NR 667 WEEK 3 EXAM 2026/2027 | 150 HIGH-
YIELD QUESTIONS & VERIFIED ANSWERS |
LATEST TEST PREP | RECENT & MOST
TESTED TOPICS | A+ PREPARATION
A 45-year-old man with a history of benign prostatic hyperplasia (BPH) presents with
worsening urinary symptoms, including nocturia and weak stream. What is the most
appropriate initial pharmacological treatment?
Anticholinergics
5-alpha-reductase inhibitors
Alpha-blockers
Antibiotics - correct answer-Alpha-blockers
A young male presents with dysuria. Dipstick urinalysis is positive for WBCs, shows a pH of
7.0, a specific gravity of 1.015, and is otherwise negative. The nurse practitioner should:
Obtain a urine sample for a nucleic acid test (NAT) for chlamydia
Start pyridoxine to decrease symptoms pending culture results
Initiate trimethoprim-sulfamethoxazole (Bactrim) pending culture results
Order a voiding cystourethrogram and an ultrasound of the kidneys - correct answer-Obtain a urine
sample for a nucleic acid test (NAT) for chlamydia
Which nationality is four times as likely as Caucasians to be diagnosed with kidney disease?
African Americans
Native Alaskans
Pacific Islanders
Eastern Europeans - correct answer-African Americans
A 70-year-old man presents with acute onset of right-sided weakness and difficulty speaking. His
symptoms started 2 hours ago. What is the most appropriate initial intervention?
Perform a CT scan of the head
Page | 1
,Administer intravenous tPA
Administer aspirin
Start anticoagulation therapy - correct answer-Perform a CT scan of the head
A patient presents with left temporal-parietal headache that has been increasing in intensity and
frequency over the past 2 weeks. Coughing increases the pain. Past history is non-contributory.
Today, the patient began having difficulty forming words. Physical examination is normal except for
some blurring of the disc margins on fundoscopic examination. The best course of action involves:
Schlotz tonometry
Administration of sumatriptan (Imitrex) 6 mg SC
X-ray of sinuses
Immediate referral to neurosurgeon - correct answer-Immediate referral to neurosurgeon
Which of the following is characteristic of Lewy body dementia?
Echolalia
Depression
Diplopia
Parkinsonian features - correct answer-Parkinsonian features
Patients who take chronic anti-seizure medication should be notified of which risk of abrupt change
or discontinuation of these medications?
Decreased seizure threshold
Increased seizure threshold
Flu-like symptoms
Discontinuation syndrome - correct answer-Decreased seizure threshold
A patient is newly diagnosed with multiple sclerosis. Treatment includes prednisone with physical
therapy. The nurse practitioner advises the patient to begin disease- modifying therapy: if
symptoms worsen.
if MRI of the brain shows a new lesion.
Page | 2
,as soon as possible.
if symptoms remain the same for 3 months. - correct answer-as soon as possible.
Ischemic strokes are often caused by:
Atherosclerosis
Hypertensive arteriolar disease
Amyloid deposition
Arteriovenous malformation - correct answer-Atherosclerosis
A patient who presents to your clinic with an acute change in facial symmetry, inability to speak
clearly and unilateral muscular weakness should be transported for evaluation immediately as
treatment for embolic stroke with tPA within which timeframe?
Less than 4.5 hrs
Less than 8 hrs
Less than 24 hrs
Less than 6 hrs - correct answer-Less than 4.5 hrs
Patients who exhibit a positive Kernig's sign should be evaluated for which potential illness?
Myocarditis
Appendicitis
Meningitis
Pericarditis - correct answer-Meningitis
Your patient has been noticing progressively worsening muscular weakness over the past 15 months
to the point he is not able to stand and is effectively wheelchair bound. Which of the following
diagnoses can reasonably be excluded?
Myasthenia Gravis
Descending Guillain-Barre
Anterior cord syndrome
Page | 3
, Multiple Sclerosis - correct answer-Descending Guillain-Barre
The use of GABA-agonizing drugs is likely going to have which effect on seizure threshold?
None of the above
Decrease
No change
Increase - correct answer-Increase
A late adolescent female is requesting information on HPV vaccine. Which of the following
statements indicates need to further education?
Three doses are required for effective immunity
The vaccine does not protect against all forms of STIs
The vaccine replaces the need for routine cervical cancer screening
I will still need to use other forms of protection with sexual intercourse - correct answer-The
vaccine replaces the need for routine cervical cancer screening
A nurse practitioner is evaluating an infant for possible colic. Which of the following could indicate
the need for a more extensive evaluation?
Onset at 4 weeks of age
Moist mucus membranes and flat fontanels
Stool negative for occult blood
3-oz (85 g) weight gain over the past 2 weeks - correct answer-3-oz (85 g) weight gain over the past
2 weeks
A late adolescent is brought to the nurse practitioner's office by her mother, who is concerned about
her daughter's recent weight loss and the potential of purging herself after meals. The daughter
denies any self-induced vomiting, starvation or excessive activity. History reveals that the daughter
was consistently in the 50th percentile for weight but is now in the 10th percentile. She does state
that she jogs 5 miles a day and is in good condition. In addition to a complete blood count with
differential, which of the following laboratory tests will be most helpful for further assessment?
Page | 4
YIELD QUESTIONS & VERIFIED ANSWERS |
LATEST TEST PREP | RECENT & MOST
TESTED TOPICS | A+ PREPARATION
A 45-year-old man with a history of benign prostatic hyperplasia (BPH) presents with
worsening urinary symptoms, including nocturia and weak stream. What is the most
appropriate initial pharmacological treatment?
Anticholinergics
5-alpha-reductase inhibitors
Alpha-blockers
Antibiotics - correct answer-Alpha-blockers
A young male presents with dysuria. Dipstick urinalysis is positive for WBCs, shows a pH of
7.0, a specific gravity of 1.015, and is otherwise negative. The nurse practitioner should:
Obtain a urine sample for a nucleic acid test (NAT) for chlamydia
Start pyridoxine to decrease symptoms pending culture results
Initiate trimethoprim-sulfamethoxazole (Bactrim) pending culture results
Order a voiding cystourethrogram and an ultrasound of the kidneys - correct answer-Obtain a urine
sample for a nucleic acid test (NAT) for chlamydia
Which nationality is four times as likely as Caucasians to be diagnosed with kidney disease?
African Americans
Native Alaskans
Pacific Islanders
Eastern Europeans - correct answer-African Americans
A 70-year-old man presents with acute onset of right-sided weakness and difficulty speaking. His
symptoms started 2 hours ago. What is the most appropriate initial intervention?
Perform a CT scan of the head
Page | 1
,Administer intravenous tPA
Administer aspirin
Start anticoagulation therapy - correct answer-Perform a CT scan of the head
A patient presents with left temporal-parietal headache that has been increasing in intensity and
frequency over the past 2 weeks. Coughing increases the pain. Past history is non-contributory.
Today, the patient began having difficulty forming words. Physical examination is normal except for
some blurring of the disc margins on fundoscopic examination. The best course of action involves:
Schlotz tonometry
Administration of sumatriptan (Imitrex) 6 mg SC
X-ray of sinuses
Immediate referral to neurosurgeon - correct answer-Immediate referral to neurosurgeon
Which of the following is characteristic of Lewy body dementia?
Echolalia
Depression
Diplopia
Parkinsonian features - correct answer-Parkinsonian features
Patients who take chronic anti-seizure medication should be notified of which risk of abrupt change
or discontinuation of these medications?
Decreased seizure threshold
Increased seizure threshold
Flu-like symptoms
Discontinuation syndrome - correct answer-Decreased seizure threshold
A patient is newly diagnosed with multiple sclerosis. Treatment includes prednisone with physical
therapy. The nurse practitioner advises the patient to begin disease- modifying therapy: if
symptoms worsen.
if MRI of the brain shows a new lesion.
Page | 2
,as soon as possible.
if symptoms remain the same for 3 months. - correct answer-as soon as possible.
Ischemic strokes are often caused by:
Atherosclerosis
Hypertensive arteriolar disease
Amyloid deposition
Arteriovenous malformation - correct answer-Atherosclerosis
A patient who presents to your clinic with an acute change in facial symmetry, inability to speak
clearly and unilateral muscular weakness should be transported for evaluation immediately as
treatment for embolic stroke with tPA within which timeframe?
Less than 4.5 hrs
Less than 8 hrs
Less than 24 hrs
Less than 6 hrs - correct answer-Less than 4.5 hrs
Patients who exhibit a positive Kernig's sign should be evaluated for which potential illness?
Myocarditis
Appendicitis
Meningitis
Pericarditis - correct answer-Meningitis
Your patient has been noticing progressively worsening muscular weakness over the past 15 months
to the point he is not able to stand and is effectively wheelchair bound. Which of the following
diagnoses can reasonably be excluded?
Myasthenia Gravis
Descending Guillain-Barre
Anterior cord syndrome
Page | 3
, Multiple Sclerosis - correct answer-Descending Guillain-Barre
The use of GABA-agonizing drugs is likely going to have which effect on seizure threshold?
None of the above
Decrease
No change
Increase - correct answer-Increase
A late adolescent female is requesting information on HPV vaccine. Which of the following
statements indicates need to further education?
Three doses are required for effective immunity
The vaccine does not protect against all forms of STIs
The vaccine replaces the need for routine cervical cancer screening
I will still need to use other forms of protection with sexual intercourse - correct answer-The
vaccine replaces the need for routine cervical cancer screening
A nurse practitioner is evaluating an infant for possible colic. Which of the following could indicate
the need for a more extensive evaluation?
Onset at 4 weeks of age
Moist mucus membranes and flat fontanels
Stool negative for occult blood
3-oz (85 g) weight gain over the past 2 weeks - correct answer-3-oz (85 g) weight gain over the past
2 weeks
A late adolescent is brought to the nurse practitioner's office by her mother, who is concerned about
her daughter's recent weight loss and the potential of purging herself after meals. The daughter
denies any self-induced vomiting, starvation or excessive activity. History reveals that the daughter
was consistently in the 50th percentile for weight but is now in the 10th percentile. She does state
that she jogs 5 miles a day and is in good condition. In addition to a complete blood count with
differential, which of the following laboratory tests will be most helpful for further assessment?
Page | 4
