ADULT CCRN/PCCN CERTIFICATION PRACTICE
TEST WITH 100%CORRECT ANSWERS, Exams
of Health sciences
A middle-aged Black male complains of a history of outbreaks of painful large
nodules and pustules on both his axillae that resolve after treatment with
antibiotics. On physical examination, the nurse practitioner notices large red
nodules that are tender to palpation. In addition, several pustules are present
along with multiple scars on the skin. The nurse practitioner advises the patient
that the condition is caused by a bacterial infection of the sweat glands in the
axillae. Which of the following conditions is being described?
A) Hidradenitis suppurativa
B) Severe nodular acne
C) Granuloma inguinale
D) Cat scratch fever - Correct Answer -A) Hidradenitis suppurativa
Hidradenitis suppurativa is a chronic skin condition, commonly found in the
apocrine glands in the axilla and/or groin, that causes painful nodules under the
skin. These abscesses tend to open and drain fluid and pus. Significant scarring of
the skin may result from these outbreaks.
A possible side effect from the use of nifedipine (Procardia XL) is:
A) Hyperuricemia and hypoglycemia
B) Hyperkalemia and angioedema
C) Edema of the ankles and headache
D) Dry hacking cough - Correct Answer -C) Edema of the ankles and headache
1
,Common side effects of calcium channel blockers, such as Procardia, include
edema of the ankles, dizziness, headaches, flushing, and weakness. ACE inhibitors
tend to have the side effects of angioedema and a dry hacking cough. Diuretics
can cause hyperkalemia and hyperuricemia.
Which of the following maneuvers is contraindicated in patients with acute
prostatitis?
A) Massaging the infected prostate
B) Serial urine samples
C) Rectal exams
D) Palpation of the epididymis - Correct Answer -A) Massaging the infected
prostate
Massaging the infected prostate is contraindicated for acute prostatitis because
the massage can spread the bacteria from the prostate into the blood system and
lead to sepsis.
Erysipelas is an infection of the skin most commonly caused by which of the
following class of organisms?
A) Streptococci
B) Staphylococi
C) Gram-negative bacteria
D) Fungi - Correct Answer -A)Streptococci
Erysipelas is a skin infection commonly caused by group A beta- hemolytic
streptococci. This infection is usually more superficial than other bacterial
infections of the skin, such as cellulitis.
What is the first-line class of antibiotics recommended by the American Thoracic
Society (ATS) for patients younger than 60 years of age who are diagnosed with
community-acquired pneumonia with no comorbidity?
2
,A) First-generation cephalosporins
B) Second-generation cephalosporins
C) Macrolides
D) Beta-lactam antibiotics - Correct Answer -C) Macrolides
The American Thoracic Society recommends macrolides as the first line of therapy
for community-acquired pneumonia without comorbidity.
While reviewing some lab reports, the nurse practitioner notes that one of her
teenage male patient's lab results is abnormal. The liver function tests are all
normal except for a slight elevation in the alkaline phosphatase level. The patient
is a member of a soccer team and denies any recent injury. What is the next step
in this patient's evaluation?
A) Order a liver ultrasound to rule out fatty liver
B) This is a normal finding for his age group
C) The patient needs to be evaluated further for pancreatic disease
D) Refer the patient to a pediatric rheumatologist - Correct Answer -B) This is a
normal finding for his age group
Elevated levels of alkaline phosphatase are commonly seen in growing children.
Growth of bone tissue elevates the alkaline phosphatase levels.
Which of the following would be appropriate initial management of a second-
degree burn?
A) Irrigate with hydrogen peroxide and apply Silvadene cream BID
B) Irrigate with normal saline and apply Silvadene cream BID
C) Irrigate with tap water and apply Neosporin ointment BID
D) Unroof all intact blisters and apply antibiotic ointment BID - Correct Answer -B)
Irrigate with normal saline and apply Silvadene cream BID
3
, Burns should be cleansed with saline solution and Silvadene cream applied BID to
the site. Hydrogen peroxide is no longer recommended. Intact blisters should not
be unroofed.
When Molluscum contagiosum is found on the genital area of children, which of
the following is the best explanation?
A) It should raise the suspicion of child sexual abuse
B) It is not considered a sexually transmitted disease
C) It is caused by atypical bacteria
D) It is caused by the poxvirus and will resolve on its own - Correct Answer -A) It
should raise the suspicion of child sexual abuse
Molluscum contagiosum is spread by skin-to-skin contact. Lesions found in the
genital area of young children should be evaluated for suspicion of child sexual
abuse.
An 80-year-old woman complains about her "thin" and dry skin. Which of the
following is the best explanation for her complaint?
A) Genetic predisposition
B) Loss of subcutaneous fat and lower collagen content
C) Loss of sebaceous glands
D) Damage from severe sun exposure - Correct Answer -B) Loss of subcutaneous
fat and lower collagen content
Thinning of the skin in older females is due to the loss of subcutaneous fat and
lower collagen content
All of the following statements are correct regarding licensure for nurse
practitioners except:
A) It ensures a minimum level of professional competency
B) It grants permission for an individual to practice in a profession
4
TEST WITH 100%CORRECT ANSWERS, Exams
of Health sciences
A middle-aged Black male complains of a history of outbreaks of painful large
nodules and pustules on both his axillae that resolve after treatment with
antibiotics. On physical examination, the nurse practitioner notices large red
nodules that are tender to palpation. In addition, several pustules are present
along with multiple scars on the skin. The nurse practitioner advises the patient
that the condition is caused by a bacterial infection of the sweat glands in the
axillae. Which of the following conditions is being described?
A) Hidradenitis suppurativa
B) Severe nodular acne
C) Granuloma inguinale
D) Cat scratch fever - Correct Answer -A) Hidradenitis suppurativa
Hidradenitis suppurativa is a chronic skin condition, commonly found in the
apocrine glands in the axilla and/or groin, that causes painful nodules under the
skin. These abscesses tend to open and drain fluid and pus. Significant scarring of
the skin may result from these outbreaks.
A possible side effect from the use of nifedipine (Procardia XL) is:
A) Hyperuricemia and hypoglycemia
B) Hyperkalemia and angioedema
C) Edema of the ankles and headache
D) Dry hacking cough - Correct Answer -C) Edema of the ankles and headache
1
,Common side effects of calcium channel blockers, such as Procardia, include
edema of the ankles, dizziness, headaches, flushing, and weakness. ACE inhibitors
tend to have the side effects of angioedema and a dry hacking cough. Diuretics
can cause hyperkalemia and hyperuricemia.
Which of the following maneuvers is contraindicated in patients with acute
prostatitis?
A) Massaging the infected prostate
B) Serial urine samples
C) Rectal exams
D) Palpation of the epididymis - Correct Answer -A) Massaging the infected
prostate
Massaging the infected prostate is contraindicated for acute prostatitis because
the massage can spread the bacteria from the prostate into the blood system and
lead to sepsis.
Erysipelas is an infection of the skin most commonly caused by which of the
following class of organisms?
A) Streptococci
B) Staphylococi
C) Gram-negative bacteria
D) Fungi - Correct Answer -A)Streptococci
Erysipelas is a skin infection commonly caused by group A beta- hemolytic
streptococci. This infection is usually more superficial than other bacterial
infections of the skin, such as cellulitis.
What is the first-line class of antibiotics recommended by the American Thoracic
Society (ATS) for patients younger than 60 years of age who are diagnosed with
community-acquired pneumonia with no comorbidity?
2
,A) First-generation cephalosporins
B) Second-generation cephalosporins
C) Macrolides
D) Beta-lactam antibiotics - Correct Answer -C) Macrolides
The American Thoracic Society recommends macrolides as the first line of therapy
for community-acquired pneumonia without comorbidity.
While reviewing some lab reports, the nurse practitioner notes that one of her
teenage male patient's lab results is abnormal. The liver function tests are all
normal except for a slight elevation in the alkaline phosphatase level. The patient
is a member of a soccer team and denies any recent injury. What is the next step
in this patient's evaluation?
A) Order a liver ultrasound to rule out fatty liver
B) This is a normal finding for his age group
C) The patient needs to be evaluated further for pancreatic disease
D) Refer the patient to a pediatric rheumatologist - Correct Answer -B) This is a
normal finding for his age group
Elevated levels of alkaline phosphatase are commonly seen in growing children.
Growth of bone tissue elevates the alkaline phosphatase levels.
Which of the following would be appropriate initial management of a second-
degree burn?
A) Irrigate with hydrogen peroxide and apply Silvadene cream BID
B) Irrigate with normal saline and apply Silvadene cream BID
C) Irrigate with tap water and apply Neosporin ointment BID
D) Unroof all intact blisters and apply antibiotic ointment BID - Correct Answer -B)
Irrigate with normal saline and apply Silvadene cream BID
3
, Burns should be cleansed with saline solution and Silvadene cream applied BID to
the site. Hydrogen peroxide is no longer recommended. Intact blisters should not
be unroofed.
When Molluscum contagiosum is found on the genital area of children, which of
the following is the best explanation?
A) It should raise the suspicion of child sexual abuse
B) It is not considered a sexually transmitted disease
C) It is caused by atypical bacteria
D) It is caused by the poxvirus and will resolve on its own - Correct Answer -A) It
should raise the suspicion of child sexual abuse
Molluscum contagiosum is spread by skin-to-skin contact. Lesions found in the
genital area of young children should be evaluated for suspicion of child sexual
abuse.
An 80-year-old woman complains about her "thin" and dry skin. Which of the
following is the best explanation for her complaint?
A) Genetic predisposition
B) Loss of subcutaneous fat and lower collagen content
C) Loss of sebaceous glands
D) Damage from severe sun exposure - Correct Answer -B) Loss of subcutaneous
fat and lower collagen content
Thinning of the skin in older females is due to the loss of subcutaneous fat and
lower collagen content
All of the following statements are correct regarding licensure for nurse
practitioners except:
A) It ensures a minimum level of professional competency
B) It grants permission for an individual to practice in a profession
4
