150 EXAM QUESTIONS AND ANSWERS, UPDATED 2026,
GRADED A+
Your 22-year-old male patient states during his review of systems that his
scrotum is very enlarged and feels like it is full of a powerlifter and works as
a trash collector. Which of the following diagnoses do you suspect the
patient likely has? - CORRECT ANSWER-Varicocele
The point of maximum impulse (PMI) is MOST often palpable in healthy
adults when positioned in the supine or left lateral decubitus position.
Which one of the following locations is most commonly described as the
PMI in a healthy adult? - CORRECT ANSWER-Left 5th intercostal space
midclavicular line
A 40-year-old female, African American patient presents for history and
physical. Upon your initial assessment, you notice she has severe
exophthalmos as pictured below. Which one of the following diagnoses
below would be the highest on your differential diagnosis of this physical
examination finding? - CORRECT ANSWER-Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen by
pulmonology and has undergone a pulmonary function test (PFT) with
spirometry. As the patient's primary healthcare provider, you have been
asked to explain the findings of the PFT to the patient in a follow-up visit, at
which time the patient asks what the study was evaluating. To describe the
PFT to the patient in more useful terms, you state that the large inspiration
of air to the furthest extent they could reasonably accomplish, followed by a
full exhalation, is referred to as which of the following measurements during
the PFT? - CORRECT ANSWER-Forced vital capacity
,Your patient has a diagnosis of Addison's disease. Which of the following
might you expect to find during an examination? - CORRECT ANSWER-
Low body temperature
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type
2 should include which of the following while evaluating for end-organ
dysfunction of the disease? - CORRECT ANSWER-Renal function panel
Urinalysis
Non-dilated eye exam
D -All of these are appropriate options
During your visit with a 19-year-old patient for a college health physical,
your health history includes a diagnosis of angioedema. Which of the
following parts of the body was likely involved? - CORRECT ANSWER-
Face and lips
Which of the following dermatologic lesions is precancerous and likely due
to prolonged exposure to UV-B? - CORRECT ANSWER-Actinic keratosis
Based on your evaluation of ABCDE for melanoma, which of the following
represents a suspicious finding? - CORRECT ANSWER-Irregular borders
Your patient is complaining of hypersomnia, lack of motivation, weight gain,
and anhedonia. Suspecting a diagnosis of clinical depression, you
anticipate the patient will benefit from treating their underlying deficit of
which of the following neurotransmitters? - CORRECT ANSWER-Serotonin
,As a prudent nurse practitioner, the diabetic, hypertensive patient you are
seeing should be evaluated for early evidence of renal damage from both
diabetes and hypertension. Which of the following assessment tools should
the nurse practitioner order first for the evaluation of early renal dysfunction
secondary to diabetes or hypertension? - CORRECT ANSWER-Urinalysis
with micro/macro albumin
While evaluating a patient in your clinic for a routine health visit, you
auscultate crackles in the posterolateral left lower lobe and have the patient
cough. Follow-up auscultation reveals clear breath sounds. Which one of
the following would you suspect? - CORRECT ANSWER-Atelectasis-
condition where one or more areas of the lungs collapse or don't inflate
properly, leading to reduced oxygen levels in the blood
Your 39-year-old patient, who has recently been hospitalized for an
appendectomy, is being seen in your clinic for post-operative follow-up with
primary care. On assessment, the patient complains of some incisional
pain, and otherwise examination is standard, with the exception of dull
percussion sounds noted on the thorax over lung tissue. Which of the
following diagnoses would be explained by this finding in a post-operative
patient? - CORRECT ANSWER-Atelectasis
You are evaluating a 41-year-old female patient in your clinic with
symptoms of right upper quadrant pain that worsens with deep breathing.
The patient exhibits a positive Murphy sign. These findings are most
consistent with which one of the following? - CORRECT ANSWER-
Cholecystitis- inflammation of the gallbladder
In educating your patient about the non-pharmacologic management of
gastroesophageal reflux disease, you include teaching to the patient that
their heartburn is aggravated by al of the following except which one? -
, CORRECT ANSWER-Gastric dumping, or increased emptying into the
small intestines
The patient is experiencing acute closed angle glaucoma. Which of the
following examination findings by the nurse practitioner is most consistent
with their diagnosis? - CORRECT ANSWER-Increase in intraocular
pressure
While managing the care of the patient with chronic alcoholism, the nurse
practitioner would likely anticipate which findings on the CBC with
differential? - CORRECT ANSWER-Elevated MCV and MCH
MCV- Measures the average size or volume of RBC
MCH- measure the average amount of HBG in a single red blood cell
The nurse practitioner is caring for a patient with an elevated WBC, fever,
chills, and malaise. When developing a differential diagnosis for this
finding, which of the following is not a potential cause of the elevated
WBC? - CORRECT ANSWER-Diabetes Mellitus Type 2
Your 21-year-old sexually active female patient states during a routine
health exam that they have some "weird bumps" on their vulva. She is
concerned that she has a sexually transmitted infection. You notify her that
condyloma is caused by exposure to which of the following? - CORRECT
ANSWER-Human papillomavirus type 6 and 1
Your patient, who has undergone a recent major medical procedure, is at a
rehabilitation center and is having a hard time being motivated to do
therapy. When you interview them as the nurse practitioner on staff for the
subacute rehab center, they appear to be responsive and have difficulty