Question 1
1. Your 18-year-old patient has recently been diagnosed with streptococcal infection and
has been successfully treated with an appropriate antimicrobial agent. They have no other
noteworthy health history, chronic illness or medications on record. They are complaining
today of hematuria, RBC cast on urinalysis with microscopy have been identified during
this visit. Based on this finding you can make the diagnosis of which of the following?
CORRECT ANSWER
glomerulonephritis
Question 2
2. As a prudent nurse practitioner, the diabetic, hypertensive patients you are seeing
should be evaluated for early evidence of renal damage from both diabetes and
hypertension. Which of the following assessment tools should the nurse practitioner order
first for evaluation of early renal dysfunction secondary to diabetes or hypertension?
CORRECT ANSWER
urinalysis with micro and micro albumin
Question 3
3. Your patient presents with a new onset rapid heart rate that is irregularly irregular,
heart rate 100, BP 120/74, respiration 16 non-labored and an SpO2 is 99%. They state this
has been going on for a week or so intermittently, but for the past four days straight it
hasn't stopped. Your first priority intervention for this patient is to do which of the
following?
CORRECT ANSWER
maintain rate control and anticoagulation prior to rhythm conversion
1
@THE STUDY VAULT
,Question 4
4. As a prudent nurse practitioner, you know that a 28-year-old male patient with HIV
would be considered well managed when they have which of the following in addition to
having undetectable or very low viral copies?
CORRECT ANSWER
CD4 count of 500
Question 5
5. Your patient has expressed concern about a skin lesion which you identify as a
darkened, round, and raised lesion. This benign lesion that appears like "stuck on" to the
skin. Which of the following lesions best fits this description?
CORRECT ANSWER
Seborrheic keratosis
Question 6
6. You are treating a patient who has stopped taking their diuretic regimen against medical
advice while they were on vacation since it made them urinate too frequently for their
plans. Now they are 21 pounds heavier than their baseline weight, have respiratory
crackles in bilateral bases, and have severe generalized lower extremity and truncal edema
extending to the sacrum and abdomen. On your documentation, this is referred to as
which of the following conditions?
CORRECT ANSWER
Anasarca
Question 7
2
@THE STUDY VAULT
, 7. While evaluating a patient in your clinic for a routine health visit, you auscultate
crackles in the posterior left lower lobe, have the patient cough, with follow-up
auscultation revealing clear breath sounds. Which one of the following would you
suspect?
CORRECT ANSWER
Atelectasis
Question 8
8. Gladys is a 72-year-old patient with a history of anemia of chronic disease from kidney
failure, diabetes mellitus, and hypothyroidism, presents today with concerns her thyroid
medication is not working well enough. Her most recent labs reflect her TSH is 5.9 (normal
range 0.5-5 uU/mL) and Free T4 is 0.3 ng/dL (normal range 0.8-2.8 ng/dL). Which one of
the following clinical signs and/or symptoms would you expect a patient with these
findings to present with?
CORRECT ANSWER
cold intolerance
Question 9
9. You are examining the mouth of a patient and ask the patient to stick out their tongue
and notice that the tongue deviates by pointing to the left. Which one of the following is
the correct diagnosis of this finding?
CORRECT ANSWER
cranial nerve XII (hypoglossal nerve) lesion on the left
Question 10
10. Your 31-year-old female patient states they are experiencing lateral lower back pain
and urinalysis reveals bacteria in the urine, culture reveals gram negative rods after 24
3
@THE STUDY VAULT
1. Your 18-year-old patient has recently been diagnosed with streptococcal infection and
has been successfully treated with an appropriate antimicrobial agent. They have no other
noteworthy health history, chronic illness or medications on record. They are complaining
today of hematuria, RBC cast on urinalysis with microscopy have been identified during
this visit. Based on this finding you can make the diagnosis of which of the following?
CORRECT ANSWER
glomerulonephritis
Question 2
2. As a prudent nurse practitioner, the diabetic, hypertensive patients you are seeing
should be evaluated for early evidence of renal damage from both diabetes and
hypertension. Which of the following assessment tools should the nurse practitioner order
first for evaluation of early renal dysfunction secondary to diabetes or hypertension?
CORRECT ANSWER
urinalysis with micro and micro albumin
Question 3
3. Your patient presents with a new onset rapid heart rate that is irregularly irregular,
heart rate 100, BP 120/74, respiration 16 non-labored and an SpO2 is 99%. They state this
has been going on for a week or so intermittently, but for the past four days straight it
hasn't stopped. Your first priority intervention for this patient is to do which of the
following?
CORRECT ANSWER
maintain rate control and anticoagulation prior to rhythm conversion
1
@THE STUDY VAULT
,Question 4
4. As a prudent nurse practitioner, you know that a 28-year-old male patient with HIV
would be considered well managed when they have which of the following in addition to
having undetectable or very low viral copies?
CORRECT ANSWER
CD4 count of 500
Question 5
5. Your patient has expressed concern about a skin lesion which you identify as a
darkened, round, and raised lesion. This benign lesion that appears like "stuck on" to the
skin. Which of the following lesions best fits this description?
CORRECT ANSWER
Seborrheic keratosis
Question 6
6. You are treating a patient who has stopped taking their diuretic regimen against medical
advice while they were on vacation since it made them urinate too frequently for their
plans. Now they are 21 pounds heavier than their baseline weight, have respiratory
crackles in bilateral bases, and have severe generalized lower extremity and truncal edema
extending to the sacrum and abdomen. On your documentation, this is referred to as
which of the following conditions?
CORRECT ANSWER
Anasarca
Question 7
2
@THE STUDY VAULT
, 7. While evaluating a patient in your clinic for a routine health visit, you auscultate
crackles in the posterior left lower lobe, have the patient cough, with follow-up
auscultation revealing clear breath sounds. Which one of the following would you
suspect?
CORRECT ANSWER
Atelectasis
Question 8
8. Gladys is a 72-year-old patient with a history of anemia of chronic disease from kidney
failure, diabetes mellitus, and hypothyroidism, presents today with concerns her thyroid
medication is not working well enough. Her most recent labs reflect her TSH is 5.9 (normal
range 0.5-5 uU/mL) and Free T4 is 0.3 ng/dL (normal range 0.8-2.8 ng/dL). Which one of
the following clinical signs and/or symptoms would you expect a patient with these
findings to present with?
CORRECT ANSWER
cold intolerance
Question 9
9. You are examining the mouth of a patient and ask the patient to stick out their tongue
and notice that the tongue deviates by pointing to the left. Which one of the following is
the correct diagnosis of this finding?
CORRECT ANSWER
cranial nerve XII (hypoglossal nerve) lesion on the left
Question 10
10. Your 31-year-old female patient states they are experiencing lateral lower back pain
and urinalysis reveals bacteria in the urine, culture reveals gram negative rods after 24
3
@THE STUDY VAULT
