NR 667 PRACTICE EXAM WEEK 1 QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026

NR 667 PRACTICE EXAM WEEK 1 QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026 Nonpharmacologic therapy for Raynaud's disease include: Avoidance of cold Use of hot soaks Ginkgo biloba Isometric exercise - Answers Avoidance of cold Which of the following people groups represent the least risk of cardiac disease? African Americans American Indians Native Hawaiians Caucasians - Answers Caucasians as a f/u from a hospitalization an adult patent presents with ankle edema. Which of the following medications is the most likely cause of the edema? Nebivolol HCTZ Metformin Norvasc - Answers Norvasc While working in a fast-track clinic as a NP in an emergency department, your patient complains of shortness of breath with activity and near syncope with changing position from seated to standing on multiple recent episodes. You examine them and notice a harsh systolic murmur heard best at the right sternal border at the 2nd intercostal space rated 3/6, which has a bruit radiating to the right carotid artery. Of the following examinations, which is most appropriate or you to order next to evaluate this murmur? 12 Lead EKG Carotid ultrasound Transthoracic echocardiogram CT non-contrast of chest, abdomen, pelvis - Answers Transthoracic echocardiogram The inability to fully relax the myocardium during relaxation is a trademark of which of the following diagnoses? Systolic heart failure The inability to fully relax the myocardium during relaxation is a trademark of which of the following diagnoses? Systolic heart failure Diastolic dysfunction Grade 2 systolic dysfunction Grade 3 systolic dysfunction - Answers Diastolic dysfunction Your patient with a diagnosis of peripheral arterial disease asks you what is considered a non-modifiable risk factor. Which of the following represent the best answer for his question? Smoking less cigarettes Medication compliance Family history of PAD Tight glycemic control - Answers Family history of PAD A 50-year-old woman with a history of hypertension presents with dyspnea on exertion and orthopnea. On examination, she has jugular venous distention and bilateral crackles on lung auscultation. What is the most likely diagnosis? Pulmonary embolism Chronic obstructive pulmonary disease Congestive heart failure Acute myocardial infarction - Answers Congestive heart failure A 60-year-old man with a history of hypertension and diabetes presents with a new-onset headache and visual disturbances. His blood pressure is 200/110 mmHg. What is the most appropriate management? Prescribe antihypertensive medication and follow up in a week Advise dietary changes Refer to the emergency department Start insulin therapy - Answers Refer to the emergency department A 45-year-old man presents with chest pain radiating to the left arm, diaphoresis, and shortness of breath. His ECG shows ST-segment elevation. What is the initial management response? Start intravenous heparin Administer nitroglycerin sublingually Perform immediate coronary angiography Administer aspirin and call for emergency medical services - Answers Administer aspirin and call for emergency medical services A 70-year-old man with a history of atrial fibrillation presents with sudden-onset left-sided weakness and slurred speech. What is the most likely diagnosis? Seizure Transient ischemic attack (TIA) Myocardial infarction (MI) Stroke - Answers Stroke A 60-year-old woman presents for a routine check-up. She has a history of hypertension, type 2 diabetes mellitus, and hyperlipidemia. She is currently on lisinopril, metformin, and atorvastatin. She has no new complaints. On examination, her blood pressure is 135/80 mmHg, heart rate is 72 beats per minute, and BMI is 32 kg/m². Recent laboratory tests reveal HbA1c of 7.5%, LDL cholesterol of 110 mg/dL, and creatinine of 1.1 mg/dL. What is the most appropriate management plan to optimize her care? Recommend lifestyle modifications including diet and exercise Increase the dose of atorvastatin Increase the dose of metformin Increase the dose of lisinopril - Answers Recommend lifestyle modifications including diet and exercise Patients on levothyroxine should be monitored for signs of: Memory deficits and hyperreflexia Increased nausea and constipation Ankle edema and discomfort Angina pectoris and dysrhythmia - Answers Angina pectoris and dysrhythmia A patient has a 3 cm pituitary mass noted on CT. What is your next step in evaluating the patient? Screen for hormone deficiencies Repeat MRI in 3 months Start Cabergoline Refer to surgery - Answers Screen for hormone deficiencies Which of the following is the most common cause of Cushing's Syndrome? Long term excessive glucocorticoid use Adrenal adenoma ACTH-producing pituitary adenoma Ectopic ACTH secretion - Answers ACTH-producing pituitary adenoma A 33-year-old woman presents with intermittent palpitations, anxiety, and heat intolerance. Her thyroid function tests reveal low TSH and high free T4. What is the most likely diagnosis? Hypothyroidism Graves' disease Hyperthyroidism Thyroiditis - Answers Hyperthyroidism An adult female who recently returned from a business trip to Japan presents for a recheck appointment. The only remarkable laboratory result is for thyroid-stimulating hormone (TSH), at 0.3 microunits/mL (normal = 0.4-6 microunits/mL). The patient reports that her neck hurts; examination reveals thyroid tenderness. Which of the following laboratory tests should the nurse practitioner order now? Triiodothyronine (T3) only Triiodothyronine (T3) and free triiodothyronine (FT3) Triiodothyronine (T3) and free thyroxine (FT4) Triiodothyronine (T3) resin uptake assay - Answers Triiodothyronine (T3) and free thyroxine (FT4) Pheochromocytoma is best diagnosed by which of the following tests: Blood pressure values and adrenal CT/MRI 24-hour urine for catecholamines/metanephrines and plasma metanephrines Adrenal CT/MRI Plasma metanephrines with blood pressure values - Answers 24-hour urine for catecholamines/metanephrines and plasma metanephrines A 50-year-old man presents with fatigue, muscle weakness, and hyperpigmentation of the skin. Laboratory tests show low sodium, high potassium, and low cortisol levels. What is the most likely diagnosis? Pheochromocytoma Primary hyperaldosteronism Addison's disease Cushing's syndrome - Answers Addison's disease A 18-year-old woman presents with increased thirst, frequent urination, and unexplained weight loss. Her fasting plasma glucose level is 200 mg/dL. What is the most likely diagnosis? Type 1 diabetes mellitus Cushing's syndrome Syndrome of inappropriate Anti Diuretic Hormone (SIADH) Diabetes insipidus - Answers Type 1 diabetes mellitus A 27-year-old woman presents with frequent headaches, galactorrhea, and amenorrhea. MRI of the brain reveals a pituitary adenoma. What is the most appropriate initial treatment? Surgery Dopamine agonists Corticosteroids Radiation therapy - Answers Dopamine agonists Which is best performed to assess the risk for fall in an 88-year old adult? PHQ-2 questionnaire Get up and go test Clock-drawing test Global screening assessment - Answers Get up and go test How should a nurse practitioner evaluate if palliative care is effective? Advanced directives have been discussed and signed. The symptoms causing discomfort are lessened. An out of hospital "Do not resuscitate" order is in place. The illness or disease is in remission. - Answers The symptoms causing discomfort are lessened. A 92-year-old presents with a decline in personal care and increasing forgetfulness. They had a CVA a three years ago with mild cognitive changes then which has slowly progressed. The more likely diagnosis in this case is? Alzheimer's dementia Mini-strokes Progressive vascular dementia Lewy-body dementia - Answers Progressive vascular dementia Which of the following gastrointestinal changes is associated with normal aging? Decreased production of gastric acid Increased salivation Increased esophageal emptying Decreased incidence of gallstones - Answers Decreased production of gastric acid he management of COPD in the elderly is best guided by: radiologic imaging. symptomatology. arterial blood gases. spirometry. - Answers symptomatology During the past 24 hours, a 62-year-old has experienced abdominal pain that radiates to the back. The patient also reports several episodes of nausea and vomiting, a low-grade temperature, and a history of excessive drinking. Physical examination reveals a distended abdomen. Laboratory serum values indicate elevated alkaline phosphatase, amylase, and serum lipase. The most likely diagnosis is: acute mesenteric ischemia. acute pancreatitis. A alcoholic liver disease. viral hepatitis. - Answers acute pancreatitis. A 54-year-old male who is 30 pounds overweight states that he awakens at night with heartburn and the taste of hot acid in his mouth. Stress makes his condition worse, yet baking soda seems to provide some relief. Findings on examination are normal and the stool for occult blood is negative. The preliminary diagnosis should be: esophagitis. helicobacter pylori. gastroesophageal reflux disease. esophageal spasm. - Answers gastroesophageal reflux disease. Where can Crohn's disease be located within the GI tract and how does it present (continuous or patchy)? In the esophagus and stomach only In the colon only and patchy In the colon continuous throughout Patchy inflammation throughout the small bowel and colon - Answers Patchy inflammation throughout the small bowel and colon Oral clindamycin is contraindicated in which of the following conditions? Hypothyroidism Irritable bowel disease Rheumatoid arthritis Latex allergy - Answers Irritable bowel disease A patient with alcohol-induced liver disease presents with a sudden change in personality and loss of concentration and judgement after ingesting a meal high in protein. The nurse practitioner should plan to reduce the elevated level of which toxin in the blood? Carbon dioxide Ammonia Mercury Iron - Answers Ammonia A 35-year-old man presents with sudden onset of severe flank pain radiating to the groin, nausea, and vomiting. He reports a history of similar episodes. What is the most likely diagnosis? Acute cystitis Chronic kidney disease Renal calculi Pyelonephritis - Answers Renal calculi A geriatric female presents with complaints of dyspnea and fatigue. All blood work is normal except for Hgb of 9.0 g/dL, Hct of 33%, and guaiac positive stool. The patient also reports a bowel pattern of alternating constipation and diarrhea, and frequent laxative use. Which diagnostic tests should be ordered? Colonoscopy MRI scan of abdomen Upper GI series CT scan of abdomen - Answers Colonoscopy An adult female presents with profus, watery diarrhea and loss of appetite for the past 5 days with 4-5 stools per day. Stool cultures are positive for C Diff. Patient cannot afford Vancomycin. The most appropriate antibiotic is: Doxycyline Bactrim Augmentin Metrondiazole - Answers Metrondiazole A 64-year-old female with a past medical history significant for hepatitis C and Cirrhosis presents to your office with abdominal pain and distention. Exam reveals tense ascites. Which is indicated for treatment? Labetalol 200mg PO BID Furosemide 40mg PO BID Transfer to the hospital for large Volume paracentesis Midodrine 10mg PO TID - Answers Transfer to the hospital for large Volume paracentesis An adult patient presents with left lower quadrant abdominal tenderness and a history of diverticular disease. The patient denies any fever or vomiting, and the last episode was over 10 years ago. Suspecting this is a mild and uncomplicated episode the best treatment plan is: ciprofloxacin increase whole grain and water intake CT scan CBC and metabolic panel - Answers ciprofloxacin Which act formed in 1996 was created to protect patient health information from being disclosed without the patient's consent or knowledge? Consolidated Omnibus Budget Reconciliation Act (COBRA) Emergency Medical Treatment and Labor Act (EMTALA) Health Insurance Portability and Acountability Act (HIPAA) Family Educational Rights and Protection Act (FERPA) - Answers Health Insurance Portability and Acountability Act (HIPAA) Which of the following risks of patient use of convenient/urgent care may increase the risk of a nurse practitioner to miss subtle changes in the patient's condition over time? Overtesting Overuse of medical imaging Lack of longitudinal management and trending Repeating of tests - Answers Lack of longitudinal management and trending An 87-year-old female has a history of ovarian cancer. She recently completed the tenth of 26 chemotherapy treatments. She informs the nurse practitioner that she plans to stop chemotherapy; she has lived a good life and is ready to die. She is alert and very active, and lives with her son. The family is determined that the patient will complete the chemotherapy. The nurse practitioner's most appropriate action is to: support the patient's decision. refer the family for counseling. encourage treatment. follow the family's requests - Answers support the patient's decision. Evidence based health screening is utilized with an understanding of the limits of interpreting the results. In this context, the term sensitivity refers to the ability of a test to: Detect an abnormal condition when it exists Detect the prevalence of a given condition Identify the specific condition Provide reproducible results - Answers Detect an abnormal condition when it exists Your irate patient on involuntary hold due to risk of harm to themself or others says they are going to "kill you when you leave work after they get discharged". This statement is an example of which of the following? Verbal battery Verbal assault Emotional battery None of these options - Answers Verbal assault Which of the following bacteria are more commonly associated with pharyngitis? Proteus Enterococcus Streptomyces Group A Streptococcus - Answers Group A Streptococcus Workup to rule out cardiac source of an embolic stroke should include which of the following exams? CT facial bones 12 Lead EKG CT chest without contrast Transthoracic or Transesophageal echocardiogram - Answers Transthoracic or Transesophageal echocardiogram Which of the following best characterizes presbycusis in the older adult? Bilateral low-frequency sensorineural hearing loss Bilateral high-frequency sensorineural hearing loss Unilateral low-frequency sensorineural hearing loss Unilateral high-frequency sensorineural hearing loss - Answers Bilateral high-frequency sensorineural hearing loss Which of the following factors is most commonly associated with premature gum decay? Inadequate physical exercise High intake of dairy products Inadequate oral hygiene High use of fluoride toothpaste - Answers Inadequate oral hygiene Your patient was diagnosed with strep pharyngitis due to symptoms and exudative pharyngitis by appearance only and started on amoxicillin yesterday. Rapid strep test was negative and awaiting a throat culture to be read at this time. The patient has since developed a widespread rash across their entire torso and extending down their extremities. The patient also has associated splenomegaly. What is the most likely cause of this rash? Keratosis pilaris in response to penicillin Lichens planus due to immune response Epstein Barr virus drug rash due to penicillin administration Pityriasis rosea due to immune response - Answers Epstein Barr virus drug rash due to penicillin administration An adult patient presents with acute onset of right eye pain, redness and decreased vision. Suspecting open-angle glaucoma, the nurse practitioner should: Prescribe antibiotic ointment and pilocarpine Advise applying warm compresses and returning in the morning Refer to ophthalmology and prescribe pilocarpine Refer to ophthalmology and prescribe topical steroid - Answers Refer to ophthalmology and prescribe pilocarpine The patient with epiglottitis presents to your care with worsening shortness of breath and stridor. Which intervention should you prepare for next? Prepare for emergent transfer to the emergency department for intubation by an experienced anesthesiologist with surgical airway support available Auscultating lung sounds for stridor Prepare for intubation with a laryngeal mask airway Assess the airway swelling with direct laryngoscopy - Answers Prepare for emergent transfer to the emergency department for intubation by an experienced anesthesiologist with surgical airway support available A young adult presents with a sore throat, nasal congestion, postnasal drip, no temperature elevation, and no lower respiratory involvement. The most appropriate initial intervention is to: Recommend gargling with warm salt water Prescribe a prophylactic course of oral penicillin Obtain a Monospot test Obtain a nasopharyngeal culture and sensitivity - Answers Recommend gargling with warm salt water Your patient is on rivaroxaban, a potent novel oral anticoagulant, and presents to the urgent care in no apparent distress with a right nare that is bleeding through the current self-packed gauze. This has been persistent for the past 30 minutes without any evidence of stopping. Which is the most appropriate next action? Apply direct manual compression to the bridge of the nose and consult ENT Consult anesthesia for intubation Attempt blind cautery with silver nitrate sticks around the packing Remove the current nasal packing to evaluate further - Answers Apply direct manual compression to the bridge of the nose and consult ENT The medical term for nosebleed is which of the following? Hemostasis Ataxia Epistaxis Nataxis - Answers Epistaxis In which of the following patients is PRBC transfusion recommended? 26 y.o. F s/p ORIF, Hgb 10.1 64 y.o. M with anemia of unknown origin, SOB, fatigue, and Hgb 9.2 52 y.o. F with chronic lower GI bleed, asymptomatic, and Hgb 8.9 73 y.o. M with acute GI bleed and Hgb 6.2 - Answers 73 y.o. M with acute GI bleed and Hgb 6.2 All the following thrombocytopenic emergencies require immediate action except: Scheduled surgical procedure with mild thrombocytopenia Suspected acute leukemia, aplastic anemia, or other bone marrow failure syndrome Pregnancy with severe thrombocytopenia Bleeding in the setting of severe thrombocytopenia - Answers Scheduled surgical procedure with mild thrombocytopenia Treatment for symptomatic aplastic anemia includes all the following except: Removal of bone marrow stimulants Prophylactic antibiotics PRBC/Platelet/WBC transfusions Bone marrow transplant - Answers Removal of bone marrow stimulants Which of the following is appropriate long-term treatment for B12 deficiency in a patient with a history of gastric bypass? Parenteral vitamin B12 Oral vitamin B12 Inhaled B12 Parenteral vitamin B6 - Answers Parenteral vitamin B12 Progression to Acute Myelogenous Leukemia (AML) is a risk for untreated or poorly responsive: Macrocytic anemia Aplastic anemia Myelodysplastic syndrome Pancytopenia - Answers Myelodysplastic syndrome A patient currently undergoing concurrent chemotherapy/radiation treatment for glottic squamous cell carcinoma is admitted to the rehab unit you oversee for management of intractable nausea, vomiting, and dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the following conditions is this patient at risk for? Macrocytic anemia due to B12 deficiency Microcytic anemia due to chronic kidney disease Aplastic anemia due to bone marrow suppression Iron deficiency anemia due to chronic blood loss - Answers Aplastic anemia due to bone marrow suppression