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, A P EA 3P EXA M
PREDICTOR EXAM
2024/2025 I S YOU R
ULTIMATE STUDY AID
1. A 37-year-old female patient with a history of a single episode
of depression and frequent complaints of PMS is being treated
for hypothyroidism. Today she complains of poor concentration
and fatigue. Initially, the NP should:
a. Question her further
b. Order a thyroid panel
c. Prescribe an antidepressant
d. Refer to a psychiatrist
Answer: a. Question her further
2. Which of the following is an example of secondary preven-
tion?
a. Annual influenza vaccination
b. Daily exercise
c. Smoking cessation education
d. Genetic screening
Answer: a. Annual influenza vaccination
3. A 35-year-old female with a history of mitral valve prolapse is
scheduled for routine dental cleaning. According to the 2007
American Association’s guideline for endocarditis prophylaxis,
what would you advise this patient?
a. She does not need prophylaxis for any dental procedure
, BOOK TITLE
b. She should take amoxicillin 2g one hour prior
c. She requires clindamycin prophylaxis
d. She needs IV antibiotics before the procedure
Answer: a. She does not need prophylaxis for any dental proce-
dure
4. A patient recovering from a recent stroke is starting anticoag-
ulant therapy. The nurse practitioner should teach the patient to
avoid all of the following EXCEPT:
a. Milk and milk products
b. Green leafy vegetables
c. Cranberry juice
d. Alcohol
Answer: a. Milk and milk products
5. A patient presents with periorbital erythema and edema,
fever, and nasal drainage. The nurse practitioner should:
a. Start aggressive antibiotic therapy
b. Order a sinus X-ray
c. Prescribe a decongestant
d. Recommend warm compresses
Answer: a. Start aggressive antibiotic therapy
6. A positive drawer sign supports a diagnosis of:
a. Meniscal tear
b. Cruciate ligament injury
c. Patellar dislocation
d. Ankle sprain
Answer: b. Cruciate ligament injury
7. A 50-year-old patient with diabetes complains of pain bilater-
ally in her lower legs while walking. The pain disappears at rest.
What else would you expect to identify on her lower extremities?
a. Varicose veins
b. Peripheral artery insufficiency
c. Deep vein thrombosis
d. Neuropathic ulcers
Answer: b. Peripheral artery insufficiency
2
, Page |3
8. A 16-year-old athlete complains of pain underneath his heel
every time he walks. There is a verrucous surface level with the
skin of the heel. What pharmacologic interventions should the
nurse practitioner prescribe for this patient?
a. Salicylic acid plasters
b. Oral antibiotics
c. Topical corticosteroids
d. Antifungal cream
Answer: a. Salicylic acid plasters
9. A patient with Type I diabetes has had itching and burning le-
sions between her toes for 6 months. Scrapings of the lesion con-
firm the diagnosis of tinea pedis. What is the best treatment op-
tion for this patient?
a. Prescribe an anti-fungal powder for application between her toes
and in her shoes and a topical prescription strength anti-fungal
cream for other affected areas. Monitor for a secondary bacterial in-
fection.
b. Prescribe oral griseofulvin
c. Recommend over-the-counter hydrocortisone cream
d. Suggest soaking feet in vinegar
Answer: a. Prescribe an anti-fungal powder for application be-
tween her toes and in her shoes and a topical prescription
strength anti-fungal cream for other affected areas. Monitor for
a secondary bacterial infection.
10. What is an appropriate drug for prophylactic treatment of
migraine headaches in a 21-year-old female?
a. Sumatriptan (Imitrex)
b. Propranolol (Inderal)
c. Ibuprofen (Motrin)
d. Dihydroergotamine (DHE)
Answer: b. Propranolol (Inderal)
11. Which of the following are the classic features of ulcerative
colitis?
a. RLQ pain, frequently accompanied by a palpable mass, fever, and
leukopenia
b. Massive painful hematemesis, occasionally accompanied by me-
3
, A P EA 3P EXA M
PREDICTOR EXAM
2024/2025 I S YOU R
ULTIMATE STUDY AID
1. A 37-year-old female patient with a history of a single episode
of depression and frequent complaints of PMS is being treated
for hypothyroidism. Today she complains of poor concentration
and fatigue. Initially, the NP should:
a. Question her further
b. Order a thyroid panel
c. Prescribe an antidepressant
d. Refer to a psychiatrist
Answer: a. Question her further
2. Which of the following is an example of secondary preven-
tion?
a. Annual influenza vaccination
b. Daily exercise
c. Smoking cessation education
d. Genetic screening
Answer: a. Annual influenza vaccination
3. A 35-year-old female with a history of mitral valve prolapse is
scheduled for routine dental cleaning. According to the 2007
American Association’s guideline for endocarditis prophylaxis,
what would you advise this patient?
a. She does not need prophylaxis for any dental procedure
, BOOK TITLE
b. She should take amoxicillin 2g one hour prior
c. She requires clindamycin prophylaxis
d. She needs IV antibiotics before the procedure
Answer: a. She does not need prophylaxis for any dental proce-
dure
4. A patient recovering from a recent stroke is starting anticoag-
ulant therapy. The nurse practitioner should teach the patient to
avoid all of the following EXCEPT:
a. Milk and milk products
b. Green leafy vegetables
c. Cranberry juice
d. Alcohol
Answer: a. Milk and milk products
5. A patient presents with periorbital erythema and edema,
fever, and nasal drainage. The nurse practitioner should:
a. Start aggressive antibiotic therapy
b. Order a sinus X-ray
c. Prescribe a decongestant
d. Recommend warm compresses
Answer: a. Start aggressive antibiotic therapy
6. A positive drawer sign supports a diagnosis of:
a. Meniscal tear
b. Cruciate ligament injury
c. Patellar dislocation
d. Ankle sprain
Answer: b. Cruciate ligament injury
7. A 50-year-old patient with diabetes complains of pain bilater-
ally in her lower legs while walking. The pain disappears at rest.
What else would you expect to identify on her lower extremities?
a. Varicose veins
b. Peripheral artery insufficiency
c. Deep vein thrombosis
d. Neuropathic ulcers
Answer: b. Peripheral artery insufficiency
2
, Page |3
8. A 16-year-old athlete complains of pain underneath his heel
every time he walks. There is a verrucous surface level with the
skin of the heel. What pharmacologic interventions should the
nurse practitioner prescribe for this patient?
a. Salicylic acid plasters
b. Oral antibiotics
c. Topical corticosteroids
d. Antifungal cream
Answer: a. Salicylic acid plasters
9. A patient with Type I diabetes has had itching and burning le-
sions between her toes for 6 months. Scrapings of the lesion con-
firm the diagnosis of tinea pedis. What is the best treatment op-
tion for this patient?
a. Prescribe an anti-fungal powder for application between her toes
and in her shoes and a topical prescription strength anti-fungal
cream for other affected areas. Monitor for a secondary bacterial in-
fection.
b. Prescribe oral griseofulvin
c. Recommend over-the-counter hydrocortisone cream
d. Suggest soaking feet in vinegar
Answer: a. Prescribe an anti-fungal powder for application be-
tween her toes and in her shoes and a topical prescription
strength anti-fungal cream for other affected areas. Monitor for
a secondary bacterial infection.
10. What is an appropriate drug for prophylactic treatment of
migraine headaches in a 21-year-old female?
a. Sumatriptan (Imitrex)
b. Propranolol (Inderal)
c. Ibuprofen (Motrin)
d. Dihydroergotamine (DHE)
Answer: b. Propranolol (Inderal)
11. Which of the following are the classic features of ulcerative
colitis?
a. RLQ pain, frequently accompanied by a palpable mass, fever, and
leukopenia
b. Massive painful hematemesis, occasionally accompanied by me-
3
