BARKLEY ACTUAL EXAM LATEST 2025 QUESTIONS
AND VERIFIED CORRECT ANSWERS
Which of the following statements is true regarding contraceptives?
a. Because oral contraceptives may cause harm to the fetus, they are pregnancy
category X drugs in pregnancy.
b. Oral contraceptives are linked to the promotion of ovarian, endometrial, and breast
cancer.
c. By increasing angiotensin and aldosterone, oral contraceptives may increase blood
pressure.
d. Oral contraceptives may reduce the effects of theophylline, benzodiazepines, and
tricyclic antidepressants - ANSWER -c. By increasing angiotensin and aldosterone, oral
contraceptives may increase blood pressure.
estrogen promotes aldosterone production= sodium retention & HTN. Also believed
stimulates hepatic production of angiotensinogen, affecting renal system via elevated
angiotensin & BP. OCP are category X, but because serve no use, decrease incidence
of ovarian and endometrial ca and don't increase risk of breast ca. OCP containing
progestin may enhance effects of theophylline, benzos, and tricyclic antidepressants by
decreasing clearance.
Upon percussion of the chest, you notice hyperresonance. Of the following choices
which would most likely be the cause?
a. Atelectasis
b. Normal Lung
c. Pneumothorax
d. Pulmonary embolism - ANSWER -c. Pneumothorax
,What is the proper order of steps to accurately perform the Ortolani maneuver?
a. Extend the legs, adduct the legs, and abduct the knees
b. Flex the knees, abduct the knees, and adduct the legs
c. Flex the knees, adduct the legs, and abduct the legs
d. Extend the knees, abduct the legs, and adduct the knees - ANSWER -b. Flex the
knees, abduct the knees, and adduct the legs
done on supine infant, flex knees while holding thighs. Adduct legs until thumbs touch,
follow with abduct knees until lateral part of knee touch table.
You have four patients who all have a family history of developing coronary heart
disease at an early age. According to their blood test results, which patient would most
likely develop coronary heart disease first?
a. Cholesterol: 170; LDL: 120; Triglycerides: 120; HDL: 45
b. Cholesterol: 195; LDL: 110; Triglycerides: 135; HDL: 30
c. Cholesterol: 170; LDL: 100; Triglycerides: 140; HDL: 20
d. Cholesterol: 190; LDL: 140; Triglycerides: 151; HDL: 50 - ANSWER -d. Cholesterol:
190; LDL: 140; Triglycerides: 151; HDL: 50
3 of the 4 measurements are above what should be; HDL <40 in men & 50 in women
increase risk, LDL aim is <130, Chol > 200 & trig >150 attributed to increase risk heart
disease.
This low-molecular-weight heparin is indicated for use with warfarin for the treatment of
acute symptomatic deep vein thrombosis, either with or without pulmonary embolism:
a. Nadroparin
b. Dalteparin
c. Tinzaparin
d. Fondaparinux - ANSWER -c. Tinzaparin-
can be combined with warfarin for DVT, aids warfarin in inhibiting clotting of blood.
Nadroparin & Dalteparin don't use w/ warfarin, use independently. Fondaparinux is a Xa
inhibitor NOT LMWH.
he main reason for discontinuance of implanted etonogestrel (Nexplanon) is:
, a. Weight gain
b. Pregnancy
c. Breast tenderness
d. Irregular bleeding - ANSWER -d. Irregular bleeding
For the treatment of relapsing-remitting multiple sclerosis, the nurse practitioner knows
that:
a. First-line therapy typically involves an immunomodulator
b. Natalizumab is one of the safest drugs to use as initial therapy
c. A patient using interferon-beta products would have to have renal function monitored.
d. Fingolimod is given intravenously for patients with resistant remitting-relapsing
multiple sclerosis. - ANSWER -a. First-line therapy typically involves an immune
modulator
therapy begins with interferon-beta products (fingolimod, glatiramer, natalizumab)
which are immune modulator. Natalizumab limited (assoc w/ infections in brain) are
used if others don't work. Meds are hepatotoxic and need liver function monitoring.
Fingolimod is 1st ORAL disease modifying med approved for MS.
Which of these are unique features of aripiprazole (Abilify)?
a. It causes hyperprolactinemia and gynecomastia as side effects.
b. It is a dopamine system stabilizer with affects against schizophrenia, mania, and
agitation.
c. It causes agranulocytosis, which may be fatal; patient monitoring is necessary
d. It induces diabetes and myocarditis in certain patients - ANSWER -b. It is a dopamine
system stabilizer with affects against schizophrenia, mania, and agitation.
All of the following facial movements are still possible after a cerebrovascular accident
except:
a. Raising the eyebrows
b. Wrinkling the forehead
c. Raising both sides of the mouth
d. Closing both eyes - ANSWER -c. Raising both sides of the mouth
AND VERIFIED CORRECT ANSWERS
Which of the following statements is true regarding contraceptives?
a. Because oral contraceptives may cause harm to the fetus, they are pregnancy
category X drugs in pregnancy.
b. Oral contraceptives are linked to the promotion of ovarian, endometrial, and breast
cancer.
c. By increasing angiotensin and aldosterone, oral contraceptives may increase blood
pressure.
d. Oral contraceptives may reduce the effects of theophylline, benzodiazepines, and
tricyclic antidepressants - ANSWER -c. By increasing angiotensin and aldosterone, oral
contraceptives may increase blood pressure.
estrogen promotes aldosterone production= sodium retention & HTN. Also believed
stimulates hepatic production of angiotensinogen, affecting renal system via elevated
angiotensin & BP. OCP are category X, but because serve no use, decrease incidence
of ovarian and endometrial ca and don't increase risk of breast ca. OCP containing
progestin may enhance effects of theophylline, benzos, and tricyclic antidepressants by
decreasing clearance.
Upon percussion of the chest, you notice hyperresonance. Of the following choices
which would most likely be the cause?
a. Atelectasis
b. Normal Lung
c. Pneumothorax
d. Pulmonary embolism - ANSWER -c. Pneumothorax
,What is the proper order of steps to accurately perform the Ortolani maneuver?
a. Extend the legs, adduct the legs, and abduct the knees
b. Flex the knees, abduct the knees, and adduct the legs
c. Flex the knees, adduct the legs, and abduct the legs
d. Extend the knees, abduct the legs, and adduct the knees - ANSWER -b. Flex the
knees, abduct the knees, and adduct the legs
done on supine infant, flex knees while holding thighs. Adduct legs until thumbs touch,
follow with abduct knees until lateral part of knee touch table.
You have four patients who all have a family history of developing coronary heart
disease at an early age. According to their blood test results, which patient would most
likely develop coronary heart disease first?
a. Cholesterol: 170; LDL: 120; Triglycerides: 120; HDL: 45
b. Cholesterol: 195; LDL: 110; Triglycerides: 135; HDL: 30
c. Cholesterol: 170; LDL: 100; Triglycerides: 140; HDL: 20
d. Cholesterol: 190; LDL: 140; Triglycerides: 151; HDL: 50 - ANSWER -d. Cholesterol:
190; LDL: 140; Triglycerides: 151; HDL: 50
3 of the 4 measurements are above what should be; HDL <40 in men & 50 in women
increase risk, LDL aim is <130, Chol > 200 & trig >150 attributed to increase risk heart
disease.
This low-molecular-weight heparin is indicated for use with warfarin for the treatment of
acute symptomatic deep vein thrombosis, either with or without pulmonary embolism:
a. Nadroparin
b. Dalteparin
c. Tinzaparin
d. Fondaparinux - ANSWER -c. Tinzaparin-
can be combined with warfarin for DVT, aids warfarin in inhibiting clotting of blood.
Nadroparin & Dalteparin don't use w/ warfarin, use independently. Fondaparinux is a Xa
inhibitor NOT LMWH.
he main reason for discontinuance of implanted etonogestrel (Nexplanon) is:
, a. Weight gain
b. Pregnancy
c. Breast tenderness
d. Irregular bleeding - ANSWER -d. Irregular bleeding
For the treatment of relapsing-remitting multiple sclerosis, the nurse practitioner knows
that:
a. First-line therapy typically involves an immunomodulator
b. Natalizumab is one of the safest drugs to use as initial therapy
c. A patient using interferon-beta products would have to have renal function monitored.
d. Fingolimod is given intravenously for patients with resistant remitting-relapsing
multiple sclerosis. - ANSWER -a. First-line therapy typically involves an immune
modulator
therapy begins with interferon-beta products (fingolimod, glatiramer, natalizumab)
which are immune modulator. Natalizumab limited (assoc w/ infections in brain) are
used if others don't work. Meds are hepatotoxic and need liver function monitoring.
Fingolimod is 1st ORAL disease modifying med approved for MS.
Which of these are unique features of aripiprazole (Abilify)?
a. It causes hyperprolactinemia and gynecomastia as side effects.
b. It is a dopamine system stabilizer with affects against schizophrenia, mania, and
agitation.
c. It causes agranulocytosis, which may be fatal; patient monitoring is necessary
d. It induces diabetes and myocarditis in certain patients - ANSWER -b. It is a dopamine
system stabilizer with affects against schizophrenia, mania, and agitation.
All of the following facial movements are still possible after a cerebrovascular accident
except:
a. Raising the eyebrows
b. Wrinkling the forehead
c. Raising both sides of the mouth
d. Closing both eyes - ANSWER -c. Raising both sides of the mouth
