NSG 5644 – v v
v Family Nurse Practitioner Residency Prac
v v v v
tice Exam 2 Questions And Correct Answer
v v v v v v
s (Verified Answers) Plus Rationales 2026
v v v v v
|2027 Q&A | Instant Download Pdf| Sout
v v v v v v
h College
v
1. A 55-year-
v v
old patient with hypertension is started on lisinopril. Which adverse eff
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ect should you counsel the patient about most specifically?
v v v v v v v v
A. Bradycardia
B. Hyperkalemia
C. Cough
D. Hypoglycemia
Rationale: ACE inhibitors commonly cause a dry cough due to increased
v v v v v v v v v v
v bradykinin; monitor potassium but cough is classic.
v v v v v v
2. Which screening is recommended annually for a 65-year-old with a 30-
v v v v v v v v v v
,pack-year smoking history?
v v
, A. Colonoscopy
B. Low-dose CT scan for lung cancer (if within screening criteria)
v v v v v v v v v
C. Mammography
D. DEXA scan v
Rationale: Annual low- v v
dose CT is recommended for eligible heavy smokers (typically 55–
v v v v v v v v v
80 with ≥30 pack-years and current or quit within 15 years).
v v v v v v v v v v
3. A patient presents with sudden, unilateral facial weakness including i
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nability to close the eye. Which diagnosis is most likely?
v v v v v v v v v
A. Stroke of the motor cortexv v v v
B. Bell’s palsy (facial nerve palsy)
v v v v
C. Myasthenia gravis v
D. Trigeminal neuralgia v
Rationale: Bell’s palsy causes peripheral facial nerve palsy with inabilit
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y to close the eye; central lesions usually spare forehead.
v v v v v v v v v
4. First-
line medication for acute gout flare in a patient without contra
v v v v v v v v v v
indications is: v
A. Allopurinol
B. NSAIDs (e.g., indomethacin) v v
C. Probenecid
D. Colchicine for chronic prevention v v v
Rationale: NSAIDs are first- v v v
line for acute gout flares; allopurinol is for chronic urate lowering.
v v v v v v v v v v
, 5. A 30-year-old woman requests contraception and prefers non-
v v v v v v v
daily methods. Which option is best for immediate efficacy and high
v v v v v v v v v v v
effectiveness?
A. Combined oral contraceptive pill v v v
B. Diaphragm
C. Progestin implant (e.g., etonogestrel implant) v v v v
D. Spermicides
Rationale: Implants provide long- v v v
acting reversible contraception with high efficacy and no daily action.
v v v v v v v v v
6. The most appropriate management for a child with acute otitis media a
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nd severe otalgia and fever is:
v v v v v
A. Watchful waiting for 48 hours v v v v
B. Start oral antibiotics (e.g., amoxicillin)
v v v v
C. Topical steroids v
D. Antihistamines only v
Rationale: In severe presentations or young children, prompt antibiotic
v v v v v v v v v
therapy is recommended; amoxicillin is first-line.
v v v v v
7. A patient presents with chest pain. Which feature makes myocardial is
v v v v v v v v v v
chemia more likely? v v
A. Sharp pain reproducible by palpation
v v v v
B. Pain that changes with respiration
v v v v
C. Exertional chest pain relieved by rest v v v v v
D. Pain localized to one rib
v v v v
v Family Nurse Practitioner Residency Prac
v v v v
tice Exam 2 Questions And Correct Answer
v v v v v v
s (Verified Answers) Plus Rationales 2026
v v v v v
|2027 Q&A | Instant Download Pdf| Sout
v v v v v v
h College
v
1. A 55-year-
v v
old patient with hypertension is started on lisinopril. Which adverse eff
v v v v v v v v v v
ect should you counsel the patient about most specifically?
v v v v v v v v
A. Bradycardia
B. Hyperkalemia
C. Cough
D. Hypoglycemia
Rationale: ACE inhibitors commonly cause a dry cough due to increased
v v v v v v v v v v
v bradykinin; monitor potassium but cough is classic.
v v v v v v
2. Which screening is recommended annually for a 65-year-old with a 30-
v v v v v v v v v v
,pack-year smoking history?
v v
, A. Colonoscopy
B. Low-dose CT scan for lung cancer (if within screening criteria)
v v v v v v v v v
C. Mammography
D. DEXA scan v
Rationale: Annual low- v v
dose CT is recommended for eligible heavy smokers (typically 55–
v v v v v v v v v
80 with ≥30 pack-years and current or quit within 15 years).
v v v v v v v v v v
3. A patient presents with sudden, unilateral facial weakness including i
v v v v v v v v v
nability to close the eye. Which diagnosis is most likely?
v v v v v v v v v
A. Stroke of the motor cortexv v v v
B. Bell’s palsy (facial nerve palsy)
v v v v
C. Myasthenia gravis v
D. Trigeminal neuralgia v
Rationale: Bell’s palsy causes peripheral facial nerve palsy with inabilit
v v v v v v v v v
y to close the eye; central lesions usually spare forehead.
v v v v v v v v v
4. First-
line medication for acute gout flare in a patient without contra
v v v v v v v v v v
indications is: v
A. Allopurinol
B. NSAIDs (e.g., indomethacin) v v
C. Probenecid
D. Colchicine for chronic prevention v v v
Rationale: NSAIDs are first- v v v
line for acute gout flares; allopurinol is for chronic urate lowering.
v v v v v v v v v v
, 5. A 30-year-old woman requests contraception and prefers non-
v v v v v v v
daily methods. Which option is best for immediate efficacy and high
v v v v v v v v v v v
effectiveness?
A. Combined oral contraceptive pill v v v
B. Diaphragm
C. Progestin implant (e.g., etonogestrel implant) v v v v
D. Spermicides
Rationale: Implants provide long- v v v
acting reversible contraception with high efficacy and no daily action.
v v v v v v v v v
6. The most appropriate management for a child with acute otitis media a
v v v v v v v v v v v
nd severe otalgia and fever is:
v v v v v
A. Watchful waiting for 48 hours v v v v
B. Start oral antibiotics (e.g., amoxicillin)
v v v v
C. Topical steroids v
D. Antihistamines only v
Rationale: In severe presentations or young children, prompt antibiotic
v v v v v v v v v
therapy is recommended; amoxicillin is first-line.
v v v v v
7. A patient presents with chest pain. Which feature makes myocardial is
v v v v v v v v v v
chemia more likely? v v
A. Sharp pain reproducible by palpation
v v v v
B. Pain that changes with respiration
v v v v
C. Exertional chest pain relieved by rest v v v v v
D. Pain localized to one rib
v v v v
