NSG555 Exam 2– Nurse Practitioners in Primary Care II -WILKES|Accurate|Verified

NSG555 Exam 2– Nurse Practitioners in
Primary Care II -WILKES

Question 1
A 52-year-old male presents with exertional chest pain relieved by rest. Which is
the most likely diagnosis?
A. Gastroesophageal reflux disease
B. Stable angina
C. Unstable angina
D. Costochondritis

Question 2
Which antihypertensive is preferred in a patient with diabetes and proteinuria?
A. Beta-blocker
B. ACE inhibitor
C. Calcium channel blocker
D. Thiazide diuretic

Question 3
A 7-year-old child presents with fever, sore throat, and a sandpaper-like rash. What
is the most likely diagnosis?
A. Scarlet fever
B. Kawasaki disease
C. Measles
D. Fifth disease

Question 4
Which vaccine is contraindicated in pregnancy?
A. Influenza (inactivated)
B. Tdap
C. MMR
D. Hepatitis B

Question 5
A 65-year-old female with osteoporosis should receive which first-line treatment?
A. Calcium and vitamin D only
B. Bisphosphonate therapy
C. Hormone replacement therapy
D. Calcitonin

Question 6
Which diagnostic test is most sensitive for pulmonary embolism?
A. Chest X-ray
B. D-dimer
C. CT pulmonary angiography
D. V/Q scan

,Question 7
A patient with COPD exacerbation should be treated initially with:
A. Oral corticosteroids
B. Inhaled bronchodilators
C. Antibiotics
D. Oxygen therapy

Question 8
Which of the following is a red flag symptom in headache evaluation?
A. Headache worsens with exertion
B. Headache present for 3 months
C. Headache relieved by rest
D. Headache associated with photophobia

Question 9
A 30-year-old woman presents with fatigue, pallor, and spoon-shaped nails. Which
lab finding is expected?
A. Macrocytic anemia
B. Microcytic anemia
C. Normocytic anemia
D. Pancytopenia

Question 10
Which medication is first-line for generalized anxiety disorder?
A. Benzodiazepines
B. SSRIs
C. Buspirone
D. Beta-blockers

Question 11
A 45-year-old male presents with polyuria, polydipsia, and fasting glucose of 140
mg/dL. What is the most appropriate diagnosis?
A. Normal glucose tolerance
B. Prediabetes
C. Type 2 diabetes mellitus
D. Diabetes insipidus

Question 12
Which antibiotic is first-line for acute otitis media in children?
A. Azithromycin
B. Amoxicillin
C. Ceftriaxone
D. Ciprofloxacin

Question 13
A 70-year-old patient presents with new-onset atrial fibrillation. Which medication
is indicated for stroke prevention?

, A. Aspirin
B. Warfarin
C. Clopidogrel
D. Digoxin

Question 14
Which of the following is a contraindication to metformin therapy?
A. Obesity
B. Chronic kidney disease
C. Hypertension
D. Hyperlipidemia

Question 15
A 25-year-old woman presents with dysuria and frequency. Urinalysis shows
positive nitrites and leukocyte esterase. What is the most likely diagnosis?
A. Pyelonephritis
B. Cystitis
C. Urethritis
D. Vaginitis

Question 16
Which of the following is the most common cause of community-acquired
pneumonia in adults?
A. Mycoplasma pneumoniae
B. Streptococcus pneumoniae
C. Haemophilus influenzae
D. Chlamydia pneumoniae

Question 17
A 60-year-old male presents with progressive memory loss, difficulty performing
daily tasks, and personality changes. Which is the most likely diagnosis?
A. Alzheimer’s disease
B. Vascular dementia
C. Parkinson’s disease
D. Delirium

Question 18
Which of the following is the best screening test for colorectal cancer?
A. Fecal occult blood test annually
B. Colonoscopy every 10 years
C. Flexible sigmoidoscopy every 5 years
D. CT colonography every 5 years

Question 19
A 30-year-old woman presents with amenorrhea, galactorrhea, and headaches.
Which lab test should be ordered first?
A. TSH
B. Prolactin level