which neurotransmitter medication?
A. Dopamine.
B. Gabapentin.
C. Mu.
D. Cortisol.
CORRECT ANSWER: D
Rationale: Cortisol is a steroid hormone, not a neurotransmitter. While the
question's parenthetical note is about neurotransmitters, cortisol is the correct
answer in the context of the options provided. Elevated or dysregulated cortisol
levels, as seen in Cushing's syndrome or chronic stress, are strongly associated
with depressive symptoms. Dopamine and GABA are neurotransmitters, while
"Mu" refers to an opioid receptor .
4. The right lymphatic ducts drain into what part of the circulatory system?
,A. Arterial.
B. Venous.
C. Arteriovenous system.
D. Capillary bed.
CORRECT ANSWER: B
Rationale: The right lymphatic duct drains lymph from the right upper quadrant of
the body into the venous system at the junction of the right subclavian and right
internal jugular veins. The thoracic duct, which drains the rest of the body, drains
into the venous system at the left subclavian and internal jugular vein junction .
5. Which lesion is dark, raised and asymmetric with irregular borders?
A. Nevus.
B. Actinic.
C. Keratoacanthoma.
D. Melanoma.
CORRECT ANSWER: D
Rationale: Melanoma is the most serious type of skin cancer and is characterized
by the ABCDEs of melanoma detection: Asymmetry, irregular Borders, variation
in Color, Diameter greater than 6mm, and Evolving/changing over time. These
features distinguish it from benign nevi .
6. A pediatric patient has areas of scaling on the scalp, with round patches of
alopecia. This clinical finding is consistent with:
, A. Tinea capitis.
B. Seborrheic dermatitis.
C. Trichotillomania.
D. Alopecia areata.
CORRECT ANSWER: A
Rationale: Tinea capitis, or ringworm of the scalp, is a fungal infection common in
children. It typically presents with round, scaly patches of alopecia (hair loss) on
the scalp, often with broken-off hair shafts .
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:
A. Dry mouth.
B. Chest pain.
C. Decreased blood pressure.
D. Systolic murmur.
CORRECT ANSWER: B
Rationale: Acute aortic regurgitation is a medical emergency. The sudden volume
overload on the left ventricle leads to acute pulmonary edema, resulting in severe
dyspnea. This is often accompanied by chest pain (angina) due to decreased
coronary perfusion and a rapid heartbeat (tachycardia). The murmur in AR is
typically a diastolic murmur .
