Barkley Nurse Practitioner Certification
PRACTICE QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS |DETAILED
RATIONALES |HINTED COMPLETE
EXAM PREP GRADED A+*INSTANT
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1.
A 58-year-old patient reports progressive fatigue, exertional
dyspnea, and occasional palpitations. Examination reveals pale
conjunctivae. Which laboratory test is most appropriate initially?
A. Serum sodium
B. Hemoglobin and hematocrit
C. Serum amylase
D. Thyroid-stimulating hormone
Answer: B. Hemoglobin and hematocrit
Pallor, fatigue, dyspnea, and palpitations suggest anemia. A CBC,
including hemoglobin and hematocrit, is an appropriate initial
evaluation.
,2.
Which finding is most concerning during evaluation of a patient with
headache?
A. Bilateral temporal pressure
B. Headache occurring after prolonged computer use
C. Sudden severe headache reaching maximum intensity within
seconds
D. Mild headache relieved by acetaminophen
Answer: C. Sudden severe headache reaching maximum intensity
within seconds
An abrupt "thunderclap" headache is a red flag for subarachnoid
hemorrhage or another secondary intracranial process and requires
urgent evaluation.
3.
During examination of the thyroid, which finding is most concerning
for malignancy?
A. Diffuse enlargement
B. Soft, mobile gland
,C. Solitary hard, fixed nodule
D. Mild tenderness
Answer: C. Solitary hard, fixed nodule
A hard, irregular, or fixed thyroid nodule raises concern for
malignancy and warrants further evaluation.
4.
A patient has orthostatic blood pressure measurements of 132/78
mmHg supine and 108/66 mmHg after standing. The patient reports
dizziness. Which diagnosis is most likely?
A. White-coat hypertension
B. Orthostatic hypotension
C. Hypertensive urgency
D. Isolated systolic hypertension
Answer: B. Orthostatic hypotension
A significant fall in blood pressure after standing accompanied by
symptoms is consistent with orthostatic hypotension.
5.
, Which cranial nerve is primarily responsible for facial sensation?
A. CN II
B. CN V
C. CN VII
D. CN VIII
Answer: B. CN V
The trigeminal nerve (CN V) provides sensation to most of the face
and also innervates the muscles of mastication.
6.
A patient has difficulty producing speech but understands spoken
language. Which cortical area is most likely affected?
A. Wernicke area
B. Broca area
C. Occipital cortex
D. Cerebellum
Answer: B. Broca area
PRACTICE QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS |DETAILED
RATIONALES |HINTED COMPLETE
EXAM PREP GRADED A+*INSTANT
DOWNLOAD PDF
1.
A 58-year-old patient reports progressive fatigue, exertional
dyspnea, and occasional palpitations. Examination reveals pale
conjunctivae. Which laboratory test is most appropriate initially?
A. Serum sodium
B. Hemoglobin and hematocrit
C. Serum amylase
D. Thyroid-stimulating hormone
Answer: B. Hemoglobin and hematocrit
Pallor, fatigue, dyspnea, and palpitations suggest anemia. A CBC,
including hemoglobin and hematocrit, is an appropriate initial
evaluation.
,2.
Which finding is most concerning during evaluation of a patient with
headache?
A. Bilateral temporal pressure
B. Headache occurring after prolonged computer use
C. Sudden severe headache reaching maximum intensity within
seconds
D. Mild headache relieved by acetaminophen
Answer: C. Sudden severe headache reaching maximum intensity
within seconds
An abrupt "thunderclap" headache is a red flag for subarachnoid
hemorrhage or another secondary intracranial process and requires
urgent evaluation.
3.
During examination of the thyroid, which finding is most concerning
for malignancy?
A. Diffuse enlargement
B. Soft, mobile gland
,C. Solitary hard, fixed nodule
D. Mild tenderness
Answer: C. Solitary hard, fixed nodule
A hard, irregular, or fixed thyroid nodule raises concern for
malignancy and warrants further evaluation.
4.
A patient has orthostatic blood pressure measurements of 132/78
mmHg supine and 108/66 mmHg after standing. The patient reports
dizziness. Which diagnosis is most likely?
A. White-coat hypertension
B. Orthostatic hypotension
C. Hypertensive urgency
D. Isolated systolic hypertension
Answer: B. Orthostatic hypotension
A significant fall in blood pressure after standing accompanied by
symptoms is consistent with orthostatic hypotension.
5.
, Which cranial nerve is primarily responsible for facial sensation?
A. CN II
B. CN V
C. CN VII
D. CN VIII
Answer: B. CN V
The trigeminal nerve (CN V) provides sensation to most of the face
and also innervates the muscles of mastication.
6.
A patient has difficulty producing speech but understands spoken
language. Which cortical area is most likely affected?
A. Wernicke area
B. Broca area
C. Occipital cortex
D. Cerebellum
Answer: B. Broca area
