2026|2027 ACTUAL COMPLETE REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
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A patient has the following lab results: Total cholesterol: 259 High
density lipoprotein: 41 Low density lipoprotein: 149 Triglycerides: 195
what would be pertinent to ask prior to starting this patient on
atorvastatin (Lipitor)? -ANSWERS-What is your day-to-day amount of
muscle pain?
Patients taking statins are at an increased risk for rhabdomyolysis
A 13-year-old female patient with mild persistent asthma states that
she has been using her rescue inhaler a lot less recently. Her mother
asks if we can cut back on her medications now. How should you
respond? -ANSWERS-"We shouldn't change her treatment plan on how
often she is using her rescue inhaler."
Four patients present to your primary care clinic complaining of a
headache. The nurse practitioner would be most concerned by which
patient? -ANSWERS-A 45-year-old male with sudden onset of a
headache after coughing or sneezing
,A 75-year-old patient comes into the office complaining of gradual,
worsening eye complaints. You suspect macular degeneration due to
the patient's complaint of what symptom? -ANSWERS-Scotoma
A patient presents for evaluation of a knee injury he got while skiing
yesterday. While the patient is supine, the provider flexes the knee,
internally rotates the tibia, and then extends the knee while
maintaining the internal rotation. A "click" is not heard or felt, but there
is pain along the joint line. What injury do you suspect? -ANSWERS-
Torn meniscus
Your middle-aged patient recently visited a dermatologist for
evaluation of her worsening psoriasis. The dermatologist prescribed the
patient amcinonide 0.1% ointment (Cyclocort) for a short duration for
symptom relief. The nurse practitioner recognizes this as a high potency
steroid, and knows that this ointment can be used safely on which area
of the body? -ANSWERS-Hands
A patient states her friend has recently been diagnosed with Hepatitis
D. She is asking the nurse practitioner about how to prevent Hepatitis D
infection, as she heard it may be transmissible through air droplets.
What is the best way to prevent Hepatitis D infection? -ANSWERS-Being
vaccinated against hepatitis B
,A 15-year-old female presents to your clinic complaining of pale skin,
fatigue, and shortness of breath. Upon getting her history, she states
she recently started menarche and has heavy menses. What should be
the nurse practitioner's next action? -ANSWERS-Assess the patient's
nails and mucus membranes
If assessing the patient is an option and it does not say that the physical
assessment has been performed, always assess the patient before
ordering any tests or treatments. Any needed labs can be ordered and
collected after performing the assessment.
A 60-year-old female patient comes into today complaining of
increasing issues with hot flashes that she hasn't been able to manage
with black cohosh. Which of the following medication options would be
most appropriate to prescribe initially? -ANSWERS-Paroxetine (Paxil)
A 28-year-old female with a history of asthma and hypothyroidism
comes into the office with complaints of nausea, fatigue, and a missed
period for one week. You perform a urine pregnancy test which comes
back positive. She is currently on a multivitamin daily, levothyroxine
(Synthroid) 75 mcg daily, and albuterol sulfate as needed. What do you
anticipate ordering for this patient? -ANSWERS-Increase her dose of
levothyroxine (Synthroid) immediately
Thyroid replacement needs increase early in pregnancy and are
required for proper cognitive development in the fetus and prevention
of adverse pregnancy outcomes.
, Long-term use of proton pump inhibitors will likely lead to which of the
following conditions? -ANSWERS-B12 deficiency anemia
Long term use of proton pump inhibitors (PPIs) can lead to B12
deficiency, c. diff infections, and osteoporosis.
A middle-aged female patient presents with shortness of breath,
dizziness and increasing palpitations. Upon physical exam, a new
murmur is noted. The nurse practitioner knows that which of the
following murmurs should always be referred for further evaluation? -
ANSWERS-Mitral stenosis
A patient with Alzheimer's disease is having consistent issues with no
longer recognizing people that were once familiar to them. Which term
describes this condition? -ANSWERS-Agnosia
A 43-year-old alcoholic patient presents today with a gout
exacerbation. Which of the following medication changes would be
inappropriate during this visit? -ANSWERS-Decrease his allopurinol
(Zyloprim)
A middle-aged patient recently presented with a mildly swollen tongue
and feeling faint. The nurse practitioner decides to order a complete
metabolic panel in addition to a complete blood count. Upon reviewing