Nurse Practitioner Exam Tips Practice Test (PDF) |
Latest 2026/27 Update Graded A+ | Instant Pdf
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1. A male patient on spironolactone reports breast tenderness and enlargement.
What should be your next step in management?
Evaluate the patient's medication regimen and consider alternatives if
gynecomastia is bothersome.
Switch the patient to a diuretic without potassium-sparing properties.
Increase the dose of spironolactone to manage symptoms.
Reassure the patient that gynecomastia is a normal side effect and requires no action.
2. What is the appearance of consolidation on a chest X-ray (CXR) when identifying
right middle-lobe pneumonia?
Gray-colored area
Transparent area
White-colored area
Black-colored area
3. Which of the following tests would you order to confirm the diagnosis of community
acquired pneumonia (CAP)?
Nasopharyngeal culture by PCR
Chest- x-ray
Rapid influenza antigen test
Electrocardiogram (ECG)
,4. What types of foods should patients with high triglycerides avoid?
Lean proteins and healthy fats.
Fruits and vegetables.
High-fiber foods and whole grains.
Alcohol, simple carbohydrates, sugars, and junk foods.
5. What does the term '20/40 vision' indicate about a patient's visual acuity?
A patient can see at 40 feet what a person with normal vision can see at 20 feet.
A patient can see at 40 feet what a person with normal vision can see at 40 feet.
A patient can see at 20 feet what a person with normal vision can see at 40
feet.
A patient can see at 20 feet what a person with normal vision can see at 20 feet.
6. A patient presents with a cough and wheezing but has no fever or purulent sputum. Based
on the treatment guidelines for acute bronchitis, what should be the next step in
management?
Prescribe a course of antibiotics.
Provide symptomatic treatment and advise on home care.
Refer the patient to a specialist for further evaluation.
Order a chest X-ray to rule out pneumonia.
7. A patient on metformin 500mg daily has an A1c of 8.5%. After increasing the dose to 500mg
BID, what should be monitored in the following weeks?
, Only blood glucose levels.
The patient's blood pressure and cholesterol levels.
The patient's weight and dietary habits.
A1c levels and potential side effects of metformin.
8. What skin condition is indicated by the presence of a herald patch and a Christmas tree
pattern?
Pityriasis rosea
Seborrheic dermatitis
Eczema
Psoriasis
9. A 50-year-old patient with a history of hyperlipidemia presents to your clinic for
evaluation. You order a fasting lipid profile, and the results show a triglyceride level of 520
mg/dL. According to the provided management flow, what is the most appropriate initial
medication therapy for this patient to reduce triglycerides?
Begin treatment with nicotinic acid (Niacin)
Start with a fibrate (Fenofibrate or Gemfibrozil)
Initiate a statin medication
Refer the patient for immediate pancreatitis evaluation
10. A nurse notices a patient with painful vesicular lesions on their finger. What should be the
nurse's immediate action regarding patient education?
Advise the patient to ignore the lesions as they will resolve on their own.
, Recommend that the patient cover the lesions with a bandage and continue normal
activities.
Educate the patient about the contagious nature of herpetic whitlow and
the importance of avoiding direct contact with others until lesions heal.
Instruct the patient to apply topical antibiotics to the lesions.
11. What is a typical chest X-ray (CXR) finding associated with bacterial
pneumonia?
Pleural effusion
Hyperinflation of the lungs
Nodular opacities
Consolidation in the affected lobe
12. Which of the following statements about non-alcoholic fatty liver disease (NAFLD) is
correct?
NAFLD is exclusively caused by excessive alcohol consumption.
NAFLD is associated with the accumulation of fat in the liver, often in
individuals with metabolic risk factors.
NAFLD is characterized by the presence of alcohol induced liver cirrhosis.
NAFLD is not a significant health concern and rarely leads to complications.
13. A patient is found to have an elevated TSH level. What should the practitioner
do next?
Put the patient right away on levothyroxine daily
Latest 2026/27 Update Graded A+ | Instant Pdf
Download
1. A male patient on spironolactone reports breast tenderness and enlargement.
What should be your next step in management?
Evaluate the patient's medication regimen and consider alternatives if
gynecomastia is bothersome.
Switch the patient to a diuretic without potassium-sparing properties.
Increase the dose of spironolactone to manage symptoms.
Reassure the patient that gynecomastia is a normal side effect and requires no action.
2. What is the appearance of consolidation on a chest X-ray (CXR) when identifying
right middle-lobe pneumonia?
Gray-colored area
Transparent area
White-colored area
Black-colored area
3. Which of the following tests would you order to confirm the diagnosis of community
acquired pneumonia (CAP)?
Nasopharyngeal culture by PCR
Chest- x-ray
Rapid influenza antigen test
Electrocardiogram (ECG)
,4. What types of foods should patients with high triglycerides avoid?
Lean proteins and healthy fats.
Fruits and vegetables.
High-fiber foods and whole grains.
Alcohol, simple carbohydrates, sugars, and junk foods.
5. What does the term '20/40 vision' indicate about a patient's visual acuity?
A patient can see at 40 feet what a person with normal vision can see at 20 feet.
A patient can see at 40 feet what a person with normal vision can see at 40 feet.
A patient can see at 20 feet what a person with normal vision can see at 40
feet.
A patient can see at 20 feet what a person with normal vision can see at 20 feet.
6. A patient presents with a cough and wheezing but has no fever or purulent sputum. Based
on the treatment guidelines for acute bronchitis, what should be the next step in
management?
Prescribe a course of antibiotics.
Provide symptomatic treatment and advise on home care.
Refer the patient to a specialist for further evaluation.
Order a chest X-ray to rule out pneumonia.
7. A patient on metformin 500mg daily has an A1c of 8.5%. After increasing the dose to 500mg
BID, what should be monitored in the following weeks?
, Only blood glucose levels.
The patient's blood pressure and cholesterol levels.
The patient's weight and dietary habits.
A1c levels and potential side effects of metformin.
8. What skin condition is indicated by the presence of a herald patch and a Christmas tree
pattern?
Pityriasis rosea
Seborrheic dermatitis
Eczema
Psoriasis
9. A 50-year-old patient with a history of hyperlipidemia presents to your clinic for
evaluation. You order a fasting lipid profile, and the results show a triglyceride level of 520
mg/dL. According to the provided management flow, what is the most appropriate initial
medication therapy for this patient to reduce triglycerides?
Begin treatment with nicotinic acid (Niacin)
Start with a fibrate (Fenofibrate or Gemfibrozil)
Initiate a statin medication
Refer the patient for immediate pancreatitis evaluation
10. A nurse notices a patient with painful vesicular lesions on their finger. What should be the
nurse's immediate action regarding patient education?
Advise the patient to ignore the lesions as they will resolve on their own.
, Recommend that the patient cover the lesions with a bandage and continue normal
activities.
Educate the patient about the contagious nature of herpetic whitlow and
the importance of avoiding direct contact with others until lesions heal.
Instruct the patient to apply topical antibiotics to the lesions.
11. What is a typical chest X-ray (CXR) finding associated with bacterial
pneumonia?
Pleural effusion
Hyperinflation of the lungs
Nodular opacities
Consolidation in the affected lobe
12. Which of the following statements about non-alcoholic fatty liver disease (NAFLD) is
correct?
NAFLD is exclusively caused by excessive alcohol consumption.
NAFLD is associated with the accumulation of fat in the liver, often in
individuals with metabolic risk factors.
NAFLD is characterized by the presence of alcohol induced liver cirrhosis.
NAFLD is not a significant health concern and rarely leads to complications.
13. A patient is found to have an elevated TSH level. What should the practitioner
do next?
Put the patient right away on levothyroxine daily
