2026|2027 Actual Complete Real Exam Questions And Correct
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An advanced practice registered nurse (APRN) assesses a patient with a
long history of infections, mood swings, and gastrointestinal
complaints. The patient complains of increasing fatigue, difficulty
walking, and a sore tongue. Lab results indicate a hemoglobin of 7.8
g/dL.
Which type of anemia should the APRN consider? -ANSWER-Pernicious
anemia
An advanced practice registered nurse (APRN) is evaluating a male
patient. Findings include a painless supraclavicular adenopathy, a
nonproductive cough, fatigue, anorexia, weight loss, fever, night
sweats, pruritus, and the findings of Reed-Sternberg cells on a lab
microscopic exam.
Which disease should be suspected by the APRN? -ANSWER-Hodgkin
lymphoma
An advanced practice registered nurse (APRN) is consulting with a teen
patient who has recently learned that she is pregnant. The APRN knows
that a certain medication taken by the patient can contribute to the
development of congenital malformations in the fetus. The APRN
reviews the patient's current medication list and finds one medication
that is a concern.
,Which medication is the APRN concerned about? -ANSWER-Retinoic
acid
An advanced practice registered nurse (APRN) is evaluating an anemic
patient with stage 4 renal disease.
Which pathological mechanism should the APRN note? -ANSWER-
Suppressed production of erythropoietin
A patient presents to an emergency department with complaints of
shortness of breath and confusion. An advanced practice registered
nurse (APRN) assesses the patient, reviews the lab results, and
diagnoses the patient with hypoxia due to anemia.
Which compensatory mechanism supports this diagnosis? -ANSWER-
Increased heart rate
A newborn's screening for cystic fibrosis is positive. An advanced
practice registered nurse (APRN) is reviewing screening results and
taking a comprehensive genetic screening of the parents. The APRN
asks the parents questions to help determine the transmission of this
disease.
Which question should the APRN ask? -ANSWER-"Are you both the
genetic donor parents?"
An advanced practice registered nurse (APRN) is meeting with an older
adult with complicated hypertension and a strong family history of
cardiovascular disease. The patient is reluctant to consider medications
, for blood pressure control and would like to know the anticipated
effect if the blood pressure remains moderately elevated.
What is the anticipated pathological outcome for this patient if this
condition continues? -ANSWER-Hypertrophy of left ventricle
A 56-year-old patient presents to an emergency department with acute
chest pain on the day after the funeral of a spouse. Diagnostic results
reveal ST elevation and elevated troponins.
What is the probable diagnosis of these symptoms? -ANSWER-
Takotsubo cardiomyopathy
A patient presents in the clinic with a chief complaint of numbness and
tingling in the hands and fingertips that is relieved by warmth. The
patient reports fingers turning blue and white and has no other medical
history.
Which condition is the patient describing? -ANSWER-Raynaud disease
A two-month-old infant presents to a rural healthcare clinic for a
routine well-child check. A medical assistant alerts an advanced
practice registered nurse (APRN) after assessing vital signs with a HR of
200 bmp, RR of 40 bmp, and dropping percentiles on the growth chart.
Upon entering the room, the APRN notes increased breathing effort,
nasal flaring, and suprasternal retractions when the infant's mother is
attempting to feed the infant a bottle. Upon further assessment, the
APRN notes a grade 4 holosystolic murmur and cool extremities.
What is the probable diagnosis? -ANSWER-Ventricular septal defect