Sarah Michelle Live Review Study Guide –
100+ Practice Questions & Verified
Answers for Nurse Practitioner Exam
Prep (PDF)
Exam Overview & Key Facts
Feature Details
Target Audience NP students (NR 603, FNP, AANP/ANCC prep)
Question
Multiple choice with detailed rationales
Format
HEENT, Cardiovascular, Respiratory, Endocrine, Hematology, Autoimmune,
Focus Areas
Pharmacology
Key Strategy "Stress-free" mindset, high-yield "need-to-know" content
SECTION 1: HEENT (Head, Eyes, Ears, Nose, Throat)
Q1. A new graduate nurse practitioner has a patient present with a hearing complaint.
The patient states that they have had decreased hearing on the right side for the last
month that is continuing to get worse. The NP completes both the Rinne and Weber
,tests. If the patient has Ménière's disease, what would be the expected finding on the
Weber test?
A. AC is 2 times longer than BC
B. BC is 2 times longer than AC
C. The tuning fork lateralizes to the right ear
D. The tuning fork lateralizes to the left ear
Answer: D
Rationale: In Ménière's disease, the Weber test will lateralize to the unaffected ear.
Since the patient has decreased hearing on the right side, the tuning fork will lateralize
to the left (unaffected) ear .
Q2. What are common signs and symptoms of Ménière's disease?
A. Tinnitus, hearing loss, and headache
B. Vertigo, tinnitus, ear pressure, and nystagmus
C. Dizziness, fever, and ear pain
D. Hearing loss, diplopia, and ataxia
Answer: B
Rationale: Ménière's disease is characterized by the classic triad of vertigo, tinnitus, and
hearing loss, along with ear pressure and nystagmus .
Q3. What is our biggest worry for a Ménière's disease patient?
A. Development of migraines
B. Potential for permanent hearing loss
C. Risk of stroke
D. Development of otitis media
Answer: B
Rationale: The most significant concern for patients with Ménière's disease is the
potential for permanent hearing loss .
,Q4. What is rhinitis medicamentosa?
A. An allergic reaction to medication
B. Drug-induced rebound nasal congestion
C. A bacterial infection of the nasal passages
D. A congenital nasal deformity
Answer: B
Rationale: Rhinitis medicamentosa is drug-induced rebound nasal congestion. This can
happen after use of nasal decongestants like Afrin. These nasal decongestants should
ideally not be used for greater than 3-5 days because of this risk .
Q5. What is herpes keratitis?
A. A bacterial infection of the cornea
B. An infection of the cornea due to herpes simplex virus
C. A fungal infection of the eye
D. A viral infection of the conjunctiva
Answer: B
Rationale: Herpes keratitis is an infection of the cornea caused by the herpes simplex
virus .
Q6. How is herpes keratitis diagnosed?
A. By culture of corneal tissue
B. By examining the eye under a black lamp - fern-like lines will be seen on the cornea
C. By blood test for HSV antibodies
D. By visual acuity testing only
Answer: B
, Rationale: Herpes keratitis is diagnosed by examining the eye under a black lamp
(Wood's lamp). In herpes keratitis, fern-like lines will be seen on the cornea .
SECTION 2: INFECTIOUS DISEASE & PEDIATRICS
Q7. A child that has a history of mononucleosis is at increased risk for development of
what cancer later in life? And why?
A. Leukemia, due to genetic mutation
B. Hodgkin's Lymphoma and Burkitt's Lymphoma, due to exposure to Epstein-Barr virus
C. Lung cancer, due to respiratory complications
D. Brain tumors, due to viral encephalitis
Answer: B
Rationale: Children with a history of mononucleosis are at increased risk for Hodgkin's
Lymphoma and Burkitt's Lymphoma later in life. This is due to the exposure to the
Epstein-Barr virus .
Q8. What types of patients will be at a higher risk of pneumonia?
A. Patients with a history of allergies
B. Patients with chronic lung diseases: asthma, COPD, cystic fibrosis
C. Patients with a history of ear infections
D. Patients with a history of skin infections
Answer: B
Rationale: Patients with chronic lung diseases such as asthma, COPD, and cystic fibrosis
are at higher risk of developing pneumonia .
Q9. Why are cough suppressants not helpful in pneumonia patients?
100+ Practice Questions & Verified
Answers for Nurse Practitioner Exam
Prep (PDF)
Exam Overview & Key Facts
Feature Details
Target Audience NP students (NR 603, FNP, AANP/ANCC prep)
Question
Multiple choice with detailed rationales
Format
HEENT, Cardiovascular, Respiratory, Endocrine, Hematology, Autoimmune,
Focus Areas
Pharmacology
Key Strategy "Stress-free" mindset, high-yield "need-to-know" content
SECTION 1: HEENT (Head, Eyes, Ears, Nose, Throat)
Q1. A new graduate nurse practitioner has a patient present with a hearing complaint.
The patient states that they have had decreased hearing on the right side for the last
month that is continuing to get worse. The NP completes both the Rinne and Weber
,tests. If the patient has Ménière's disease, what would be the expected finding on the
Weber test?
A. AC is 2 times longer than BC
B. BC is 2 times longer than AC
C. The tuning fork lateralizes to the right ear
D. The tuning fork lateralizes to the left ear
Answer: D
Rationale: In Ménière's disease, the Weber test will lateralize to the unaffected ear.
Since the patient has decreased hearing on the right side, the tuning fork will lateralize
to the left (unaffected) ear .
Q2. What are common signs and symptoms of Ménière's disease?
A. Tinnitus, hearing loss, and headache
B. Vertigo, tinnitus, ear pressure, and nystagmus
C. Dizziness, fever, and ear pain
D. Hearing loss, diplopia, and ataxia
Answer: B
Rationale: Ménière's disease is characterized by the classic triad of vertigo, tinnitus, and
hearing loss, along with ear pressure and nystagmus .
Q3. What is our biggest worry for a Ménière's disease patient?
A. Development of migraines
B. Potential for permanent hearing loss
C. Risk of stroke
D. Development of otitis media
Answer: B
Rationale: The most significant concern for patients with Ménière's disease is the
potential for permanent hearing loss .
,Q4. What is rhinitis medicamentosa?
A. An allergic reaction to medication
B. Drug-induced rebound nasal congestion
C. A bacterial infection of the nasal passages
D. A congenital nasal deformity
Answer: B
Rationale: Rhinitis medicamentosa is drug-induced rebound nasal congestion. This can
happen after use of nasal decongestants like Afrin. These nasal decongestants should
ideally not be used for greater than 3-5 days because of this risk .
Q5. What is herpes keratitis?
A. A bacterial infection of the cornea
B. An infection of the cornea due to herpes simplex virus
C. A fungal infection of the eye
D. A viral infection of the conjunctiva
Answer: B
Rationale: Herpes keratitis is an infection of the cornea caused by the herpes simplex
virus .
Q6. How is herpes keratitis diagnosed?
A. By culture of corneal tissue
B. By examining the eye under a black lamp - fern-like lines will be seen on the cornea
C. By blood test for HSV antibodies
D. By visual acuity testing only
Answer: B
, Rationale: Herpes keratitis is diagnosed by examining the eye under a black lamp
(Wood's lamp). In herpes keratitis, fern-like lines will be seen on the cornea .
SECTION 2: INFECTIOUS DISEASE & PEDIATRICS
Q7. A child that has a history of mononucleosis is at increased risk for development of
what cancer later in life? And why?
A. Leukemia, due to genetic mutation
B. Hodgkin's Lymphoma and Burkitt's Lymphoma, due to exposure to Epstein-Barr virus
C. Lung cancer, due to respiratory complications
D. Brain tumors, due to viral encephalitis
Answer: B
Rationale: Children with a history of mononucleosis are at increased risk for Hodgkin's
Lymphoma and Burkitt's Lymphoma later in life. This is due to the exposure to the
Epstein-Barr virus .
Q8. What types of patients will be at a higher risk of pneumonia?
A. Patients with a history of allergies
B. Patients with chronic lung diseases: asthma, COPD, cystic fibrosis
C. Patients with a history of ear infections
D. Patients with a history of skin infections
Answer: B
Rationale: Patients with chronic lung diseases such as asthma, COPD, and cystic fibrosis
are at higher risk of developing pneumonia .
Q9. Why are cough suppressants not helpful in pneumonia patients?
