NR567 FINAL PRACTICE SET 2026
TESTED QUESTIONS AND VERIFIED
ANSWERS
◉ 2. As a prudent nurse practitioner, the diabetic, hypertensive patients
you are seeing should be evaluated for early evidence of renal damage
from both diabetes and hypertension. Which of the following assessment
tools should the nurse practitioner order first for evaluation of early renal
dysfunction secondary to diabetes or hypertension? Answer: urinalysis
with micro and micro albumin
◉ 3. Your patient presents with a new onset rapid heart rate that is
irregularly irregular, heart rate 100, BP 120/74, respiration 16 non-
labored and an SpO2 is 99%. They state this has been going on for a
week or so intermittently, but for the past four days straight it hasn't
stopped. Your first priority intervention for this patient is to do which of
the following? Answer: maintain rate control and anticoagulation prior
to rhythm conversion
◉ 4. As a prudent nurse practitioner, you know that a 28-year-old male
patient with HIV would be considered well managed when they have
which of the following in addition to having undetectable or very low
viral copies? Answer: CD4 count of 500
◉ 5. Your patient has expressed concern about a skin lesion which you
identify as a darkened, round, and raised lesion. This benign lesion that
,appears like "stuck on" to the skin. Which of the following lesions best
fits this description? Answer: Seborrheic keratosis
◉ 6. You are treating a patient who has stopped taking their diuretic
regimen against medical advice while they were on vacation since it
made them urinate too frequently for their plans. Now they are 21
pounds heavier than their baseline weight, have respiratory crackles in
bilateral bases, and have severe generalized lower extremity and truncal
edema extending to the sacrum and abdomen. On your documentation,
this is referred to as which of the following conditions? Answer:
Anasarca
◉ 7. While evaluating a patient in your clinic for a routine health visit,
you auscultate crackles in the posterior left lower lobe, have the patient
cough, with follow-up auscultation revealing clear breath sounds. Which
one of the following would you suspect? Answer: Atelectasis
◉ 8. Gladys is a 72-year-old patient with a history of anemia of chronic
disease from kidney failure, diabetes mellitus, and hypothyroidism,
presents today with concerns her thyroid medication is not working well
enough. Her most recent labs reflect her TSH is 5.9 (normal range 0.5-5
uU/mL) and Free T4 is 0.3 ng/dL (normal range 0.8-2.8 ng/dL). Which
one of the following clinical signs and/or symptoms would you expect a
patient with these findings to present with? Answer: cold intolerance
◉ 9. You are examining the mouth of a patient and ask the patient to
stick out their tongue and notice that the tongue deviates by pointing to
the left. Which one of the following is the correct diagnosis of this
finding? Answer: cranial nerve XII (hypoglossal nerve) lesion on the left
, ◉ 10. Your 31-year-old female patient states they are experiencing
lateral lower back pain and urinalysis reveals bacteria in the urine,
culture reveals gram negative rods after 24 hours of growth. Which of
the following is least likely agent to cause her urinary tract infection?
Answer: Enterococcus
◉ Marvin, your 47-year-old African American patient with a diagnosis
of severe COPD and coronary artery disease has been complaining of
shortness of breath and wheezing after initiation of a new medicine for
his coronary artery disease management. Given his health history which
of the following agents is considered the safest beta blocker for his CAD
management? Answer: Lopressor
◉ Melissa, your 56-year-old Caucasian female patient presents with a
health history of hypertension, migraines, hyperlipidemia, seasonal
depression and obesity for a visit to establish care. She was without any
medical care for a long time and being newly established to your clinic
is prescribed aspirin 81 mg daily, atorvastatin 40 mg daily, betide 10 mg
daily, lisinopril 20 mg daily, amlodipine 10 mg daily, and Wellbutrin
300 mg daily as well as diet and exercise. After the visit she calls your
office nurse and states she has been experiencing considerably lower
extremity edema and constipation since starting these medicines after
your visit. Which of the pharmacology agents she is prescribed is most
likely the common cause of the side effects? Answer: Norvasc
◉ Sarah, a 28-year-old female patient presented to your clinic with
wheezing and despite being treated with nebulized medication is not
having any relief. You believe she is experiencing status asthmaticus. As
TESTED QUESTIONS AND VERIFIED
ANSWERS
◉ 2. As a prudent nurse practitioner, the diabetic, hypertensive patients
you are seeing should be evaluated for early evidence of renal damage
from both diabetes and hypertension. Which of the following assessment
tools should the nurse practitioner order first for evaluation of early renal
dysfunction secondary to diabetes or hypertension? Answer: urinalysis
with micro and micro albumin
◉ 3. Your patient presents with a new onset rapid heart rate that is
irregularly irregular, heart rate 100, BP 120/74, respiration 16 non-
labored and an SpO2 is 99%. They state this has been going on for a
week or so intermittently, but for the past four days straight it hasn't
stopped. Your first priority intervention for this patient is to do which of
the following? Answer: maintain rate control and anticoagulation prior
to rhythm conversion
◉ 4. As a prudent nurse practitioner, you know that a 28-year-old male
patient with HIV would be considered well managed when they have
which of the following in addition to having undetectable or very low
viral copies? Answer: CD4 count of 500
◉ 5. Your patient has expressed concern about a skin lesion which you
identify as a darkened, round, and raised lesion. This benign lesion that
,appears like "stuck on" to the skin. Which of the following lesions best
fits this description? Answer: Seborrheic keratosis
◉ 6. You are treating a patient who has stopped taking their diuretic
regimen against medical advice while they were on vacation since it
made them urinate too frequently for their plans. Now they are 21
pounds heavier than their baseline weight, have respiratory crackles in
bilateral bases, and have severe generalized lower extremity and truncal
edema extending to the sacrum and abdomen. On your documentation,
this is referred to as which of the following conditions? Answer:
Anasarca
◉ 7. While evaluating a patient in your clinic for a routine health visit,
you auscultate crackles in the posterior left lower lobe, have the patient
cough, with follow-up auscultation revealing clear breath sounds. Which
one of the following would you suspect? Answer: Atelectasis
◉ 8. Gladys is a 72-year-old patient with a history of anemia of chronic
disease from kidney failure, diabetes mellitus, and hypothyroidism,
presents today with concerns her thyroid medication is not working well
enough. Her most recent labs reflect her TSH is 5.9 (normal range 0.5-5
uU/mL) and Free T4 is 0.3 ng/dL (normal range 0.8-2.8 ng/dL). Which
one of the following clinical signs and/or symptoms would you expect a
patient with these findings to present with? Answer: cold intolerance
◉ 9. You are examining the mouth of a patient and ask the patient to
stick out their tongue and notice that the tongue deviates by pointing to
the left. Which one of the following is the correct diagnosis of this
finding? Answer: cranial nerve XII (hypoglossal nerve) lesion on the left
, ◉ 10. Your 31-year-old female patient states they are experiencing
lateral lower back pain and urinalysis reveals bacteria in the urine,
culture reveals gram negative rods after 24 hours of growth. Which of
the following is least likely agent to cause her urinary tract infection?
Answer: Enterococcus
◉ Marvin, your 47-year-old African American patient with a diagnosis
of severe COPD and coronary artery disease has been complaining of
shortness of breath and wheezing after initiation of a new medicine for
his coronary artery disease management. Given his health history which
of the following agents is considered the safest beta blocker for his CAD
management? Answer: Lopressor
◉ Melissa, your 56-year-old Caucasian female patient presents with a
health history of hypertension, migraines, hyperlipidemia, seasonal
depression and obesity for a visit to establish care. She was without any
medical care for a long time and being newly established to your clinic
is prescribed aspirin 81 mg daily, atorvastatin 40 mg daily, betide 10 mg
daily, lisinopril 20 mg daily, amlodipine 10 mg daily, and Wellbutrin
300 mg daily as well as diet and exercise. After the visit she calls your
office nurse and states she has been experiencing considerably lower
extremity edema and constipation since starting these medicines after
your visit. Which of the pharmacology agents she is prescribed is most
likely the common cause of the side effects? Answer: Norvasc
◉ Sarah, a 28-year-old female patient presented to your clinic with
wheezing and despite being treated with nebulized medication is not
having any relief. You believe she is experiencing status asthmaticus. As
