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Exam (elaborations)

NP CERTIFICATION TEST 4 | QUESTIONS AND ANSWERS | 2025/2026

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NP CERTIFICATION TEST 4 | QUESTIONS AND ANSWERS | 2025/2026

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NP CERTIFICATION TEST 4 | QUESTIONS AND ANSWERS |
2025/2026

Questions in this set (100)


Laboratory results 37 female. what would 3. HGB 12-16
you expect to see?



1. HCT 54%
2. random plasma glucose > 200
3. HGB 12-16
4. HGB 14-18

alcohol elderly man with depression wants 4. admit to hospital for treatment
to die


1. Tell him, suicide incidents
decrease with age
2. alcohol can increase risk for suicide
3.5% of people who talk about it, do it
4. admit to hospital for treatment

Advantages to depo-provera are 1-2% 1st 1. delayed fertility
year failure rate. What are the
disadvantages?


1. delayed fertility after stopping
2. Increased risk of endometrial cancer
3.intensified estrogen-related side effects
4. increased risk of PIV

,Native Americans consider this a "White 2. Cancer
man's Disease" not treatable by Indian
medicine.


1. Alcoholism
2. Cancer
3.Mental Illness
4. Pain

72 year old see bruises on legs, he is 4. Inform social services
hesitant to say, and then says he 'fell'. NP's
next step.


1. Verify with family members
2. Report abuse to police
3.Send to internal medicine
4. Inform social services

Cimetidine complicated polypharmacy, 3. Cytochrome P450
inhibits what liver enzyme prolonging other
drugs in the body?


1. Lactate dehydrogenace
2. Glucose oxidase
3.Cytochrome P450
4. COX 1

Lab discussion with Multiple sclerosis, 2. an endrophonium test DD
which is incorrect?


1. slightly elevated protein
levels can be found in the CSF
2. An edrophonium
test can be administered as
a DD
3.Lymphocytes increase in the
circulating blood
4. Lab diagnostics are not definitive for MS
BP on 30 year old, symptomatic 4. clonidine
dizziness/headaches is 184/100. next step?


1. Nifedipine
2. nitro IV
3.Metoprolol
4. clonidine

Best BC, long acting, no long acting side 2. Implanon is the best recommended.
effects after removal. Family history of
endometrial cancer. Best BC? 1. Effective for 3 years.
2. No hormonal side effects.
1. Depo-Provera 3.Fertility returns quickly.
2. Implanon 4. decrease menstral cramps.
3.Oral contraceptives
4. Ortho-Evra

, NP wants to dump a pt on you because she 3. patient abandonment, b/c not enough notice was given.
is afraid of HIV.


1. You can switch with a willing NP
2. Talk to administration
3.patient abandonment b/c inadequate
notice was given
4. Patient abandonment b/c fear of
infection is not valid

How do you teach a pt to measure own 4. Peak flow meter.
forced expiratory volume?
1. measures FeVI (forced expiratory volume)
1. tracking number of inhaler uses a 2. incentive spirometer may improve lung function but does not measure
day
2. tracking number of sputum per day
3.Incentive spirometer
4. Peak flow meter
Young acollege athlete has pneumonia 1. azithromycin
outpatient treatment:


1. Azithromycin
2. Cefotazime
3.Levofloxacin
4. Moxifloxacin

What question would you NOT ask 4. where did the patient fall?
concerning a fall?


1. what was he doing?
2. were assisted devices being
used or not used?
3. Was their loss of consciousness
4.Where did the patient fall?

In order, what is the best questions to ask to 1. Brown, Chair, Textbook and tomato
test declarative memory?
Declarative memory is patient's use of memory to learn new information and learn
1. Can you repeat the words, things quickly.
"Brown, chair, textbook, tomato?"
2. Can you repeat the words,
"Rose, Hose, Nose, Clothes?"
3.How old were you on your first job?
4. what did you have for breakfast
this morning?

Erythema on eyelid, pain started 3 days 2. two days
ago, symptoms have worsened. small
tender mass inside affected eyelid. Refer
him to an ophthalmologist in how many
days?


1. One
2. Two
3. Three
4. FIve

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