API 577 WELDING INSPECTION AND METALLURGY
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
1. A 56-year-old patient comes in for a routine well visit. He has a history of a previous
stroke and Type 2 Diabetes. Which of the following orders would be appropriate for a
patient with a previous stroke?
A. Initiate statin therapy
B. EEG
C. Warfarin therapy with an INR goal of 2-3
D. MRI
CORRECT ANSWER
A.
Patients with a history of an ASCVD should be started on statin therapy regardless of
current LDL. The question did not mention any other symptoms that would warrant
additional diagnostics. Warfarin therapy is only indicated if AFIB would be the primary
indication for anticoagulation after a stroke.
Question 2
2. A 36-year-old female is being seen in your clinic for left sided facial weakness. In your
review of systems, the patient reports that "certain sounds really bother me and my taste
buds seem off". She also reports temporal pain which has subsided. Your physical exam
reveals no other neurological deficits. Which of the following interventions would be most
appropriate?
A. Call 911 to activate emergency stroke protocols
B. Refer the patient to neurology
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@THE STUDY VAULT
,C. Order an MRI
D. Prescribe a course of oral corticosteroids
CORRECT ANSWER
D.
Bell's Palsy commonly causes alterations in taste and hyperacusis. This contrasts with
stroke. Corticosteroids increase the chances of recovery complete by 12-15% at nine to
twelve months and are routinely prescribed. The complaint of pain also suggests a
possible viral infection such as herpes simplex or varicella which has been implicated, in
some cases, as a trigger for facial palsy.
Question 3
3. A 9-year-old female patient presents to your clinic with complaints of a headache. The
patients mother states the headache started two days ago and she has been giving her
children's Tylenol. The child states the pain is bilateral and worsens when running or
standing. The nurse practitioner should:
A. Treat her for migraine prevention and start topiramate
B. Order a CT of her head
C. Educate the parent that children need at least 9 hours of sleep
D. Refer to a psychologist for cognitive behavioral therapy
CORRECT ANSWER
B.
Table 25-8 lists red flags for pediatric headaches. Headaches that worsen with postural
changes may indicate additional intracranial pathology and should be further
investigated. Depending on the urgency an MRI vs. CT should be considered. A, C, & D
are preventative measures for established migraines or TTH.
Question 4
4. You are educating the parents of a 16-year-old boy who has been newly diagnosed with
epileptic syndrome. Which statement is false?
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@THE STUDY VAULT
,A. Most states will grant a driver's license if the patient has been deemed seizure free for 6-
12 months by his physician.
B. Clinical seizures that last 15 minutes are considered medical emergencies
C. Physical training such as weight training should be restricted due to safety concerns.
D. Depression is a common comorbidity of epilepsy.
CORRECT ANSWER
C.
Physical activity that promote age appropriate socialization and normalcy are highly
recommended. The only activities that come with restrictions are scuba diving, contact
sports (may or may not be allowed depending on the physician), and free climbing.
Swimming is allowed, but preferably under supervision.
Question 5
5. A 25-year-old male presents to the clinic complaining of a severe, throbbing headache
for the past 2 days. The pain increases when exposed to bright lights and is accompanied
by nausea. He states the headache started after working a 16-hour shift without resting.
What type of headache is the patient suffering from and what medication is appropriate
for immediate relief?
A. Migraine headache - Zolmitriptan 5mg PO one dose now, repeat after 2 hours if no relief
B. Migraine headache - Topiramate 50mg BID
C. Tension - Type Headache - Zolmitriptan 5mg PO one dose now, repeat after 2 hours if no
relief
D. Cluster headache - Sumatriptan 6mg SQ single dose
CORRECT ANSWER
A.
Migraine headaches can be unilateral and are often accompanied by nausea, vomiting,
and photophobia. These headaches can be triggered by lack of sleep and stress.
Zolmitriptan is often effective for immediate relief of migraines. Topiramate is used as a
prophylaxis for migraines. The patient's symptoms are not characteristic of a tension
type or cluster headache. Triptans are not recommended for tension type headaches.
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@THE STUDY VAULT
, Question 6
6. A 63-year old male presents to clinic with complaints of tremors and muscle spasms.
The patient has a history of Parkinson's disease and has been taking Levodopa 50mg TID.
What is an appropriate treatment plan for this patient?
A. Decrease the amount of levodopa the patient is taking per day.
B. Inform the patient that these side effects are common as Parkinson's disease progresses
and start the patient on amantadine.
C. Refer the patient to a neurologist for further evaluation.
D. Continue to monitor the patient for increase in tremors.
CORRECT ANSWER
B.
Levodopa-induced dyskinesias are common in later Parkinson's disease. Dyskinesias can
occur in the form of chorea, tremors, tics, and dystonia. According to Papadakis and
McPhee (2018), although levodopa-induced dyskinesias are dose related, decreasing the
dose can alter the therapeutic benefit of the medication. The patient can begin taking
amantadine or levetiracetam to help decrease the dyskinesias.
Question 7
7. An 11-year old presents to clinic with her mother complaining of severe headaches and
nausea when she wakes up in the morning. Headaches have worsened over the past week.
The patient states the headaches are worse when she changes position and mostly
towards the back of her head. As the nurse practitioner, what is best treatment option for
this patient?
A. Tell the mother to buy ibuprofen over the counter and follow-up if no relief.
B. Prescribe topiramate 50mg BID.
C. Refer the patient for a stat CT scan of her head.
4
@THE STUDY VAULT
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
1. A 56-year-old patient comes in for a routine well visit. He has a history of a previous
stroke and Type 2 Diabetes. Which of the following orders would be appropriate for a
patient with a previous stroke?
A. Initiate statin therapy
B. EEG
C. Warfarin therapy with an INR goal of 2-3
D. MRI
CORRECT ANSWER
A.
Patients with a history of an ASCVD should be started on statin therapy regardless of
current LDL. The question did not mention any other symptoms that would warrant
additional diagnostics. Warfarin therapy is only indicated if AFIB would be the primary
indication for anticoagulation after a stroke.
Question 2
2. A 36-year-old female is being seen in your clinic for left sided facial weakness. In your
review of systems, the patient reports that "certain sounds really bother me and my taste
buds seem off". She also reports temporal pain which has subsided. Your physical exam
reveals no other neurological deficits. Which of the following interventions would be most
appropriate?
A. Call 911 to activate emergency stroke protocols
B. Refer the patient to neurology
1
@THE STUDY VAULT
,C. Order an MRI
D. Prescribe a course of oral corticosteroids
CORRECT ANSWER
D.
Bell's Palsy commonly causes alterations in taste and hyperacusis. This contrasts with
stroke. Corticosteroids increase the chances of recovery complete by 12-15% at nine to
twelve months and are routinely prescribed. The complaint of pain also suggests a
possible viral infection such as herpes simplex or varicella which has been implicated, in
some cases, as a trigger for facial palsy.
Question 3
3. A 9-year-old female patient presents to your clinic with complaints of a headache. The
patients mother states the headache started two days ago and she has been giving her
children's Tylenol. The child states the pain is bilateral and worsens when running or
standing. The nurse practitioner should:
A. Treat her for migraine prevention and start topiramate
B. Order a CT of her head
C. Educate the parent that children need at least 9 hours of sleep
D. Refer to a psychologist for cognitive behavioral therapy
CORRECT ANSWER
B.
Table 25-8 lists red flags for pediatric headaches. Headaches that worsen with postural
changes may indicate additional intracranial pathology and should be further
investigated. Depending on the urgency an MRI vs. CT should be considered. A, C, & D
are preventative measures for established migraines or TTH.
Question 4
4. You are educating the parents of a 16-year-old boy who has been newly diagnosed with
epileptic syndrome. Which statement is false?
2
@THE STUDY VAULT
,A. Most states will grant a driver's license if the patient has been deemed seizure free for 6-
12 months by his physician.
B. Clinical seizures that last 15 minutes are considered medical emergencies
C. Physical training such as weight training should be restricted due to safety concerns.
D. Depression is a common comorbidity of epilepsy.
CORRECT ANSWER
C.
Physical activity that promote age appropriate socialization and normalcy are highly
recommended. The only activities that come with restrictions are scuba diving, contact
sports (may or may not be allowed depending on the physician), and free climbing.
Swimming is allowed, but preferably under supervision.
Question 5
5. A 25-year-old male presents to the clinic complaining of a severe, throbbing headache
for the past 2 days. The pain increases when exposed to bright lights and is accompanied
by nausea. He states the headache started after working a 16-hour shift without resting.
What type of headache is the patient suffering from and what medication is appropriate
for immediate relief?
A. Migraine headache - Zolmitriptan 5mg PO one dose now, repeat after 2 hours if no relief
B. Migraine headache - Topiramate 50mg BID
C. Tension - Type Headache - Zolmitriptan 5mg PO one dose now, repeat after 2 hours if no
relief
D. Cluster headache - Sumatriptan 6mg SQ single dose
CORRECT ANSWER
A.
Migraine headaches can be unilateral and are often accompanied by nausea, vomiting,
and photophobia. These headaches can be triggered by lack of sleep and stress.
Zolmitriptan is often effective for immediate relief of migraines. Topiramate is used as a
prophylaxis for migraines. The patient's symptoms are not characteristic of a tension
type or cluster headache. Triptans are not recommended for tension type headaches.
3
@THE STUDY VAULT
, Question 6
6. A 63-year old male presents to clinic with complaints of tremors and muscle spasms.
The patient has a history of Parkinson's disease and has been taking Levodopa 50mg TID.
What is an appropriate treatment plan for this patient?
A. Decrease the amount of levodopa the patient is taking per day.
B. Inform the patient that these side effects are common as Parkinson's disease progresses
and start the patient on amantadine.
C. Refer the patient to a neurologist for further evaluation.
D. Continue to monitor the patient for increase in tremors.
CORRECT ANSWER
B.
Levodopa-induced dyskinesias are common in later Parkinson's disease. Dyskinesias can
occur in the form of chorea, tremors, tics, and dystonia. According to Papadakis and
McPhee (2018), although levodopa-induced dyskinesias are dose related, decreasing the
dose can alter the therapeutic benefit of the medication. The patient can begin taking
amantadine or levetiracetam to help decrease the dyskinesias.
Question 7
7. An 11-year old presents to clinic with her mother complaining of severe headaches and
nausea when she wakes up in the morning. Headaches have worsened over the past week.
The patient states the headaches are worse when she changes position and mostly
towards the back of her head. As the nurse practitioner, what is best treatment option for
this patient?
A. Tell the mother to buy ibuprofen over the counter and follow-up if no relief.
B. Prescribe topiramate 50mg BID.
C. Refer the patient for a stat CT scan of her head.
4
@THE STUDY VAULT
