Practice Questions & Answers | Complete Study Guide
Category Details
Course NSG6998 – Transition to Professional Nurse Practitioner Role
Institution South University
Exam Type Pre-Predictor Exam / APEA Predictor Exam
Format Multiple-choice, scenario-based questions
Advanced physical assessment, cardiovascular, respiratory, endocrine, gastrointestinal,
Focus
genitourinary, musculoskeletal, neurologic, infectious disease, dermatology, pharmacology
Areas
professional practice
Ludwig's angina indicates which of the following? - CORRECT ANSWER
Submandibular infection
QUESTION :Which of the following is true regarding epistaxis? - CORRECT ANSWER
Anterior form originates from Kiesselbach's plexus.
QUESTION :A patient with bulging cheeks often described as "chipmunk" facies likely
has which of the following diseases? - CORRECT ANSWER mumps
QUESTION :A diffusely enlarged and firm thyroid is most suggestive of what
diagnosis? - CORRECT ANSWER Hashimoto's disease
QUESTION :What does a bruit heard on auscultation over the thyroid suggest? -
CORRECT ANSWER Graves' disease
QUESTION :What sign associated with hyperthyroidism is found on physical
examination? - CORRECT ANSWER Lid lag
,QUESTION :What physical exam finding is most suggestive of otitis externa? -
CORRECT ANSWER Pain when pulling on the ear
QUESTION :What is pterygium? - CORRECT ANSWER A wing of conjunctival
tissue that extends toward the cornea
QUESTION :What is the best way to position a patient for examination with a handheld
ophthalmoscope? - CORRECT ANSWER Face-to-face with the patient's eyes close
to the height of the examiner
QUESTION :What condition may interfere with visualization of the "red reflex?" -
CORRECT ANSWER Cataracts
QUESTION :What is the normal cup to disc ratio when examining the optic nerve on a
fundoscopic exam? - CORRECT ANSWER 1:3
QUESTION :What internal cause of eye pain is an ophthalmological emergency? -
CORRECT ANSWER Closed-angle glaucoma
QUESTION :In a survey of internal medicine faculty and residents, what aspect of a
patient-doctor interaction did most believe was of greatest importance in making an
accurate diagnosis? - CORRECT ANSWER History
QUESTION :What is the biggest side effect of colchicine - CORRECT ANSWER
diarrhea
QUESTION :What is the tell-tale difference between a herniated disc and sciatica -
CORRECT ANSWER Sciatica feels better when you stand, a herniated disc feels
better when you sit down
QUESTION :What is the trendelenburg sign and when is it positive - CORRECT
ANSWER when the patient is
standing straight and the pelvis on the unaffected side drops; this is a sign of a slipped
capital femoral epiphysis
QUESTION :Which type of headaches come with lacrimation and sinus symptoms? -
CORRECT ANSWER cluster
headaches
QUESTION :How does the parathyroid gland regulate calcium? - CORRECT
ANSWER when parathyroid hormone is
released, it pulls calcium out of the blood and into the circulation in response to
hypocalcemia. it also increases absorption of calcium from the intestine
QUESTION :How is bursitis treated? - CORRECT ANSWER a needle to instill
intraarticular steroids and then pull off
,fluid
QUESTION :If a patient is on birth control and they miss two pills, what should they do?
- CORRECT ANSWER double
up for 2 days
QUESTION :What are s/s of Addison's disease? - CORRECT ANSWER bronze or
discolored skin, salt cravings
QUESTION :
Question 1
A 75-year-old patient with long-standing hypertension takes an ACE inhibitor and a
thiazide diuretic daily. He has developed dyspnea on exertion and peripheral edema
over the past several days. This probably indicates:
A) Renal failure
B) Development of heart failure (HF)
C) Medication noncompliance
D) Pulmonary embolism
Rationale: The symptoms of dyspnea on exertion and peripheral edema are symptoms of
mild HF. Long-standing hypertension is a risk factor for HF. Noncompliance with
medication and fluid or sodium excess might result in peripheral edema and development
of heart failure.
Question 2
The carotid arteries are auscultated for bruits because:
A) This is indicative of increased stroke risk
B) This is indicative of generalized atherosclerosis
C) This indicates the need for immediate surgery
D) This confirms a diagnosis of carotid artery stenosis
Rationale: Asymptomatic bruits in the carotid area are more indicative of atherosclerotic
disease than increased stroke risk. A symptomatic bruit requires attention immediately.
Patients with carotid artery disease are more likely to die of cardiovascular disease than
cerebrovascular disease.
, Question 3
A common, early finding in patients who have chronic aortic regurgitation (AR) is:
A) A hypertrophied left ventricle
B) A dilated right ventricle
C) Aortic stenosis
D) Pulmonary hypertension
Rationale: Chronic aortic regurgitation leads to volume overload of the left ventricle,
causing eccentric hypertrophy. This is an early compensatory mechanism before the
development of symptoms.
Question 4
A 45-year-old male presents with complaints of chest pressure when walking uphill,
relieved by rest. He has hypertension and hyperlipidemia. What is the most appropriate
initial diagnostic test?
A) Resting ECG
B) Exercise stress test
C) Chest X-ray
D) Coronary angiography
Rationale: The patient has stable angina symptoms (exertional chest pain relieved by rest).
Initial testing should be an exercise stress test (or stress echocardiogram) to evaluate for
inducible ischemia. Resting ECG may be normal. Angiography is invasive and not first-line.
Question 5
A 28-year-old female presents with fatigue, weight gain, cold intolerance, and
constipation. She has a family history of autoimmune disease. Which physical exam
finding is most consistent with hypothyroidism?