Description

1. Question: Your patient presents with pale, waxy legs, weak peripheral pulses, and states he is having difficulty walking great distances due to the pain in his calves. The most appropriate non-invasive test to evaluate his leg vascular flow quality is which of the following exams?
2. Question: The inability to fully relax the myocardium during relaxation is a trademark of which of the following diagnoses?
3. Question: A geriatric patient is being treated for recurrent deep vein thrombosis with warfarin, 5 mg PO daily. The International Normalized Ratio (INR) is 1.5. The nurse practitioner should:
4. Question: Recommendation for lipid check in an adolescent with type 1 diabetes mellitus?
5. Question: An example of secondary prevention for a diagnosis of coronary artery disease includes which of the following?
6. Question: An adult patient recently placed on an ACE inhibitor for hypertension returns with a dry, persistent cough. Which is the most appropriate intervention?
7. Question: What is the chamber which directly pumps blood into the ascending aorta?
8. Question: You are caring for a patient with premature atrial contractions. Initial treatment should include which priority intervention?
9. Question: At a follow-up visit, an adult patient presents with ankle edema. Which medication is the most likely cause?
10. Question: Ophthalmic examination of a patient with a 10-year history of poorly controlled hypertension would most likely reveal which finding?
11. Question: A 60-year-old woman with hypertension, type 2 diabetes, and hyperlipidemia presents for routine care. What is the most appropriate management plan to optimize her care?
12. Question: A 27-year-old woman presents with headaches, galactorrhea, and amenorrhea. MRI reveals a pituitary adenoma. What is the most appropriate initial treatment?
13. Question: A 33-year-old woman presents with palpitations, anxiety, and heat intolerance. Thyroid studies show low TSH and high free T4. What is the most likely diagnosis?
14. Question: What is the appropriate starting dose of levothyroxine for an elderly adult with a BMI of 20?
15. Question: All of the following are symptoms of hypocalcemia except which?
16. Question: An adult male with well-controlled type 2 diabetes experiences a rise in HbA1c after starting olanzapine. The nurse practitioner will most likely do which action?
17. Question: A 60-year-old man with kidney stones, bone pain, elevated calcium, and low phosphate levels most likely has which diagnosis?
18. Question: Overuse of levothyroxine can cause or aggravate which condition?
19. Question: All of the following are risk factors for type 2 diabetes except which?
20. Question: A patient has a 2-cm pituitary adenoma. Deficiency of which pituitary hormone is most critical to rule out due to risk of death?
21. Question: An elderly patient with end-stage lung cancer refuses meals. What is the most appropriate nurse practitioner response?
22. Question: How should a nurse practitioner evaluate whether palliative care is effective?
23. Question: Management of COPD in the elderly is best guided by which factor?
24. Question: Which factor would trigger a complete fall-risk assessment in an elderly patient?
25. Question: A 92-year-old with progressive cognitive decline following prior CVA most likely has which diagnosis?
26. Question: What is the best medication for irritable bowel syndrome with cramping?
27. Question: A patient with hepatitis C fears liver failure. Which historical factor most significantly contributes to disease progression?
28. Question: A 36-year-old female with RUQ pain, fever, gallstones, and gallbladder wall thickening most likely has which diagnosis?
29. Question: A patient with diarrhea and suspected inflammatory bowel disease should have which additional lab tested?
30. Question: A patient on statin therapy presents with myalgias. In addition to CPK, which test should be ordered?
31. Question: Anorexia nervosa occurs most commonly in which population?
32. Question: A patient with suspected lower GI bleeding—what additional questions help differentiate the diagnosis?
33. Question: A 54-year-old man with nocturnal heartburn and acid taste most likely has which diagnosis?
34. Question: Which physical exam finding confirms the presence of ascites?
35. Question: A patient with melena and hemoglobin of 4.5 g/dL requires what immediate intervention?
36. Question: In a mass casualty event with anthrax exposure, which medication is used for prophylaxis?
37. Question: In evidence-based screening, what does sensitivity refer to?
38. Question: Which ethical principle refers to not intentionally harming the patient?
39. Question: A competent elderly patient wishes to stop chemotherapy despite family objections. What is the nurse practitioner’s most appropriate action?
40. Question: What is the most appropriate initial recommendation to reduce osteoporosis risk in an older male?
41. Question: A patient with suspected open-angle glaucoma should receive which immediate management?
42. Question: Which technique assists removal of a caustic substance from the eye?
43. Question: What is the most likely source of Streptococcus viridans endocarditis?
44. Question: Which bacteria is most commonly associated with pharyngitis?
45. Question: Which complication is most associated with a Le Fort III fracture?
46. Question: Which description best characterizes presbycusis?
47. Question: Initial management of dry eyes should include which intervention?
48. Question: A patient with sore throat and nasal congestion without fever should receive what initial treatment?
49. Question: Which antibiotic is appropriate for initial treatment of bacterial sinusitis?
50. Question: Postmenopausal nasal congestion with clear secretions is most consistent with which diagnosis?
51. Question: In a patient with sickle cell disease, what parameter should be routinely monitored?
52. Question: In which patient is PRBC transfusion recommended?
53. Question: Which symptoms indicate a severe GI bleed requiring immediate transfusion?
54. Question: Treatment for symptomatic aplastic anemia includes all except which?
55. Question: Proper iron therapy typically resolves iron deficiency anemia within what timeframe?
56. Question: All of the following thrombocytopenic conditions require immediate action except which?
57. Question: A patient with microcytic hypochromic anemia most likely has which diagnosis?
58. Question: Which blood lead level most clearly requires chelation therapy?
59. Question: A patient undergoing chemotherapy with pancytopenia is at risk for which condition?
60. Question: Which is not a common mechanism of neutropenia?
61. Question: Which medication class is not typically included in HIV treatment regimens?
62. Question: Stevens-Johnson syndrome should be managed similarly to which patient population?
63. Question: Which treatment is not recommended for newly diagnosed rheumatoid arthritis?
64. Question: Patients with myasthenia gravis commonly have enlargement of which tissue?
65. Question: Which patient statement raises concern for angioedema?
66. Question: When should disease-modifying therapy be initiated in multiple sclerosis?
67. Question: A patient with ascending weakness now involving the abdomen requires what priority intervention?
68. Question: Painful blistering after sulfamethoxazole use raises concern for which life-threatening condition?
69. Question: A vesicular rash along a dermatome with prior hypersensitivity indicates which diagnosis?
70. Question: A woman with fatigue, joint pain, and butterfly rash requires what initial management?
71. Question: Which patient statement demonstrates correct understanding of clobetasol use for lichen sclerosus?
72. Question: What is the treatment of shigellosis?
73. Question: A fair-skinned patient with green eyes is at highest risk for which serious skin condition?
74. Question: What is the most appropriate initial management for recurrent herpes simplex virus?
75. Question: Which dermatologic procedure is safest for patients with bleeding disorders or on anticoagulation?
76. Question: An adult female with a diagnosis of eczema was given a prescription of hydrocortisone valerate 0.2% (Westcort) ointment last week for increased itching. The patient returns today reporting no improvement and more itching. The nurse practitioner’s examination finds many vesicles and papules on hands, chest, and buttocks. The nurse practitioner also finds a linear burrow between the fingers and prescribes which medication?
77. Question: Your patient has been noticing cracking and peeling on their hands and having some vesicular rash component. Which of the following is not likely the diagnosis?
78. Question: Your 58-year-old male patient identifies a bothersome 2 cm lesion on his forehead during your admission exam which is right where his baseball cap hits. You identify it as a seborrheic keratosis. Which removal strategy is most effective?
79. Question: Your patient is being educated about the management of a new diagnosis of melanoma. Which technique is most likely used for removal?
80. Question: What is the most likely diagnosis for an elderly patient with GI cancer who presents with skin pallor, conjunctival pallor, palpitations, and weakness?
81. Question: An adolescent athlete presents with shoulder pain and inability to raise the arm above the shoulder. What is the most likely diagnosis?
82. Question: A 25-year-old athlete presents with shoulder pain and difficulty with overhead activities. Physical exam suggests impingement syndrome. What is the most appropriate initial treatment?
83. Question: Elevated calcium levels may suggest which of the following conditions?
84. Question: A high school football player presents after a lateral knee injury. Which exam should be performed to assess for meniscal injury?
85. Question: A 75-year-old presents with depression and osteoarthritis of both knees. Which antidepressant may also benefit osteoarthritis?
86. Question: A patient with a hip fracture after a low-impact fall should be worked up with which exam?
87. Question: Which finding distinguishes plantar fasciitis from other foot problems?
88. Question: A 50-year-old woman with osteoporosis presents for routine care. Which medication best prevents further bone loss?
89. Question: Which of the following is not assessed for compartment syndrome?
90. Question: For primary prevention of osteoporosis, USPSTF recommends bone density screening at what point?
91. Question: A male patient presents with sudden onset painful hematuria. What is the most likely diagnosis?
92. Question: An older woman presents with urge incontinence for 2 months. What is the initial plan of action?
93. Question: Which scenario represents postrenal failure?
94. Question: What disease is the leading cause of kidney failure among American Indians?
95. Question: Elevated creatinine after contrast exposure represents which type of renal dysfunction?
96. Question: A woman presents with dysuria, urgency, and frequency. UA shows pyuria and bacteriuria. What is the most likely diagnosis?
97. Question: What is the most appropriate first-line antibiotic for uncomplicated UTI in a woman with no allergies?
98. Question: What is the standard treatment for uncomplicated UTI in areas with greater than 20% resistance?
99. Question: Which finding suggests glomerulonephritis?
100. Question: Which diagnostic finding differentiates cystitis from pyelonephritis?
101. Question: Which migraine medication is contraindicated during pregnancy?
102. Question: Which visual defect causes loss of the same side of the visual field in both eyes?
103. Question: Urinary and bowel dysfunction, saddle anesthesia, and leg weakness indicate what condition?
104. Question: Which headache symptom warrants immediate neuroimaging?
105. Question: tPA for embolic stroke should be administered within what timeframe?
106. Question: A 70-year-old man presents with acute stroke symptoms beginning 2 hours ago. What is the most appropriate initial intervention?
107. Question: Which drug class is used for migraine prevention?
108. Question: Which exam is used to evaluate for acute stroke?
109. Question: Which cranial nerve is responsible for shoulder shrug?
110. Question: What is the drug of choice for trigeminal neuralgia when gabapentin fails?
111. Question: A child presents with a “slapped cheek” rash. What is the diagnosis?
112. Question: A newborn has rising bilirubin despite increased feeding. What is the next step?
113. Question: A child presents with sore throat, fever, and sandpaper-like rash. What is the diagnosis?
114. Question: Which test confirms pinworm infestation?
115. Question: An adolescent athlete faints during exercise and has a systolic murmur that increases with standing. What is the diagnosis?
116. Question: A child presents with edema, dark urine, and recent sore throat. What is the most likely condition?
117. Question: An infant presents with retinal hemorrhages and neurologic signs suggestive of abuse. What diagnostic test should be ordered?
118. Question: By what age should a child typically walk independently?
119. Question: Which HPV vaccine statement indicates the need for further education?
120. Question: A loud holosystolic murmur at the left lower sternal border in a child suggests what diagnosis?
121. Question: Which side effect should patients on haloperidol be warned about?
122. Question: What is first-line treatment for generalized anxiety disorder?
123. Question: After stabilizing a self-inflicted injury, what should the nurse practitioner prioritize?
124. Question: Which condition is not a cause of altered mental status?
125. Question: Which anti-anxiety medication class should be limited to short-term use?
126. Question: What is the most important action for a diabetic patient post-MI who is nonadherent?
127. Question: Which finding represents extrapyramidal symptoms?
128. Question: What must be assessed to determine risk of self-harm or harm to others?
129. Question: Treatment of extrapyramidal symptoms should include which intervention?
130. Question: Episodes of mania alternating with depression suggest which diagnosis?
131. Question: Major complications of pelvic inflammatory disease include which outcomes?
132. Question: A firm, irregular breast lump in a 45-year-old woman requires what next step?
133. Question: A non-lactating woman with mastitis not responding to antibiotics should undergo which test?
134. Question: Which factor most likely causes intrauterine growth restriction?
135. Question: Which medication most likely causes delayed ejaculation?
136. Question: Symptoms suggestive of toxic shock syndrome require inclusion of which exam?
137. Question: A pregnant woman at 28 weeks presents with painless bleeding. What test is most appropriate?
138. Question: Lower abdominal pain, fever, purulent discharge, and cervical motion tenderness indicate what diagnosis?
139. Question: Milky breast discharge in a woman on psychiatric meds suggests changing which medication?
140. Question: Irregular menses, obesity, hirsutism, and high testosterone suggest what diagnosis?
141. Question: Which COPD intervention would not worsen respiratory acidosis?
142. Question: What is the most common cause of community-acquired pneumonia?
143. Question: What is the most appropriate antibiotic for acute COPD exacerbation?
144. Question: Which screening test evaluates the lungs for nodules?
145. Question: Which medication regimen is used to treat tuberculosis?
146. Question: Which test confirms suspected tuberculosis?
147. Question: Sudden dyspnea and pleuritic chest pain most likely indicate what diagnosis?
148. Question: Shortness of breath after chemotherapy for lymphoma suggests which condition?
149. Question: A lung apex mass with weight loss requires what next diagnostic step?
150. Question: Severity of COPD is best evaluated using which diagnostic test?