NR667 Exit PREP Exam 170 Questions with 100%
Correct Answers | Latest Version (2026/2027) Expert
Verified
OVERVIEW
This exam helps students prepare for real clinical scenarios by covering key topics
like heart conditions, infections, endocrine disorders, mental health, and women’s
health. It focuses on recognizing symptoms, choosing the right first tests,
interpreting lab results, and understanding common diagnoses and treatments. The
questions are based on real patient cases, making it easier to apply knowledge in
exams and clinical practice. It’s a great resource for building confidence and
improving test performance.
Your 51-year-old female patient has been diagnosed with a "new murmur" during a near
syncopal episode workup. In evaluating this patient, during which phase of the cardiac cycle
would you anticipate auscultation of an S1 heart sound? - correct answer -Systole
The initial workup for a patient with a new chief complaint of palpitations should include
which of the following tests first? - correct answer -Basic metabolic profile
Which of the following locations is most commonly described as the best location to identify
the aortic valve in a healthy adult? - correct answer -2nd intercostal space, right sternal border
Jason, a 63-year-old male who had a cardiac drug-eluting stent placed and had an elevated
troponin of 1.6, asks how long he will need to be on aspirin plus clopidogrel (Plavix). How long
should Jason be on dual antiplatelet therapy after his stent? - correct answer -12 months
minimum
During a neurologic exam (cranial nerves), which is the most effective for assessing cranial
nerve II? - correct answer -Snellen chart for visual acuity
Having the patient close their eyes and identify a familiar object in their hand is known as which
test? - correct answer -Stereognosis
,A patient with a damaged glossopharyngeal nerve might exhibit which clinical finding? - correct
answer -Impaired gag reflex
A patient successfully treated for strep infection now has hematuria with RBC casts. Which
diagnosis is confirmed? - correct answer -Glomerulonephritis
In addition to dysuria and frequency, which urinalysis finding confirms pyelonephritis? - correct
answer -WBC casts on urinalysis
In assessing suspected pyelonephritis, which physical exam test may elicit a confirmatory
response? - correct answer -Renal punch test
In a diabetic hypertensive patient, which first test is used to evaluate early renal dysfunction? -
correct answer -Urinalysis with micro/macro albumin
A 19-year-old female with groin pain and a recent promiscuous partner. She shuffles when
walking, STI positive. Which agent most likely caused this? - correct answer -Gonorrhea and
Chlamydia
A 15-year-old with dysfunctional uterine bleeding (DUB). Which lab should be ordered first? -
correct answer -Serum human chorionic gonadotropin (HCG)
A 25-year-old with malodorous vaginal discharge suspicious for bacterial vaginosis. Which test
is not used to diagnose BV? - correct answer -Gonorrhea and Chlamydia DNA probe
A patient with CHF (EF 30%) has SOB only with jogging/exercise, not at rest or ADLs. Which
NYHA class is this? - correct answer -Class II
, A patient presents with new-onset irregularly irregular rapid HR around 100 bpm for several
days. What is the first priority intervention? - correct answer -Maintain rate control and
anticoagulation prior to rhythm conversion
A 63-year-old male with exertional chest pressure that resolves with rest (not increasing in
frequency) is diagnosed with what and gets what plan? - correct answer -Stable angina; initiate
a long-acting oral nitrate
A 72-year-old female with prior CABG and valve replacement now has fever, night sweats, and a
new murmur. Which complication must you evaluate? - correct answer -Bacterial endocarditis
In a 9-year-old, you hear crackles in the lower lobe that clear after coughing. What do you
suspect? - correct answer -Atelectasis
A tall, thin 15-year-old male abruptly developed SOB after a minor fall. Which diagnosis do you
anticipate? - correct answer -Spontaneous pneumothorax
A patient recently post-operative for appendectomy has dull percussion over the lung base.
Which diagnosis is likely? - correct answer -Atelectasis
Which of the following patients is most likely to complain of hemoptysis? - correct answer -
Lung cancer
A patient's labs show TSH 5.9 (slightly high) and free T4 0.3 (low). Which symptom would you
expect with these values? - correct answer -Cold intolerance
A 40-year-old African American female patient presents with exophthalmos on exam. Which
condition is described? - correct answer -Hyperthyroidism
For suspected Hashimoto's thyroiditis, which test specifically evaluates the underlying
pathology of hypothyroidism? - correct answer -Check anti-thyroid peroxidase levels
Correct Answers | Latest Version (2026/2027) Expert
Verified
OVERVIEW
This exam helps students prepare for real clinical scenarios by covering key topics
like heart conditions, infections, endocrine disorders, mental health, and women’s
health. It focuses on recognizing symptoms, choosing the right first tests,
interpreting lab results, and understanding common diagnoses and treatments. The
questions are based on real patient cases, making it easier to apply knowledge in
exams and clinical practice. It’s a great resource for building confidence and
improving test performance.
Your 51-year-old female patient has been diagnosed with a "new murmur" during a near
syncopal episode workup. In evaluating this patient, during which phase of the cardiac cycle
would you anticipate auscultation of an S1 heart sound? - correct answer -Systole
The initial workup for a patient with a new chief complaint of palpitations should include
which of the following tests first? - correct answer -Basic metabolic profile
Which of the following locations is most commonly described as the best location to identify
the aortic valve in a healthy adult? - correct answer -2nd intercostal space, right sternal border
Jason, a 63-year-old male who had a cardiac drug-eluting stent placed and had an elevated
troponin of 1.6, asks how long he will need to be on aspirin plus clopidogrel (Plavix). How long
should Jason be on dual antiplatelet therapy after his stent? - correct answer -12 months
minimum
During a neurologic exam (cranial nerves), which is the most effective for assessing cranial
nerve II? - correct answer -Snellen chart for visual acuity
Having the patient close their eyes and identify a familiar object in their hand is known as which
test? - correct answer -Stereognosis
,A patient with a damaged glossopharyngeal nerve might exhibit which clinical finding? - correct
answer -Impaired gag reflex
A patient successfully treated for strep infection now has hematuria with RBC casts. Which
diagnosis is confirmed? - correct answer -Glomerulonephritis
In addition to dysuria and frequency, which urinalysis finding confirms pyelonephritis? - correct
answer -WBC casts on urinalysis
In assessing suspected pyelonephritis, which physical exam test may elicit a confirmatory
response? - correct answer -Renal punch test
In a diabetic hypertensive patient, which first test is used to evaluate early renal dysfunction? -
correct answer -Urinalysis with micro/macro albumin
A 19-year-old female with groin pain and a recent promiscuous partner. She shuffles when
walking, STI positive. Which agent most likely caused this? - correct answer -Gonorrhea and
Chlamydia
A 15-year-old with dysfunctional uterine bleeding (DUB). Which lab should be ordered first? -
correct answer -Serum human chorionic gonadotropin (HCG)
A 25-year-old with malodorous vaginal discharge suspicious for bacterial vaginosis. Which test
is not used to diagnose BV? - correct answer -Gonorrhea and Chlamydia DNA probe
A patient with CHF (EF 30%) has SOB only with jogging/exercise, not at rest or ADLs. Which
NYHA class is this? - correct answer -Class II
, A patient presents with new-onset irregularly irregular rapid HR around 100 bpm for several
days. What is the first priority intervention? - correct answer -Maintain rate control and
anticoagulation prior to rhythm conversion
A 63-year-old male with exertional chest pressure that resolves with rest (not increasing in
frequency) is diagnosed with what and gets what plan? - correct answer -Stable angina; initiate
a long-acting oral nitrate
A 72-year-old female with prior CABG and valve replacement now has fever, night sweats, and a
new murmur. Which complication must you evaluate? - correct answer -Bacterial endocarditis
In a 9-year-old, you hear crackles in the lower lobe that clear after coughing. What do you
suspect? - correct answer -Atelectasis
A tall, thin 15-year-old male abruptly developed SOB after a minor fall. Which diagnosis do you
anticipate? - correct answer -Spontaneous pneumothorax
A patient recently post-operative for appendectomy has dull percussion over the lung base.
Which diagnosis is likely? - correct answer -Atelectasis
Which of the following patients is most likely to complain of hemoptysis? - correct answer -
Lung cancer
A patient's labs show TSH 5.9 (slightly high) and free T4 0.3 (low). Which symptom would you
expect with these values? - correct answer -Cold intolerance
A 40-year-old African American female patient presents with exophthalmos on exam. Which
condition is described? - correct answer -Hyperthyroidism
For suspected Hashimoto's thyroiditis, which test specifically evaluates the underlying
pathology of hypothyroidism? - correct answer -Check anti-thyroid peroxidase levels
