CANYON UNIVERSITY 2026/2027 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
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A young adult male reports a dull pain in the right scrotum and the provider notes a bluish color
showing through the skin on the affected side. Palpation reveals a bag of worms on the proximal
spermatic cord. What is an important next step in managing this patient?
Consideration of underlying causes of this finding
An older male patient reports urinary frequency, back pain, and nocturia. A dipstick urinalysis
reveals hematuria. What will the provider do next to evaluate this condition?
Order a PSA and perform a digital rectal exam
A patient is diagnosed with PAD and elects not to have angioplasty after an angiogram reveals
partial obstruction in lower extremity arteries. What will the provider recommend to help with
relief of symptoms in this patient?
Walking to the point of pain each day
A patient who has recently traveled has acute diarrhea which began the day after returning
home. What are recommended treatments for this type of diarrhea: (Select all that apply)
Ciprofloaxin for 3 days, twice daily
Loperamide at bedtime and after each stool
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,Oral fluid replacement
Which types of chronic noninfectious diarrhea will cause fatty stools: (Select all that apply).
Cystic fibrosis
Pancreatic insufficiency
Celiac disease
The parent of a 3-month-old reports that the infant arches and gags while feeding and spits up
undigested formula frequently. The infant's weight gain has dropped to the 5th percentile from
the 12th percentile. What is the best course of treatment for this infant?
Begin a trial of extensively hydrolyzed protein formula for 2 to 4 weeks.
A toddler is seen in the clinic after a 2-day history of intermittent vomiting and diarrhea. An
assessment reveals an irritable child with dry mucous membranes, 3-second capillary refill, 2-
second recoil of skin, mild tachycardia and tachypnea, and cool hands and feet. The child has
had two wet diapers in the past 24 hours. What will the primary care pediatric nurse
practitioner recommend?
Oral rehydration solution with follow-up in 24 hours.
A school-age child has recurrent diarrhea with foul-smelling stools, excessive flatus, abdominal
distension 2-week lactose-free trial failed to reduce symptoms. What is the next step in
diagnosing this condition?
Serologic testing for celiac disease
A patient reports recurrent chest pain that occurs regardless of activity and is not relieved by
rest. The provider administers a nitroglycerin tablet which does not relieve the discomfort.
What is the next action?
Give the patient a beta blocker medication.
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, Which are factors can cause a heart murmur: (Select all that apply).
High rates of flow through a normal valve
Backward flow through a septal defect
Forward flow into a dilated vessel
A patient reports sustained, irregular heart palpitations. What is the most likely cause of these
symptoms?
Atrial fibrillation
A patient reports a decrease in the frequency of stools and asks about treatment for
constipation. Which findings are part of the Rome Ill criteria for diagnosing constipation: (Select
all that apply)
Feeling of incomplete evacuation
lumpy stools
symptoms present for 3 months
A 12-year-old child whose BMI is greater than the 95th percentile has a blood pressure at the
98th percentile for age, sex, and height. After lifestyle changes that include diet and exercise,
the child's BMI drops to the 90th percentile, but the blood pressure remains the same. What is
the primary care nurse practitioner's next step in treating this child?
Referral to a nephrologist or cardiologist
Patients who meet the criteria for statin therapy to help prevent atherosclerotic cardiovascular
disease are those who have: (Select all that apply)
A 10-year risk score of 8% with an LDL of 80 mg/dL
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