NCC Exam Questions Part 2 2026/2027 –
Complete Study Guide | Practice Questions
& Detailed Answers
Several pediatric patients who all attend the same childcare center have
presented with a pruritic rash and irregular lines of excoriation on their wrists
within the past week. The nurse practitioner wants to provide education to both
the staff and parents to decrease the risk of spreading the rash to other children.
Which of the following is the most likely source of the children's symptoms?
A.
Hand, foot, and mouth disease
Incorrect
B.
Pediculosis
Incorrect
C.
Roseola infantum
Incorrect
D.
Scabies - correct answer-Scabies
,A 35-year-old woman presents to the clinic with dyspepsia and epigastric fullness.
She has been taking omeprazole (Prilosec) with mild improvement in her
symptoms. Which additional finding would warrant urgent upper endoscopy?
A.
Hoarseness
Incorrect
B.
Iron deficiency anemia
Correct
C.
Substernal chest pain
Incorrect
D.
Unexplained weight gain - correct answer-Iron deficiency anemia
A 62-year-old woman presents to the office with worsening scalp tenderness on
the left side of her head, double vision, and pain with chewing that started about
2 days ago. The physical exam reveals a tender and enlarged left temporal artery.
Which of the following is the most appropriate treatment for the suspected
diagnosis?
A.
Aspirin
Incorrect
B.
Methotrexate (Trexall)
Incorrect
,C.
NSAIDs
Incorrect
D.
Prednisone - correct answer-Prednisone
A 73-year-old man with a history of moderate cognitive impairment returns to the
clinic with his daughter due to worsening memory loss. The patient's daughter
reports significant progression of symptoms since the last visit, which was 1 year
ago. She says that he recently mistook her for an intruder and threw a coffee mug
at her. Additionally, he became lost while driving, which resulted in an accident.
He is becoming more withdrawn and agitated, and he also struggles to use
utensils. His Mini-Mental Status Examination score is 10/30, and MRI shows
generalized parenchymal volume loss. Neuropsychological evaluation is pending.
Which of the following is the most likely diagnosis?
A.
Alzheimer disease
Correct
B.
Dementia with Lewy bodies
Incorrect
C.
Frontotemporal dementia
Incorrect
D.
Parkinson disease - correct answer-Alzheimer disease
, A 26-year-old man presents with right testicular pain. There is tenderness and
swelling with palpation of the right epididymis. He reports having vaginal
intercourse with two women in the past month and states that he has not
engaged in any insertive anal intercourse. Urinalysis of a first-void urine specimen
was positive for leukocyte esterase. The urine culture and tests for gonorrhea and
chlamydia are pending. U/S does not indicate testicular torsion. Which of the
following treatments should be prescribed for this patient?
A.
Ceftriaxone 500 mg IM given as a single dose and doxycycline (Vibramycin) 100
mg orally twice daily for 10 days
Correct
B.
Ceftriaxone 500 mg IM given as a single dose and levofloxacin (Levaquin) 500 mg
orally twice daily for 10 days
Incorrect
C.
Levofloxacin (Levaquin) 500 mg orally once daily for 10 days
Incorrect
D.
Ofloxacin 300 mg orally twice daily for 10 days - correct answer-Ceftriaxone 500
mg IM given as a single dose and doxycycline (Vibramycin) 100 mg orally twice
daily for 10 days
A 54-year-old man with a history of diabetes mellitus presents with redness, pain,
and swelling of his left lower extremity. Examination shows a 15 cm x 7 cm area of
nonfluctuant, nonelevated erythema and swelling over the anterior aspect of the
left lower extremity. He also has scaling and erythema between his toes,
consistent with a fungal infection. Which of the following is the most likely
diagnosis?
Complete Study Guide | Practice Questions
& Detailed Answers
Several pediatric patients who all attend the same childcare center have
presented with a pruritic rash and irregular lines of excoriation on their wrists
within the past week. The nurse practitioner wants to provide education to both
the staff and parents to decrease the risk of spreading the rash to other children.
Which of the following is the most likely source of the children's symptoms?
A.
Hand, foot, and mouth disease
Incorrect
B.
Pediculosis
Incorrect
C.
Roseola infantum
Incorrect
D.
Scabies - correct answer-Scabies
,A 35-year-old woman presents to the clinic with dyspepsia and epigastric fullness.
She has been taking omeprazole (Prilosec) with mild improvement in her
symptoms. Which additional finding would warrant urgent upper endoscopy?
A.
Hoarseness
Incorrect
B.
Iron deficiency anemia
Correct
C.
Substernal chest pain
Incorrect
D.
Unexplained weight gain - correct answer-Iron deficiency anemia
A 62-year-old woman presents to the office with worsening scalp tenderness on
the left side of her head, double vision, and pain with chewing that started about
2 days ago. The physical exam reveals a tender and enlarged left temporal artery.
Which of the following is the most appropriate treatment for the suspected
diagnosis?
A.
Aspirin
Incorrect
B.
Methotrexate (Trexall)
Incorrect
,C.
NSAIDs
Incorrect
D.
Prednisone - correct answer-Prednisone
A 73-year-old man with a history of moderate cognitive impairment returns to the
clinic with his daughter due to worsening memory loss. The patient's daughter
reports significant progression of symptoms since the last visit, which was 1 year
ago. She says that he recently mistook her for an intruder and threw a coffee mug
at her. Additionally, he became lost while driving, which resulted in an accident.
He is becoming more withdrawn and agitated, and he also struggles to use
utensils. His Mini-Mental Status Examination score is 10/30, and MRI shows
generalized parenchymal volume loss. Neuropsychological evaluation is pending.
Which of the following is the most likely diagnosis?
A.
Alzheimer disease
Correct
B.
Dementia with Lewy bodies
Incorrect
C.
Frontotemporal dementia
Incorrect
D.
Parkinson disease - correct answer-Alzheimer disease
, A 26-year-old man presents with right testicular pain. There is tenderness and
swelling with palpation of the right epididymis. He reports having vaginal
intercourse with two women in the past month and states that he has not
engaged in any insertive anal intercourse. Urinalysis of a first-void urine specimen
was positive for leukocyte esterase. The urine culture and tests for gonorrhea and
chlamydia are pending. U/S does not indicate testicular torsion. Which of the
following treatments should be prescribed for this patient?
A.
Ceftriaxone 500 mg IM given as a single dose and doxycycline (Vibramycin) 100
mg orally twice daily for 10 days
Correct
B.
Ceftriaxone 500 mg IM given as a single dose and levofloxacin (Levaquin) 500 mg
orally twice daily for 10 days
Incorrect
C.
Levofloxacin (Levaquin) 500 mg orally once daily for 10 days
Incorrect
D.
Ofloxacin 300 mg orally twice daily for 10 days - correct answer-Ceftriaxone 500
mg IM given as a single dose and doxycycline (Vibramycin) 100 mg orally twice
daily for 10 days
A 54-year-old man with a history of diabetes mellitus presents with redness, pain,
and swelling of his left lower extremity. Examination shows a 15 cm x 7 cm area of
nonfluctuant, nonelevated erythema and swelling over the anterior aspect of the
left lower extremity. He also has scaling and erythema between his toes,
consistent with a fungal infection. Which of the following is the most likely
diagnosis?
