NRNP6566 ADVANCED CARE OF ADULTS IN
ACUTE SETTINGS WEEK 3 CERTIFICATION
TEST 2026 STUDY GUIDE SCRIPT
◉ A 14-year-old teen is worried that she has not started to
menstruate like most of her friends. During the gynecological
examination, the nurse practitioner tells the mother, who is in the
room with the patient, that her daughter is starting Tanner Stage II.
What are the physical exam findings during this stage?
A) Breast buds and some straight pubic hair
B) Fully developed breasts and curly pubic hair
C) Breast tissue with the areola on a separate mound with curly
pubic hair
D) No breast tissue and no pubic hair. Answer: A) Breast buds and
some straight pubic hair
Tanner Stage II in females includes breast buds and few straight, fine
pubic hairs.
◉ The Phalen test is used to evaluate:
,A) Inflammation of the median nerve
B) Rheumatoid arthritis
C) Degenerative joint changes
D) Chronic tenosynovitis. Answer: A) Inflammation of the median
nerve
The Phalen test is used to identify inflammation of the median nerve
seen with carpal tunnel syndrome. Phalen's test is performed by
examining the wrist with full flexion of the wrist for 60 seconds.
Positive findings are reproduction of the symptoms such as
numbness and tin- gling of the thumb, index finger, and middle
finger areas.
◉ Physiologic anemia of pregnancy is due to:
A) An increase in the cardiac output at the end of the second
trimester
B) A physiologic decrease in the production of RBCs in pregnant
women
C) An increase of up to 50% of the plasma volume in pregnant
women
D) An increase in the need for dietary iron in pregnancy. Answer:
C)An increase of up to 50% of the plasma volume in pregnant
women
,Physiologic anemia of pregnancy is caused by the increased volume
of plasma during pregnancy when compared to the production of
RBCs.
◉ All of the following are implicated in causing chronic cough
except:
A) Chronic bronchitis
B) Allergic rhinitis
C) Acute viral upper respiratory infection
D) Gastroesophageal reflux disease. Answer: C) Acute viral upper
respiratory infection
Chronic cough can be caused by chronic bronchitis, allergic rhinitis,
and GERD.
◉ Which of the following is a true statement regarding the effect of
aspirin on platelet function?
A) The effect on platelets is reversible
B) The effect on platelets is reversible and lasts only 1 week
C) It has a minimal effect on platelet function
, D) The effect on platelet function is irreversible and lasts 15 to 20
days. Answer: D) The effect on platelet function is irreversible and
lasts 15 to 20 days
The use of aspirin affects the platelet function, is irreversible, and
can last up to 15-20 days
◉ All of the following agents are used to control the inflammatory
changes seen in the lungs of asthmatics except:
A) Albuterol inhaler (Proventil)
B) Triamcinolone (Azmacort)
C) Montelukast (Singulair)
D) Cromolyn sodium inhaler (Intal). Answer: A) Albuterol inhaler
(Proventil)
Proventil inhaler is a short-acting bronchodilator and is used for
immediate relief of shortness of breath. It acts quickly to dilate the
tubes in the lungs. Medications that have steroids and leukotrienes
help the inflamed channels to remain open and clear but take longer
to get into the system to work.
◉ Rovsing's sign is associated with which of the following?
ACUTE SETTINGS WEEK 3 CERTIFICATION
TEST 2026 STUDY GUIDE SCRIPT
◉ A 14-year-old teen is worried that she has not started to
menstruate like most of her friends. During the gynecological
examination, the nurse practitioner tells the mother, who is in the
room with the patient, that her daughter is starting Tanner Stage II.
What are the physical exam findings during this stage?
A) Breast buds and some straight pubic hair
B) Fully developed breasts and curly pubic hair
C) Breast tissue with the areola on a separate mound with curly
pubic hair
D) No breast tissue and no pubic hair. Answer: A) Breast buds and
some straight pubic hair
Tanner Stage II in females includes breast buds and few straight, fine
pubic hairs.
◉ The Phalen test is used to evaluate:
,A) Inflammation of the median nerve
B) Rheumatoid arthritis
C) Degenerative joint changes
D) Chronic tenosynovitis. Answer: A) Inflammation of the median
nerve
The Phalen test is used to identify inflammation of the median nerve
seen with carpal tunnel syndrome. Phalen's test is performed by
examining the wrist with full flexion of the wrist for 60 seconds.
Positive findings are reproduction of the symptoms such as
numbness and tin- gling of the thumb, index finger, and middle
finger areas.
◉ Physiologic anemia of pregnancy is due to:
A) An increase in the cardiac output at the end of the second
trimester
B) A physiologic decrease in the production of RBCs in pregnant
women
C) An increase of up to 50% of the plasma volume in pregnant
women
D) An increase in the need for dietary iron in pregnancy. Answer:
C)An increase of up to 50% of the plasma volume in pregnant
women
,Physiologic anemia of pregnancy is caused by the increased volume
of plasma during pregnancy when compared to the production of
RBCs.
◉ All of the following are implicated in causing chronic cough
except:
A) Chronic bronchitis
B) Allergic rhinitis
C) Acute viral upper respiratory infection
D) Gastroesophageal reflux disease. Answer: C) Acute viral upper
respiratory infection
Chronic cough can be caused by chronic bronchitis, allergic rhinitis,
and GERD.
◉ Which of the following is a true statement regarding the effect of
aspirin on platelet function?
A) The effect on platelets is reversible
B) The effect on platelets is reversible and lasts only 1 week
C) It has a minimal effect on platelet function
, D) The effect on platelet function is irreversible and lasts 15 to 20
days. Answer: D) The effect on platelet function is irreversible and
lasts 15 to 20 days
The use of aspirin affects the platelet function, is irreversible, and
can last up to 15-20 days
◉ All of the following agents are used to control the inflammatory
changes seen in the lungs of asthmatics except:
A) Albuterol inhaler (Proventil)
B) Triamcinolone (Azmacort)
C) Montelukast (Singulair)
D) Cromolyn sodium inhaler (Intal). Answer: A) Albuterol inhaler
(Proventil)
Proventil inhaler is a short-acting bronchodilator and is used for
immediate relief of shortness of breath. It acts quickly to dilate the
tubes in the lungs. Medications that have steroids and leukotrienes
help the inflamed channels to remain open and clear but take longer
to get into the system to work.
◉ Rovsing's sign is associated with which of the following?
