NP (NURSE PRACTITIONER) LICENSE
EXAM| ULTIMATE EXAM WITH
CORRECT VERIFIED ANSWERS
A 45-year-old patient presents with shortness of breath and
fatigue. Which assessment finding is most concerning?
A. BP 130/80 mmHg
B. Crackles in lungs
C. Mild ankle edema
D. Heart rate 78 bpm
Correct Answer: B
Rationale: Crackles indicate pulmonary congestion, which
can signal heart failure exacerbation and requires urgent
intervention.
2. A patient with type 2 diabetes reports excessive thirst
and urination. What is the priority action?
A. Check fasting blood glucose
B. Assess for hypoglycemia
C. Encourage exercise
D. Restrict fluids
,Correct Answer: A
Rationale: Hyperglycemia is indicated by polyuria and
polydipsia, and confirming blood glucose guides
management.
3. A nurse practitioner prescribes a beta-blocker for
hypertension. Which patient teaching is essential?
A. Check pulse daily and report <60 bpm
B. Skip dose if feeling well
C. Take only at bedtime
D. Avoid fluids
Correct Answer: A
Rationale: Beta-blockers can cause bradycardia; monitoring
heart rate is essential for safety.
4. A patient presents with sudden right-sided weakness and
slurred speech. What is the priority intervention?
A. Assess for stroke and activate emergency protocol
B. Encourage rest
C. Administer aspirin
D. Monitor vital signs only
Correct Answer: A
,Rationale: Acute neurological deficits require rapid
assessment for possible stroke.
5. A patient with COPD reports increasing shortness of
breath. Which action is priority?
A. Administer prescribed short-acting bronchodilator
B. Encourage ambulation
C. Restrict oxygen
D. Apply heat
Correct Answer: A
Rationale: Short-acting bronchodilators relieve acute
bronchospasm and improve oxygenation.
6. A patient is prescribed metformin. Which instruction is
correct?
A. Take with meals to reduce GI upset
B. Skip doses if feeling well
C. Take only at bedtime
D. Avoid all fluids
Correct Answer: A
Rationale: Taking metformin with meals decreases
gastrointestinal side effects like nausea and diarrhea.
, 7. A patient with CKD is anemic. Which lab confirms this?
A. Low hemoglobin and hematocrit
B. Elevated WBC
C. Low platelets
D. High BUN only
Correct Answer: A
Rationale: CKD reduces erythropoietin production, causing
anemia.
8. A patient presents with hypocalcemia. Which sign is
expected?
A. Positive Trousseau’s and Chvostek’s signs
B. Hypertension
C. Bradycardia
D. Hyperglycemia
Correct Answer: A
Rationale: Low calcium increases neuromuscular
excitability.
EXAM| ULTIMATE EXAM WITH
CORRECT VERIFIED ANSWERS
A 45-year-old patient presents with shortness of breath and
fatigue. Which assessment finding is most concerning?
A. BP 130/80 mmHg
B. Crackles in lungs
C. Mild ankle edema
D. Heart rate 78 bpm
Correct Answer: B
Rationale: Crackles indicate pulmonary congestion, which
can signal heart failure exacerbation and requires urgent
intervention.
2. A patient with type 2 diabetes reports excessive thirst
and urination. What is the priority action?
A. Check fasting blood glucose
B. Assess for hypoglycemia
C. Encourage exercise
D. Restrict fluids
,Correct Answer: A
Rationale: Hyperglycemia is indicated by polyuria and
polydipsia, and confirming blood glucose guides
management.
3. A nurse practitioner prescribes a beta-blocker for
hypertension. Which patient teaching is essential?
A. Check pulse daily and report <60 bpm
B. Skip dose if feeling well
C. Take only at bedtime
D. Avoid fluids
Correct Answer: A
Rationale: Beta-blockers can cause bradycardia; monitoring
heart rate is essential for safety.
4. A patient presents with sudden right-sided weakness and
slurred speech. What is the priority intervention?
A. Assess for stroke and activate emergency protocol
B. Encourage rest
C. Administer aspirin
D. Monitor vital signs only
Correct Answer: A
,Rationale: Acute neurological deficits require rapid
assessment for possible stroke.
5. A patient with COPD reports increasing shortness of
breath. Which action is priority?
A. Administer prescribed short-acting bronchodilator
B. Encourage ambulation
C. Restrict oxygen
D. Apply heat
Correct Answer: A
Rationale: Short-acting bronchodilators relieve acute
bronchospasm and improve oxygenation.
6. A patient is prescribed metformin. Which instruction is
correct?
A. Take with meals to reduce GI upset
B. Skip doses if feeling well
C. Take only at bedtime
D. Avoid all fluids
Correct Answer: A
Rationale: Taking metformin with meals decreases
gastrointestinal side effects like nausea and diarrhea.
, 7. A patient with CKD is anemic. Which lab confirms this?
A. Low hemoglobin and hematocrit
B. Elevated WBC
C. Low platelets
D. High BUN only
Correct Answer: A
Rationale: CKD reduces erythropoietin production, causing
anemia.
8. A patient presents with hypocalcemia. Which sign is
expected?
A. Positive Trousseau’s and Chvostek’s signs
B. Hypertension
C. Bradycardia
D. Hyperglycemia
Correct Answer: A
Rationale: Low calcium increases neuromuscular
excitability.
