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NR 667 PRACTICE WEEK 1 EXAM LATEST VERSION QUESTIONS
AND ANSWERS 2026 EDITION
NR 667 Practice exam week 1
Which of the following best characterizes presbycusis in the older adult?
Bilateral low-frequency sensorineural hearing loss
Bilateral high-frequency sensorineural hearing loss
Unilateral low-frequency sensorineural hearing loss
Unilateral high-frequency sensorineural hearing loss
Bilateral high-frequency sensorineural hearing loss
Which of the following factors is most commonly associated with premature
gum decay?
Inadequate physical exercise
High intake of dairy products
Inadequate oral hygiene
High use of fluoride toothpaste
Inadequate oral hygiene
Your patient was diagnosed with strep pharyngitis due to symptoms and
exudative pharyngitis by appearance only and started on amoxicillin
yesterday. Rapid strep test was negative and awaiting a throat culture to be
read at this time. The patient has since developed a widespread rash across
their entire torso and extending down their extremities. The patient also has
associated splenomegaly. What is the most likely cause of this rash?
Keratosis pilaris in response to penicillin
Lichens planus due to immune response
Epstein Barr virus drug rash due to penicillin administration
Pityriasis rosea due to immune response
Epstein Barr virus drug rash due to penicillin administration
An adult patient presents with acute onset of right eye pain, redness and
decreased vision. Suspecting open-angle glaucoma, the nurse practitioner
, Page 2 of 36
should:
Prescribe antibiotic ointment and pilocarpine
Advise applying warm compresses and returning in the morning
Refer to ophthalmology and prescribe pilocarpine
Refer to ophthalmology and prescribe topical steroid
Refer to ophthalmology and prescribe pilocarpine
The patient with epiglottitis presents to your care with worsening shortness of
breath and stridor. Which intervention should you prepare for next?
Prepare for emergent transfer to the emergency department for intubation by
an experienced anesthesiologist with surgical airway support available
Auscultating lung sounds for stridor
Prepare for intubation with a laryngeal mask airway
Assess the airway swelling with direct laryngoscopy
Prepare for emergent transfer to the emergency department for intubation by an
experienced anesthesiologist with surgical airway support available
A young adult presents with a sore throat, nasal congestion, postnasal drip,
no temperature elevation, and no lower respiratory involvement. The most
appropriate initial intervention is to:
Recommend gargling with warm salt water
Prescribe a prophylactic course of oral penicillin
Obtain a Monospot test
Obtain a nasopharyngeal culture and sensitivity
Recommend gargling with warm salt water
Your patient is on rivaroxaban, a potent novel oral anticoagulant, and presents
to the urgent care in no apparent distress with a right nare that is bleeding
through the current self-packed gauze. This has been persistent for the past 30
minutes without any evidence of stopping. Which is the most appropriate next
action?
Apply direct manual compression to the bridge of the nose and consult ENT
Consult anesthesia for intubation
Attempt blind cautery with silver nitrate sticks around the packing
Remove the current nasal packing to evaluate further
Apply direct manual compression to the bridge of the nose and consult ENT
, Page 3 of 36
The medical term for nosebleed is which of the following?
Hemostasis
Ataxia
Epistaxis
Nataxis
Epistaxis
In which of the following patients is PRBC transfusion recommended?
26 y.o. F s/p ORIF, Hgb 10.1
64 y.o. M with anemia of unknown origin, SOB, fatigue, and Hgb 9.2
52 y.o. F with chronic lower GI bleed, asymptomatic, and Hgb 8.9
73 y.o. M with acute GI bleed and Hgb 6.2
73 y.o. M with acute GI bleed and Hgb 6.2
All the following thrombocytopenic emergencies require immediate action
except:
Scheduled surgical procedure with mild thrombocytopenia
Suspected acute leukemia, aplastic anemia, or other bone marrow failure
syndrome
Pregnancy with severe thrombocytopenia
Bleeding in the setting of severe thrombocytopenia
Scheduled surgical procedure with mild thrombocytopenia
Treatment for symptomatic aplastic anemia includes all the following except:
Removal of bone marrow stimulants
Prophylactic antibiotics
PRBC/Platelet/WBC transfusions
Bone marrow transplant
Removal of bone marrow stimulants
Which of the following is appropriate long-term treatment for B12 deficiency in
a patient with a history of gastric bypass?
Parenteral vitamin B12
Oral vitamin B12
Inhaled B12
Parenteral vitamin B6
Parenteral vitamin B12
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Progression to Acute Myelogenous Leukemia (AML) is a risk for untreated or
poorly responsive:
Macrocytic anemia
Aplastic anemia
Myelodysplastic syndrome
Pancytopenia
Myelodysplastic syndrome
A patient currently undergoing concurrent chemotherapy/radiation treatment
for glottic squamous cell carcinoma is admitted to the rehab unit you oversee
for management of intractable nausea, vomiting, and dehydration. Admission
CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the following
conditions is this patient at risk for?
Macrocytic anemia due to B12 deficiency
Microcytic anemia due to chronic kidney disease
Aplastic anemia due to bone marrow suppression
Iron deficiency anemia due to chronic blood loss
Aplastic anemia due to bone marrow suppression
A patient is taking warfarin, 4 mg daily for atrial fibrillation. The patient's
current International Normalized Ratio (INR) is 5.5 mg/dL. The nurse
practitioner would:
decrease the warfarin to 3 mg daily.
hold the warfarin for 4 days and then recheck the INR.
increase the warfarin to 5 mg daily.
hold the warfarin for 1 day and then recheck in two days.
hold the warfarin for 1 day and then recheck in two days.
A patient with a known intrinsic factor autoantibody is at risk for developing
which of the following conditions?
Liver disease
B12 deficiency and pernicious anemia
Iron deficiency anemia
Bone marrow suppression and pancytopenia
B12 deficiency and pernicious anemia
Overactivation of coagulation and fibrinolysis resulting in thrombosis and
hemorrhage is a trademark of which of the following?
NR 667 PRACTICE WEEK 1 EXAM LATEST VERSION QUESTIONS
AND ANSWERS 2026 EDITION
NR 667 Practice exam week 1
Which of the following best characterizes presbycusis in the older adult?
Bilateral low-frequency sensorineural hearing loss
Bilateral high-frequency sensorineural hearing loss
Unilateral low-frequency sensorineural hearing loss
Unilateral high-frequency sensorineural hearing loss
Bilateral high-frequency sensorineural hearing loss
Which of the following factors is most commonly associated with premature
gum decay?
Inadequate physical exercise
High intake of dairy products
Inadequate oral hygiene
High use of fluoride toothpaste
Inadequate oral hygiene
Your patient was diagnosed with strep pharyngitis due to symptoms and
exudative pharyngitis by appearance only and started on amoxicillin
yesterday. Rapid strep test was negative and awaiting a throat culture to be
read at this time. The patient has since developed a widespread rash across
their entire torso and extending down their extremities. The patient also has
associated splenomegaly. What is the most likely cause of this rash?
Keratosis pilaris in response to penicillin
Lichens planus due to immune response
Epstein Barr virus drug rash due to penicillin administration
Pityriasis rosea due to immune response
Epstein Barr virus drug rash due to penicillin administration
An adult patient presents with acute onset of right eye pain, redness and
decreased vision. Suspecting open-angle glaucoma, the nurse practitioner
, Page 2 of 36
should:
Prescribe antibiotic ointment and pilocarpine
Advise applying warm compresses and returning in the morning
Refer to ophthalmology and prescribe pilocarpine
Refer to ophthalmology and prescribe topical steroid
Refer to ophthalmology and prescribe pilocarpine
The patient with epiglottitis presents to your care with worsening shortness of
breath and stridor. Which intervention should you prepare for next?
Prepare for emergent transfer to the emergency department for intubation by
an experienced anesthesiologist with surgical airway support available
Auscultating lung sounds for stridor
Prepare for intubation with a laryngeal mask airway
Assess the airway swelling with direct laryngoscopy
Prepare for emergent transfer to the emergency department for intubation by an
experienced anesthesiologist with surgical airway support available
A young adult presents with a sore throat, nasal congestion, postnasal drip,
no temperature elevation, and no lower respiratory involvement. The most
appropriate initial intervention is to:
Recommend gargling with warm salt water
Prescribe a prophylactic course of oral penicillin
Obtain a Monospot test
Obtain a nasopharyngeal culture and sensitivity
Recommend gargling with warm salt water
Your patient is on rivaroxaban, a potent novel oral anticoagulant, and presents
to the urgent care in no apparent distress with a right nare that is bleeding
through the current self-packed gauze. This has been persistent for the past 30
minutes without any evidence of stopping. Which is the most appropriate next
action?
Apply direct manual compression to the bridge of the nose and consult ENT
Consult anesthesia for intubation
Attempt blind cautery with silver nitrate sticks around the packing
Remove the current nasal packing to evaluate further
Apply direct manual compression to the bridge of the nose and consult ENT
, Page 3 of 36
The medical term for nosebleed is which of the following?
Hemostasis
Ataxia
Epistaxis
Nataxis
Epistaxis
In which of the following patients is PRBC transfusion recommended?
26 y.o. F s/p ORIF, Hgb 10.1
64 y.o. M with anemia of unknown origin, SOB, fatigue, and Hgb 9.2
52 y.o. F with chronic lower GI bleed, asymptomatic, and Hgb 8.9
73 y.o. M with acute GI bleed and Hgb 6.2
73 y.o. M with acute GI bleed and Hgb 6.2
All the following thrombocytopenic emergencies require immediate action
except:
Scheduled surgical procedure with mild thrombocytopenia
Suspected acute leukemia, aplastic anemia, or other bone marrow failure
syndrome
Pregnancy with severe thrombocytopenia
Bleeding in the setting of severe thrombocytopenia
Scheduled surgical procedure with mild thrombocytopenia
Treatment for symptomatic aplastic anemia includes all the following except:
Removal of bone marrow stimulants
Prophylactic antibiotics
PRBC/Platelet/WBC transfusions
Bone marrow transplant
Removal of bone marrow stimulants
Which of the following is appropriate long-term treatment for B12 deficiency in
a patient with a history of gastric bypass?
Parenteral vitamin B12
Oral vitamin B12
Inhaled B12
Parenteral vitamin B6
Parenteral vitamin B12
, Page 4 of 36
Progression to Acute Myelogenous Leukemia (AML) is a risk for untreated or
poorly responsive:
Macrocytic anemia
Aplastic anemia
Myelodysplastic syndrome
Pancytopenia
Myelodysplastic syndrome
A patient currently undergoing concurrent chemotherapy/radiation treatment
for glottic squamous cell carcinoma is admitted to the rehab unit you oversee
for management of intractable nausea, vomiting, and dehydration. Admission
CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the following
conditions is this patient at risk for?
Macrocytic anemia due to B12 deficiency
Microcytic anemia due to chronic kidney disease
Aplastic anemia due to bone marrow suppression
Iron deficiency anemia due to chronic blood loss
Aplastic anemia due to bone marrow suppression
A patient is taking warfarin, 4 mg daily for atrial fibrillation. The patient's
current International Normalized Ratio (INR) is 5.5 mg/dL. The nurse
practitioner would:
decrease the warfarin to 3 mg daily.
hold the warfarin for 4 days and then recheck the INR.
increase the warfarin to 5 mg daily.
hold the warfarin for 1 day and then recheck in two days.
hold the warfarin for 1 day and then recheck in two days.
A patient with a known intrinsic factor autoantibody is at risk for developing
which of the following conditions?
Liver disease
B12 deficiency and pernicious anemia
Iron deficiency anemia
Bone marrow suppression and pancytopenia
B12 deficiency and pernicious anemia
Overactivation of coagulation and fibrinolysis resulting in thrombosis and
hemorrhage is a trademark of which of the following?
