1 of 50
VSP – FOUNDATION 2025/2026 LATEST EXAM QUESTION
AND VERIFIED ANSWERS |A+GRADE
During development of a treatment plan for an 84-year-old patient with hypothyroidism,
the nurse practitioner must keep in mind the worsening of:
A. renal insufficiency
B. Osteoporosis
C. Dementia
D. Anemia - Correct Answers - B. Osteoporosis
A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle
spotting. She hasn't missed any doses and uses no other medication. Which of the
following is appropriate?
A. Modifying use
B. Double dosing for 2 days
C. Changing to Ortho-Novum 1/35
D. Providing reassurance - Correct Answers - D. Providing reassurance
The management of choice for polymyalgia rheumatica includes:
A. whirlpool
,2 of 50
B. Prednisone
C. Analgesics
D. Celebrex - Correct Answers - B. Prednisone
A 50-year-old male presents with a chief complaint of malaise. Further questioning reveals
that his primary concern is delayed ejaculation. He is currently taking the following
medications: atenolol (Tenormin), 50 mg daily; paroxetine (Paxil), 20 mg daily; loratadine
(Claritin-D), 1 tablet daily; and hydrochlorothiazide (HCTZ), 25 mg daily. The most likely
cause of the patient's concern would be:
A. loratadine
B. hydrochlorothiazide (HCTZ)
C. lisinopril (Zestril)
D. paroxetine (Paxil) - Correct Answers - D. Paroxetine (Paxil)
A 3-year-old patient presents at an inner-city clinic with fever, cough, malaise, and loss of
appetite. The patient lives with several relatives, including a grandmother who also has a
cough. Which of the following diagnostic tests would be most appropriate for the patient?
A. throat culture
B. sputum culture
C. Mantoux (PPD) skin test
D. Cold agglutinin test - Correct Answers - B. Sputum culture
,3 of 50
A 25-year-old presents with the chief complaint of decreased mobility and pain of the right
shoulder exacerbated with movement. The patient reports that he participated in extensive
house painting 24 hours prior to the onset of pain. He denies any trauma. Passive ROM is
intact. No redness or ecchymosis is present. What is the next step that should be taken to
make a diagnosis?
A. Palpate structures around the shoulder
B. Obtain an MRI to evaluate the shoulder
C. Order an Xray of the shoulder
D. Request an EMG - Correct Answers - A. Palpate the structures around the shoulder
A 17-year-old female has never had her menses. She is at Tanner stage III of sexual
development. Her physical exam is completely normal, and her weight is appropriate for
her age and height. What is the most likely diagnosis?
A. Ovarian dysgenesis
B. Dysmenorrhea
C. Primary amenorrhea
D. Secondary amenorrhea - Correct Answers - C. Primary amenorrhea
An 18-month-old child presents a bulging, immobile tympanic membrane; T-103F (39.4C).
Assessment also reveals a grade II/VI systolic murmur at the left sternal border. After
initiation of treatment for otitis media, the most appropriate intervention is to:
A. Obtain an EKG
B. Obtain an Echocardiogram
C. Reevaluate the patient in 10 days
, 4 of 50
D. Refer the patient to a cardiologist - Correct Answers - C. Reevaluate the patient in 10
days
Which of the following is NOT an indication of preeclampsia?
A. visual disturbances
B. Glucosuria
C. Edema of the face and hands
D. Headaches - Correct Answers - B. Glucosuria
Which of the following pharmacotherapeutics would be most important to administer to a
patient who has a corneal abrasion?
A. Olopatadine (Patanol)
B. Cromolyn ophthalmic (Crolom)
C. Timolol (Timoptic)
D. Gentamycin Ophthalmic (Genoptic) - Correct Answers - D. Gentamycin Ophthalmic
(Genoptic)
An 88-year-old patient presents with right-sided weakness after being unable to rise
unassisted following a fall to the bathroom floor. History includes aphasia and
noncompliance with hypertension medication regimen. What is the most likely diagnosis?
A. Seizure
B. Right-sided Stroke
C. Left-sided stroke
VSP – FOUNDATION 2025/2026 LATEST EXAM QUESTION
AND VERIFIED ANSWERS |A+GRADE
During development of a treatment plan for an 84-year-old patient with hypothyroidism,
the nurse practitioner must keep in mind the worsening of:
A. renal insufficiency
B. Osteoporosis
C. Dementia
D. Anemia - Correct Answers - B. Osteoporosis
A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle
spotting. She hasn't missed any doses and uses no other medication. Which of the
following is appropriate?
A. Modifying use
B. Double dosing for 2 days
C. Changing to Ortho-Novum 1/35
D. Providing reassurance - Correct Answers - D. Providing reassurance
The management of choice for polymyalgia rheumatica includes:
A. whirlpool
,2 of 50
B. Prednisone
C. Analgesics
D. Celebrex - Correct Answers - B. Prednisone
A 50-year-old male presents with a chief complaint of malaise. Further questioning reveals
that his primary concern is delayed ejaculation. He is currently taking the following
medications: atenolol (Tenormin), 50 mg daily; paroxetine (Paxil), 20 mg daily; loratadine
(Claritin-D), 1 tablet daily; and hydrochlorothiazide (HCTZ), 25 mg daily. The most likely
cause of the patient's concern would be:
A. loratadine
B. hydrochlorothiazide (HCTZ)
C. lisinopril (Zestril)
D. paroxetine (Paxil) - Correct Answers - D. Paroxetine (Paxil)
A 3-year-old patient presents at an inner-city clinic with fever, cough, malaise, and loss of
appetite. The patient lives with several relatives, including a grandmother who also has a
cough. Which of the following diagnostic tests would be most appropriate for the patient?
A. throat culture
B. sputum culture
C. Mantoux (PPD) skin test
D. Cold agglutinin test - Correct Answers - B. Sputum culture
,3 of 50
A 25-year-old presents with the chief complaint of decreased mobility and pain of the right
shoulder exacerbated with movement. The patient reports that he participated in extensive
house painting 24 hours prior to the onset of pain. He denies any trauma. Passive ROM is
intact. No redness or ecchymosis is present. What is the next step that should be taken to
make a diagnosis?
A. Palpate structures around the shoulder
B. Obtain an MRI to evaluate the shoulder
C. Order an Xray of the shoulder
D. Request an EMG - Correct Answers - A. Palpate the structures around the shoulder
A 17-year-old female has never had her menses. She is at Tanner stage III of sexual
development. Her physical exam is completely normal, and her weight is appropriate for
her age and height. What is the most likely diagnosis?
A. Ovarian dysgenesis
B. Dysmenorrhea
C. Primary amenorrhea
D. Secondary amenorrhea - Correct Answers - C. Primary amenorrhea
An 18-month-old child presents a bulging, immobile tympanic membrane; T-103F (39.4C).
Assessment also reveals a grade II/VI systolic murmur at the left sternal border. After
initiation of treatment for otitis media, the most appropriate intervention is to:
A. Obtain an EKG
B. Obtain an Echocardiogram
C. Reevaluate the patient in 10 days
, 4 of 50
D. Refer the patient to a cardiologist - Correct Answers - C. Reevaluate the patient in 10
days
Which of the following is NOT an indication of preeclampsia?
A. visual disturbances
B. Glucosuria
C. Edema of the face and hands
D. Headaches - Correct Answers - B. Glucosuria
Which of the following pharmacotherapeutics would be most important to administer to a
patient who has a corneal abrasion?
A. Olopatadine (Patanol)
B. Cromolyn ophthalmic (Crolom)
C. Timolol (Timoptic)
D. Gentamycin Ophthalmic (Genoptic) - Correct Answers - D. Gentamycin Ophthalmic
(Genoptic)
An 88-year-old patient presents with right-sided weakness after being unable to rise
unassisted following a fall to the bathroom floor. History includes aphasia and
noncompliance with hypertension medication regimen. What is the most likely diagnosis?
A. Seizure
B. Right-sided Stroke
C. Left-sided stroke
