VERIFIED ANSWERS |LATEST 2026/2027 UPDATE|GRADED
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Question 1
A young adult patient presents to the clinic with concerns about a skin infection. The
patient reports no tenderness or drainage and states the rash started after participating in
a wrestling tournament.
Upon examination, the nurse practitioner finds plaques with crusting on the right lower
leg.
A culture is done and shows a Staphylococcus aureus infection.
Which bacterial skin infection does the nurse practitioner suspect?
A) impetigo
B) folliculitis
C) Herpes gladiatorum
D) Hidradenitis suppurativa
CORRECT ANSWER
Impetigo
- Nonbullous impetigo, an S. Aureus infection, occurs in a localized area that initially
begins as papules and progresses to vesicles, pustules, and then honey-colored plaques.
Question 2
In performing a neurological exam and assessing the patient's cranial nerves, the nurse
practitioner notes fasciculations across the tongue's surface.
Which nerve is affected?
A) CN VI (abducens)
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,B) CN XII (hypoglossal)
C) CN XI (accessory)
D) CN X (vagus)
CORRECT ANSWER
Cranial nerve XII (hypoglossal)
- Cranial nerve XII is the hypoglossal nerve and allows motor movement of the tongue
muscles. This nerve is tested by asking the patient to stick out the tongue and observing
for atrophy, fasciculations, and tongue deviation to one side.
Question 3
A 34-week pregnant patient presents to the emergency room with sudden onset of
abdominal pain and vaginal bleeding.
Which condition is most likely?
A) placental abruption
B) ectopic pregnancy
C) Miscarriage
D) Placenta previa
CORRECT ANSWER
Placental abruption
- Placental abruption is the early separation of the placenta from the lining of the uterus.
It is a rare but serious complication of the second half of pregnancy.
Placental abruption is an emergency situation that places the well-being of the mother
and fetus at risk.
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,Question 4
Which is a common causative organism of pelvic inflammatory disease?
A) Neisseria gonorrhoeae
B) Trichomonas vaginalis
C) Treponema pallidum
D) Mycoplasma genitalium
CORRECT ANSWER
Neisseria gonorrhoeae
- Gonorrhea and chlamydia are the most common organisms causing pelvic inflammatory
disease.
Question 5
A middle-aged patient presents to the clinic for evaluation of new-onset hypertension and
occasional flank pain.
There is a family history of a maternal grandmother deceased with "some kind of kidney
problem", and an in-office urinalysis is positive for 3 plus protein.
In addition to addressing hypertension, which is the next appropriate step in the
management of this patient?
A) refer for genetic testing
B) restrict all protein in diet
C) repeat urinalysis in 3 months
D) order a renal US
CORRECT ANSWER
Order a renal ultrasound
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@THE STUDY VAULT
, - This patient has a positive family history of renal disease, flank pain, and proteinuria, all
of which are indicators of polycystic kidney disease. The hypertension should be treated
and a renal ultrasound ordered. An ultrasound of the kidneys is the preferred diagnostic
test.
Question 6
An older adult patient with hypertension, depression, and diabetes mellitus type 2 is
experiencing periods of intermittent confusion. A cognitive assessment does not
demonstrate impairment.
Current medications include aspirin, lisinopril (Zestril), atorvastatin (Lipitor), metformin
(Glucophage), sertraline (Zoloft), diphenhydramine (Benadryl) as needed for sleep and
acetaminophen (Tylenol) as needed for pain.
Which is the best action?
A) discontinue sertraline (zoloft)
B) Increase sertraline
C) prescribe donepezil (aricept)
D) discontinue diphenhydramine (Benadryl)
CORRECT ANSWER
Discontinue diphenhydramine (Benadryl)
- Diphenhydramine (Benadryl) is a first-generation antihistamine for allergic reactions, cold
symptoms, and insomnia. Because of its potent anticholinergic properties, adverse effects
are common and include disorientation, blurry vision, constipation, and urinary retention.
Anticholinergic medications can cause significant adverse effects in older adults.
Question 7
An adult patient who is a farmer presents to the clinic after being bitten by a pig. Which
antibiotic is the best for prophylaxis?
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@THE STUDY VAULT
A+
Question 1
A young adult patient presents to the clinic with concerns about a skin infection. The
patient reports no tenderness or drainage and states the rash started after participating in
a wrestling tournament.
Upon examination, the nurse practitioner finds plaques with crusting on the right lower
leg.
A culture is done and shows a Staphylococcus aureus infection.
Which bacterial skin infection does the nurse practitioner suspect?
A) impetigo
B) folliculitis
C) Herpes gladiatorum
D) Hidradenitis suppurativa
CORRECT ANSWER
Impetigo
- Nonbullous impetigo, an S. Aureus infection, occurs in a localized area that initially
begins as papules and progresses to vesicles, pustules, and then honey-colored plaques.
Question 2
In performing a neurological exam and assessing the patient's cranial nerves, the nurse
practitioner notes fasciculations across the tongue's surface.
Which nerve is affected?
A) CN VI (abducens)
1
@THE STUDY VAULT
,B) CN XII (hypoglossal)
C) CN XI (accessory)
D) CN X (vagus)
CORRECT ANSWER
Cranial nerve XII (hypoglossal)
- Cranial nerve XII is the hypoglossal nerve and allows motor movement of the tongue
muscles. This nerve is tested by asking the patient to stick out the tongue and observing
for atrophy, fasciculations, and tongue deviation to one side.
Question 3
A 34-week pregnant patient presents to the emergency room with sudden onset of
abdominal pain and vaginal bleeding.
Which condition is most likely?
A) placental abruption
B) ectopic pregnancy
C) Miscarriage
D) Placenta previa
CORRECT ANSWER
Placental abruption
- Placental abruption is the early separation of the placenta from the lining of the uterus.
It is a rare but serious complication of the second half of pregnancy.
Placental abruption is an emergency situation that places the well-being of the mother
and fetus at risk.
2
@THE STUDY VAULT
,Question 4
Which is a common causative organism of pelvic inflammatory disease?
A) Neisseria gonorrhoeae
B) Trichomonas vaginalis
C) Treponema pallidum
D) Mycoplasma genitalium
CORRECT ANSWER
Neisseria gonorrhoeae
- Gonorrhea and chlamydia are the most common organisms causing pelvic inflammatory
disease.
Question 5
A middle-aged patient presents to the clinic for evaluation of new-onset hypertension and
occasional flank pain.
There is a family history of a maternal grandmother deceased with "some kind of kidney
problem", and an in-office urinalysis is positive for 3 plus protein.
In addition to addressing hypertension, which is the next appropriate step in the
management of this patient?
A) refer for genetic testing
B) restrict all protein in diet
C) repeat urinalysis in 3 months
D) order a renal US
CORRECT ANSWER
Order a renal ultrasound
3
@THE STUDY VAULT
, - This patient has a positive family history of renal disease, flank pain, and proteinuria, all
of which are indicators of polycystic kidney disease. The hypertension should be treated
and a renal ultrasound ordered. An ultrasound of the kidneys is the preferred diagnostic
test.
Question 6
An older adult patient with hypertension, depression, and diabetes mellitus type 2 is
experiencing periods of intermittent confusion. A cognitive assessment does not
demonstrate impairment.
Current medications include aspirin, lisinopril (Zestril), atorvastatin (Lipitor), metformin
(Glucophage), sertraline (Zoloft), diphenhydramine (Benadryl) as needed for sleep and
acetaminophen (Tylenol) as needed for pain.
Which is the best action?
A) discontinue sertraline (zoloft)
B) Increase sertraline
C) prescribe donepezil (aricept)
D) discontinue diphenhydramine (Benadryl)
CORRECT ANSWER
Discontinue diphenhydramine (Benadryl)
- Diphenhydramine (Benadryl) is a first-generation antihistamine for allergic reactions, cold
symptoms, and insomnia. Because of its potent anticholinergic properties, adverse effects
are common and include disorientation, blurry vision, constipation, and urinary retention.
Anticholinergic medications can cause significant adverse effects in older adults.
Question 7
An adult patient who is a farmer presents to the clinic after being bitten by a pig. Which
antibiotic is the best for prophylaxis?
4
@THE STUDY VAULT
