NSG 554 Exam 2 V2 | NSG 554 Nurse Practitioners in Primary Care |
Wilkes University | 2026 Q&A with Rationale (Wilkes NSG554 Exam2
2026)
Question 1
A 67-year-old man presents with urinary hesitancy, weak stream, nocturia three times nightly,
and incomplete bladder emptying. Digital rectal examination reveals a smooth, enlarged prostate.
Which medication provides the fastest symptomatic relief?
A. Finasteride
B. Tamsulosin
C. Dutasteride
D. Oxybutynin
Answer: B. Tamsulosin
Rationale: Alpha-1 blockers relax smooth muscle in the bladder neck and prostate, providing
rapid symptom improvement within days.
Question 2
Which medication reduces prostate size over several months by blocking testosterone
conversion?
A. Sildenafil
B. Finasteride
C. Tamsulosin
D. Terazosin
Answer: B. Finasteride
Question 3
A 25-year-old obese woman presents with irregular menstrual cycles, acne, and excessive facial
hair. Pregnancy test is negative.
,NSG 554 Exam 2 V2 | NSG 554 Nurse Practitioners in Primary Care |
Wilkes University | 2026 Q&A with Rationale (Wilkes NSG554 Exam2
2026)
Which diagnosis is most likely?
A. Premature ovarian failure
B. Polycystic Ovary Syndrome (PCOS)
C. Endometriosis
D. Hyperprolactinemia
Answer: B
Question 4
According to the Rotterdam criteria, PCOS is diagnosed when the patient has:
A. Elevated prolactin alone
B. Two of three diagnostic criteria
C. Elevated cortisol
D. Positive ANA
Answer: B
Question 5
A woman with PCOS desires pregnancy.
Which medication is currently recommended as first-line for ovulation induction?
A. Letrozole
B. Combined oral contraceptive
C. Spironolactone
D. Metformin alone
,NSG 554 Exam 2 V2 | NSG 554 Nurse Practitioners in Primary Care |
Wilkes University | 2026 Q&A with Rationale (Wilkes NSG554 Exam2
2026)
Answer: A
Question 6
A 69-year-old man presents with fatigue. CBC demonstrates hemoglobin 9.8 g/dL and MCV 70
fL.
Which laboratory study best confirms iron deficiency?
A. Ferritin
B. ESR
C. Platelet count
D. Vitamin D
Answer: A
Question 7
Which laboratory abnormality is expected in iron deficiency anemia?
A. Increased ferritin
B. Decreased transferrin
C. Increased total iron-binding capacity
D. Elevated vitamin B12
Answer: C
Question 8
A postmenopausal woman is diagnosed with iron deficiency anemia.
, NSG 554 Exam 2 V2 | NSG 554 Nurse Practitioners in Primary Care |
Wilkes University | 2026 Q&A with Rationale (Wilkes NSG554 Exam2
2026)
Which underlying cause should always be excluded?
A. Colon cancer
B. Migraine
C. Asthma
D. Kidney stones
Answer: A
Question 9
A patient with newly diagnosed hypothyroidism is prescribed levothyroxine.
When should TSH be rechecked?
A. 2 days
B. 2 weeks
C. 6–8 weeks
D. 6 months
Answer: C
Question 10
Which medication significantly decreases levothyroxine absorption?
A. Calcium carbonate
B. Acetaminophen
C. Amoxicillin
D. Ibuprofen
Wilkes University | 2026 Q&A with Rationale (Wilkes NSG554 Exam2
2026)
Question 1
A 67-year-old man presents with urinary hesitancy, weak stream, nocturia three times nightly,
and incomplete bladder emptying. Digital rectal examination reveals a smooth, enlarged prostate.
Which medication provides the fastest symptomatic relief?
A. Finasteride
B. Tamsulosin
C. Dutasteride
D. Oxybutynin
Answer: B. Tamsulosin
Rationale: Alpha-1 blockers relax smooth muscle in the bladder neck and prostate, providing
rapid symptom improvement within days.
Question 2
Which medication reduces prostate size over several months by blocking testosterone
conversion?
A. Sildenafil
B. Finasteride
C. Tamsulosin
D. Terazosin
Answer: B. Finasteride
Question 3
A 25-year-old obese woman presents with irregular menstrual cycles, acne, and excessive facial
hair. Pregnancy test is negative.
,NSG 554 Exam 2 V2 | NSG 554 Nurse Practitioners in Primary Care |
Wilkes University | 2026 Q&A with Rationale (Wilkes NSG554 Exam2
2026)
Which diagnosis is most likely?
A. Premature ovarian failure
B. Polycystic Ovary Syndrome (PCOS)
C. Endometriosis
D. Hyperprolactinemia
Answer: B
Question 4
According to the Rotterdam criteria, PCOS is diagnosed when the patient has:
A. Elevated prolactin alone
B. Two of three diagnostic criteria
C. Elevated cortisol
D. Positive ANA
Answer: B
Question 5
A woman with PCOS desires pregnancy.
Which medication is currently recommended as first-line for ovulation induction?
A. Letrozole
B. Combined oral contraceptive
C. Spironolactone
D. Metformin alone
,NSG 554 Exam 2 V2 | NSG 554 Nurse Practitioners in Primary Care |
Wilkes University | 2026 Q&A with Rationale (Wilkes NSG554 Exam2
2026)
Answer: A
Question 6
A 69-year-old man presents with fatigue. CBC demonstrates hemoglobin 9.8 g/dL and MCV 70
fL.
Which laboratory study best confirms iron deficiency?
A. Ferritin
B. ESR
C. Platelet count
D. Vitamin D
Answer: A
Question 7
Which laboratory abnormality is expected in iron deficiency anemia?
A. Increased ferritin
B. Decreased transferrin
C. Increased total iron-binding capacity
D. Elevated vitamin B12
Answer: C
Question 8
A postmenopausal woman is diagnosed with iron deficiency anemia.
, NSG 554 Exam 2 V2 | NSG 554 Nurse Practitioners in Primary Care |
Wilkes University | 2026 Q&A with Rationale (Wilkes NSG554 Exam2
2026)
Which underlying cause should always be excluded?
A. Colon cancer
B. Migraine
C. Asthma
D. Kidney stones
Answer: A
Question 9
A patient with newly diagnosed hypothyroidism is prescribed levothyroxine.
When should TSH be rechecked?
A. 2 days
B. 2 weeks
C. 6–8 weeks
D. 6 months
Answer: C
Question 10
Which medication significantly decreases levothyroxine absorption?
A. Calcium carbonate
B. Acetaminophen
C. Amoxicillin
D. Ibuprofen
