NSG555 Exam 4– Nurse Practitioners in Primary Care II WILKES |Accurate|Verified

NSG555 Exam 4– Nurse Practitioners in
Primary Care II -WILKES
Question 1
A 52-year-old male presents with chest pain radiating to the left arm. Which
diagnostic test is most appropriate to confirm myocardial infarction?
A. Chest X-ray
B. Echocardiogram
C. Electrocardiogram (ECG)
D. Spirometry
Answer: C. Electrocardiogram (ECG)

Question 2
Which medication is first-line therapy for newly diagnosed hypertension in an
otherwise healthy adult?
A. Beta-blocker
B. ACE inhibitor
C. Calcium channel blocker
D. Loop diuretic
Answer: B. ACE inhibitor

Question 3
A patient with type 2 diabetes has an HbA1c of 9.2%. What is the best initial
management step?
A. Lifestyle modification only
B. Start metformin
C. Start insulin immediately
D. Refer to endocrinology
Answer: B. Start metformin

Question 4
Which vaccine is recommended for adults over 65 years of age?
A. HPV vaccine
B. Pneumococcal vaccine
C. Varicella vaccine
D. Rotavirus vaccine
Answer: B. Pneumococcal vaccine

Question 5
A 30-year-old woman presents with fatigue, pallor, and spoon-shaped nails. Which
lab test confirms the suspected diagnosis?
A. Serum ferritin
B. Thyroid panel
C. Liver function test
D. Vitamin D level
Answer: A. Serum ferritin

,Question 6
Which of the following is the most appropriate screening tool for depression in
primary care?
A. PHQ-9
B. MMSE
C. GAD-7
D. Beck Anxiety Inventory
Answer: A. PHQ-9

Question 7
A patient presents with acute otitis media. What is the first-line antibiotic
treatment?
A. Ciprofloxacin
B. Amoxicillin
C. Azithromycin
D. Doxycycline
Answer: B. Amoxicillin

Question 8
Which lifestyle intervention is most effective in reducing cardiovascular risk?
A. High-protein diet
B. Smoking cessation
C. Vitamin supplementation
D. Increased water intake
Answer: B. Smoking cessation

Question 9
A 70-year-old male presents with progressive memory loss and difficulty
performing daily tasks. Which condition is most likely?
A. Delirium
B. Dementia
C. Depression
D. Schizophrenia
Answer: B. Dementia

Question 10
Which lab test is most appropriate for monitoring long-term glycemic control in
diabetes?
A. Fasting glucose
B. HbA1c
C. Random glucose
D. Oral glucose tolerance test
Answer: B. HbA1c

Question 11
Which of the following is the most appropriate first-line treatment for generalized
anxiety disorder?

, A. Benzodiazepines
B. SSRIs
C. Beta-blockers
D. Buspirone
Answer: B. SSRIs

Question 12
A 65-year-old male presents with difficulty initiating urination and weak stream.
What is the most likely diagnosis?
A. Prostate cancer
B. Benign prostatic hyperplasia
C. Urethritis
D. Bladder stones
Answer: B. Benign prostatic hyperplasia

Question 13
Which screening test is recommended for colorectal cancer beginning at age 45?
A. Colonoscopy
B. CT scan
C. Abdominal ultrasound
D. Fecal occult blood test only
Answer: A. Colonoscopy

Question 14
Which of the following is the hallmark symptom of asthma?
A. Productive cough
B. Wheezing
C. Chest pain
D. Hemoptysis
Answer: B. Wheezing

Question 15
A patient presents with sudden unilateral facial paralysis. Which condition is most
likely?
A. Stroke
B. Bell’s palsy
C. Multiple sclerosis
D. Migraine
Answer: B. Bell’s palsy

Question 16
Which lab test is most appropriate for diagnosing hypothyroidism?
A. TSH
B. Free T4
C. T3 uptake
D. Thyroid antibodies
Answer: A. TSH