MN568 FINAL EXAM COMPLETE
QUESTIONS WITH DETAILED
CORRECT ANSWERS UPDATED
2025/2026||ASSURED A+ GRADE
STUDY MATERIAL!!!
1. What is a procedure that can be performed in the outpatient setting for a
patient with obstructive sleep apnea?
A. Mandibular advancement
B. Laser-assisted uvulopalatoplasty
C. Retroglossal obstruction removal
D. Uvulopalatopharyngoplasty - ANSWER ✓ Laser-assisted
uvulopalatoplasty
2. Which of the following statements regarding pulmonary function and
cigarette smoking is true?
A. Cigarette smoking causes an increase in circulating immunoglobulin
levels.
B. Cigarette smoking has no increased risk of COPD.
C. Cigarette smoking decreases mucus production.
D. Cigarette smoking increases the risk of pneumothorax. - ANSWER ✓
Cigarette smoking increases the risk of pneumothorax.
3. How much nicotine does an average cigarette contain?
A. 5 to 10 mg
B. 10 to 15 mg
C. 15 to 20 mg
D. 20 to 25 mg - ANSWER ✓ 15 to 20 mg
4. Madeline is a smoker in a primary-care visit with her provider. After her
provider asks if she is willing to quit, she says she has decided to quit, has
, bought nicotine gum, and is interested in hearing about Chantix. Which of
the following steps is Madeline in regarding behavioral changes and her
attempts at cessation?
A. Precontemplation
B. Action
C. Maintenance
D. Preparation - ANSWER ✓ Preparation
5. Eleanor would like to quit smoking, but she is unsure of the benefits, as she
is 60 years old. Which of these is a benefit to quitting smoking that her
provider should inform her of?
A. Enhanced taste and smell
B. Improved hearing
C. Decreased risk of diabetes mellitus
D. Decreased risk of sexually transmitted diseases - ANSWER ✓
Enhanced taste and smell
6. Which of these patients should be evaluated with serum alpha-antitrypsin
levels?
A. Jamie, a 70-year-old female with COPD with a history of smoking
B. Ron, a 43-year-old male with COPD with a history of smoking
C. Leslie, a 60-year-old female with clinical emphysema and no history
of smoking
D. Marshall, a 55-year-old male with clinical emphysema and no family
history of early-onset COPD - ANSWER ✓ Ron, a 43-year-old male
with COPD with a history of smoking
7. Marvin, age 56, is a smoker with diabetes mellitus. He has just been
diagnosed as hypertensive. Which of the following drugs has the potential to
cause the development of bronchial asthma and inhibit gluconeogenesis? -
ANSWER ✓ beta blockers
8. Impaired blood flow to the extremities is caused by which of the following
common disorders? - ANSWER ✓ Peripheral vascular disease
,9. A 55-year-old African American man with newly diagnosed hypertension
presents to your primary care clinic for medication management. Today his
blood pressure reads 145/95. He denies headache, blurred vision, chest pain,
and shortness of breath. Which medication would you start him on? -
ANSWER ✓ amlodipine
10.Which cardiac marker would be best for identifying if a patient has had any
cardiac damage over the past 4 days? - ANSWER ✓ troponin
11.What is the most important question to ask when a client presents with chest
pain? - ANSWER ✓ "What was the time of the onset of pain?"
12.Mr. Michaels has a long-standing cardiac problem. His electrocardiogram
rhythm strip is shown [atrial fibrillation]. Which medication should he be
taking to prevent a pulmonary or cerebral problem? - ANSWER ✓ An
anticoagulant, such as warfarin, dabigatran, apixaban, or rivaroxaban
13.Which drugs are used to lower blood pressure in a client with coexisting
benign prostatic hyperplasia? - ANSWER ✓ Alpha-adrenergic blockers
14.Terry, a 42-year-old black man who just moved into the area, comes into the
clinic for a new client visit. He brings his medical records from his previous
health care provider; the records show a blood pressure of 140/104 mm Hg
on 2 separate occasions. Recent laboratory tests (complete blood count,
chemistry profile, urinalysis, and thyroid-stimulating hormone) are normal.
A recent electrocardiogram shows normal sinus rhythm with left ventricular
hypertrophy. He denies any medical problems and tells you he has never
been diagnosed with hypertension. He is not taking any medications, does
not smoke, and drinks about 2 beers a day. He is currently unemployed. His
blood pressure today is 150/110 mm Hg. Your next step would be to: -
ANSWER ✓ Begin drug therapy with chlorthaliodone 25 mg
15.Janice, age 64, arrives at the office this morning without an appointment.
She appears quite anxious and pale and is complaining of an intermittent
aching across her sternum and into her jaw and left arm that started about an
hour ago and woke her out of a sound sleep. She took an antacid and
acetaminophen, but they did not seem to help. Her blood pressure is 160/90,
and her heart rate is 98. An electrocardiogram (ECG) shows normal sinus
, rhythm with 2-mm ST-segment elevations in leads II, III, and aVF. What do
you suspect? - ANSWER ✓ An acute inferior wall MI
16.Your postmyocardial infarction (PMI) client is allergic to acetylsalicylic
acid, or aspirin (ASA). Which drug should he be on indefinitely? -
ANSWER ✓ clopidogrel (Plavix)
17.Selma, age 76, has acute peripheral arterial occlusion of a lower extremity.
Before you begin your examination, you know that it: - ANSWER ✓ May
present with complaints of only coldness or paresthesia of the extremity
18.Signs of right-sided heart failure include: - ANSWER ✓ Indication of fluid
retention
19.A 65-year-old obese, diabetic female presents to your urgent care clinic
complaining of 2 days of progressively worsening epigastric pain, fatigue,
nausea, and dizziness. Her vitals are as follows: temperature (T) 98.8°F,
pulse (P) 110, pulse oximetry 93%, blood pressure (BP) 160/100. The
patient has a family history of diabetes, breast cancer, paternal heart attack,
hypertension, and hyperlipidemia. Her complete blood count (CBC),
comprehensive metabolic panel (CMP), and urinalysis show a patient with
stage 2 chronic kidney disease (CKD) and a glucose of 150. The patient has
no diarrhea and no other gastrointestinal symptoms. How would you proceed
next? - ANSWER ✓ Order a rapid troponin and EKG
20.A 70-year-old female presents to your urgent care clinic with chest pain for
24 hours, progressive dyspnea, and fatigue and is found to have elevated
troponins and an electrocardiogram (EKG) with ST elevations. Which of the
following is not a recommended treatment? - ANSWER ✓ Administration of
fibrinolytics stat
21.Rona, age 69, has hypertension (HTN), drinks 1 glass of white wine per day,
and is slightly overweight. She asks you if making changes in her life at this
age will make any difference. You tell her that lifestyle modifications for the
control of HTN: - ANSWER ✓ May lower elevated blood pressure, and
reduce the number and dosage of antihypertensive medications needed to
manage the condition
QUESTIONS WITH DETAILED
CORRECT ANSWERS UPDATED
2025/2026||ASSURED A+ GRADE
STUDY MATERIAL!!!
1. What is a procedure that can be performed in the outpatient setting for a
patient with obstructive sleep apnea?
A. Mandibular advancement
B. Laser-assisted uvulopalatoplasty
C. Retroglossal obstruction removal
D. Uvulopalatopharyngoplasty - ANSWER ✓ Laser-assisted
uvulopalatoplasty
2. Which of the following statements regarding pulmonary function and
cigarette smoking is true?
A. Cigarette smoking causes an increase in circulating immunoglobulin
levels.
B. Cigarette smoking has no increased risk of COPD.
C. Cigarette smoking decreases mucus production.
D. Cigarette smoking increases the risk of pneumothorax. - ANSWER ✓
Cigarette smoking increases the risk of pneumothorax.
3. How much nicotine does an average cigarette contain?
A. 5 to 10 mg
B. 10 to 15 mg
C. 15 to 20 mg
D. 20 to 25 mg - ANSWER ✓ 15 to 20 mg
4. Madeline is a smoker in a primary-care visit with her provider. After her
provider asks if she is willing to quit, she says she has decided to quit, has
, bought nicotine gum, and is interested in hearing about Chantix. Which of
the following steps is Madeline in regarding behavioral changes and her
attempts at cessation?
A. Precontemplation
B. Action
C. Maintenance
D. Preparation - ANSWER ✓ Preparation
5. Eleanor would like to quit smoking, but she is unsure of the benefits, as she
is 60 years old. Which of these is a benefit to quitting smoking that her
provider should inform her of?
A. Enhanced taste and smell
B. Improved hearing
C. Decreased risk of diabetes mellitus
D. Decreased risk of sexually transmitted diseases - ANSWER ✓
Enhanced taste and smell
6. Which of these patients should be evaluated with serum alpha-antitrypsin
levels?
A. Jamie, a 70-year-old female with COPD with a history of smoking
B. Ron, a 43-year-old male with COPD with a history of smoking
C. Leslie, a 60-year-old female with clinical emphysema and no history
of smoking
D. Marshall, a 55-year-old male with clinical emphysema and no family
history of early-onset COPD - ANSWER ✓ Ron, a 43-year-old male
with COPD with a history of smoking
7. Marvin, age 56, is a smoker with diabetes mellitus. He has just been
diagnosed as hypertensive. Which of the following drugs has the potential to
cause the development of bronchial asthma and inhibit gluconeogenesis? -
ANSWER ✓ beta blockers
8. Impaired blood flow to the extremities is caused by which of the following
common disorders? - ANSWER ✓ Peripheral vascular disease
,9. A 55-year-old African American man with newly diagnosed hypertension
presents to your primary care clinic for medication management. Today his
blood pressure reads 145/95. He denies headache, blurred vision, chest pain,
and shortness of breath. Which medication would you start him on? -
ANSWER ✓ amlodipine
10.Which cardiac marker would be best for identifying if a patient has had any
cardiac damage over the past 4 days? - ANSWER ✓ troponin
11.What is the most important question to ask when a client presents with chest
pain? - ANSWER ✓ "What was the time of the onset of pain?"
12.Mr. Michaels has a long-standing cardiac problem. His electrocardiogram
rhythm strip is shown [atrial fibrillation]. Which medication should he be
taking to prevent a pulmonary or cerebral problem? - ANSWER ✓ An
anticoagulant, such as warfarin, dabigatran, apixaban, or rivaroxaban
13.Which drugs are used to lower blood pressure in a client with coexisting
benign prostatic hyperplasia? - ANSWER ✓ Alpha-adrenergic blockers
14.Terry, a 42-year-old black man who just moved into the area, comes into the
clinic for a new client visit. He brings his medical records from his previous
health care provider; the records show a blood pressure of 140/104 mm Hg
on 2 separate occasions. Recent laboratory tests (complete blood count,
chemistry profile, urinalysis, and thyroid-stimulating hormone) are normal.
A recent electrocardiogram shows normal sinus rhythm with left ventricular
hypertrophy. He denies any medical problems and tells you he has never
been diagnosed with hypertension. He is not taking any medications, does
not smoke, and drinks about 2 beers a day. He is currently unemployed. His
blood pressure today is 150/110 mm Hg. Your next step would be to: -
ANSWER ✓ Begin drug therapy with chlorthaliodone 25 mg
15.Janice, age 64, arrives at the office this morning without an appointment.
She appears quite anxious and pale and is complaining of an intermittent
aching across her sternum and into her jaw and left arm that started about an
hour ago and woke her out of a sound sleep. She took an antacid and
acetaminophen, but they did not seem to help. Her blood pressure is 160/90,
and her heart rate is 98. An electrocardiogram (ECG) shows normal sinus
, rhythm with 2-mm ST-segment elevations in leads II, III, and aVF. What do
you suspect? - ANSWER ✓ An acute inferior wall MI
16.Your postmyocardial infarction (PMI) client is allergic to acetylsalicylic
acid, or aspirin (ASA). Which drug should he be on indefinitely? -
ANSWER ✓ clopidogrel (Plavix)
17.Selma, age 76, has acute peripheral arterial occlusion of a lower extremity.
Before you begin your examination, you know that it: - ANSWER ✓ May
present with complaints of only coldness or paresthesia of the extremity
18.Signs of right-sided heart failure include: - ANSWER ✓ Indication of fluid
retention
19.A 65-year-old obese, diabetic female presents to your urgent care clinic
complaining of 2 days of progressively worsening epigastric pain, fatigue,
nausea, and dizziness. Her vitals are as follows: temperature (T) 98.8°F,
pulse (P) 110, pulse oximetry 93%, blood pressure (BP) 160/100. The
patient has a family history of diabetes, breast cancer, paternal heart attack,
hypertension, and hyperlipidemia. Her complete blood count (CBC),
comprehensive metabolic panel (CMP), and urinalysis show a patient with
stage 2 chronic kidney disease (CKD) and a glucose of 150. The patient has
no diarrhea and no other gastrointestinal symptoms. How would you proceed
next? - ANSWER ✓ Order a rapid troponin and EKG
20.A 70-year-old female presents to your urgent care clinic with chest pain for
24 hours, progressive dyspnea, and fatigue and is found to have elevated
troponins and an electrocardiogram (EKG) with ST elevations. Which of the
following is not a recommended treatment? - ANSWER ✓ Administration of
fibrinolytics stat
21.Rona, age 69, has hypertension (HTN), drinks 1 glass of white wine per day,
and is slightly overweight. She asks you if making changes in her life at this
age will make any difference. You tell her that lifestyle modifications for the
control of HTN: - ANSWER ✓ May lower elevated blood pressure, and
reduce the number and dosage of antihypertensive medications needed to
manage the condition
