During you neurologic examination portion of your comprehensive physical of
the new patient to your panel, you perform cranial nerve assessments. Which of
the following represents the most effective protocol for assessment of cranial
nerve I?
A -Have the patient cover one nostril, take a breath, and then repeat on the other
side to assess air flow
B -Examine both the inferior and middle turbinates with a speculum
C -Apply gentle pressure to the nasal tip or alae
,D -Have the patient close their eyes and accurately identify two different scents
with one nostril closed at a time - CORRECT ANSWER -D -Have the
patient close their eyes and accurately identify two different scents with one
nostril closed at a time
While performing sensory cortex testing on your patient, you gave them close
their eyes and place a familiar object such as a paper clip, key or pencil in their
hand, having them manipulate it skillfully and identify it within 5 seconds. This
is known as which of the following tests?
A -Monognometrics
B -Graphesthesia
C -Two Point discrimination
D -Stereognosis - CORRECT ANSWER -D -Stereognosis
During your physical examination of a 49 year old brain cancer patient, you
notice their gag reflex is impaired during the exam. This suggests damage to
which one of the following cranial nerves? A -Abducens
B -Hypoglossal
C -Glossopharyngeal
D -Trigeminal - CORRECT ANSWER -C -Glossopharyngeal
Your 18 year old patient has recently been diagnosed with streptococcal
infection and has been successfully treated with an appropriate
,antimicrobial agent. They have no other noteworthy health history, chronic
illness, or medications on record. They are complaining to day of hematuria.
RBC casts on urinalysis with microscopy have been identified during this visit.
Based on this finding, you can make the diagnosis of which of the following?
A -Pyelonephritis
B -Bladder cancer
C -Glomerulonephritis
D -Gram negative bacteremia - CORRECT ANSWER -C -Glomerulonephritis
In addition to patient symptoms of painful urination and frequency, which of the
following findings confirms a diagnosis of pyelonephritis?
A -Gram positive bacteria in bloodstream
B -RBC casts on urinalysis with microscopy
C -Enterococcus in urine
D -WBC casts on urinalysis with microscopy - CORRECT ANSWER -D -
WBC casts on urinalysis with microscopy
In assessing your patient with suspected pyelonephritis, the following test may
be sensitive to elicit a confirmatory response.
A -Renal punch test
B -Morton's test
C -Murphy's test
D -Romberg test - CORRECT ANSWER -A -Renal punch test
, Your 19 year old female patient presents with groin pain, states they were
recently involved with a sexual partner who was sexually promiscuous. You
notice they are walking with a shuffling gait and their STI testing was positive
for Gonorrhea and Chlamydia. Which of the following evaluations should be
considered fi this were left untreated for a prolonged period of time?
A -Echocardiogram
B -Colposcopy
C -Pap smear
D -Hysterosalpingogram - CORRECT ANSWER -D -Hysterosalpingogram
Your patient has presented with dysfunctional uterine bleeding (DUB). Based
on the most common cause of DUB, which of the following lab tests should be
ordered by the nurse practitioner first?
A -Vitamin K
B -Serum urine ketones
C -Serum beta human chorionic gonadotropin (HCG)
D -СВС - CORRECT ANSWER -C -Serum beta human chorionic
gonadotropin (HCG)
Your 22 year old male patient states during his review of systems thathis
scrotum is very enlarged and feels like it is full a powerlifter and works as a
the new patient to your panel, you perform cranial nerve assessments. Which of
the following represents the most effective protocol for assessment of cranial
nerve I?
A -Have the patient cover one nostril, take a breath, and then repeat on the other
side to assess air flow
B -Examine both the inferior and middle turbinates with a speculum
C -Apply gentle pressure to the nasal tip or alae
,D -Have the patient close their eyes and accurately identify two different scents
with one nostril closed at a time - CORRECT ANSWER -D -Have the
patient close their eyes and accurately identify two different scents with one
nostril closed at a time
While performing sensory cortex testing on your patient, you gave them close
their eyes and place a familiar object such as a paper clip, key or pencil in their
hand, having them manipulate it skillfully and identify it within 5 seconds. This
is known as which of the following tests?
A -Monognometrics
B -Graphesthesia
C -Two Point discrimination
D -Stereognosis - CORRECT ANSWER -D -Stereognosis
During your physical examination of a 49 year old brain cancer patient, you
notice their gag reflex is impaired during the exam. This suggests damage to
which one of the following cranial nerves? A -Abducens
B -Hypoglossal
C -Glossopharyngeal
D -Trigeminal - CORRECT ANSWER -C -Glossopharyngeal
Your 18 year old patient has recently been diagnosed with streptococcal
infection and has been successfully treated with an appropriate
,antimicrobial agent. They have no other noteworthy health history, chronic
illness, or medications on record. They are complaining to day of hematuria.
RBC casts on urinalysis with microscopy have been identified during this visit.
Based on this finding, you can make the diagnosis of which of the following?
A -Pyelonephritis
B -Bladder cancer
C -Glomerulonephritis
D -Gram negative bacteremia - CORRECT ANSWER -C -Glomerulonephritis
In addition to patient symptoms of painful urination and frequency, which of the
following findings confirms a diagnosis of pyelonephritis?
A -Gram positive bacteria in bloodstream
B -RBC casts on urinalysis with microscopy
C -Enterococcus in urine
D -WBC casts on urinalysis with microscopy - CORRECT ANSWER -D -
WBC casts on urinalysis with microscopy
In assessing your patient with suspected pyelonephritis, the following test may
be sensitive to elicit a confirmatory response.
A -Renal punch test
B -Morton's test
C -Murphy's test
D -Romberg test - CORRECT ANSWER -A -Renal punch test
, Your 19 year old female patient presents with groin pain, states they were
recently involved with a sexual partner who was sexually promiscuous. You
notice they are walking with a shuffling gait and their STI testing was positive
for Gonorrhea and Chlamydia. Which of the following evaluations should be
considered fi this were left untreated for a prolonged period of time?
A -Echocardiogram
B -Colposcopy
C -Pap smear
D -Hysterosalpingogram - CORRECT ANSWER -D -Hysterosalpingogram
Your patient has presented with dysfunctional uterine bleeding (DUB). Based
on the most common cause of DUB, which of the following lab tests should be
ordered by the nurse practitioner first?
A -Vitamin K
B -Serum urine ketones
C -Serum beta human chorionic gonadotropin (HCG)
D -СВС - CORRECT ANSWER -C -Serum beta human chorionic
gonadotropin (HCG)
Your 22 year old male patient states during his review of systems thathis
scrotum is very enlarged and feels like it is full a powerlifter and works as a
