1|Page
PGA PGM 3.0 LEVEL 3 TEST 2025 BUNDLE WITH
REAL EXAM PRACTICE QUESTIONS AND CORRECT
VERIFIED ANSWERS (ALL QUESTIONS)/ PGA PGM
3.0 LEVEL 1, 2 & 3 PREP TEST BANK
A new graduate nurse practitioner has a patient presents
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?
1. AC is 2 times longer than BC
2. BC is 2 times longer than AC
3. The tuning fork lateralizes to the right ear
4. The tuning fork lateralizes to the left ear -
...ANSWER...✓✓4. The tuning fork lateralizes to the left
ear
What are common signs and symptoms of Meniere's
Disease? - ...ANSWER...✓✓Vertigo, tinnitus, ear pressure,
nystagmus
,2|Page
What is our biggest worry for a Meniere's Disease
patient? - ...ANSWER...✓✓There is a possibility for a
potential, permanent hearing loss.
What is rhinitis meidcamentosa? - ...ANSWER...✓✓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.
What is herpes keratitis? - ...ANSWER...✓✓This is an
infection of the cornea due to herpes simplex virus
How is herpes keratitis diagnosed? - ...ANSWER...✓✓By
examining the eye under a black lamp and visualized the
cornea, in herpes keratitis, fern like lines will be seen on
the cornea
A child that has a history of mononucleosis is at
increased risk for development for what cancer later in
life? And why? - ...ANSWER...✓✓Hodgkin's Lymphoma and
Burkitt's Lymphoma, this is due to the exposure of the
Epstein-Barr virus
,3|Page
What types of patients will be at a higher risk of
pneumonia? - ...ANSWER...✓✓Patient with chronic lung
diseases: asthma, COPD, cystic fibrosis.
Why are cough suppressants not helpful in pneumonia
patients? - ...ANSWER...✓✓Because we WANT them to get
that gunk out, we do not want them to hold it in their
lungs, an expectorant would be a better option for these
patients.
When should a follow up chest X-Ray be completed after
treatment of pneumonia? - ...ANSWER...✓✓Around 8 week
mark
What is COPD? - ...ANSWER...✓✓Chronic Obstructive
Pulmonary Disease. This is a chronic condition that is
made up of chronic bronchitis and emphysema. It is a
progressive inflammatory lung disease that makes it hard
for the patients to breathe, because the chronic bronchitis
leads to mucous build up and the emphysema portion
destroys areas of the lungs.
, 4|Page
What signs and symptoms are common in COPD patients?
- ...ANSWER...✓✓Chronic cough
Sputum production
Dyspnea- difficulty breathing
What signs and symptoms are specific to B12 deficiency
anemia? - ...ANSWER...✓✓Neurological symptoms,
paresthesia (numbness and tingling in hands and feet),
unsteady gait, memory issues
Beefy red tongue
What diet can result in B12 deficiency? -
...ANSWER...✓✓Vegan- oral supplements can be used for
treatment
What surgery can result in B12 deficiency? -
...ANSWER...✓✓Gastric surgery- patient will lose intrinsic
factor that is required to absorb B12- these patients will
require life long IM B12 injections
What patient population is lupus commonly seen? -
...ANSWER...✓✓Women of childbearing age- ages 15-45,
African Americans are going to be at higher risk
PGA PGM 3.0 LEVEL 3 TEST 2025 BUNDLE WITH
REAL EXAM PRACTICE QUESTIONS AND CORRECT
VERIFIED ANSWERS (ALL QUESTIONS)/ PGA PGM
3.0 LEVEL 1, 2 & 3 PREP TEST BANK
A new graduate nurse practitioner has a patient presents
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?
1. AC is 2 times longer than BC
2. BC is 2 times longer than AC
3. The tuning fork lateralizes to the right ear
4. The tuning fork lateralizes to the left ear -
...ANSWER...✓✓4. The tuning fork lateralizes to the left
ear
What are common signs and symptoms of Meniere's
Disease? - ...ANSWER...✓✓Vertigo, tinnitus, ear pressure,
nystagmus
,2|Page
What is our biggest worry for a Meniere's Disease
patient? - ...ANSWER...✓✓There is a possibility for a
potential, permanent hearing loss.
What is rhinitis meidcamentosa? - ...ANSWER...✓✓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.
What is herpes keratitis? - ...ANSWER...✓✓This is an
infection of the cornea due to herpes simplex virus
How is herpes keratitis diagnosed? - ...ANSWER...✓✓By
examining the eye under a black lamp and visualized the
cornea, in herpes keratitis, fern like lines will be seen on
the cornea
A child that has a history of mononucleosis is at
increased risk for development for what cancer later in
life? And why? - ...ANSWER...✓✓Hodgkin's Lymphoma and
Burkitt's Lymphoma, this is due to the exposure of the
Epstein-Barr virus
,3|Page
What types of patients will be at a higher risk of
pneumonia? - ...ANSWER...✓✓Patient with chronic lung
diseases: asthma, COPD, cystic fibrosis.
Why are cough suppressants not helpful in pneumonia
patients? - ...ANSWER...✓✓Because we WANT them to get
that gunk out, we do not want them to hold it in their
lungs, an expectorant would be a better option for these
patients.
When should a follow up chest X-Ray be completed after
treatment of pneumonia? - ...ANSWER...✓✓Around 8 week
mark
What is COPD? - ...ANSWER...✓✓Chronic Obstructive
Pulmonary Disease. This is a chronic condition that is
made up of chronic bronchitis and emphysema. It is a
progressive inflammatory lung disease that makes it hard
for the patients to breathe, because the chronic bronchitis
leads to mucous build up and the emphysema portion
destroys areas of the lungs.
, 4|Page
What signs and symptoms are common in COPD patients?
- ...ANSWER...✓✓Chronic cough
Sputum production
Dyspnea- difficulty breathing
What signs and symptoms are specific to B12 deficiency
anemia? - ...ANSWER...✓✓Neurological symptoms,
paresthesia (numbness and tingling in hands and feet),
unsteady gait, memory issues
Beefy red tongue
What diet can result in B12 deficiency? -
...ANSWER...✓✓Vegan- oral supplements can be used for
treatment
What surgery can result in B12 deficiency? -
...ANSWER...✓✓Gastric surgery- patient will lose intrinsic
factor that is required to absorb B12- these patients will
require life long IM B12 injections
What patient population is lupus commonly seen? -
...ANSWER...✓✓Women of childbearing age- ages 15-45,
African Americans are going to be at higher risk
