NSG555 Exam 3– Nurse Practitioners in Primary Care II WILKES|Accurate|Verified

NSG555 Exam 3– Nurse Practitioners in
Primary Care II- WILKES

Question 1:
A 62-year-old male presents with exertional chest pain relieved by rest. Which
diagnostic test is most appropriate initially?
A. Coronary angiography
B. Exercise stress test
C. Echocardiogram
D. Cardiac MRI

Question 2:
Which of the following is the first-line pharmacologic treatment for generalized
anxiety disorder in primary care?
A. Benzodiazepines
B. SSRIs
C. Beta-blockers
D. Buspirone

Question 3:
A 45-year-old woman presents with fatigue, pallor, and spoon-shaped nails. Labs
show microcytic anemia. What is the most likely diagnosis?
A. Vitamin B12 deficiency
B. Folate deficiency
C. Iron deficiency anemia
D. Thalassemia

Question 4:
Which vaccine is recommended for all adults ≥50 years to prevent shingles?
A. Zostavax (live attenuated)
B. Shingrix (recombinant)
C. Varivax
D. Pneumovax

Question 5:
A 3-year-old child presents with barking cough, inspiratory stridor, and hoarseness.
What is the most likely diagnosis?
A. Epiglottitis
B. Croup (laryngotracheobronchitis)
C. Asthma exacerbation
D. Foreign body aspiration


Question 6:

,A 28-year-old woman presents with dysuria, frequency, and urgency. Urinalysis
shows positive nitrites and leukocyte esterase. What is the best initial treatment?
A. Ciprofloxacin
B. Nitrofurantoin
C. Amoxicillin
D. TMP-SMX

Question 7:
Which of the following is the most appropriate screening test for colorectal cancer in
a 52-year-old average-risk patient?
A. Colonoscopy every 10 years
B. FOBT annually
C. CT colonography every 5 years
D. Flexible sigmoidoscopy every 5 years

Question 8:
A 70-year-old male with COPD presents with worsening dyspnea and purulent
sputum. Which antibiotic is most appropriate?
A. Azithromycin
B. Amoxicillin-clavulanate
C. Ceftriaxone
D. Levofloxacin

Question 9:
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 10:
A 5-year-old child presents with itchy rash in the web spaces of fingers, worse at
night. What is the most likely diagnosis?
A. Atopic dermatitis
B. Scabies
C. Impetigo
D. Contact dermatitis

Question 11:
Which of the following is the most appropriate initial imaging for suspected
appendicitis in a child?
A. CT abdomen
B. MRI abdomen
C. Ultrasound abdomen
D. Plain abdominal X-ray

Question 12:
A 45-year-old man presents with epigastric pain relieved by eating. Which condition

, is most likely?
A. Gastric ulcer
B. Duodenal ulcer
C. GERD
D. Pancreatitis

Question 13:
Which of the following is the recommended first-line treatment for mild persistent
asthma in adults?
A. SABA as needed
B. Daily inhaled corticosteroid
C. Oral prednisone
D. LABA monotherapy

Question 14:
Which of the following vaccines is contraindicated in pregnancy?
A. Influenza (inactivated)
B. Tdap
C. MMR
D. Hepatitis B

Question 15:
A 60-year-old man presents with tremor at rest, bradykinesia, and rigidity. What is
the most likely diagnosis?
A. Essential tremor
B. Parkinson’s disease
C. Huntington’s disease
D. Multiple sclerosis

Question 16:
Which of the following is the most appropriate treatment for bacterial vaginosis?
A. Oral fluconazole
B. Oral metronidazole
C. Topical clotrimazole
D. Oral doxycycline

Question 17:
A 35-year-old woman presents with butterfly-shaped rash on her face, joint pain,
and fatigue. What is the most likely diagnosis?
A. Rheumatoid arthritis
B. Systemic lupus erythematosus
C. Dermatomyositis
D. Psoriasis

Question 18:
Which of the following is the most appropriate management for a patient with acute
gout attack?
A. Allopurinol