,1. You are evaluating a 41 year old female patient in your clinic with sym
fo fo fo fo fo fo fo fo fo fo fo fo fo fo
ptoms of right upper quadrant pain which worsens with deep breathing.
fo fo fo fo fo fo fo fo fo fo fo
The patient exhibits a positive Murphy sign. These findings are most co
fo fo fo fo fo fo fo fo fo fo fo
nsistent with which one of the following? fo fo fo fo fo fo
A - Appendicitis
fo fo
B - Cholecystitis
fo fo
C - Crohn's flare
fo fo fo
D - Pancreatitis
fo fo
Answer: B - Cholecystitis fo fo fo
2. In educating your patient about the non-
fo fo fo fo fo fo fo
pharmacologic management of gastroesophageal reflux disease, you in fo fo fo fo fo fo fo
clude teaching to the patient that their heartburn is aggravated by all of t
fo fo fo fo fo fo fo fo fo fo fo fo fo
he following except which one?
fo fo fo fo
A - Activities including lifting or bending over
fo fo fo fo fo fo fo
B - Alcohol intake
fo fo fo
C - Foods, such as citrus, onions and coffee
fo fo fo fo fo fo fo fo
D - Gastric dumping, or increased emptying into the small intestines
fo fo fo fo fo fo fo fo fo fo
Answer: D - Gastric dumping, or increased emptying into the small intestines
fo fo fo fo fo fo fo fo fo fo fo
3. The patient is experiencing acute closed angle glaucoma. Which of th
fo fo fo fo fo fo fo fo fo fo fo
e following examination findings by the nurse practitioner is most consi
fo fo fo fo fo fo fo fo fo fo
stent with their diagnosis?fo fo fo
A - Macular degeneration
fo fo fo
B - Increase in intraocular pressure
fo fo fo fo fo
C - AV nicking
fo fo fo
D - Loss of aqueous humor volume
fo fo fo fo fo fo
Answer: B - Increase in intraocular pressure fo fo fo fo fo fo
4. While managing the care of the patient with chronic alcoholism, the n
fo fo fo fo fo fo fo fo fo fo fo fo
urse practitioner would likely anticipate which findings on the CBC with
fo fo fo fo fo fo fo fo fo fo fo
differential?
A - Decreased MCV and MCH
fo fo fo fo fo
B - Normal MCV and MCH
fo fo fo fo fo
, C - Chronic alcoholism will not affect the differential
fo fo fo fo fo fo fo fo
D - Elevated MCV and MCH
fo fo fo fo fo
Answer: D - Elevated MCV and MCH fo fo fo fo fo fo
5. The nurse practitioner is caring for a patient with an elevated WBC, fev
fo fo fo fo fo fo fo fo fo fo fo fo fo
er, chills, and malaise. When developing a differential diagnosis for this
fo fo fo fo fo fo fo fo fo fo fo
finding, which of the following is not a potential cause of the elevated W
fo fo fo fo fo fo fo fo fo fo fo fo fo
BC?
A - Sepsis
fo fo
B - Diabetes Mellitus Type 2
fo fo fo fo fo
C - Leukemia
fo fo
D - Recent oral corticosteroid therapy
fo fo fo fo fo
Answer: B - Diabetes Mellitus Type 2 fo fo fo fo fo fo
6. Your 21 year old sexually active female patient states during a routine
fo fo fo fo fo fo fo fo fo fo fo fo fo
health exam that they have some weird bumps on their vulva. She is con
fo fo fo fo fo fo fo fo fo fo fo fo fo
cerned she has a sexually transmitted infection. You notify her that cond
fo fo fo fo fo fo fo fo fo fo fo
yloma are caused by exposure to which of the following?
fo fo fo fo fo fo fo fo fo
A - Chlamydia
fo fo
B - Herpes zoster
fo fo fo
C - Human papillomavirus type 6 and 11
fo fo fo fo fo fo fo
D - Parvovirus B19
fo fo fo
Answer: C - Human papillomavirus type 6 and 11 fo fo fo fo fo fo fo fo
7. Your patient who has undergone a recent major medical procedure is
fo fo fo fo fo fo fo fo fo fo fo fo
at a rehabilitation center and is having a hard time being motivated to do
fo fo fo fo fo fo fo fo fo fo fo fo fo fo
therapy. When you interview them as the nurse practitioner on staff, the
fo fo fo fo fo fo fo fo fo fo fo
y appear despondent and are having a hard time being wakeful during th
fo fo fo fo fo fo fo fo fo fo fo fo
erapy sessions. They have stable vital signs, temperature, urine output,
fo fo fo fo fo fo fo fo fo fo
and are not ill- fo fo fo
appearing. As a prudent nurse practitioner, you understand this may rep
fo fo fo fo fo fo fo fo fo fo
resent which of the following? fo fo fo fo
A - Hypothyroidism
fo fo
B - Situation depression
fo fo fo
fo fo fo fo fo fo fo fo fo fo fo fo fo fo
ptoms of right upper quadrant pain which worsens with deep breathing.
fo fo fo fo fo fo fo fo fo fo fo
The patient exhibits a positive Murphy sign. These findings are most co
fo fo fo fo fo fo fo fo fo fo fo
nsistent with which one of the following? fo fo fo fo fo fo
A - Appendicitis
fo fo
B - Cholecystitis
fo fo
C - Crohn's flare
fo fo fo
D - Pancreatitis
fo fo
Answer: B - Cholecystitis fo fo fo
2. In educating your patient about the non-
fo fo fo fo fo fo fo
pharmacologic management of gastroesophageal reflux disease, you in fo fo fo fo fo fo fo
clude teaching to the patient that their heartburn is aggravated by all of t
fo fo fo fo fo fo fo fo fo fo fo fo fo
he following except which one?
fo fo fo fo
A - Activities including lifting or bending over
fo fo fo fo fo fo fo
B - Alcohol intake
fo fo fo
C - Foods, such as citrus, onions and coffee
fo fo fo fo fo fo fo fo
D - Gastric dumping, or increased emptying into the small intestines
fo fo fo fo fo fo fo fo fo fo
Answer: D - Gastric dumping, or increased emptying into the small intestines
fo fo fo fo fo fo fo fo fo fo fo
3. The patient is experiencing acute closed angle glaucoma. Which of th
fo fo fo fo fo fo fo fo fo fo fo
e following examination findings by the nurse practitioner is most consi
fo fo fo fo fo fo fo fo fo fo
stent with their diagnosis?fo fo fo
A - Macular degeneration
fo fo fo
B - Increase in intraocular pressure
fo fo fo fo fo
C - AV nicking
fo fo fo
D - Loss of aqueous humor volume
fo fo fo fo fo fo
Answer: B - Increase in intraocular pressure fo fo fo fo fo fo
4. While managing the care of the patient with chronic alcoholism, the n
fo fo fo fo fo fo fo fo fo fo fo fo
urse practitioner would likely anticipate which findings on the CBC with
fo fo fo fo fo fo fo fo fo fo fo
differential?
A - Decreased MCV and MCH
fo fo fo fo fo
B - Normal MCV and MCH
fo fo fo fo fo
, C - Chronic alcoholism will not affect the differential
fo fo fo fo fo fo fo fo
D - Elevated MCV and MCH
fo fo fo fo fo
Answer: D - Elevated MCV and MCH fo fo fo fo fo fo
5. The nurse practitioner is caring for a patient with an elevated WBC, fev
fo fo fo fo fo fo fo fo fo fo fo fo fo
er, chills, and malaise. When developing a differential diagnosis for this
fo fo fo fo fo fo fo fo fo fo fo
finding, which of the following is not a potential cause of the elevated W
fo fo fo fo fo fo fo fo fo fo fo fo fo
BC?
A - Sepsis
fo fo
B - Diabetes Mellitus Type 2
fo fo fo fo fo
C - Leukemia
fo fo
D - Recent oral corticosteroid therapy
fo fo fo fo fo
Answer: B - Diabetes Mellitus Type 2 fo fo fo fo fo fo
6. Your 21 year old sexually active female patient states during a routine
fo fo fo fo fo fo fo fo fo fo fo fo fo
health exam that they have some weird bumps on their vulva. She is con
fo fo fo fo fo fo fo fo fo fo fo fo fo
cerned she has a sexually transmitted infection. You notify her that cond
fo fo fo fo fo fo fo fo fo fo fo
yloma are caused by exposure to which of the following?
fo fo fo fo fo fo fo fo fo
A - Chlamydia
fo fo
B - Herpes zoster
fo fo fo
C - Human papillomavirus type 6 and 11
fo fo fo fo fo fo fo
D - Parvovirus B19
fo fo fo
Answer: C - Human papillomavirus type 6 and 11 fo fo fo fo fo fo fo fo
7. Your patient who has undergone a recent major medical procedure is
fo fo fo fo fo fo fo fo fo fo fo fo
at a rehabilitation center and is having a hard time being motivated to do
fo fo fo fo fo fo fo fo fo fo fo fo fo fo
therapy. When you interview them as the nurse practitioner on staff, the
fo fo fo fo fo fo fo fo fo fo fo
y appear despondent and are having a hard time being wakeful during th
fo fo fo fo fo fo fo fo fo fo fo fo
erapy sessions. They have stable vital signs, temperature, urine output,
fo fo fo fo fo fo fo fo fo fo
and are not ill- fo fo fo
appearing. As a prudent nurse practitioner, you understand this may rep
fo fo fo fo fo fo fo fo fo fo
resent which of the following? fo fo fo fo
A - Hypothyroidism
fo fo
B - Situation depression
fo fo fo
