EXAM || MOST RECENT EXAM 2026-2027 ACTUAL COMPLETE
REAL EXAM QUESTIONS AND CORRECT ANSWERS(VERIFIED
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A young adult male reports a dull pain in the right scrotum and
the provider notes a bluish color showing through the skin on
the affected side. Palpation reveals a bag of worms on the
proximal spermatic cord. What is an important next step in
managing this patient? - ANSWER -Consideration of underlying
causes of this finding
A preschool age child with no previous history has mild flank
pain and fever but
no abdominal pain or vomiting. A UA is positive for
leukocytes and nitrites. A
culture is pending. Which is the correct course of treatment? -
ANSWER -Order
Augmentin
An elderly female without prior history of CV disease reports
lower leg soreness
and fatigue when shopping/walking. The PCP notes
decreased pedal pulses
,bilaterally. Which test will the PCP order initially to
evaluate for PAD? -
ANSWER -ABI index - doppler
ankle/arm index
A pregnant woman at 30 weeks gestation has proteinuria. What
will the provider
do next? - ANSWER -Evaluate
her BP
A patient has been taking terazosin daily at bedtime to treat
BPH and report persistent daytime dizziness. What will the
provider do? - ANSWER -prescribe finasteride instead of
terazosin
A 3-month old male infant has edema and painless swelling of
the scrotum. On
physical exam the provider is able to transilluminate the
scrotum. What will the
provider recommend? - ANSWER -
Doppler US
The provider is evaluating a patient for potential causes of
urinary incontinence and performs a post-void residual test
which yields 30ml of urine. What is the interpretation of this
result? - ANSWER -This is a normal result
The daughter of an elderly, confused female patient reports
that her mother is
,having urinary incontinence several times each day. What will
the provider do
initially? - ANSWER -Obtain a urine sample for UA and
possible culture
A patient reports abdominal and back pain with anorexia and
nausea. During an exam, the provider notes a pulsatile
abdominal mass. What is the initial action? - ANSWER -US of
the mass to determine the size
An older male patient reports urinary frequency, back pain, and
nocturia. A dipstick UA reveals hematuria. What will the
provider do next to evaluate this condition? - ANSWER -Order a
PSA and perform a DRE
A 70 year old male patient has an aortic aneurysm measuring
5.0cm. The patient has poorly controlled hypertension and
decompensated heart failure. What is the recommendation for
treatment for this patient? - ANSWER -serial ultrasonographic
surveillance of the aneurysm
An adolescent has right sided flank pain without fever. A
dipstick urinalysis reveals gross hematuria without signs of
infection or bacteriuria, and primary care pediatric nurse
practitioner diagnoses possible nephrolithiasis. What is the
initial treatment for this condition? - ANSWER -Increasing fluid
intake up to 2L daily
, According to current research, which are associated with a
decreased incidence
of stroke? - ANSWER --Intensive insulin
therapy in T1DM
-Mediterranean
Diet
->7 servings of fruits/veggies
per day
A 50-year-old man reports having erectile dysfunction. What is
an important response by the provider when developing a plan
of care for this patient? - ANSWER -Evaluating the patient for
cardiovascular disease
The mother of a 12-month-old uncircumcised male infant
reports that the child seems to have pain associated with
voiding. A physical examination reveals a tight, pinpoint
opening of the foreskin, which thickened and inflamed. What
will the nurse practitioner do? - ANSWER -Refer the child to a
pediatric urologist
During a well child examination of a 2 year old child, the PCP
palpated a unilateral, smooth, firm abdominal mass which does
not cross the midline. What is the next course of action? -
ANSWER -Refer the child to an oncologist immediately
An asymptomatic pregnant woman has a positive leukocyte
esterase and positive nitrites on a urine dipstick screening.