1|Page
BARKLEY 3P EXAM LATEST 2025/ 2026 ACTUAL
EXAM TEST BANK| COMPLETE 550 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (MOST RECENT!!)
Which of the following is the most effective agent to help a patient with
insomnia that involves both difficulty falling asleep and maintaining
sleep?
a. Triazolam (Halcion)
b. Zolpidem (Ambien CR)
c. Zaleplon (Sonata)
d. Ramelteon (Rozerem) - Correct Answer -b. Zolpidem (Ambien CR)
The advances practice nurse is considering an anticonvulsant regimen in
a patient who suffers from partial seizures and who takes several other
medications for comorbid conditions. Which of the following
antiepileptic drugs would cause the lowest drug interactions?
a. Carbamazepine (Tegretol)
b. Phenytoin (Dilantin)
c. Levetiracetam (Keppra)
d. Valproic Acid (Depakene) - Correct Answer -c. Levetiracetam
(Keppra)
Beta blockers are not used for which of the following conditions?
pg. 1
,2|Page
a. Performance anxiety
b. Migraine prophylaxis
c. Reduction of perioperative mortality
d. Insulin induced hypoglycemia - Correct Answer -d. Insulin induced
hypoglycemia. -
will not aid, more likely to retard recovery. Low dose can be used for
performance enhancement, treat migraines, and decrease perioperative
mortality of cardiac Pts.
A patient presents with pustular lesions on her perineum and groin. She
has some oral mucous membranes lesions, a warty rash on her hands and
feet, lymphadenopathy, and pruritic. A presumptive diagnosis would be:
a. Herpes simplex
b. Syphilis
c. Chlamydia
d. Trichomonas - Correct Answer -b. Syphilis
A patient who has suffered a cerebrovascular accident has speech
dysphasia involving word finding and difficulty writing. Which area of
the brain has most likely been affected?
a. Parietal lobe
b. Left frontal lobe
c. Temporal lobe
d. Limbic system. - Correct Answer -b. Left frontal lobe-
pg. 2
,3|Page
Broca's area is in left frontal lobe is one of language centers= non
fluency w/ sparse output, agrammatism, impaired repetition, affects
writing r/t to speech. Parietal lobe= agnosia, Temporal lobe = word
deafness, limbic = emotional instability
Which of the following is most likely to be effective in the treatment of
acute cluster headaches?
a. 6 mg subcutaneous injection of sumatriptan
b. 300 mg acetaminophen
c. 40 mg riboflavin
d. 240 mg verapamil. - Correct Answer -a. 6 mg subcutaneous injection
of sumatriptan-
correct drug and dose for cluster HA; verapamil & APAP not indicated
for cluster, but verapamil can be used as prophylaxis for migraines.
Riboflavin is for migraines, but dose is 400 not 40.
Early detection of acute leukemia would include which of the following
symptoms?
a. Dizziness, dehydration, palpitations, hypotension
b. Dyspnea, paresthesia, malaise
c. Bradycardia, abdominal pain, fever
d. Bruising, fatigue, bone pain, anorexia. - Correct Answer -d. Bruising,
fatigue, bone pain, anorexia.
pg. 3
, 4|Page
Which type of bowel sound is most often associated with a perforated,
acute abdomen?
a. Hypoactive
b. High-pitched sounds
c. Harsh sounds
d. Hyperactive. - Correct Answer -a. Hypoactive
associated w/ decreased movement in intestines, after surgery,
peritoneum is inflamed, or perforated acute abdomen. Harsh= bruits/
arterial sounds from atherosclerotic lesions in vessels, hyperactive=
loud, high-pitched tanking = increased motility w/ gastroenteritis,
diarrhea, laxative use, paralytic ileus.
A patient presents with chronic neuropathic pain in his feet secondary to
type 2 diabetes. Of the following, the best therapeutic choice would be:
a. Phenobarbital (Luminal)
b. Carbidopa (Lodosyn)
c. Tiaganine (Gabitril)
d. Gabapentin (Neurontin) - Correct Answer -d. Gabapentin (Neurontin)
In a patient diagnosed with syndrome of inappropriate antidiuretic
hormone, the nurse practitioner would expect to find which of the
following?
a. Solute retention and water retention
b. Solute retention and water loss
pg. 4
BARKLEY 3P EXAM LATEST 2025/ 2026 ACTUAL
EXAM TEST BANK| COMPLETE 550 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (MOST RECENT!!)
Which of the following is the most effective agent to help a patient with
insomnia that involves both difficulty falling asleep and maintaining
sleep?
a. Triazolam (Halcion)
b. Zolpidem (Ambien CR)
c. Zaleplon (Sonata)
d. Ramelteon (Rozerem) - Correct Answer -b. Zolpidem (Ambien CR)
The advances practice nurse is considering an anticonvulsant regimen in
a patient who suffers from partial seizures and who takes several other
medications for comorbid conditions. Which of the following
antiepileptic drugs would cause the lowest drug interactions?
a. Carbamazepine (Tegretol)
b. Phenytoin (Dilantin)
c. Levetiracetam (Keppra)
d. Valproic Acid (Depakene) - Correct Answer -c. Levetiracetam
(Keppra)
Beta blockers are not used for which of the following conditions?
pg. 1
,2|Page
a. Performance anxiety
b. Migraine prophylaxis
c. Reduction of perioperative mortality
d. Insulin induced hypoglycemia - Correct Answer -d. Insulin induced
hypoglycemia. -
will not aid, more likely to retard recovery. Low dose can be used for
performance enhancement, treat migraines, and decrease perioperative
mortality of cardiac Pts.
A patient presents with pustular lesions on her perineum and groin. She
has some oral mucous membranes lesions, a warty rash on her hands and
feet, lymphadenopathy, and pruritic. A presumptive diagnosis would be:
a. Herpes simplex
b. Syphilis
c. Chlamydia
d. Trichomonas - Correct Answer -b. Syphilis
A patient who has suffered a cerebrovascular accident has speech
dysphasia involving word finding and difficulty writing. Which area of
the brain has most likely been affected?
a. Parietal lobe
b. Left frontal lobe
c. Temporal lobe
d. Limbic system. - Correct Answer -b. Left frontal lobe-
pg. 2
,3|Page
Broca's area is in left frontal lobe is one of language centers= non
fluency w/ sparse output, agrammatism, impaired repetition, affects
writing r/t to speech. Parietal lobe= agnosia, Temporal lobe = word
deafness, limbic = emotional instability
Which of the following is most likely to be effective in the treatment of
acute cluster headaches?
a. 6 mg subcutaneous injection of sumatriptan
b. 300 mg acetaminophen
c. 40 mg riboflavin
d. 240 mg verapamil. - Correct Answer -a. 6 mg subcutaneous injection
of sumatriptan-
correct drug and dose for cluster HA; verapamil & APAP not indicated
for cluster, but verapamil can be used as prophylaxis for migraines.
Riboflavin is for migraines, but dose is 400 not 40.
Early detection of acute leukemia would include which of the following
symptoms?
a. Dizziness, dehydration, palpitations, hypotension
b. Dyspnea, paresthesia, malaise
c. Bradycardia, abdominal pain, fever
d. Bruising, fatigue, bone pain, anorexia. - Correct Answer -d. Bruising,
fatigue, bone pain, anorexia.
pg. 3
, 4|Page
Which type of bowel sound is most often associated with a perforated,
acute abdomen?
a. Hypoactive
b. High-pitched sounds
c. Harsh sounds
d. Hyperactive. - Correct Answer -a. Hypoactive
associated w/ decreased movement in intestines, after surgery,
peritoneum is inflamed, or perforated acute abdomen. Harsh= bruits/
arterial sounds from atherosclerotic lesions in vessels, hyperactive=
loud, high-pitched tanking = increased motility w/ gastroenteritis,
diarrhea, laxative use, paralytic ileus.
A patient presents with chronic neuropathic pain in his feet secondary to
type 2 diabetes. Of the following, the best therapeutic choice would be:
a. Phenobarbital (Luminal)
b. Carbidopa (Lodosyn)
c. Tiaganine (Gabitril)
d. Gabapentin (Neurontin) - Correct Answer -d. Gabapentin (Neurontin)
In a patient diagnosed with syndrome of inappropriate antidiuretic
hormone, the nurse practitioner would expect to find which of the
following?
a. Solute retention and water retention
b. Solute retention and water loss
pg. 4
