NSG554 Exam 2 – Nurse Practitioners in
Primary Care I| Wilkes
NSG554 Exam 2 Content
Cardiovascular disorders
Hypertension management, lipid disorders, heart failure, atrial fibrillation,
guideline-based treatment plans.
Respiratory conditions
Asthma, COPD, pneumonia, tuberculosis screening, inhaler technique, stepwise
therapy.
Endocrine disorders
Diabetes mellitus (type 1 & 2), thyroid disease, metabolic syndrome, pharmacologic
vs lifestyle interventions.
Women’s health
Contraception, abnormal uterine bleeding, menopause, cervical cancer screening
guidelines.
Pediatrics
Growth and development milestones, immunization schedules, common childhood
illnesses.
Geriatrics
Polypharmacy, fall risk, dementia care, advanced directives.
Mental health
Depression, anxiety, substance use disorders, screening tools (PHQ-9, GAD-7).
Preventive care
USPSTF recommendations, cancer screenings, lifestyle counseling.
Q1. Hypertension guideline
A 55-year-old male with BP 150/95 mmHg, no comorbidities. According to JNC-8,
what is the first-line treatment?
A. ACE inhibitor
B. Beta-blocker
C. Loop diuretic
D. Calcium channel blocker
Answer: ACE inhibitor. First-line for non-Black patients under 60 without
comorbidities.
Q2. Asthma step therapy
,A 12-year-old with mild persistent asthma. What is the preferred controller?
A. SABA only
B. Low-dose ICS
C. LABA
D. Oral steroids
Answer: Low-dose inhaled corticosteroid.
Q3. Diabetes screening
At what age does USPSTF recommend screening for type 2 diabetes in
asymptomatic adults?
A. 25
B. 35
C. 45
D. 50
Answer: Start at age 35 for overweight/obese adults.
Q4. COPD management
GOLD stage II COPD patient with frequent exacerbations. Next step?
A. SABA only
B. LABA or LAMA
C. ICS monotherapy
D. Oral steroids
Answer: LABA or LAMA.
Q5. Contraception choice
38-year-old smoker, wants contraception. Best option?
A. Combined oral contraceptive
B. Progestin-only pill
C. Patch
D. Vaginal ring
Answer: Progestin-only pill (avoid estrogen in smokers >35).
Q6. Pediatric immunization
At what age is the first MMR vaccine given?
A. 6 months
B. 9 months
C. 12 months
D. 18 months
Answer: 12 months.
Q7. Thyroid disorder
TSH low, free T4 high. Diagnosis?
A. Hypothyroidism
B. Hyperthyroidism
C. Subclinical hypothyroidism
D. Normal
Answer: Hyperthyroidism.
, Q8. Depression screening
Which tool is commonly used in primary care?
A. GAD-7
B. PHQ-9
C. HAM-D
D. Beck Inventory
Answer: PHQ-9.
Q9. Preventive care
Colon cancer screening begins at what age for average-risk adults?
A. 40
B. 45
C. 50
D. 55
Answer: 45 years.
Q10. EKG interpretation
Irregularly irregular rhythm, no P waves. Diagnosis?
A. Atrial flutter
B. Atrial fibrillation
C. SVT
D. Ventricular tachycardia
Answer: Atrial fibrillation.
Q11. Hyperlipidemia management
45-year-old with LDL 190 mg/dL. Best initial therapy?
A. Lifestyle only
B. Moderate-intensity statin
C. High-intensity statin
D. Niacin
Answer: High-intensity statin for LDL ≥190.
Q12. Pediatric fever
2-year-old with fever 104°F, no source. Next step?
A. Observe
B. Urinalysis
C. Chest X-ray
D. Blood culture
Answer: UA to rule out UTI.
Q13. GERD treatment
First-line therapy for GERD?
A. PPI
B. H2 blocker
C. Antacid
D. Surgery
Primary Care I| Wilkes
NSG554 Exam 2 Content
Cardiovascular disorders
Hypertension management, lipid disorders, heart failure, atrial fibrillation,
guideline-based treatment plans.
Respiratory conditions
Asthma, COPD, pneumonia, tuberculosis screening, inhaler technique, stepwise
therapy.
Endocrine disorders
Diabetes mellitus (type 1 & 2), thyroid disease, metabolic syndrome, pharmacologic
vs lifestyle interventions.
Women’s health
Contraception, abnormal uterine bleeding, menopause, cervical cancer screening
guidelines.
Pediatrics
Growth and development milestones, immunization schedules, common childhood
illnesses.
Geriatrics
Polypharmacy, fall risk, dementia care, advanced directives.
Mental health
Depression, anxiety, substance use disorders, screening tools (PHQ-9, GAD-7).
Preventive care
USPSTF recommendations, cancer screenings, lifestyle counseling.
Q1. Hypertension guideline
A 55-year-old male with BP 150/95 mmHg, no comorbidities. According to JNC-8,
what is the first-line treatment?
A. ACE inhibitor
B. Beta-blocker
C. Loop diuretic
D. Calcium channel blocker
Answer: ACE inhibitor. First-line for non-Black patients under 60 without
comorbidities.
Q2. Asthma step therapy
,A 12-year-old with mild persistent asthma. What is the preferred controller?
A. SABA only
B. Low-dose ICS
C. LABA
D. Oral steroids
Answer: Low-dose inhaled corticosteroid.
Q3. Diabetes screening
At what age does USPSTF recommend screening for type 2 diabetes in
asymptomatic adults?
A. 25
B. 35
C. 45
D. 50
Answer: Start at age 35 for overweight/obese adults.
Q4. COPD management
GOLD stage II COPD patient with frequent exacerbations. Next step?
A. SABA only
B. LABA or LAMA
C. ICS monotherapy
D. Oral steroids
Answer: LABA or LAMA.
Q5. Contraception choice
38-year-old smoker, wants contraception. Best option?
A. Combined oral contraceptive
B. Progestin-only pill
C. Patch
D. Vaginal ring
Answer: Progestin-only pill (avoid estrogen in smokers >35).
Q6. Pediatric immunization
At what age is the first MMR vaccine given?
A. 6 months
B. 9 months
C. 12 months
D. 18 months
Answer: 12 months.
Q7. Thyroid disorder
TSH low, free T4 high. Diagnosis?
A. Hypothyroidism
B. Hyperthyroidism
C. Subclinical hypothyroidism
D. Normal
Answer: Hyperthyroidism.
, Q8. Depression screening
Which tool is commonly used in primary care?
A. GAD-7
B. PHQ-9
C. HAM-D
D. Beck Inventory
Answer: PHQ-9.
Q9. Preventive care
Colon cancer screening begins at what age for average-risk adults?
A. 40
B. 45
C. 50
D. 55
Answer: 45 years.
Q10. EKG interpretation
Irregularly irregular rhythm, no P waves. Diagnosis?
A. Atrial flutter
B. Atrial fibrillation
C. SVT
D. Ventricular tachycardia
Answer: Atrial fibrillation.
Q11. Hyperlipidemia management
45-year-old with LDL 190 mg/dL. Best initial therapy?
A. Lifestyle only
B. Moderate-intensity statin
C. High-intensity statin
D. Niacin
Answer: High-intensity statin for LDL ≥190.
Q12. Pediatric fever
2-year-old with fever 104°F, no source. Next step?
A. Observe
B. Urinalysis
C. Chest X-ray
D. Blood culture
Answer: UA to rule out UTI.
Q13. GERD treatment
First-line therapy for GERD?
A. PPI
B. H2 blocker
C. Antacid
D. Surgery
