Description

1. Question: Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes?
2. Question: Your patient Jerry has gout. What do you suggest?
3. Question: Which of the following heart murmurs warrants the greatest concern?
4. Question: Which of the following color changes in a pigmented lesion suggests malignant transformation?
5. Question: An adult presents with tinea corporis. Which item below is a risk factor for its development?
6. Question: Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders liver function studies. The patient’s aminotransferase (ALT) is What laboratory test(s) should be ordered?
7. Question: Which of the following medication classes should be avoided in patients with acute or chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the patient?
8. Question: A patient reports “something new in my eye” about an hour ago while he was splitting If there were a foreign body in his eye, the nurse practitioner would expect to find all except:
9. Question: Which of the following can result from chronic inflammation of a meibomian gland?
10. Question: A patient presents with an inflamed upper eyelid The conjunctiva is red and there is particulate matter along the upper eyelid. The patient complains of a sensation that “there is something in my eye.” What is the diagnosis and how should it be treated?
11. Question: Risk factors for acute arterial insufficiency include which of the following?
12. Question: Salmeterol (Servent) is prescribed for a patient with What is the most important
13. Question: Which of the following is a predisposing condition for furunculosis?
14. Question: Harvey has had Meniere’s disease for several He has some hearing loss but now has persistent vertigo. What treatment might be instituted to relieve the vertigo?
15. Question: Sarah has allergic rhinitis and is currently being bothered by nasal Which of the following meds ordered for allergic rhinitis would be most appropriate?
16. Question: A 21 year old college student presents to the student health center with copious, markedly purulent discharge from her left The nurse practitioner student should suspect:
17. Question: Which antibiotic would be the most effective in treating community acquired pneumonia (CAP) in a young adult without any comorbid conditions?
18. Question: Which of the following dermatologic vehicles are the most effective in absorbing moisture and decreasing friction?
19. Question: Carl, age 78, is brought to the office by his son, who states that his father has been unable to see clearly since last Carl reports that his vision is “like looking through a veil.” He also sees floaters and flashing lights but is not having any pain. What do you suspect?
20. Question: Which of the following is the most appropriate therapeutic regimen for an adult patient with no known allergies diagnosed with group A B-hemolytic strep?
21. Question: Which of the following are classic features of ulcerative colitis?
22. Question: When a patient presents with symptoms of acute gallbladder disease, what is the appropriate nurse practitioner action?
23. Question: Which intervention listed below is safe for long term use by an adult with constipation
24. Question: What prophylactic medication is commonly recommended for the patient under 35 years of age with a positive PPD? Isoniazid (INH) Impetigo and folliculitis are usually successfully treated with:
25. Question: Your well-nourished 75-year-old patient has come into the o昀케ce for a physical exam and states that she recently had two She does not take any anticoagulants, and you have ruled out any coagulopathies. The most likely cause of these nosebleeds is:
26. Question: A 58 year old complains of tightness in his chest while cutting fire It disappears quickly if he stops chopping. He denies shortness of breath, his total cholesterol level is less than 200 mg/dL, and he is a non-smoker. What is the most appropriate action for the nurse practitioner to take with this patient?
27. Question: A 45 year old with diabetes has had itching and burning lesions between her toes for 2 Scrapings of the lesions confirm the diagnosis tinea pedis. What is the best initial treatment option for this patient?
28. Question: Of the following choices, the least likely cause of cough is:
29. Question: Which of the following best describes hypertrophic cardiomyopathy?
30. Question: Which of the following patient characteristics are associated with chronic bronchitis?
31. Question: An elderly patient is being seen in the clinic for complaint of “weak spells” relieved by sitting or lying How should the nurse practitioner proceed with the physical examination?
32. Question: The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes which of the following?
33. Question: Jennifer, age 49, who has a history of hyperlipidemia, has symptoms that lead you to suspect unstable Your next action would be to:
34. Question: Lisa, age 49, has daily symptoms of She uses her inhaled short-acting beta-agonist daily. Her exacerbations affect her activities and they occur at least twice weekly and may last for days. She is affected more than once weekly during the night with an exacerbation. Which category of asthma severity is Lisa in?
35. Question: Of the following, the patient who should be referred for periodic colonoscopy is the patient with:
36. Question: A 15 year old male presents with abdominal pain that began in the peri-umbilical area then localized to the right lower quadrant (RLQ). He complains of anorexia, and low grade A complete blood count (CBC) reveals moderate leukocytosis. What is the most likely diagnosis?
37. Question: An 18-year-old female presents to the urgent care center complaining of severe pruritus in both eyes that started 2 days Associated symptoms include a headache and fatigue. On examination, the nurse practitioner notes some clear discharge from both eyes and some erythema of the eyelids and surrounding skin. Which of the following is the most likely cause of this patient’s symptoms?
38. Question: A 40 year old presents with a The nurse practitioner teaches the patient to:
39. Question: An AST that is more than twice the level of ALT is suggestive of:
40. Question: An 18 year old patient is afebrile and complains of severe left ear On examination, the TM is gray and intact and there is a green discharge in the external canal. What action by the nurse practitioner is most appropriate?
41. Question: A patient presents with classic symptoms of gastroesophageal refux disease (GERD). He is instructed on life style modifications and drug therapy for 8 weeks. Three months later he returns, reporting that he was “fine” as long as he took the medication. The most appropriate next step is:
42. Question: Marian, age 52, is She complains of a rapid onset of severe right upper quadrant abdominal cramping pain, nausea, and vomiting. Your differential diagnosis might be:
43. Question: A 16 year old male presents with mild sore throat, fever, fatigue, posterior cervical adenopathy, and palatine Without a definitive diagnosis for this patient, what drug would be least appropriate to prescribe?
44. Question: A patient has experienced nausea and vomiting, headache, malaise, low grade fever, abdominal cramps, and watery diarrhea for 72 His white count is elevated with a shift to the left. He is requesting medication for diarrhea. What is the most appropriate response?
45. Question: What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?
46. Question: An 80-year-old male admits to difficulty swallowing during the review of systems. The nurse practitioner recognizes the differential diagnosis for this patient’s dysphagia is: Esophageal cancer and GERD
47. Question: Appropriate therapy for peptic ulcer disease (PUD) is:
48. Question: Which of the following is not a symptom of irritable bowel syndrome?
49. Question: Risk factors for acute otitis media (AOM) include all of the following except: African American
50. Question: Medicare is a federal program administered by the Centers for Medicare and Medicaid Services (CMS). The CMS has developed guidelines for Evaluation and Management coding, which all providers are expected to follow when coding patient visits for Which of the following is an important consideration regarding billing practices?
51. Question: A 55 year old patient has a work-up for hypertension and is noted to have elevated BUN and Which of the following should the nurse practitioner suspect?
52. Question: John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be screened for hypercholesterolemia? Every 5 years
53. Question: Sheila, age 78, presents with a chief complaint of waking up during the night coughing. You examine her and find an S3 heart sound, pulmonary crackles that do not clear with coughing, and peripheral What do you suspect?
54. Question: Martha had a less than 7% value on her Schilling What medication do you anticipate she might need? Vitamin B
55. Question: Margaret, age 32, comes into the o昀케ce with painful joints and a distinctive rash in a butterfly distribution on her face. The rash has red papules and plaques with a fine scale.
56. Question: A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these changes are consistent with which myocardial infarction territory?
57. Question: Which of the following statements about malignant melanomas is true? Staged based on depth of lesion
58. Question: The differential diagnosis for a patient complaining of a sore throat includes which of the following?
59. Question: Stacy, age 27, states that she has painless, white, slightly raised patches in her They are probably caused by:
60. Question: Harriet, a 79-year-old woman, comes to your o昀케ce every 3 months for follow up on her Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium 1500 mg daily. At today’s visit. Her blood pressure is 170/89. According to JNC VIII guidelines, what should you do next to control Harriet’s blood pressure?
61. Question: Which of the following is a secondary cause of hyperlipidemia?
62. Question: An 83-year-old female presents to the o昀케ce complaining of diarrhea for several days. She explains she has even had fecal incontinence one She describes loose stools 3–4 times a day for several weeks and denies fever, chills, pain, recent antibiotic use. The history suggests that the patient has:
63. Question: When teaching a patient with hypertension about restricting sodium, you would include which of the following instructions?
64. Question: Shirley, age 58, has been a diabetic for 7 Her blood pressure is normal. Other than her diabetes medications, what would you prescribe today during her routine office visit?
65. Question: A patient presents to the primary care provider complaining of a rash on his right forehead that started yesterday and is burning and The physical exam reveals an erythematous, maculopapular rash that extends over the patient’s right eye to his upper right forehead. Based on the history and examination, the most likely cause of this patient’s symptoms is:
66. Question: What is the Gold standard for the diagnosis of asthma?
67. Question: In the initial evaluation of a patient with new onset hypertension, the nurse practitioner should:
68. Question: In order to decrease deaths from lung cancer: