1. A 72-year-old woman with Stage II hypertension has been taking hydrochlorothiazide
12.5 mg daily for years. Her blood pressure today is 168/96 mmHg. She recently
increased her ibuprofen (Motrin) dose from 400 mg three times daily to 800 mg three
times daily for hip and knee pain. Which statement best explains the effect of ibuprofen
on her condition?
a. It increases the chances of adverse effects to her health
b. It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic
c. It prolongs the therapeutic effects of hydrochlorothiazide and other diuretics
d. None of the statements are true
Answer: b. It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic
Rationale: NSAIDs inhibit renal prostaglandins, reducing renal blood flow and decreasing the
effectiveness of diuretics such as hydrochlorothiazide. This interaction can worsen hypertension
and increase the risk of renal impairment.
2. All of the following infections commonly affect the labia and vagina except:
a. Bacterial vaginosis
b. Candidiasis
c. Trichomoniasis
d. Chlamydia trachomatis
Answer: d. Chlamydia trachomatis
Rationale: Chlamydia trachomatis primarily infects the cervix, endometrium, and fallopian tubes
rather than the labia and vagina.
3. The nurse practitioner would test the obturator and iliopsoas muscles to evaluate for:
,a. Cholecystitis
b. Acute appendicitis
c. Inguinal hernia
d. Gastric ulcer
Answer: b. Acute appendicitis
Rationale: Positive obturator and psoas signs are associated with irritation of abdominal
muscles due to appendicitis.
4. Treatment for mild preeclampsia includes all of the following except:
a. Bed rest except for bathroom privileges
b. Close monitoring of weight and blood pressure
c. Close follow-up of urinary protein, serum creatinine, and platelet count
d. A prescription of methyldopa (Aldomet) to control blood pressure
Answer: d. A prescription of methyldopa (Aldomet) to control blood pressure
Rationale: Mild preeclampsia is primarily managed with monitoring and rest. Oral
antihypertensive medications are not first-line treatment unless severe hypertension develops.
5. All of the following services are covered under Medicare Part A except:
a. Inpatient hospitalizations
b. Medicines administered during hospitalization
c. Nursing home care
d. Surgeons
Answer: c. Nursing home care
Rationale: Medicare Part A covers inpatient hospitalization and skilled nursing care, but
custodial nursing home care is generally not covered.
, 6. A 28-year-old student presents with a productive cough, runny nose, low-grade fever,
diffuse crackles, and lower lobe infiltrates on chest x-ray. What is the most likely
diagnosis?
a. Streptococcal pneumonia
b. Mycoplasma pneumonia
c. Acute bronchitis
d. Legionnaires disease
Answer: b. Mycoplasma pneumonia
Rationale: Mycoplasma pneumonia commonly affects young adults and presents with mild
respiratory symptoms and diffuse infiltrates on chest imaging.
7. A 39-year-old migrant worker returns 2.5 days after a PPD test. What minimum
induration size is considered positive?
a. 3 mm
b. 5 mm
c. 10 mm
d. 15 mm
Answer: c. 10 mm
Rationale: An induration of 10 mm or greater is considered positive in individuals with certain
risk factors, including migrant workers.
8. All of the following statements regarding a durable power of attorney are true except:
a. The agent’s decisions are legally binding
b. The agent can make financial decisions for the patient
c. The agent can decide when life support should be terminated
d. The patient’s spouse can override the agent’s decisions
Answer: d. The patient’s spouse can override the agent’s decisions
, Rationale: The designated agent has legal authority to make decisions on behalf of the patient,
and those decisions cannot be overridden by the spouse.
9. All of the following statements regarding Munchausen syndrome are true except:
a. It is considered a mental illness
b. The patient has a medical illness causing anxiety and denial
c. The patient fakes illness to gain attention from healthcare providers
d. The patient often has an inconsistent medical history and frequent hospitalizations
Answer: b. The patient has a medical illness causing anxiety and denial
Rationale: Munchausen syndrome is a factitious disorder in which patients intentionally fake
illness for attention, not due to anxiety from a true medical illness.
10. Which antihypertensive medication should be avoided in patients with emphysema?
a. Calcium channel blockers
b. ACE inhibitors
c. Beta-blockers
d. Diuretics
Answer: c. Beta-blockers
Rationale: Beta-blockers can worsen bronchoconstriction and reduce lung function in patients
with emphysema or other obstructive lung diseases.
A 30-year-old chef complains of pruritic hives over her chest and arms but denies difficulty
swallowing or breathing. She reports a family history of allergic rhinitis and asthma. Which of
the following interventions is most appropriate?
A) Perform a complete and thorough history
B) Prescribe an oral antihistamine such as diphenhydramine 25 mg PO QID
12.5 mg daily for years. Her blood pressure today is 168/96 mmHg. She recently
increased her ibuprofen (Motrin) dose from 400 mg three times daily to 800 mg three
times daily for hip and knee pain. Which statement best explains the effect of ibuprofen
on her condition?
a. It increases the chances of adverse effects to her health
b. It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic
c. It prolongs the therapeutic effects of hydrochlorothiazide and other diuretics
d. None of the statements are true
Answer: b. It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic
Rationale: NSAIDs inhibit renal prostaglandins, reducing renal blood flow and decreasing the
effectiveness of diuretics such as hydrochlorothiazide. This interaction can worsen hypertension
and increase the risk of renal impairment.
2. All of the following infections commonly affect the labia and vagina except:
a. Bacterial vaginosis
b. Candidiasis
c. Trichomoniasis
d. Chlamydia trachomatis
Answer: d. Chlamydia trachomatis
Rationale: Chlamydia trachomatis primarily infects the cervix, endometrium, and fallopian tubes
rather than the labia and vagina.
3. The nurse practitioner would test the obturator and iliopsoas muscles to evaluate for:
,a. Cholecystitis
b. Acute appendicitis
c. Inguinal hernia
d. Gastric ulcer
Answer: b. Acute appendicitis
Rationale: Positive obturator and psoas signs are associated with irritation of abdominal
muscles due to appendicitis.
4. Treatment for mild preeclampsia includes all of the following except:
a. Bed rest except for bathroom privileges
b. Close monitoring of weight and blood pressure
c. Close follow-up of urinary protein, serum creatinine, and platelet count
d. A prescription of methyldopa (Aldomet) to control blood pressure
Answer: d. A prescription of methyldopa (Aldomet) to control blood pressure
Rationale: Mild preeclampsia is primarily managed with monitoring and rest. Oral
antihypertensive medications are not first-line treatment unless severe hypertension develops.
5. All of the following services are covered under Medicare Part A except:
a. Inpatient hospitalizations
b. Medicines administered during hospitalization
c. Nursing home care
d. Surgeons
Answer: c. Nursing home care
Rationale: Medicare Part A covers inpatient hospitalization and skilled nursing care, but
custodial nursing home care is generally not covered.
, 6. A 28-year-old student presents with a productive cough, runny nose, low-grade fever,
diffuse crackles, and lower lobe infiltrates on chest x-ray. What is the most likely
diagnosis?
a. Streptococcal pneumonia
b. Mycoplasma pneumonia
c. Acute bronchitis
d. Legionnaires disease
Answer: b. Mycoplasma pneumonia
Rationale: Mycoplasma pneumonia commonly affects young adults and presents with mild
respiratory symptoms and diffuse infiltrates on chest imaging.
7. A 39-year-old migrant worker returns 2.5 days after a PPD test. What minimum
induration size is considered positive?
a. 3 mm
b. 5 mm
c. 10 mm
d. 15 mm
Answer: c. 10 mm
Rationale: An induration of 10 mm or greater is considered positive in individuals with certain
risk factors, including migrant workers.
8. All of the following statements regarding a durable power of attorney are true except:
a. The agent’s decisions are legally binding
b. The agent can make financial decisions for the patient
c. The agent can decide when life support should be terminated
d. The patient’s spouse can override the agent’s decisions
Answer: d. The patient’s spouse can override the agent’s decisions
, Rationale: The designated agent has legal authority to make decisions on behalf of the patient,
and those decisions cannot be overridden by the spouse.
9. All of the following statements regarding Munchausen syndrome are true except:
a. It is considered a mental illness
b. The patient has a medical illness causing anxiety and denial
c. The patient fakes illness to gain attention from healthcare providers
d. The patient often has an inconsistent medical history and frequent hospitalizations
Answer: b. The patient has a medical illness causing anxiety and denial
Rationale: Munchausen syndrome is a factitious disorder in which patients intentionally fake
illness for attention, not due to anxiety from a true medical illness.
10. Which antihypertensive medication should be avoided in patients with emphysema?
a. Calcium channel blockers
b. ACE inhibitors
c. Beta-blockers
d. Diuretics
Answer: c. Beta-blockers
Rationale: Beta-blockers can worsen bronchoconstriction and reduce lung function in patients
with emphysema or other obstructive lung diseases.
A 30-year-old chef complains of pruritic hives over her chest and arms but denies difficulty
swallowing or breathing. She reports a family history of allergic rhinitis and asthma. Which of
the following interventions is most appropriate?
A) Perform a complete and thorough history
B) Prescribe an oral antihistamine such as diphenhydramine 25 mg PO QID
