np exam practice Questions and Answers Updated 2026

np exam practice
Questions and
Answers Updated
2026
AB16-year-
oldBpresentsBwithBmoderateBacneBconsistingBofBaboutB25BinflammatoryBlesionsBonBher
Bface,Bneck,BandBshoulders.BFirst-lineBtreatmentBcanBinclude:



Alcohol-basedBfacialBwash.

OralBantimicrobialBplusBtopicalBsalicylicBacid.

TopicalBbenzoylBperoxideBplusBtopicalBantimicrobial.

OralBisotretinoin.B-BAnswerTopicalBbenzoylBperoxideBplusBtopicalBantimicrobial.




CombinationBtherapyBisBpreferredBforBmoderateBacneBwhileBmonotherapyBwithBtopicalB
benzoylBperoxideBorBaBtopicalBretinoidBcanBbeBconsideredBforBinitialBtherapyBofBmildBa
cne.BAlcohol-
basedBfacialBwashBisBnotBrecommendedBforBtheBtreatmentBofBacneB(A).BABtopicalBanti
bacterialBcreamBorBlotionBisBgenerallyBpreferredBoverBaBsystemicBantimicrobialBasBfirst-
lineBtherapyBinBmoderateBacneB(B).BABtopicalBretinoidBisBalsoBpreferredBoverBtopicalBs
alicylicBacidBwhenBusedBasBpartBofBcombinationBtherapyBforBmoderateBacne.BOralBisotr
etinoinBisBgenerallyBreservedBforBsevereBacneBwhenBpriorBtreatmentsBresultBinBanBinad
equateBresponseB(D).

,LisaBisBaB48-year-oldBwomanBwhoBpresentsBwithBaB5-
dayBhistoryBofBpainfulBurinationBandBmucopurulentBvaginalBdischarge.BSuspectingBchla
mydialBinfection,BwhichBofBtheBfollowingBfindingsBwouldBsupportBthisBdiagnosis?



LargeBnumbersBofBmotileBorganismsBuponBmicroscopicBexam

FriableBcervix

PositiveBpsoasBsign

ReboundBtendernessB-BAnswerFriableBcervix



ABlargeBnumberBofBmotileBorganismsBuponBmicroscopicBexaminationBisBmoreBindicative
BofBtrichomoniasisBratherBthanBchlamydialBinfectionB(A).BABpositiveBpsoasBsignBindicate
sBappendicitisB(C),BandBitBisBcervicalBmotionBtendernessBratherBthanBreboundBtenderne
ssBthatBisBassociatedBwithBchlamydiaBinfectionB(D).



TheBNAATBassayBisBperformedBforBLisaBandBchlamydiaBinfectionBisBconfirmed.BWhichBo
fBtheBfollowingBisBtheBmostBappropriateBtreatmentBchoice?



IMBorBoralBpenicillin

OralBTMP-SMX

OralBazithromycin

OralBciprofloxacinB-BAnswerOralBazithromycin



PenicillinBisBnotBeffectiveBagainstBintracellularBpathogensBandBsoBisBnotBrecommendedB
inBtheBtreatmentBofBchlamydialBinfectionB(A).BTMP-
SMXBisBusedBtoBtreatBurinaryBtractBinfectionsBbutBisBnotBpreferredBforBchlamydiaB(B).B
FluoroquinolonesBareBalsoBnotBconsideredBfirst-
lineBtherapyBforBchlamydialBinfectionBandBshouldBbeBavoidedBdueBtoBriskBofBadverseBe
ffectsBandBincreasingBratesBofBresistanceBbyBcertainBpathogensB(D).



WhichBofBtheBfollowingBisBrecommendedBpriorBtoBLisaBleavingBtheBclinic?

,EncourageBallBhouseholdBmembersBtoBbeBtestedBforBchlamydia

RecommendBtheBHPVBvaccine

ScreenBforBmeningococcalBdisease

EncourageBscreeningBforBHIVB-BAnswerEncourageBscreeningBforBHIV



ForBpatientsBdiagnosedBandBtreatedBforBchlamydialBinfection,BexpeditedBpartnerBtherap
yB(EPT)BshouldBbeBconsidered,BwhichBwouldBprovideBtheBmedicationBorBaBprescription
BofBtheBmedicationBforBtheBpatientBtoBtakeBtoBhis/herBsexualBpartner.BHowever,BSTIBsc
reeningBisBnotBneededBforBallBhouseholdBmembersBasBintimateBcontactBisBneededBtoBs
preadBtheBinfectionB(A).BTheBHPVBvaccineBisBrecommendedBforBadultsBupBtoB26Byears
BofBage.BAdultsBupBtoB45ByearsBofBageBcanBalsoBbeBconsideredBforBHPVBvaccinationBf
ollowingBsharedBclinicalBdecision-
makingB(B).BScreeningBforBmeningococcalBdiseaseBisBalsoBnotBwarrantedBwithBnoBprese
ntingBsignsBorBsymptomsBand/orBduringBtimesBofBnoBknownBcommunityBoutbreakBofBt
heBinfectionB(C).



AB27-year-
oldBmaleBisBdiagnosedBwithBgonorrhea.BHeBisBotherwiseBhealthy,BhasBnoBdrugBallergies
,BandBhasBnotBbeenBtreatedBwithBanBantimicrobialBinBtheBpastByear.BRecommendedBtr
eatmentBis:



MarkBForBReview

IMBorBoralBpenicillin.

OralBazithromycin.

IMBceftriaxone.

OralBlevofloxacin.B-BAnswerIMBceftriaxone



PenicillinBorBamoxicillinBareBnotBrecommendedBforBtheBtreatmentBofBgonorrheaBdueBto
BtheBhighBprevalenceBofBbeta-
lactamaseBproductionBbyBtheseBorganismsB(A).BTheBfluoroquinolonesBareBnoBlongerBrec
ommendedBtoBtreatBgonorrheaBdueBtoBhighBratesBofBresistanceB(D).BAzithromycinBcanB
beBconsideredBforBtreatmentBbutBinBcombinationBwithBgentamicinBasBanBalternativeBap
proachB(B).

, TheBNPBisBcounselingBRene,BaB22-year-
oldBwoman,BwhoBreportsBhavingBunprotectedBintercourseB3BdaysBagoBandBasksBaboutB
emergencyBcontraception.BSheBisBnotBcurrentlyBtakingBanyBformBofBcontraceptionBandB
herBlastBmensesBendedB7BdaysBago.BTheBNPBadvises:



ABpregnancyBtestBisBneededBpriorBtoBusingBemergencyBcontraception.

ABprescriptionBisBnotBneededBforBlevonorgestrelBemergencyBcontraception.

UlipristalBisBeffectiveBonlyBupBtoB48BhoursBafterBunprotectedBintercourse.

TheBuseBofBemergencyBcontraceptionBcanBincreaseBinfertilityBriskBinBtheBfuture.B-
BAnswerABprescriptionBisBnotBneededBforBlevonorgestrelBemergencyBcontraception.



ABpregnancyBtestBisBnotBrequiredBpriorBtoBusingBemergencyBcontraceptionB(A).BUliprist
alBandBcopper-
containingBIUDBcanBbeBusedBasBemergencyBcontraceptionBupBtoB5BdaysBafterBunprotec
tedBcoitusB(C).BLevonorgestrelBemergencyBcontraceptionBcanBalsoBbeBusedBupBtoB5Bda
ysBfollowingBunprotectedBcoitus,BbutBisBmostBeffectiveBupBtoB3BdaysBfollowingBunprote
ctedBcoitus.BThereBisBnoBassociationBbetweenBtheBuseBofBemergencyBcontraceptionBan
dBriskBofBinfertilityB(D).



ReneBcallsBtheBclinicB4BweeksBafterBtakingBemergencyBcontraceptionBandBreportsBthatB
sheBhasBnotByetBstartedBherBmenses.BSheBisBconcernedBbecauseBherBcycleBisBnormally
Bpredictable.BTheBNPBrecommends:



WaitingBanotherBweekBtoBseeBifBmenstruationBbegins.

TakeBanotherBdoseBofBemergencyBcontraception.

TakingBaBpregnancyBtest.

StartingBcombinedBoralBcontraception.B-BAnswerTakingBaBpregnancyBtest



SinceBitBhasBbeenB5BweeksBsinceBherBlastBmenses,BaBpregnancyBtestBshouldBbeBadmin
isteredBpromptlyBwithoutBwaitingBanotherBweekB(A).BTakingBemergencyBcontraceptionB
orBinitiatingBcombinedBoralBcontraceptionBisBnotBrecommendedBdueBtoBtheBpossibilityB