NR 545 EXAM 3 LATEST 2026 LATEST SPRING SUMMER EXAM
100% GUARANTEED PASS (FULL-LENGTH EXAM WITH
ANSWERS AND DETAILED RATIONALES)
MULTIPLE CHOICES
What is the first-line screening tool for assessing depression in primary care?
A) Mini-Mental State Examination (MMSE)
B) Patient Health Questionnaire-9 (PHQ-9)
C) Generalized Anxiety Disorder-7 (GAD-7)
D) Montreal Cognitive Assessment (MoCA) - ✔✔ Answer- B) Patient Health Questionnaire-9 (PHQ-9)
Rationale: The PHQ-9 is a validated, first-line tool for screening and monitoring depression severity in
primary care settings.
Which vaccine is recommended for all adults over 65 years to prevent pneumococcal disease?
A) Influenza vaccine
B) Pneumococcal polysaccharide vaccine (PPSV23)
C) Pneumococcal conjugate vaccine (PCV15 or PCV20)
D) Tetanus-diphtheria-pertussis (Tdap) - ✔✔ Answer- C) Pneumococcal conjugate vaccine (PCV15 or
PCV20)
Rationale: PCV15 or PCV20 is recommended for adults ≥65 years to prevent pneumococcal infections,
per CDC guidelines.
What is the initial pharmacologic treatment for a patient with newly diagnosed type 2 diabetes and an
A1C of 7.5%?
A) Metformin
1|Page SUCCESS!!!
,B) Insulin glargine
C) Glipizide
D) Pioglitazone - ✔✔ Answer- A) Metformin
Rationale: Metformin is the first-line therapy for type 2 diabetes due to its efficacy, safety, and guideline
support.
Which physical exam finding is most suggestive of heart failure in a 60-year-old patient?
A) S1 and S2 normal
B) S3 gallop
C) Mid-systolic click
D) Diastolic murmur - ✔✔ Answer- B) S3 gallop
Rationale: An S3 gallop indicates rapid ventricular filling and is a key sign of heart failure.
What is the recommended frequency of mammogram screening for women aged 50-74 years with
average risk?
A) Every 1 year
B) Every 2 years
C) Every 3 years
D) Every 5 years - ✔✔ Answer- B) Every 2 years
Rationale: The USPSTF recommends biennial mammography for women aged 50-74 years with average
risk.
Which medication class is contraindicated in patients with a sulfa allergy for treating hypertension?
A) ACE inhibitors
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,B) Thiazide diuretics
C) Calcium channel blockers
D) Beta-blockers - ✔✔ Answer- B) Thiazide diuretics
Rationale: Thiazide diuretics contain sulfa, posing a risk of cross-reactivity in sulfa-allergic patients.
What is the primary intervention for a patient experiencing an acute asthma exacerbation?
A) Inhaled corticosteroid
B) Short-acting beta-agonist (SABA)
C) Long-acting muscarinic antagonist (LAMA)
D) Oral corticosteroid - ✔✔ Answer- B) Short-acting beta-agonist (SABA)
Rationale: SABA (e.g., albuterol) is the first-line treatment to relieve acute bronchospasm.
Which lab value is the best indicator of kidney function in a patient with diabetes?
A) Serum creatinine
B) Estimated glomerular filtration rate (eGFR)
C) Blood urea nitrogen (BUN)
D) Hemoglobin A1C - ✔✔ Answer- B) Estimated glomerular filtration rate (eGFR)
Rationale: eGFR provides the most accurate assessment of kidney function and progression of diabetic
nephropathy.
What is the most common symptom of gastroesophageal reflux disease (GERD) in adults?
A) Hematemesis
3|Page SUCCESS!!!
, B) Heartburn
C) Dysphagia
D) Weight loss - ✔✔ Answer- B) Heartburn
Rationale: Heartburn, a burning sensation in the chest, is the hallmark symptom of GERD.
Which cranial nerve is assessed by testing taste on the anterior two-thirds of the tongue?
A) VII (Facial)
B) IX (Glossopharyngeal)
C) X (Vagus)
D) XII (Hypoglossal) - ✔✔ Answer- A) VII (Facial)
Rationale: CN VII mediates taste via the chorda tympani for the anterior tongue.
What is the initial step in managing a patient with suspected acute otitis media?
A) Prescribe antibiotics immediately
B) Perform pneumatic otoscopy
C) Order a CT scan D) Administer analgesics - ✔✔ Answer- B) Perform pneumatic otoscopy
Rationale: Pneumatic otoscopy confirms diagnosis by assessing tympanic membrane mobility.
Which preventive measure is recommended for a 55-year-old smoker to reduce cardiovascular risk? A)
Daily aspirin therapy
B) Smoking cessation counseling
C) Statin therapy
D) Beta-blocker initiation - ✔✔ Answer- B) Smoking cessation counseling
4|Page SUCCESS!!!
100% GUARANTEED PASS (FULL-LENGTH EXAM WITH
ANSWERS AND DETAILED RATIONALES)
MULTIPLE CHOICES
What is the first-line screening tool for assessing depression in primary care?
A) Mini-Mental State Examination (MMSE)
B) Patient Health Questionnaire-9 (PHQ-9)
C) Generalized Anxiety Disorder-7 (GAD-7)
D) Montreal Cognitive Assessment (MoCA) - ✔✔ Answer- B) Patient Health Questionnaire-9 (PHQ-9)
Rationale: The PHQ-9 is a validated, first-line tool for screening and monitoring depression severity in
primary care settings.
Which vaccine is recommended for all adults over 65 years to prevent pneumococcal disease?
A) Influenza vaccine
B) Pneumococcal polysaccharide vaccine (PPSV23)
C) Pneumococcal conjugate vaccine (PCV15 or PCV20)
D) Tetanus-diphtheria-pertussis (Tdap) - ✔✔ Answer- C) Pneumococcal conjugate vaccine (PCV15 or
PCV20)
Rationale: PCV15 or PCV20 is recommended for adults ≥65 years to prevent pneumococcal infections,
per CDC guidelines.
What is the initial pharmacologic treatment for a patient with newly diagnosed type 2 diabetes and an
A1C of 7.5%?
A) Metformin
1|Page SUCCESS!!!
,B) Insulin glargine
C) Glipizide
D) Pioglitazone - ✔✔ Answer- A) Metformin
Rationale: Metformin is the first-line therapy for type 2 diabetes due to its efficacy, safety, and guideline
support.
Which physical exam finding is most suggestive of heart failure in a 60-year-old patient?
A) S1 and S2 normal
B) S3 gallop
C) Mid-systolic click
D) Diastolic murmur - ✔✔ Answer- B) S3 gallop
Rationale: An S3 gallop indicates rapid ventricular filling and is a key sign of heart failure.
What is the recommended frequency of mammogram screening for women aged 50-74 years with
average risk?
A) Every 1 year
B) Every 2 years
C) Every 3 years
D) Every 5 years - ✔✔ Answer- B) Every 2 years
Rationale: The USPSTF recommends biennial mammography for women aged 50-74 years with average
risk.
Which medication class is contraindicated in patients with a sulfa allergy for treating hypertension?
A) ACE inhibitors
2|Page SUCCESS!!!
,B) Thiazide diuretics
C) Calcium channel blockers
D) Beta-blockers - ✔✔ Answer- B) Thiazide diuretics
Rationale: Thiazide diuretics contain sulfa, posing a risk of cross-reactivity in sulfa-allergic patients.
What is the primary intervention for a patient experiencing an acute asthma exacerbation?
A) Inhaled corticosteroid
B) Short-acting beta-agonist (SABA)
C) Long-acting muscarinic antagonist (LAMA)
D) Oral corticosteroid - ✔✔ Answer- B) Short-acting beta-agonist (SABA)
Rationale: SABA (e.g., albuterol) is the first-line treatment to relieve acute bronchospasm.
Which lab value is the best indicator of kidney function in a patient with diabetes?
A) Serum creatinine
B) Estimated glomerular filtration rate (eGFR)
C) Blood urea nitrogen (BUN)
D) Hemoglobin A1C - ✔✔ Answer- B) Estimated glomerular filtration rate (eGFR)
Rationale: eGFR provides the most accurate assessment of kidney function and progression of diabetic
nephropathy.
What is the most common symptom of gastroesophageal reflux disease (GERD) in adults?
A) Hematemesis
3|Page SUCCESS!!!
, B) Heartburn
C) Dysphagia
D) Weight loss - ✔✔ Answer- B) Heartburn
Rationale: Heartburn, a burning sensation in the chest, is the hallmark symptom of GERD.
Which cranial nerve is assessed by testing taste on the anterior two-thirds of the tongue?
A) VII (Facial)
B) IX (Glossopharyngeal)
C) X (Vagus)
D) XII (Hypoglossal) - ✔✔ Answer- A) VII (Facial)
Rationale: CN VII mediates taste via the chorda tympani for the anterior tongue.
What is the initial step in managing a patient with suspected acute otitis media?
A) Prescribe antibiotics immediately
B) Perform pneumatic otoscopy
C) Order a CT scan D) Administer analgesics - ✔✔ Answer- B) Perform pneumatic otoscopy
Rationale: Pneumatic otoscopy confirms diagnosis by assessing tympanic membrane mobility.
Which preventive measure is recommended for a 55-year-old smoker to reduce cardiovascular risk? A)
Daily aspirin therapy
B) Smoking cessation counseling
C) Statin therapy
D) Beta-blocker initiation - ✔✔ Answer- B) Smoking cessation counseling
4|Page SUCCESS!!!
