Page 1 of 19
30 May 2026
nsg 5003 Latest PREP EXAM with 130 Questions and
Correct Answers/ NSG 5003 Exam COVERING
RECENT AND MOST TESTED QUESTIONS./
1. It is important to not dilate the eye if ____ is suspected.
Cataract
Macular degeneration
Acute closed-angle glaucoma
Chronic open-angle glaucoma
Acute closed-angle glaucoma
Question 2. 2. An 18-year-old female patient presents with repeated urinary tract infections. She
has no risk factors in her history, and her physical examination is unremarkable. She also has a
normal pelvic exam. Which of the following should be obtained if anatomic abnormalities are
suspected?
Ultrasound of the kidneys
Intravenous pyelogram
Cystoscopy
Transvaginal ultrasound of the bladder
Intravenous pyelogram
Question 3. 3. The pathophysiological hallmark of ACD is:
Depleted iron stores
Impaired ability to use iron stores
Chronic uncorrectable bleeding
Reduced intestinal absorption of iron
Impaired ability to use iron stores
Question 4. 4. Which of the following is the most important question to ask during cardiovascular
health history? Number of offspring
Last physical exam
Sudden death of a family member Use
of caffeine
Sudden death of a family member
Question 5. 5. A 26-year-old, non-smoker, male presented to your clinic with SOB with exertion.
This could be due to:
Exercise-induced cough
Bronchiectasis
Alpha-1 deficiency Pericarditis
Alpha-1 deficiency
Question 6. 6. Which of the following dermatological conditionsresults from reactivation of the
dormant varicella virus? Tineaversicolor
Seborrheic keratosis
, Page 2 of 19
30 May 2026
Verruca
Herpes zoster
Herpes zoster
Question 7. 7. Mr. Jones is a 68-year-old retired Air Force pilot that has been diagnosed with
prostate cancer in the past week. He has never had a surgical procedure in his life and seeks
clarification on the availability of treatments for prostate cancer. He asks the nurse practitioner to
tell him the side effects of a radical prostatectomy. Which of the following is not a potential side
effect of this procedure?
Urinary incontinence
Impotence
Dribbling urine
Selected low back pain
Selected low back pain
Question 8. 8. Presbycusis is the hearing impairment that is associated with:
Physiologic aging
Ménière's disease
Cerumen impaction Herpes
zoster
Physiologic aging
Question 9. 9. Asymptomatic 1+ bacteriuria is found in a nursing home resident with an indwelling
catheter. The nurse practitioner's initial intervention includes:
Assessing resident's cognitive status and last change of the catheter/bag
Prescribing prophylactic Bactrim 1 tablet at bedtime
Ordering a urine culture and sensitivity and prescribing empiric treatment until results obtained
Ordering an X-ray of the kidney, urine, and bladder
Assessing resident's cognitive status and last change of the catheter/bag
Question 10. 10. A 64-year-old male presents with erythema of the sclera, tearing, and bilateral
pruritus of the eyes. The symptoms occur intermittently throughout the year and he has
associated clear nasal discharge. Which of the following is most likely because of the
inflammation?
Bacterium
Allergen
Virus
Fungi
Allergen
Question 11. 11. The nurse practitioner is examining a 62-year-old female who has been
complaining of lower abdominal pain. Upon auscultation, bowel sounds are high pitched and
tinkling. Which of the following terms describes this finding?
Succession splash
Borborygmi
Tenesmus
Puddle sign
, Page 3 of 19
30 May 2026
Borborygmi
Question 12. 12. Which ethnic group has the highest incidence of prostate cancer? Asians
Hispanics
African Americans
American Indians
african americans
Question 13. 13. A key symptom of ischemic heart disease is chest pain. However, angina
equivalents may include exertional dyspnea. Angina equivalents are important because:
Women with ischemic heart disease many times do not present with chest pain
Some patients may have no symptoms or atypical symptoms; diagnosis may only be made at the
time of an actual myocardial infarction
Elderly patients have the most severe symptoms
A & B only a & b only
Question 14. 14. The nurse practitioner is discussing lifestyle changes with a patient diagnosed
with gastroesophageal reflux. What are the nonpharmacological management interventions that
should be included?
Weight reduction and rest 30 minutes after each meal in the supine position
Elevation of head of the bed 4-6 inches on blocks and weight reduction
Encouraged to wear restrictive clothing to add support for diaphragmatic breathing Using
oral mints to relieve gastric distress
Elevation of head of the bed 4-6 inches on blocks and weight reduction
Question 15. 15. Which lesions are typically located along the distribution of dermatome? Scabies
Herpes zoster
Tinea
Dyshidrosis
Herpes zoster
Question 16. 16. Which of the following medications are commonly associated with the side effect
of cough?
Beta blocker
Diuretic
ACE inhibitor
Calcium antagonist
ACE inhibitor
Question 17. 17. On DRE, you note that a 45-year-old patient has a firm, smooth, non-tender but
asymmetrically shaped prostate. The patient has no symptoms and has a normal urinalysis. The
patient's PSA is within normal limits for the patient's age. The clinician should:
Refer the patient for transrectal ultrasound guided prostate biopsy
Obtain an abdominal X-ray of kidneys, ureter, and bladder
Recognize this as a normal finding that requires periodic follow up Obtain
urine culture and sensitivity for prostatitis
30 May 2026
nsg 5003 Latest PREP EXAM with 130 Questions and
Correct Answers/ NSG 5003 Exam COVERING
RECENT AND MOST TESTED QUESTIONS./
1. It is important to not dilate the eye if ____ is suspected.
Cataract
Macular degeneration
Acute closed-angle glaucoma
Chronic open-angle glaucoma
Acute closed-angle glaucoma
Question 2. 2. An 18-year-old female patient presents with repeated urinary tract infections. She
has no risk factors in her history, and her physical examination is unremarkable. She also has a
normal pelvic exam. Which of the following should be obtained if anatomic abnormalities are
suspected?
Ultrasound of the kidneys
Intravenous pyelogram
Cystoscopy
Transvaginal ultrasound of the bladder
Intravenous pyelogram
Question 3. 3. The pathophysiological hallmark of ACD is:
Depleted iron stores
Impaired ability to use iron stores
Chronic uncorrectable bleeding
Reduced intestinal absorption of iron
Impaired ability to use iron stores
Question 4. 4. Which of the following is the most important question to ask during cardiovascular
health history? Number of offspring
Last physical exam
Sudden death of a family member Use
of caffeine
Sudden death of a family member
Question 5. 5. A 26-year-old, non-smoker, male presented to your clinic with SOB with exertion.
This could be due to:
Exercise-induced cough
Bronchiectasis
Alpha-1 deficiency Pericarditis
Alpha-1 deficiency
Question 6. 6. Which of the following dermatological conditionsresults from reactivation of the
dormant varicella virus? Tineaversicolor
Seborrheic keratosis
, Page 2 of 19
30 May 2026
Verruca
Herpes zoster
Herpes zoster
Question 7. 7. Mr. Jones is a 68-year-old retired Air Force pilot that has been diagnosed with
prostate cancer in the past week. He has never had a surgical procedure in his life and seeks
clarification on the availability of treatments for prostate cancer. He asks the nurse practitioner to
tell him the side effects of a radical prostatectomy. Which of the following is not a potential side
effect of this procedure?
Urinary incontinence
Impotence
Dribbling urine
Selected low back pain
Selected low back pain
Question 8. 8. Presbycusis is the hearing impairment that is associated with:
Physiologic aging
Ménière's disease
Cerumen impaction Herpes
zoster
Physiologic aging
Question 9. 9. Asymptomatic 1+ bacteriuria is found in a nursing home resident with an indwelling
catheter. The nurse practitioner's initial intervention includes:
Assessing resident's cognitive status and last change of the catheter/bag
Prescribing prophylactic Bactrim 1 tablet at bedtime
Ordering a urine culture and sensitivity and prescribing empiric treatment until results obtained
Ordering an X-ray of the kidney, urine, and bladder
Assessing resident's cognitive status and last change of the catheter/bag
Question 10. 10. A 64-year-old male presents with erythema of the sclera, tearing, and bilateral
pruritus of the eyes. The symptoms occur intermittently throughout the year and he has
associated clear nasal discharge. Which of the following is most likely because of the
inflammation?
Bacterium
Allergen
Virus
Fungi
Allergen
Question 11. 11. The nurse practitioner is examining a 62-year-old female who has been
complaining of lower abdominal pain. Upon auscultation, bowel sounds are high pitched and
tinkling. Which of the following terms describes this finding?
Succession splash
Borborygmi
Tenesmus
Puddle sign
, Page 3 of 19
30 May 2026
Borborygmi
Question 12. 12. Which ethnic group has the highest incidence of prostate cancer? Asians
Hispanics
African Americans
American Indians
african americans
Question 13. 13. A key symptom of ischemic heart disease is chest pain. However, angina
equivalents may include exertional dyspnea. Angina equivalents are important because:
Women with ischemic heart disease many times do not present with chest pain
Some patients may have no symptoms or atypical symptoms; diagnosis may only be made at the
time of an actual myocardial infarction
Elderly patients have the most severe symptoms
A & B only a & b only
Question 14. 14. The nurse practitioner is discussing lifestyle changes with a patient diagnosed
with gastroesophageal reflux. What are the nonpharmacological management interventions that
should be included?
Weight reduction and rest 30 minutes after each meal in the supine position
Elevation of head of the bed 4-6 inches on blocks and weight reduction
Encouraged to wear restrictive clothing to add support for diaphragmatic breathing Using
oral mints to relieve gastric distress
Elevation of head of the bed 4-6 inches on blocks and weight reduction
Question 15. 15. Which lesions are typically located along the distribution of dermatome? Scabies
Herpes zoster
Tinea
Dyshidrosis
Herpes zoster
Question 16. 16. Which of the following medications are commonly associated with the side effect
of cough?
Beta blocker
Diuretic
ACE inhibitor
Calcium antagonist
ACE inhibitor
Question 17. 17. On DRE, you note that a 45-year-old patient has a firm, smooth, non-tender but
asymmetrically shaped prostate. The patient has no symptoms and has a normal urinalysis. The
patient's PSA is within normal limits for the patient's age. The clinician should:
Refer the patient for transrectal ultrasound guided prostate biopsy
Obtain an abdominal X-ray of kidneys, ureter, and bladder
Recognize this as a normal finding that requires periodic follow up Obtain
urine culture and sensitivity for prostatitis
