1 | Page
CHAMBERLAIN PREDIAGNOSTIC NR607
2025 UPDATED ACTUAL EXAM WITH
CORRECT SOLUTIONS.
A 52-year-old obese man with type 2 diabetes reports dozing
off while driving, watching TV, or reading, with increased apathy
and fatigue. The PMHNP ordered a sleep study, which revealed
10 episodes of apnea lasting 15 to 20 seconds each per hour of
sleep. Based on these findings, what should the PMHNP
prescribe for his condition?
-Referral to otolaryngology for rhinoplasty
-Antidepressant medications
-Referral to otolaryngology for uvuloplasty
-Continuous positive airway pressure - correct answer-
Continuous positive airway pressure
Which of the following is an indication for monitoring of serum
drug levels?
-Smoking cessation
-New diagnosis of hyperlipidemia
-Resolution of symptoms
-New diagnosis of diabetes - correct answer- Smoking
cessation
,2 | Page
Your client Jamie asks you about a mole of her forearm. You
refer her to dermatology. As an APRN, you recognize that
cancerous moles can be detected on exam. Which of the
following would not be of concern?
-A mole that is not elevated
-All of the above
-A dark mole
-A mole that is 5 mm in size - correct answer- All of the above
Recall the ABCDE acronym. Concerning moles are
asymmetric, have irregular borders, have color variation, a
diameter > 6mm and elevated moles.
A 42-year-old female recalls a brief episode of chest tightness
with no radiation or chest wall injury during her new taekwondo
martial arts class. This pain subsided during "the cool down
period" of her class. Which of the following is most likely given
her presentation?
-Pericarditis
-Acute myocardial infarction
-Hiatal hernia
-Angina pectoris - correct answer- Angina pectoris
,3 | Page
Chest pain with activity and relieved at rest in a middle-aged
adult should prompt concern for myocardial ischemia. Although
acute myocardial infarction is a possibility, it is less likely given
the scenario mentioned above.
Gloria is a 68-year-old female with a chronic history of severe
anxiety disorder presents with mild shortness of breath, fine
crackles in the right lower lobe with auscultation and a
nonproductive cough. She recently "ran out of pills". Which
medication omission most likely lead to her current presenting
symptoms?
-Metoprolol
-Lorazepam
-Furosemide
-Metformin - correct answer- Furosemide
Furosemide or Lasix is a diuretic utilized in the management of
heart failure. Although anxiety can produce shortness of breath,
one would not expect fine crackles on exam unless additional
comorbidity exists.
The S2 heart sound is a result of what?
-Closure of the semilunar valves
, 4 | Page
-Opening of the semilunar valves
-Closure of the atrioventricular valves
-Opening of the atrioventricular valves - correct answer-
Closure of the semilunar valves
The closure of the semilunar valves results in the second heart
sound. The semilunar valves are the aortic and pulmonary
valves.
A systematic inquiry that elaborates on the chief complaint
while eliciting pertinent positive and pertinent negative factors
from the history is known as:
-Diagnostic formulation
-The mental status exam
-Physical exam
-Review of systems - correct answer- Review of systems
A 21-year-old man had his first drink at his birthday party with
friends last night. He presented the following morning to the
emergency department with psychomotor agitation, cognitive
impairment, depressed mood, flat affect, and anhedonia. His
heart rate is 110, his blood pressure is 90/60, and he complains
of abdominal pain. He received 2 L of normal saline IV and is
referred to psychiatry for evaluation of mood disorder. Which of
the following tests should the consulting PMHNP order given
these symptoms?
CHAMBERLAIN PREDIAGNOSTIC NR607
2025 UPDATED ACTUAL EXAM WITH
CORRECT SOLUTIONS.
A 52-year-old obese man with type 2 diabetes reports dozing
off while driving, watching TV, or reading, with increased apathy
and fatigue. The PMHNP ordered a sleep study, which revealed
10 episodes of apnea lasting 15 to 20 seconds each per hour of
sleep. Based on these findings, what should the PMHNP
prescribe for his condition?
-Referral to otolaryngology for rhinoplasty
-Antidepressant medications
-Referral to otolaryngology for uvuloplasty
-Continuous positive airway pressure - correct answer-
Continuous positive airway pressure
Which of the following is an indication for monitoring of serum
drug levels?
-Smoking cessation
-New diagnosis of hyperlipidemia
-Resolution of symptoms
-New diagnosis of diabetes - correct answer- Smoking
cessation
,2 | Page
Your client Jamie asks you about a mole of her forearm. You
refer her to dermatology. As an APRN, you recognize that
cancerous moles can be detected on exam. Which of the
following would not be of concern?
-A mole that is not elevated
-All of the above
-A dark mole
-A mole that is 5 mm in size - correct answer- All of the above
Recall the ABCDE acronym. Concerning moles are
asymmetric, have irregular borders, have color variation, a
diameter > 6mm and elevated moles.
A 42-year-old female recalls a brief episode of chest tightness
with no radiation or chest wall injury during her new taekwondo
martial arts class. This pain subsided during "the cool down
period" of her class. Which of the following is most likely given
her presentation?
-Pericarditis
-Acute myocardial infarction
-Hiatal hernia
-Angina pectoris - correct answer- Angina pectoris
,3 | Page
Chest pain with activity and relieved at rest in a middle-aged
adult should prompt concern for myocardial ischemia. Although
acute myocardial infarction is a possibility, it is less likely given
the scenario mentioned above.
Gloria is a 68-year-old female with a chronic history of severe
anxiety disorder presents with mild shortness of breath, fine
crackles in the right lower lobe with auscultation and a
nonproductive cough. She recently "ran out of pills". Which
medication omission most likely lead to her current presenting
symptoms?
-Metoprolol
-Lorazepam
-Furosemide
-Metformin - correct answer- Furosemide
Furosemide or Lasix is a diuretic utilized in the management of
heart failure. Although anxiety can produce shortness of breath,
one would not expect fine crackles on exam unless additional
comorbidity exists.
The S2 heart sound is a result of what?
-Closure of the semilunar valves
, 4 | Page
-Opening of the semilunar valves
-Closure of the atrioventricular valves
-Opening of the atrioventricular valves - correct answer-
Closure of the semilunar valves
The closure of the semilunar valves results in the second heart
sound. The semilunar valves are the aortic and pulmonary
valves.
A systematic inquiry that elaborates on the chief complaint
while eliciting pertinent positive and pertinent negative factors
from the history is known as:
-Diagnostic formulation
-The mental status exam
-Physical exam
-Review of systems - correct answer- Review of systems
A 21-year-old man had his first drink at his birthday party with
friends last night. He presented the following morning to the
emergency department with psychomotor agitation, cognitive
impairment, depressed mood, flat affect, and anhedonia. His
heart rate is 110, his blood pressure is 90/60, and he complains
of abdominal pain. He received 2 L of normal saline IV and is
referred to psychiatry for evaluation of mood disorder. Which of
the following tests should the consulting PMHNP order given
these symptoms?
