1. It is important to not dilate the eye if ____ is suspected.
Cataract
Macular degeneration
Acute closed-angle glaucoma
Chronic open-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
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
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
,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
Question 6. 6. Which of the following dermatological conditions results from reactivation of the dormant
varicella virus?
Tinea versicolor
Seborrheic keratosis
Verruca
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
Question 8. 8. Presbycusis is the hearing impairment that is associated with:
Physiologic aging
Ménière’s disease
Cerumen impaction
, Herpes zoster
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
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
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
Question 12. 12. Which ethnic group has the highest incidence of prostate cancer?
Asians
, Hispanics
African Americans
American Indians
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
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
Question 15. 15. Which lesions are typically located along the distribution of dermatome?
Scabies
Herpes zoster
Tinea
Dyshidrosis
Cataract
Macular degeneration
Acute closed-angle glaucoma
Chronic open-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
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
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
,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
Question 6. 6. Which of the following dermatological conditions results from reactivation of the dormant
varicella virus?
Tinea versicolor
Seborrheic keratosis
Verruca
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
Question 8. 8. Presbycusis is the hearing impairment that is associated with:
Physiologic aging
Ménière’s disease
Cerumen impaction
, Herpes zoster
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
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
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
Question 12. 12. Which ethnic group has the highest incidence of prostate cancer?
Asians
, Hispanics
African Americans
American Indians
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
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
Question 15. 15. Which lesions are typically located along the distribution of dermatome?
Scabies
Herpes zoster
Tinea
Dyshidrosis
