Certification Review – 2024–2025 –
Practice Questions with Answers
Introduction:
This document contains a comprehensive collection of practice
questions and answers focused on advanced practice nursing
assessment and clinical decision-making. It covers topics
including cranial nerve assessment, musculoskeletal
examination, cardiovascular and respiratory findings,
dermatologic conditions, endocrine disorders, neurological
evaluation, obstetrics, pediatrics, and mental health concepts.
The material is structured in a question-and-answer format to
support exam preparation and reinforce key diagnostic
principles. It is suitable for certification review and clinical
skills reinforcement.
Exam Questions and Answers:
While assessing the cranial nerves, the NP touches the cornea
lightly with a wisp of cotton. This maneuver tests which
cranial nerve? -Answer:-Cranial nerve V (Trigeminal)
,The NP instructs the patient to look over one shoulder, then
the other. This maneuver would assess cervical... -Answer:-
Rotation
During a speculum exam of the cervix, the speculum is
maintained in an open position by... -Answer:-Gently
tightening the thumb screw on the speculum
The NP is examining the elbow of a 16-year-old male athlete.
When he tries to extend his wrist against resistance. This
finding is most consistent with... -Answer:-Lateral
epicondylitis
Which examination finding is defined as a congenital ventral
displacement of the meatus on the penis? -Answer:-
Hypospadias
Bowel sounds may be increased in the presence of... -Answer:-
Early intestinal obstruction
Eversion of the upper eyelid can be performed by placed the
cotton application on the upper lid above the level of the
internal tarsal plates and then... -Answer:-gently pushing
, down with the stick and lifting the lashes up and flipping the
lid inside out
Anticipatory guidance for the family of a pre-adolescent with
cognitive impairment should be include information about... -
Answer:-Sexual development
Assymetry, irregular borders, variation in color, diameter
greated than 6mm, and elevation represent the "ACBDE"s of...
-Answer:-Malignant melanoma
When performing a spinal exam, the NP noted the appearance
of poor posure and a "hump" appearance of the upper back.
This finding could be suggestive of... -Answer:-Thoracic
Kyphosis
The area where the iliac crest terminates anteriorly on the
ilium is known as the... -Answer:-Anterior superior iliac spine
Following injury to the extremities, assessment for
neurovascular competency should include the... -Answer:-Skin
color, temperature, movement, and sensation of the extremity