CERTIFICATION EVALUATION TEST 2026 FULL
QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED GRADED A+
◉ Cameron, 38 years old, is 5 feet 8 inches tall and weighs 189
pounds. He reports that he has had intermittent heartburn for
several months and takes antacids with temporary relief. He has
been waking during the night with a burning sensation in his chest.
Which additional information would lead you to believe that
gastroesophageal reflux disease (GERD) is the cause of his pain?
Answer: He wakes at night coughing with a bad taste in his mouth.
◉ Hannah is a patient that just had an appendectomy after a
diagnosis of appendicitis and had no complications. Which of the
following patient education points is correct? Answer: Your diet will
be advanced when bowel sounds return."
◉ Which of the following patients should be referred to a
hepatologist? Answer: Patient with persistent elevation of HBsAg
◉ A 29-year-old is seen in the office with complaints of pain in his
chest and belly. He quit smoking 6 months ago. He has been
suffering the pain for 2 weeks and gets temporary relief from Alka-
,Seltzer® and Pepto-Bismol®. The burning pain wakes him at night
and radiates up to his chest. Which factor favors a diagnosis of
gastric ulcer? Answer: His use of Alka-Seltzer
◉ Which of the following causes of gastrointestinal bleeding is found
in the lower gastrointestinal tract? Answer: Meckel's diverticulum
◉ A 21-year-old student presents with complaints of fatigue,
headache, anorexia, and a runny nose, all of which began about 2
weeks ago. She started taking vitamins and over-the-counter cold
preparations but feels worse. The smell of food makes her
nauseated. Her boyfriend had mononucleosis about 1 month ago,
and she wonders if she might have it also. Examination reveals
cervical adenopathy and an enlarged liver and spleen. Which of the
following labs would be most helpful in the differential diagnosis at
this point? Answer: Antihepatitis D virus
◉ A patient presents with symptoms of infectious mononucleosis.
Which lab chemistry test should the clinician order? Answer:
Heterophile antibody test
◉ A patient is seen in the clinic with right upper quadrant pain that
is radiating to the middle of the back. The NP suspects acute
cholelithiasis. The NP should expect which of the following
laboratory findings? Answer: Elevated alkaline phosphatase
, ◉ Which of the following are included in Ranson's criteria for
assessing the severity of pancreatitis at the time of diagnosis?
Answer: Base deficit greater than 4 mEq/L
◉ Donna is a 36-year-old African American woman with chronic
pancreatitis. Which of the following are necessary to manage her
condition? Answer: A low-fat diet of less than 50 g of fat per day
◉ Which of the following diagnostic tests is ordered for a cecal
volvulus bowel obstruction? Answer: Barium enema
◉ Which of the following is part of the treatment plan for the patient
with IBS? Answer: High-fiber diet
◉ Leslie is a 35-year-old Caucasian woman who presents with
weakness, anorexia, weight loss, and fatigue. Her history is
significant for inflammatory bowel disease, Hashimoto's thyroiditis,
and cigarette smoking. Which of the following pieces of her history
leads the clinician to believe she has primary sclerosing cholangitis?
Answer: Inflammatory bowel disease
◉ Carl has been diagnosed with Wilson's disease. Which of the
following should be included in his dietary education? Answer: Limit
shrimp intake.