NSG554 Exam 1 – Nurse Practitioners in Primary Care I
Questions and Answers -Wilkes
1. Which statement best describes the primary role of a nurse practitioner in primary
care?
A. Managing only acute illnesses
B. Providing comprehensive, patient-centered care across the lifespan
C. Performing surgery independently
D. Prescribing medications only
2. Which preventive service is recommended for all adults regardless of age?
A. Annual colonoscopy
B. Blood pressure screening
C. Bone density testing annually
D. Chest CT scan
3. Which blood pressure reading meets the ACC/AHA definition of Stage 1
hypertension?
A. 118/76 mmHg
B. 124/78 mmHg
C. 132/84 mmHg
D. 165/98 mmHg
4. The first step in evidence-based practice is to:
A. Conduct research
B. Formulate a clinical question
C. Publish findings
D. Review patient billing records
5. Which laboratory test best reflects average blood glucose over the previous 2–3
months?
A. Fasting glucose
B. Random glucose
C. Hemoglobin A1C
D. Oral glucose tolerance test
6. A patient with type 2 diabetes should generally have an A1C goal of:
A. <5.0%
,B. <7.0% (individualized)
C. <9.5%
D. <10%
7. Which medication is considered first-line therapy for most patients with type 2
diabetes?
A. Insulin glargine
B. Metformin
C. Glyburide
D. Pioglitazone
8. Which lipid profile component is considered the "good cholesterol"?
A. LDL
B. HDL
C. Triglycerides
D. VLDL
9. Smoking cessation counseling is an example of:
A. Tertiary prevention
B. Primary prevention
C. Quaternary prevention
D. Rehabilitation
10. Which vaccine is recommended annually for adults?
A. MMR
B. Influenza vaccine
C. HPV vaccine after age 65
D. Hepatitis B booster yearly
11. Which symptom is most concerning for acute coronary syndrome?
A. Sharp pain relieved by deep breathing
B. Pressure-like chest pain radiating to the left arm
C. Localized chest tenderness
D. Pain only when coughing
12. The most common cause of hypothyroidism in the United States is:
A. Graves disease
B. Hashimoto thyroiditis
C. Pituitary adenoma
D. Thyroid cancer
, 13. Which thyroid laboratory result is consistent with primary hypothyroidism?
A. Low TSH, high free T4
B. High TSH, low free T4
C. Low TSH, low T4
D. Normal TSH, elevated T4
14. Which body mass index (BMI) is classified as obesity?
A. 23 kg/m²
B. 26 kg/m²
C. 29 kg/m²
D. 31 kg/m²
15. Which lifestyle modification is recommended first for uncomplicated hypertension?
A. Immediate insulin therapy
B. Sodium reduction and regular exercise
C. Complete bed rest
D. High-protein diet only
16. Which screening test is recommended beginning at age 45 for average-risk adults?
A. Colon cancer screening
B. Lung CT screening for everyone
C. PSA screening annually for all men
D. Carotid ultrasound
17. Which finding is most suggestive of bacterial pneumonia?
A. Clear lungs with normal temperature
B. Fever, productive cough, focal crackles
C. Sneezing and itchy eyes only
D. Dry cough after exercise
18. Which medication class is generally recommended first-line for uncomplicated
hypertension in many patients?
A. Antibiotics
B. ACE inhibitors, thiazide diuretics, calcium channel blockers, or ARBs (depending on
the patient)
C. Opioids
D. Corticosteroids
19. Shared decision-making emphasizes:
Questions and Answers -Wilkes
1. Which statement best describes the primary role of a nurse practitioner in primary
care?
A. Managing only acute illnesses
B. Providing comprehensive, patient-centered care across the lifespan
C. Performing surgery independently
D. Prescribing medications only
2. Which preventive service is recommended for all adults regardless of age?
A. Annual colonoscopy
B. Blood pressure screening
C. Bone density testing annually
D. Chest CT scan
3. Which blood pressure reading meets the ACC/AHA definition of Stage 1
hypertension?
A. 118/76 mmHg
B. 124/78 mmHg
C. 132/84 mmHg
D. 165/98 mmHg
4. The first step in evidence-based practice is to:
A. Conduct research
B. Formulate a clinical question
C. Publish findings
D. Review patient billing records
5. Which laboratory test best reflects average blood glucose over the previous 2–3
months?
A. Fasting glucose
B. Random glucose
C. Hemoglobin A1C
D. Oral glucose tolerance test
6. A patient with type 2 diabetes should generally have an A1C goal of:
A. <5.0%
,B. <7.0% (individualized)
C. <9.5%
D. <10%
7. Which medication is considered first-line therapy for most patients with type 2
diabetes?
A. Insulin glargine
B. Metformin
C. Glyburide
D. Pioglitazone
8. Which lipid profile component is considered the "good cholesterol"?
A. LDL
B. HDL
C. Triglycerides
D. VLDL
9. Smoking cessation counseling is an example of:
A. Tertiary prevention
B. Primary prevention
C. Quaternary prevention
D. Rehabilitation
10. Which vaccine is recommended annually for adults?
A. MMR
B. Influenza vaccine
C. HPV vaccine after age 65
D. Hepatitis B booster yearly
11. Which symptom is most concerning for acute coronary syndrome?
A. Sharp pain relieved by deep breathing
B. Pressure-like chest pain radiating to the left arm
C. Localized chest tenderness
D. Pain only when coughing
12. The most common cause of hypothyroidism in the United States is:
A. Graves disease
B. Hashimoto thyroiditis
C. Pituitary adenoma
D. Thyroid cancer
, 13. Which thyroid laboratory result is consistent with primary hypothyroidism?
A. Low TSH, high free T4
B. High TSH, low free T4
C. Low TSH, low T4
D. Normal TSH, elevated T4
14. Which body mass index (BMI) is classified as obesity?
A. 23 kg/m²
B. 26 kg/m²
C. 29 kg/m²
D. 31 kg/m²
15. Which lifestyle modification is recommended first for uncomplicated hypertension?
A. Immediate insulin therapy
B. Sodium reduction and regular exercise
C. Complete bed rest
D. High-protein diet only
16. Which screening test is recommended beginning at age 45 for average-risk adults?
A. Colon cancer screening
B. Lung CT screening for everyone
C. PSA screening annually for all men
D. Carotid ultrasound
17. Which finding is most suggestive of bacterial pneumonia?
A. Clear lungs with normal temperature
B. Fever, productive cough, focal crackles
C. Sneezing and itchy eyes only
D. Dry cough after exercise
18. Which medication class is generally recommended first-line for uncomplicated
hypertension in many patients?
A. Antibiotics
B. ACE inhibitors, thiazide diuretics, calcium channel blockers, or ARBs (depending on
the patient)
C. Opioids
D. Corticosteroids
19. Shared decision-making emphasizes:
