A 34-year-old female presents for follow-up regarding anal pain with defecation. GI
evaluation revealed anal fissures. She also reports abdominal discomfort and mouth sores.
Which underlying condition is the NP MOST LIKELY to find,
Inflammatory bowel disease IBD;
A 30-year-old male is admitted with acute abdominal pain localized to the right lower
quadrant. Exam shows RLQ tenderness positive psoas and Blumberg signs and absent
bowel sounds. Which is the MOST accurate interpretation of these findings,
Acute appendicitis;
A 35-year-old female with a history of migraines presents with worsening symptoms and
now reports waking up at night with headaches and nausea. What is the MOST appropriate
next step for the NP,
Refer for neuroimaging to evaluate secondary causes of headache;
Which patient report is most consistent with melena,
My stool looks black and tarry;
A 74-year-old man presents to the clinic for a scheduled annual examination. He has a
history of hypertension and diabetes both controlled with medication. He denies any
complaints. The NP performed a fundoscopic examination. Identify the abnormal
assessment findings in this image,
Cotton-wool spots;
A patient presents with lower back pain and difficulty urinating. Which finding would be
most concerning for cauda equina syndrome,
Saddle anesthesia;
A 57-year-old male complains of pain in his right knee right hip and lower back. Based on
the joints involved the NP suspects the patient MOST LIKELY has which condition,
Osteoarthritis;
When palpating a joint with suspected inflammation which finding could indicate the
presence of excess synovial fluid,
A boggy or doughy feeling in the joint;
Which cranial nerve is responsible for motor control of facial expression and taste sensation
on the anterior two-thirds of the tongue,
Facial CN VII;
The NP is conducting a physical assessment on a woman in her 26th week of pregnancy.
Which examination finding is worrisome for a potential emergent condition,
Facial edema;
In the image of the right anterior shoulder the area marked with the letter A highlights a
central bony prominence. What anatomical landmark is identified,
Acromion process;
, A patient presents with right-upper quadrant RUQ pain but no tenderness on palpation in
the RUQ. The NP is suspicious of acute cholecystitis. Which assessment test is MOST
appropriate,
Murphy sign;
A patient presents with breast pain and is concerned about breast cancer. Which of the
following characteristics of breast pain is LEAST LIKELY to indicate malignancy,
Diffuse cyclic pain occurring before menses;
Which cranial nerve CN is being assessed by the examiner in this image examiner’s hands
placed on anterior shoulders while patient shrugs both shoulders upward against hands,
Accessory CN XI;
Which of the following statements best reflects a comprehensive approach to health
promotion in children,
Health promotion includes disease prevention developmental guidance and supporting
overall well-being in physical cognitive emotional and social health;
A patient reports difficulty swallowing solid foods but denies difficulty with liquids. The
clinician should suspect,
Esophageal stricture;
The NP assesses the Moro Reflex as part of a routine physical examination for an infant. The
NP should suspect a neurologic disease if the reflex has not disappeared by what specific
timeframe,
26 weeks;
A 30-year-old female presents with a malodorous vaginal discharge and mild vulvar itching
persisting for approximately three weeks. She denies dysuria and dyspareunia. Thin white
homogeneous vaginal discharge with mild fishy odor is noted. Vaginal pH greater than 4.5.
Bacterial vaginosis;
A 24-year-old female presents for an annual pelvic exam. The NP understands that the
MOST important area on the cervix to obtain cells for the Pap is where,
Transformation zone;
A 55-year-old male has a diagnosis of lumbar spinal stenosis. Which sign should the NP
expect to find on examination that is MOST consistent with the diagnosis,
Flexed forward posture with lower extremity weakness;
Which of the following is the most appropriate strategy for promoting the health of an older
adult based on age-related changes in abdominal fat distribution,
Encouraging a heart-healthy diet and regular physical activity to reduce the risk of
cardiovascular disease;
evaluation revealed anal fissures. She also reports abdominal discomfort and mouth sores.
Which underlying condition is the NP MOST LIKELY to find,
Inflammatory bowel disease IBD;
A 30-year-old male is admitted with acute abdominal pain localized to the right lower
quadrant. Exam shows RLQ tenderness positive psoas and Blumberg signs and absent
bowel sounds. Which is the MOST accurate interpretation of these findings,
Acute appendicitis;
A 35-year-old female with a history of migraines presents with worsening symptoms and
now reports waking up at night with headaches and nausea. What is the MOST appropriate
next step for the NP,
Refer for neuroimaging to evaluate secondary causes of headache;
Which patient report is most consistent with melena,
My stool looks black and tarry;
A 74-year-old man presents to the clinic for a scheduled annual examination. He has a
history of hypertension and diabetes both controlled with medication. He denies any
complaints. The NP performed a fundoscopic examination. Identify the abnormal
assessment findings in this image,
Cotton-wool spots;
A patient presents with lower back pain and difficulty urinating. Which finding would be
most concerning for cauda equina syndrome,
Saddle anesthesia;
A 57-year-old male complains of pain in his right knee right hip and lower back. Based on
the joints involved the NP suspects the patient MOST LIKELY has which condition,
Osteoarthritis;
When palpating a joint with suspected inflammation which finding could indicate the
presence of excess synovial fluid,
A boggy or doughy feeling in the joint;
Which cranial nerve is responsible for motor control of facial expression and taste sensation
on the anterior two-thirds of the tongue,
Facial CN VII;
The NP is conducting a physical assessment on a woman in her 26th week of pregnancy.
Which examination finding is worrisome for a potential emergent condition,
Facial edema;
In the image of the right anterior shoulder the area marked with the letter A highlights a
central bony prominence. What anatomical landmark is identified,
Acromion process;
, A patient presents with right-upper quadrant RUQ pain but no tenderness on palpation in
the RUQ. The NP is suspicious of acute cholecystitis. Which assessment test is MOST
appropriate,
Murphy sign;
A patient presents with breast pain and is concerned about breast cancer. Which of the
following characteristics of breast pain is LEAST LIKELY to indicate malignancy,
Diffuse cyclic pain occurring before menses;
Which cranial nerve CN is being assessed by the examiner in this image examiner’s hands
placed on anterior shoulders while patient shrugs both shoulders upward against hands,
Accessory CN XI;
Which of the following statements best reflects a comprehensive approach to health
promotion in children,
Health promotion includes disease prevention developmental guidance and supporting
overall well-being in physical cognitive emotional and social health;
A patient reports difficulty swallowing solid foods but denies difficulty with liquids. The
clinician should suspect,
Esophageal stricture;
The NP assesses the Moro Reflex as part of a routine physical examination for an infant. The
NP should suspect a neurologic disease if the reflex has not disappeared by what specific
timeframe,
26 weeks;
A 30-year-old female presents with a malodorous vaginal discharge and mild vulvar itching
persisting for approximately three weeks. She denies dysuria and dyspareunia. Thin white
homogeneous vaginal discharge with mild fishy odor is noted. Vaginal pH greater than 4.5.
Bacterial vaginosis;
A 24-year-old female presents for an annual pelvic exam. The NP understands that the
MOST important area on the cervix to obtain cells for the Pap is where,
Transformation zone;
A 55-year-old male has a diagnosis of lumbar spinal stenosis. Which sign should the NP
expect to find on examination that is MOST consistent with the diagnosis,
Flexed forward posture with lower extremity weakness;
Which of the following is the most appropriate strategy for promoting the health of an older
adult based on age-related changes in abdominal fat distribution,
Encouraging a heart-healthy diet and regular physical activity to reduce the risk of
cardiovascular disease;
