NR 667 WEEK 2 EXAM 2026/2027 | 150 HIGH-YIELD
QUESTIONS & VERIFIED ANSWERS | LATEST TEST
PREP | RECENT & MOST TESTED TOPICS | A+
PREPARATION
A young adult presents with a sore throat, nasal congestion, postnasal drip, no
temperature elevation, and no lower respiratory involvement. The most appropriate
initial intervention is to:
Recommend gargling with warm salt water
Prescribe a prophylactic course of oral penicillin
Obtain a Monospot test
Obtain a nasopharyngeal culture and sensitivity - correct answer-Recommend gargling with warm
salt water
Your patient is on rivaroxaban, a potent novel oral anticoagulant, and presents to the
urgent care in no apparent distress with a right nare that is bleeding through the current
self-packed gauze. This has been persistent for the past 30 minutes without any evidence
of stopping. Which is the most appropriate next action?
Apply direct manual compression to the bridge of the nose and consult ENT
Consult anesthesia for intubation
Attempt blind cautery with silver nitrate sticks around the packing
Remove the current nasal packing to evaluate further - correct answer-Apply direct manual
compression to the bridge of the nose and consult ENT
The medical term for nosebleed is which of the following?
Hemostasis
Ataxia
Epistaxis
Nataxis - correct answer-Epistaxis
In which of the following patients is PRBC transfusion recommended?
Page | 1
,26 y.o. F s/p ORIF, Hgb 10.1
64 y.o. M with anemia of unknown origin, SOB, fatigue, and Hgb 9.2
52 y.o. F with chronic lower GI bleed, asymptomatic, and Hgb 8.9
73 y.o. M with acute GI bleed and Hgb 6.2 - correct answer-73 y.o. M with acute GI bleed and Hgb
6.2
All the following thrombocytopenic emergencies require immediate action except:
Scheduled surgical procedure with mild thrombocytopenia
Suspected acute leukemia, aplastic anemia, or other bone marrow failure syndrome
Pregnancy with severe thrombocytopenia
Bleeding in the setting of severe thrombocytopenia - correct answer-Scheduled surgical procedure
with mild thrombocytopenia
Treatment for symptomatic aplastic anemia includes all the following except:
Removal of bone marrow stimulants
Prophylactic antibiotics
PRBC/Platelet/WBC transfusions
Bone marrow transplant - correct answer-Removal of bone marrow stimulants
Which of the following is appropriate long-term treatment for B12 deficiency in a patient
with a history of gastric bypass?
Parenteral vitamin B12
Oral vitamin B12
Inhaled B12
Parenteral vitamin B6 - correct answer-Parenteral vitamin B12
Progression to Acute Myelogenous Leukemia (AML) is a risk for untreated or poorly
responsive:
Macrocytic anemia
Page | 2
,Aplastic anemia
Myelodysplastic syndrome
Pancytopenia - correct answer-Myelodysplastic syndrome
A patient currently undergoing concurrent chemotherapy/radiation
treatment for glottic squamous cell carcinoma is admitted to the rehab unit
you oversee for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8.
Which of the following conditions is this patient at risk for?
Macrocytic anemia due to B12 deficiency
Microcytic anemia due to chronic kidney disease
Aplastic anemia due to bone marrow suppression
Iron deficiency anemia due to chronic blood loss - correct answer-Aplastic anemia due to bone
marrow suppression
A patient is taking warfarin, 4 mg daily for atrial fibrillation. The patient's current
International Normalized Ratio (INR) is 5.5 mg/dL. The nurse practitioner would:
decrease the warfarin to 3 mg daily.
hold the warfarin for 4 days and then recheck the INR.
increase the warfarin to 5 mg daily.
hold the warfarin for 1 day and then recheck in two days. - correct answer-hold the warfarin for 1
day and then recheck in two days.
A patient with a known intrinsic factor autoantibody is at risk for developing which of the
following conditions?
Liver disease
B12 deficiency and pernicious anemia
Iron deficiency anemia
Bone marrow suppression and pancytopenia - correct answer-B12 deficiency and pernicious
anemia
Page | 3
, Overactivation of coagulation and fibrinolysis resulting in thrombosis and hemorrhage is a trademark
of which of the following? Aplastic anemia
Myelodysplastic syndrome
Thrombocytopenia
Disseminated intravascular coagulation - correct answer-Disseminated intravascular coagulation
A patient diagnosed with iron deficiency anemia requires iron supplementation. Which of the
following treatments would likely be ineffective?
Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26 y.o. F at 34 weeks of pregnancy
Ferrous sulfate 325 mg PO BID for a 63 y.o. M with ulcerative colitis
Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric bypass 2 years ago
Ferrous sulfate 325 mg PO TID for a 25 y.o. F with menorrhagia - correct answer-Ferrous sulfate
325 mg PO BID for a 43 y.o. F s/p gastric bypass 2 years ago
Patients with a new diagnosis of primary progressive multiple sclerosis are most likely to benefit
from treatment with which of the following agents?
Sulfamethoxazole
Chronic high dose corticosteroids
Chronic opioids
Rituximab - correct answer-Rituximab
A 35-year-old woman presents with fatigue, joint pain, and a butterfly-shaped rash on her face.
What is the most appropriate initial management in primary care?
Referral to rheumatology
NSAIDs
Antivirals
Corticosteroids - correct answer-Referral to rheumatology
The patient with anaphylaxis is experiencing which type of hypersensitivity response?
Type III
Page | 4
QUESTIONS & VERIFIED ANSWERS | LATEST TEST
PREP | RECENT & MOST TESTED TOPICS | A+
PREPARATION
A young adult presents with a sore throat, nasal congestion, postnasal drip, no
temperature elevation, and no lower respiratory involvement. The most appropriate
initial intervention is to:
Recommend gargling with warm salt water
Prescribe a prophylactic course of oral penicillin
Obtain a Monospot test
Obtain a nasopharyngeal culture and sensitivity - correct answer-Recommend gargling with warm
salt water
Your patient is on rivaroxaban, a potent novel oral anticoagulant, and presents to the
urgent care in no apparent distress with a right nare that is bleeding through the current
self-packed gauze. This has been persistent for the past 30 minutes without any evidence
of stopping. Which is the most appropriate next action?
Apply direct manual compression to the bridge of the nose and consult ENT
Consult anesthesia for intubation
Attempt blind cautery with silver nitrate sticks around the packing
Remove the current nasal packing to evaluate further - correct answer-Apply direct manual
compression to the bridge of the nose and consult ENT
The medical term for nosebleed is which of the following?
Hemostasis
Ataxia
Epistaxis
Nataxis - correct answer-Epistaxis
In which of the following patients is PRBC transfusion recommended?
Page | 1
,26 y.o. F s/p ORIF, Hgb 10.1
64 y.o. M with anemia of unknown origin, SOB, fatigue, and Hgb 9.2
52 y.o. F with chronic lower GI bleed, asymptomatic, and Hgb 8.9
73 y.o. M with acute GI bleed and Hgb 6.2 - correct answer-73 y.o. M with acute GI bleed and Hgb
6.2
All the following thrombocytopenic emergencies require immediate action except:
Scheduled surgical procedure with mild thrombocytopenia
Suspected acute leukemia, aplastic anemia, or other bone marrow failure syndrome
Pregnancy with severe thrombocytopenia
Bleeding in the setting of severe thrombocytopenia - correct answer-Scheduled surgical procedure
with mild thrombocytopenia
Treatment for symptomatic aplastic anemia includes all the following except:
Removal of bone marrow stimulants
Prophylactic antibiotics
PRBC/Platelet/WBC transfusions
Bone marrow transplant - correct answer-Removal of bone marrow stimulants
Which of the following is appropriate long-term treatment for B12 deficiency in a patient
with a history of gastric bypass?
Parenteral vitamin B12
Oral vitamin B12
Inhaled B12
Parenteral vitamin B6 - correct answer-Parenteral vitamin B12
Progression to Acute Myelogenous Leukemia (AML) is a risk for untreated or poorly
responsive:
Macrocytic anemia
Page | 2
,Aplastic anemia
Myelodysplastic syndrome
Pancytopenia - correct answer-Myelodysplastic syndrome
A patient currently undergoing concurrent chemotherapy/radiation
treatment for glottic squamous cell carcinoma is admitted to the rehab unit
you oversee for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8.
Which of the following conditions is this patient at risk for?
Macrocytic anemia due to B12 deficiency
Microcytic anemia due to chronic kidney disease
Aplastic anemia due to bone marrow suppression
Iron deficiency anemia due to chronic blood loss - correct answer-Aplastic anemia due to bone
marrow suppression
A patient is taking warfarin, 4 mg daily for atrial fibrillation. The patient's current
International Normalized Ratio (INR) is 5.5 mg/dL. The nurse practitioner would:
decrease the warfarin to 3 mg daily.
hold the warfarin for 4 days and then recheck the INR.
increase the warfarin to 5 mg daily.
hold the warfarin for 1 day and then recheck in two days. - correct answer-hold the warfarin for 1
day and then recheck in two days.
A patient with a known intrinsic factor autoantibody is at risk for developing which of the
following conditions?
Liver disease
B12 deficiency and pernicious anemia
Iron deficiency anemia
Bone marrow suppression and pancytopenia - correct answer-B12 deficiency and pernicious
anemia
Page | 3
, Overactivation of coagulation and fibrinolysis resulting in thrombosis and hemorrhage is a trademark
of which of the following? Aplastic anemia
Myelodysplastic syndrome
Thrombocytopenia
Disseminated intravascular coagulation - correct answer-Disseminated intravascular coagulation
A patient diagnosed with iron deficiency anemia requires iron supplementation. Which of the
following treatments would likely be ineffective?
Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26 y.o. F at 34 weeks of pregnancy
Ferrous sulfate 325 mg PO BID for a 63 y.o. M with ulcerative colitis
Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric bypass 2 years ago
Ferrous sulfate 325 mg PO TID for a 25 y.o. F with menorrhagia - correct answer-Ferrous sulfate
325 mg PO BID for a 43 y.o. F s/p gastric bypass 2 years ago
Patients with a new diagnosis of primary progressive multiple sclerosis are most likely to benefit
from treatment with which of the following agents?
Sulfamethoxazole
Chronic high dose corticosteroids
Chronic opioids
Rituximab - correct answer-Rituximab
A 35-year-old woman presents with fatigue, joint pain, and a butterfly-shaped rash on her face.
What is the most appropriate initial management in primary care?
Referral to rheumatology
NSAIDs
Antivirals
Corticosteroids - correct answer-Referral to rheumatology
The patient with anaphylaxis is experiencing which type of hypersensitivity response?
Type III
Page | 4
