Barkley 3P Comprehensive Examination
Barkley & Associates, Inc.
Academic Year 2026/2027
Comprehensive Certification Practice
Examination
Questions 1–100
Instructions: Select the single best answer. The correct answer is italicized.
1.
Which component of a comprehensive patient assessment should be completed
first?
,A. Developing the treatment plan
B. Ordering advanced diagnostic testing
C. Obtaining a focused history and assessing the patient's presenting
concerns
D. Prescribing medication
2.
Which vital-sign abnormality is most concerning in an adult patient?
A. Temperature of 37.1°C
B. Heart rate of 76 beats/min
C. Respiratory rate of 16/min
D. Respiratory rate of 8/min
3.
A patient reports sudden substernal chest pressure radiating to the jaw. What is
the priority consideration?
A. Gastroesophageal reflux
B. Musculoskeletal strain
C. Acute coronary syndrome
D. Anxiety disorder
4.
,Which symptom is most characteristic of heart failure?
A. Polyuria
B. Exertional dyspnea
C. Increased appetite
D. Photophobia
5.
Which physical finding is commonly associated with fluid overload?
A. Dry mucous membranes
B. Flat neck veins
C. Peripheral edema
D. Poor skin turgor
6.
Which laboratory test is most useful for evaluating long-term glycemic control?
A. Fasting insulin
B. Random glucose
C. Hemoglobin A1c
D. Serum amylase
7.
, A fasting plasma glucose repeatedly measures 130 mg/dL. This finding is most
consistent with:
A. Normal glucose regulation
B. Hypoglycemia
C. Prediabetes only
D. Diabetes mellitus
8.
Which symptom is most consistent with hypoglycemia?
A. Polyuria
B. Diaphoresis and tremor
C. Dry skin
D. Kussmaul respirations
9.
Which finding is characteristic of hypothyroidism?
A. Heat intolerance
B. Tachycardia
C. Cold intolerance and fatigue
D. Increased bowel frequency
10.
Barkley & Associates, Inc.
Academic Year 2026/2027
Comprehensive Certification Practice
Examination
Questions 1–100
Instructions: Select the single best answer. The correct answer is italicized.
1.
Which component of a comprehensive patient assessment should be completed
first?
,A. Developing the treatment plan
B. Ordering advanced diagnostic testing
C. Obtaining a focused history and assessing the patient's presenting
concerns
D. Prescribing medication
2.
Which vital-sign abnormality is most concerning in an adult patient?
A. Temperature of 37.1°C
B. Heart rate of 76 beats/min
C. Respiratory rate of 16/min
D. Respiratory rate of 8/min
3.
A patient reports sudden substernal chest pressure radiating to the jaw. What is
the priority consideration?
A. Gastroesophageal reflux
B. Musculoskeletal strain
C. Acute coronary syndrome
D. Anxiety disorder
4.
,Which symptom is most characteristic of heart failure?
A. Polyuria
B. Exertional dyspnea
C. Increased appetite
D. Photophobia
5.
Which physical finding is commonly associated with fluid overload?
A. Dry mucous membranes
B. Flat neck veins
C. Peripheral edema
D. Poor skin turgor
6.
Which laboratory test is most useful for evaluating long-term glycemic control?
A. Fasting insulin
B. Random glucose
C. Hemoglobin A1c
D. Serum amylase
7.
, A fasting plasma glucose repeatedly measures 130 mg/dL. This finding is most
consistent with:
A. Normal glucose regulation
B. Hypoglycemia
C. Prediabetes only
D. Diabetes mellitus
8.
Which symptom is most consistent with hypoglycemia?
A. Polyuria
B. Diaphoresis and tremor
C. Dry skin
D. Kussmaul respirations
9.
Which finding is characteristic of hypothyroidism?
A. Heat intolerance
B. Tachycardia
C. Cold intolerance and fatigue
D. Increased bowel frequency
10.
