NP Exam 1 Review Questions and Answers Updated 2026

NP Exam 1 Review Questions and
Answers Updated 2026
AM43-year-
oldMmaleMrecentlyMunderwentMthreeMmonthsMworthMofMlifestyleMinterventionsMbutMonly
MhadMaMmoderateMchangeMinMoverallMbloodMpressureMreadingsMatMhome.MAtMtoday'sM
visit,MhisMbloodMpressureMisMconsistentMwithMhisMhomeMreadings,MandMisM138/85.MThe
MnurseMpractitionerMknowsMthatMaccordingMtoMtheMAHAMguidelines,MweMshouldMbeginM
initiatingMmedicationsMforMaMstageM1MhypertensiveMpatientMatMwhatMASCVDMcutoffMpoi
nt?M-MAnswerM10%



itMisMappropriateMtoMinitiateMantihypertensivesMifMtheirMASCVDMriskMscoreMisM10%MorM
greater.M(Hint:McanMthinkMofMhyperTENsionMtoMremember!)



AMmiddle-
agedMfemaleMpresentsMtoMyourMclinicMtoday.MSheMhasMaMhistoryMofMsmoking,Mhyperte
nsion,MtypeMIIMdiabetes,MandMosteoporosis.MSheMhasMbeenMonMlisinoprilM(Prinvil)M10Mm
gMdailyMforMtheMpastMfiveMyearsMandMmetforminM(Glucophage)M500MmgMtwiceMdaily.M
UponMyourMphysicalMexamMyouMnoticeMasymmetric,Mnon-
pittingMswellingMaroundMherMupperMlipMwhichMtheMpatientMstatesMstartedMyesterdayMni
ghtMandMisMpainless.MSheMalsoMreportsMdiffuseMabdominalMpainMandMdiarrhea.MTheMres
tMofMtheMphysicalMexamMwasMbenign.MHerMfastingMbloodMglucoseMisM130.MHerMvitalMs
ignsMareMasMfollows:MBP:M141/87MmmHg,MHR:M92Mbpm,MRR:M12MbreathsMperMminute,
MO2:M96%MonMroomMair.MWhatMisMtheMmostMimportantMthingMforMtheMnurseMpractiti
onerMtoMdo?M-MAnswerMDiscontinueMherMlisinoprilM



ThisMpatientMisMexperiencingMangioedemaM-
MACEMInhibitorMinducedMangioedemaMcanMoccurManytimeM(days,Mweeks,MorMyearsMafter
Minitiation).MInMadditionMtoMswellingMofMtheMlips,Mtongue,MandMface,MvisceralMangioede
maMdueMtoManMACEMinhibitorMcanMoccurMandMcauseMsymptomsMincludingMabdominalM
pain,Mdiarrhea,MandMvomiting.MSheMneedsMtoMimmediatelyMstopMtheMlisinoprilMandMitM
needsMtoMbeMmarkedMasManMallergy.



AMpatientMcallsMtheMofficeMcomplainingMofMaMsuddenMonsetMofM"cobwebMlikeMlines"M
movingMinMandMoutMofMherMcentralMvisionMinMtheMrightMeye.MSheMisMnotMinManyMp
ainMandMisMaskingMifMsheMneedsMtoMcomeMinMandMbeMseen.MWhatMshouldMtheMnurs
eMpractitionerMadviseMherMtoMdo?M-MAnswerMReferMtoMopthalmogogyMimmediately



AMgroupMofMnewMnurseMpractitionersMareMevaluatingMtheMstrengthMofMevidenceMofMso
meMnewMasthmaMguidelines.MWhichMofMtheMfollowingMwouldMbeMatMtheMbottomMofMt
heMhierarchyMofMevidence?M-MAnswerMEditorial

,AM55-year-
oldMmaleMpatientMreportsMincreasingMissuesMwithMerectileMdysfunctionMoverMtheMlastMsi
xMmonths.MHeMisMrequestingMtoMbeMplacedMonMtadalafilM(Cialis)MforMcontrolMofMthisM
condition.MWhichMofMtheMfollowingMisMcriticalMforMtheMnurseMpractitionerMtoMorderMpri
orMtoMprescribingMthisMmedication?M-MAnswerMEKG



YouMareMperformingManMannualMexamMandMpapMsmearMonMaM39-year-
oldMwomanMwhoMstatesMsheMhasMneverMhadMaMmammogramMbefore.MAMcloseMfriend
MofMhersMwasMjustMdiagnosedMwithMbreastMcancerMandMsheMisMwantingMtoMknowMmo
reMaboutMherMriskMandMwhenMsheMshouldMbeginMscreening.MWhatMinMherMhistoryMwo
uldMbeMconsideredMaMriskMfactorMforMbreastMcancer?M-
MAnswerMHerMonlyMchildMisMaMstepMdaughter



YouMrecentlyMdiagnosedMyourMpatientMwithMsciatica.MYouMaskMtheMpatientMtoMperform
MtheMsquatMandMriseMexam,MandMyouMfoundMthatMthereMisMaMdiminishedMkneeMjerk.
MWhichMofMtheMfollowingMisMtheMrootMcauseMofMhisMsciaticaMbasedMonMthisMfinding?
M-MAnswerML4




TheMsquatMandMriseMexamMwithMaMdiminishedMkneeMjerkMlinksMtoMtheML4Mnerve.MWe
McanMassessML5MwithMtheMheelMwalkMandMS1MwithMtheMtoeMwalk.



YouMareMassessingMaMpatientMforMacuteMabdominalMpain.MWithMtheMpatientMsupineMan
dMrightMkneeMflexed,MyouMperformMinwardMrotationMonMtheMpatient'sMhip.MWhatMman
euverMisMthisMandMwhatMareMyouMassessingMfor?M-
MAnswerMObturatorMsignMtoMassessMforMappendicitis




Obturator-
MIsMinwardMrOtationMofMtheMhipMthroughMfullMROMMandMisMaMpOsitiveMsignMw/MmO
vementMorMflexionMofMtheMhipM(IMthinkMofMallMtheMO's).MIliopsoas/psoasMsignMisMperf
ormedMbyMhavingMpatientsMraiseMtheirMlegMagainstMresistanceMinMaMsupineMposition,Mt
henMwhileMonMtheirMleftMside,MextendingMtheMrightMlegMfromMtheMhipM(MWhenMyou
MdoMlegMraisesMatMtheMgym,MyourMiliopsoasMmusclesMareMsore).MMurphy'sMsignMisMeli
citedMwhenMdeepMpalpationMonMtheMRUQMunderMtheMcostalMborderMproducesMpainMd
uringMMidinspiratoryMarrestM(IMthinkMMMforMMurphy'sMandMMMforMMidinspiratory).

, AnM85-year-oldMwomanMpresentsMtoMtheMclinicMtodayMforMaMfollowMupMx-
ray.MSheMstatesMthatMsheMhadMx-
raysMcompletedM11MdaysMafterMaMfallMatMhomeMbutMtheMimagingMwasMnegativeMatMt
hatMtime.MDueMtoMtheMnatureMofMherMfall,MsheMwasMinstructedMtoMcomeMinMforMan
MadditionalMsetMofMx-
raysMifMtheMpainMpersisted.MTheMnurseMpractitionerMknowsMthatMifMthisMpatientMhasMa
MfractureMtoday,MitMisMmostMlikelyMwhichMofMtheMfollowing?M-
MAnswerMScaphoidMfracture



YourM63-year-
oldMmaleMpatientMwithMvagueMabdominalMpainMhasMaMtriglycerideMlevelMofM899.MWhic
hMofMtheMfollowingMclinicalMsignsMwouldMbeMmostMconcerningMgivenMthisMlabMvalue?M
-MAnswerMCullen'sMsign



PatientsMwithMpolycysticMovarianMsyndromeM(PCOS)MmayMdevelopMallMofMtheMfollowing
Mexcept:M-MAnswerMBreastMCA



UponMaMdigitalMrectalMexamination,MtheMnurseMpractitionerMnotesMaMwarmMandMboggy
Mprostate.MThisMfindingMisMconsistentMwithMwhichMdiagnosis?M-MAnswerMProstatitis



AM67-year-
oldMmaleMpatientMisMcurrentlyMbeingMtreatedMforMbenignMprostaticMhyperplasia.MHeMis
MconcernedMthatMhisMfinasterideM(Proscar)MisMnotMadequatelyMtreatingMhisMsymptoms.M
WhichMofMtheMfollowingMquestionsMisMmostMimportantMtoMaskMthisMpatientMtoMdoMa
MfurtherMassessment?M-MAnswerMHowMlongMhaveMyouMbeenMtakingMthisMmedication?



AM33-year-
oldMfemaleMisMcomplainingMofMdysuria,MflankMpainMandMaMfever.MHerMvitalMsignsMare
MasMfollows:MBP:M112/76,MHR:M76,MRR:M18,M97%MonMroomMair,MTemp:M101.6MF.MThe
MpatientMstatesMsheMhasMhadMaMurinaryMtractMinfectionMoffMandMonMoverMtheMpastM
monthMandMantibioticsMneverMreallyMhelped.MUponMyourMphysicalMexamMyouMelicitMCVA
Mtenderness.MWhatMisMtheMbestMplanMforMthisMpatient?M-
MAnswerMReferralMtoMtheMemergencyMroom



AM14-year-
oldMmaleMisMcomplainingMofMscrotalMpain.MWhichMofMtheMfollowingMdescriptionsMwould
MwarrantMimmediateMreferral?M-
MAnswerMTheMpainMisMunilateralMandMwhenMyouMgentlyMpinchMtheMinnerMthigh,MtheM
testicleMdoesMnotMelevate