1|Page
NSSA (National Social Security Advisor) Exam
with accurate and verified questions covering
Social Security rules, benefit strategies, spousal
and survivor benefits, claiming age optimization,
and Medicare coordination. Designed for
professionals provi
A 72-year-old woman has been on hydrochlorothiazide
12.5 mg for many years to control her Stage II
hypertension. Her blood pressure (BP) at this visit is
168/96. She is currently complaining of pain on her
right hip and on both knees. She has increased her dose
of ibuprofen (Motrin) from 400 mg 3 times day (TID) to
800 mg TID. She is still in pain and would like something
stronger. Which of the following statements is the best
explanation of the effects of ibuprofen (Motrin) on her
disease?
A) It increases the chances of adverse effects to her
health
B) It inhibits the effect of renal prostaglandins and blunts
the effectiveness of the diuretic
,2|Page
C) It prolongs the therapeutic effects of
hydrochlorothiazide and other diuretics
D) None of the statements are true - .....ANSWER
...✔✔ B) It inhibits the effect of renal prostaglandins
and blunts the effectiveness of the diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of
prostaglandins, which predisposes the kidney to
ischemia. NSAIDs and diuretics can cause acute prerenal
failure by decreasing renal blood flow.
2. All of the following are infections that affect mostly
the labia and vagina except:
A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis - .....ANSWER ...✔✔ D)
Chlamydia trachomatis
Infections that commonly affect the labia and vagina
include bacterial vaginosis, candidiasis, and
trichomoniasis. Chlamydia trachomatis commonly affects
the cervix, endometrial lining , fallopian tubes, and
pelvic cavity.
,3|Page
The nurse practitioner would test the obturator and
iliopsoas muscle to evaluate for:
A) Cholecystitis
B) Acute appendicitis
C) Inguinal hernia
D) Gastriculcer - .....ANSWER ...✔✔ B) Acute
appendicitis.
Signs and symptoms of an acute abdomen include invol-
untary guarding, rebound tenderness, boardlike
abdomen, and a positive obtu- rator and psoas sign. A
positive obturator sign occurs when pain is elicted by
internal rotation of the right hip from 90 degrees
hip/knee flexion. The psoas sign is positive when pain
occurs with passive extension of the thigh while the
patient is lying on his/her side with knees extended, or
when pain occurs with active flexion of his/her thigh at
the hip.
Treatment for mild preeclampsia includes all of the
following except:
A) Bed rest except for bathroom privileges
, 4|Page
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine,
and platelet count
D) A prescription of methyldopa (Aldomet) to control
blood pressure - .....ANSWER ...✔✔ D) A prescription
of methyldopa (Aldomet) to control blood pressure
Recommended care for women diagnosed with
preeclampsia includes bed rest with bath- room
privileges, weight and BP monitoring, and closely
following urine protein and serum protein, creatinine,
and platelet counts. Oral medications are not used as
first-line treatment.
All of the following services are covered under
Medicare Part A except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while
hospitalized
C) Nursing home care
D) Surgeons - .....ANSWER ...✔✔ C) Nursing home
care
NSSA (National Social Security Advisor) Exam
with accurate and verified questions covering
Social Security rules, benefit strategies, spousal
and survivor benefits, claiming age optimization,
and Medicare coordination. Designed for
professionals provi
A 72-year-old woman has been on hydrochlorothiazide
12.5 mg for many years to control her Stage II
hypertension. Her blood pressure (BP) at this visit is
168/96. She is currently complaining of pain on her
right hip and on both knees. She has increased her dose
of ibuprofen (Motrin) from 400 mg 3 times day (TID) to
800 mg TID. She is still in pain and would like something
stronger. Which of the following statements is the best
explanation of the effects of ibuprofen (Motrin) on her
disease?
A) It increases the chances of adverse effects to her
health
B) It inhibits the effect of renal prostaglandins and blunts
the effectiveness of the diuretic
,2|Page
C) It prolongs the therapeutic effects of
hydrochlorothiazide and other diuretics
D) None of the statements are true - .....ANSWER
...✔✔ B) It inhibits the effect of renal prostaglandins
and blunts the effectiveness of the diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of
prostaglandins, which predisposes the kidney to
ischemia. NSAIDs and diuretics can cause acute prerenal
failure by decreasing renal blood flow.
2. All of the following are infections that affect mostly
the labia and vagina except:
A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis - .....ANSWER ...✔✔ D)
Chlamydia trachomatis
Infections that commonly affect the labia and vagina
include bacterial vaginosis, candidiasis, and
trichomoniasis. Chlamydia trachomatis commonly affects
the cervix, endometrial lining , fallopian tubes, and
pelvic cavity.
,3|Page
The nurse practitioner would test the obturator and
iliopsoas muscle to evaluate for:
A) Cholecystitis
B) Acute appendicitis
C) Inguinal hernia
D) Gastriculcer - .....ANSWER ...✔✔ B) Acute
appendicitis.
Signs and symptoms of an acute abdomen include invol-
untary guarding, rebound tenderness, boardlike
abdomen, and a positive obtu- rator and psoas sign. A
positive obturator sign occurs when pain is elicted by
internal rotation of the right hip from 90 degrees
hip/knee flexion. The psoas sign is positive when pain
occurs with passive extension of the thigh while the
patient is lying on his/her side with knees extended, or
when pain occurs with active flexion of his/her thigh at
the hip.
Treatment for mild preeclampsia includes all of the
following except:
A) Bed rest except for bathroom privileges
, 4|Page
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine,
and platelet count
D) A prescription of methyldopa (Aldomet) to control
blood pressure - .....ANSWER ...✔✔ D) A prescription
of methyldopa (Aldomet) to control blood pressure
Recommended care for women diagnosed with
preeclampsia includes bed rest with bath- room
privileges, weight and BP monitoring, and closely
following urine protein and serum protein, creatinine,
and platelet counts. Oral medications are not used as
first-line treatment.
All of the following services are covered under
Medicare Part A except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while
hospitalized
C) Nursing home care
D) Surgeons - .....ANSWER ...✔✔ C) Nursing home
care
