QUESTIONS
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
2026/10/192026/10/19BARKELY
AND VERIFIED DETAILED RATIONALES
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BARKELY ACUTE NURSE PRACTITIONER
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DETAILED RATIONALES ANSWERS LATEST
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Prophylactic treatment for migraine headaches includes the use of:
A. amitriptyline.
B. ergot derivative.
C. naproxen sodium.
D. clonidine.
A
Antiepileptic drugs useful for preventing migraine headaches include all of the following except:
A. divalproex.
B. valproate.
C. lamotrigine.
D. topiramate.
C
In tension-type headache, which of the following is true?
A. Photophobia is seldom reported.
B. The pain is typically described as "pressing" in
quality.
C. The headache is usually unilateral.
D. Physical activity usually makes the discomfort worse.
B
The mechanism of action of triptans is as a(n):
A. selective serotonin receptor agonist.
B. dopamine antagonist.
C. vasoconstrictor.
D. inhibitor of leukotriene synthesis.
A
The use of neuroleptics such as prochlorperazine (Compazine) and promethazine (Phenergan) in
migraine therapy should be limited to less than three times per week because of their:
A. addictive potential.
S^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
AND VERIFIED
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1892026/10/19BARKELY
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WITH ACTUAL CORRECT QUESTIONS AND VERIFIED
1:39:29DETAILED
PM RA
,QUESTIONS
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
2026/10/192026/10/19BARKELY
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B. extrapyramidal movement risk.
C. ability to cause rebound headache.
D. sedative effect.
B
With appropriately prescribed headache prophylactic therapy, the patient should be informed to expect:
A. virtual resolution of headaches.
B. no fewer but less severe headaches.
C. approximately 50% reduction in the number of headaches.
D. that lifelong therapy is advised.
C
A 48-year-old woman presents with a monthly 4-day premenstrual migraine headache, poorly
responsive to triptans and analgesics, and accompanied by vasomotor symptoms (hot flashes). The
clinician considers pre- scribing all of the following except:
A. continuous monophasic oral contraceptive.
B. phasic combined oral contraceptive with a 7-day-per-month withdrawal period.
C. low-dose estrogen patch use during the premenstrual week.
D. triptan prophylaxis.
B
A first-line prophylactic treatment option for the prevention of tension-type headache is:
A. nortriptyline.
B. verapamil.
C. carbamazepine.
D. valproate.
A
A 47-year-old woman experiences occasional migraine with aura and reports partial relief with
zolmitriptan. You decide to add which of the following to augment the pain control by the triptan?
A. lamotrigine
B. gabapentin
C. naproxen sodium
D. magnesium
C
A 68-year-old man presents with new onset of headaches. He describes the pain as bilateral frontal to
occipital and most severe when he arises in the morn- ing and when coughing. He feels much better by
mid- afternoon. The history is most consistent with headache caused by:
ICP
Systemic corticosteroid therapy would be most appropriate in treating:
A. tension-type headache.
B. migraines occurring on a weekly basis.
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AND VERIFIED
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1892026/10/19BARKELY
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ACUTE NURSE
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UPDATE ALREADY
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TEST BANK
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WITH ACTUAL CORRECT QUESTIONS AND VERIFIED
1:39:29DETAILED
PM RA
,QUESTIONS
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
2026/10/192026/10/19BARKELY
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C. intractable or severe migraines and cluster headaches.
D. migraines occurring during pregnancy.
C
When evaluating a patient with acute headache, all of the following observations would indicate the
absence of a more serious underlying condition except:
A. onset of headache with exertion, coughing, or sneezing.
B. history of previous identical headache. C. supple neck.
D. normal neurological examination results.
A
Indicate the appropriate course of action (head CT scan, head MRI, or neither) for each of the following
patients:
39. A 45-year-old man who presents with a sudden, abrupt headache. Upon questioning, he appears
somewhat confused with decreased alertness to his surroundings.
40. A 48-year-old woman with a history of breast cancer who presents with 3 month history of
progressively severe headache, and bulging optic disk.
41. A 24-year-old man who presents in the ED following a motor vehicle accident. He exhibits confusion
and falls in and out of consciousness.
42. A 57-year-old woman with a prior history of a brain tumor that was removed 8 years ago. She
complains of headaches that have been increasing in frequency and intensity over the past month.
43. A 37-year-old man diagnosed with cluster-type headache that is alleviated with high-dose NSAIDs
39. CT scan 40. MRI 41. CT scan 42. MRI 43. Neither
primary vs secondary headache
tension headache
migraine without aura
S^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
AND VERIFIED
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1892026/10/19BARKELY
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ACUTE NURSE
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UPDATE ALREADY
EXAMSGRADED
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WITH ACTUAL CORRECT QUESTIONS AND VERIFIED
1:39:29DETAILED
PM RA
,QUESTIONS
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
2026/10/192026/10/19BARKELY
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migraine without aura
cluster headache
HA red flags
HA and presenting sx of serious illness
Headache rarely can be the presenting symptom of a serious illness.
Helpful Observations in Patients with Acute Headache
Things that significantly increase odds of finding abnormality on neuroimaging for HA
• Rapidly increasing headache frequency
• History
• Dizziness or lack of coordination
S^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
AND VERIFIED
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1892026/10/19BARKELY
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UPDATE ALREADY
EXAMSGRADED
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WITH ACTUAL CORRECT QUESTIONS AND VERIFIED
1:39:29DETAILED
PM RA
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
2026/10/192026/10/19BARKELY
AND VERIFIED DETAILED RATIONALES
ACUTE NURSE
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A+.pdf(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$
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PM RATI
1|Page
BARKELY ACUTE NURSE PRACTITIONER
EXAMS TEST BANK WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS LATEST
UPDATE ALREADY GRADED A+
Prophylactic treatment for migraine headaches includes the use of:
A. amitriptyline.
B. ergot derivative.
C. naproxen sodium.
D. clonidine.
A
Antiepileptic drugs useful for preventing migraine headaches include all of the following except:
A. divalproex.
B. valproate.
C. lamotrigine.
D. topiramate.
C
In tension-type headache, which of the following is true?
A. Photophobia is seldom reported.
B. The pain is typically described as "pressing" in
quality.
C. The headache is usually unilateral.
D. Physical activity usually makes the discomfort worse.
B
The mechanism of action of triptans is as a(n):
A. selective serotonin receptor agonist.
B. dopamine antagonist.
C. vasoconstrictor.
D. inhibitor of leukotriene synthesis.
A
The use of neuroleptics such as prochlorperazine (Compazine) and promethazine (Phenergan) in
migraine therapy should be limited to less than three times per week because of their:
A. addictive potential.
S^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
AND VERIFIED
Page 1 ofDETAILED
1892026/10/19BARKELY
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ACUTE NURSE
LATEST
PRACTITIONER
UPDATE ALREADY
EXAMSGRADED
TEST BANK
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WITH ACTUAL CORRECT QUESTIONS AND VERIFIED
1:39:29DETAILED
PM RA
,QUESTIONS
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
2026/10/192026/10/19BARKELY
AND VERIFIED DETAILED RATIONALES
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B. extrapyramidal movement risk.
C. ability to cause rebound headache.
D. sedative effect.
B
With appropriately prescribed headache prophylactic therapy, the patient should be informed to expect:
A. virtual resolution of headaches.
B. no fewer but less severe headaches.
C. approximately 50% reduction in the number of headaches.
D. that lifelong therapy is advised.
C
A 48-year-old woman presents with a monthly 4-day premenstrual migraine headache, poorly
responsive to triptans and analgesics, and accompanied by vasomotor symptoms (hot flashes). The
clinician considers pre- scribing all of the following except:
A. continuous monophasic oral contraceptive.
B. phasic combined oral contraceptive with a 7-day-per-month withdrawal period.
C. low-dose estrogen patch use during the premenstrual week.
D. triptan prophylaxis.
B
A first-line prophylactic treatment option for the prevention of tension-type headache is:
A. nortriptyline.
B. verapamil.
C. carbamazepine.
D. valproate.
A
A 47-year-old woman experiences occasional migraine with aura and reports partial relief with
zolmitriptan. You decide to add which of the following to augment the pain control by the triptan?
A. lamotrigine
B. gabapentin
C. naproxen sodium
D. magnesium
C
A 68-year-old man presents with new onset of headaches. He describes the pain as bilateral frontal to
occipital and most severe when he arises in the morn- ing and when coughing. He feels much better by
mid- afternoon. The history is most consistent with headache caused by:
ICP
Systemic corticosteroid therapy would be most appropriate in treating:
A. tension-type headache.
B. migraines occurring on a weekly basis.
S^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
AND VERIFIED
Page 2 ofDETAILED
1892026/10/19BARKELY
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ACUTE NURSE
LATEST
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UPDATE ALREADY
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WITH ACTUAL CORRECT QUESTIONS AND VERIFIED
1:39:29DETAILED
PM RA
,QUESTIONS
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
2026/10/192026/10/19BARKELY
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C. intractable or severe migraines and cluster headaches.
D. migraines occurring during pregnancy.
C
When evaluating a patient with acute headache, all of the following observations would indicate the
absence of a more serious underlying condition except:
A. onset of headache with exertion, coughing, or sneezing.
B. history of previous identical headache. C. supple neck.
D. normal neurological examination results.
A
Indicate the appropriate course of action (head CT scan, head MRI, or neither) for each of the following
patients:
39. A 45-year-old man who presents with a sudden, abrupt headache. Upon questioning, he appears
somewhat confused with decreased alertness to his surroundings.
40. A 48-year-old woman with a history of breast cancer who presents with 3 month history of
progressively severe headache, and bulging optic disk.
41. A 24-year-old man who presents in the ED following a motor vehicle accident. He exhibits confusion
and falls in and out of consciousness.
42. A 57-year-old woman with a prior history of a brain tumor that was removed 8 years ago. She
complains of headaches that have been increasing in frequency and intensity over the past month.
43. A 37-year-old man diagnosed with cluster-type headache that is alleviated with high-dose NSAIDs
39. CT scan 40. MRI 41. CT scan 42. MRI 43. Neither
primary vs secondary headache
tension headache
migraine without aura
S^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
AND VERIFIED
Page 3 ofDETAILED
1892026/10/19BARKELY
RATIONALES ANSWERS
ACUTE NURSE
LATEST
PRACTITIONER
UPDATE ALREADY
EXAMSGRADED
TEST BANK
A+.pdf(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$
WITH ACTUAL CORRECT QUESTIONS AND VERIFIED
1:39:29DETAILED
PM RA
,QUESTIONS
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
2026/10/192026/10/19BARKELY
AND VERIFIED DETAILED RATIONALES
ACUTE NURSE
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PRACTITIONER
LATEST EXAMS
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ALREADY
BANK GRADED
WITH ACTUAL
A+.pdf(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$
CORRECT QUESTIONS AND VERIFIED1:39:29
DETAILED
PM RATI
4|Page
migraine without aura
cluster headache
HA red flags
HA and presenting sx of serious illness
Headache rarely can be the presenting symptom of a serious illness.
Helpful Observations in Patients with Acute Headache
Things that significantly increase odds of finding abnormality on neuroimaging for HA
• Rapidly increasing headache frequency
• History
• Dizziness or lack of coordination
S^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
AND VERIFIED
Page 4 ofDETAILED
1892026/10/19BARKELY
RATIONALES ANSWERS
ACUTE NURSE
LATEST
PRACTITIONER
UPDATE ALREADY
EXAMSGRADED
TEST BANK
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WITH ACTUAL CORRECT QUESTIONS AND VERIFIED
1:39:29DETAILED
PM RA
