MED-SURG NGN LATEST EXAM PREP
QUESTIONS AND ANSWERS PDF 2026
▶ When the nurse practitioner is evaluating a patient for intermittent
claudication, he/she would first:
A) Order a venogram
B) Order T.E.D. anti-embolism stockings
C) Check the ankle and brachial blood pressure before and after exercise
D) Check the pedal and posterior tibial pulses. Answer: C) Check the ankle
and brachial blood pressure before and after excercise
Initial evaluation for intermittent claudication would include checking the
ankle and brachial blood pressure before and after exercise.
▶ All of the following drugs can interact with theophylline (Theo-24) except:
A) Erythromycin
B) Montelukast (Singulair)
C) Phenytoin sodium (Dilantin)
D) Cimetidine (Tagamet). Answer: B)Montelukast(Singulair)
Medications that are contraindicated with theophylline include
erythromycin, phenytoin sodium, and cimetidine.
▶ You note a high-pitched and blowing pansystolic murmur in a 70-year-
old male. It is Grade II/VI and is best heard at the apical area. Which of the
following is most likely?
A) Ventricular septal defect
B) Tricuspid regurgitation
C) Mitral regurgitation
D) Mitral stenosis. Answer: C) Mitral regurgitation
,Mitral regurgitation is best heard at the apical area, and manifests as a
high-pitched, blowing pansystolic murmur.
▶ The cover/uncover test is a screening tool for:
A) Color blindness
B) Strabismus
C) Visual acuity
D) Cataracts. Answer: B) Strabismus
The cover/uncover test screens for strabismus. Color blindness is
evaluated by using the Ishihara tool. Visual acuity is evaluated using the
Snellen chart. Cataracts are screened by using the ophthalmoscope and
shining a light into the eyes at an angle, approximately 15 inches away. If
the red reflex is not elicited, then cataracts are present
▶ The mother of a 4-week-old infant is concerned that her infant's eyes are
crossed for a few seconds occasionally. The nurse practitioner would:
A) Recommend referral to a pediatric ophthalmologist
B) Advise the mother that this is a normal finding in infants up to 2 months
of age
C) Recommend that multivitamin supplements be given to the infant daily
D) Educate her on how to patch the infant's eye every 4 hours. Answer: B)
Advise the mother that this is a normal finding in infants up to 2 months of
age
Infants' eyes commonly cross over at times, and this is a normal finding up
to 2 months of age.
▶ All of the following are factors important in determining the peak
expiratory flow volume except:
A) Weight
B) Height
C) Age
D) Gender. Answer: A) Weight
,Peak expiratory flow volume is determined by using height, gender, and
age.
▶ You are reviewing a Pap smear report on a 25-year-old female. Which of
the following cells should be on a Pap smear to be classified as a
satisfactory specimen?
A) Clue cells and endometrial cells
B) Vaginal cells and cervical cells
C) Squamous epithelial cells and endocervical cells
D) Leukocytes and RBCs. Answer: C) Squamous epithelial cells and
endocervical cells
Squamous epithelial cells and endocervical cells must be obtained when
performing a Pap smear to be considered satisfactory to evaluate the cells
from the endocervix.
▶ When assessing a patient suspected of having vertigo, which description
provided by the patient is most consistent with the diagnosis?
A) A sensation of imbalance while walking
B) A sensation of spinning or rotating
C) A sensation of "passing out"
D) A sensation of lightheadedness when changing positions from reclining
to standing. Answer: B) A sensation of spinning or rotating
Vertigo is defined as having a sensation of spinning or rotating
▶ A 56-year-old man complains of episodes of lancinating pain that shoots
up to his right cheek when he eats or drinks. He has stopped drinking cold
drinks because of the pain. Which of the following is most likely?
A) Trigeminal neuralgia
B) Cluster headache
C) Acute sinusitis
D) Sinus headache. Answer: A) Trigeminal neuralgia
Pain shooting up the right cheek with food or drink is seen with trigeminal
neuralgia.
, ▶ What does a KOH (potassium hydroxide) prep help the nurse practitioner
diagnose?
A) Herpes zoster infections
B) Yeast infections
C) Herpes simplex infections
D) Viral infections. Answer: B) Yeast infections
The KOH prep test is performed by placing a sample of dis- charge on a
glass slide, with one drop of potassium hydroxide and a coverslip on top to
evaluate for yeast infections. Budding spores and pseudohyphae will be
seen with Candida, with a pH of 3.5-4.5.
▶ All of the following are considered selective serotonin reuptake inhibitors
(SSRIs) except:
A) Imipramine (Elavil)
B) Fluoxetine (Prozac)
C) Sertraline (Zoloft)
D) Paroxetine (Paxil CR). Answer: A) Imipramine (Elavil)
Prozac, Zoloft, and Paxil CR are selective serotonin reuptake inhibitors.
Elavil is a tricyclic antidepressant.
▶ All of the following tests require the patient's voice to perform correctly
except:
A) Egophony
B) Tactile fremitus
C) Whispered pectoriloquy
D) Auscultation. Answer: D) Auscultation
Egophony, tactile fremitus, and whispered pectoriloquy require the patient
to speak. Auscultation is listening to an organ with the use of a
stethoscope.
▶ While checking for the red reflex on a 3-year-old boy during a well child
visit, a white reflection is seen on the child's left pupil. Which of the
following conditions should be ruled out?
QUESTIONS AND ANSWERS PDF 2026
▶ When the nurse practitioner is evaluating a patient for intermittent
claudication, he/she would first:
A) Order a venogram
B) Order T.E.D. anti-embolism stockings
C) Check the ankle and brachial blood pressure before and after exercise
D) Check the pedal and posterior tibial pulses. Answer: C) Check the ankle
and brachial blood pressure before and after excercise
Initial evaluation for intermittent claudication would include checking the
ankle and brachial blood pressure before and after exercise.
▶ All of the following drugs can interact with theophylline (Theo-24) except:
A) Erythromycin
B) Montelukast (Singulair)
C) Phenytoin sodium (Dilantin)
D) Cimetidine (Tagamet). Answer: B)Montelukast(Singulair)
Medications that are contraindicated with theophylline include
erythromycin, phenytoin sodium, and cimetidine.
▶ You note a high-pitched and blowing pansystolic murmur in a 70-year-
old male. It is Grade II/VI and is best heard at the apical area. Which of the
following is most likely?
A) Ventricular septal defect
B) Tricuspid regurgitation
C) Mitral regurgitation
D) Mitral stenosis. Answer: C) Mitral regurgitation
,Mitral regurgitation is best heard at the apical area, and manifests as a
high-pitched, blowing pansystolic murmur.
▶ The cover/uncover test is a screening tool for:
A) Color blindness
B) Strabismus
C) Visual acuity
D) Cataracts. Answer: B) Strabismus
The cover/uncover test screens for strabismus. Color blindness is
evaluated by using the Ishihara tool. Visual acuity is evaluated using the
Snellen chart. Cataracts are screened by using the ophthalmoscope and
shining a light into the eyes at an angle, approximately 15 inches away. If
the red reflex is not elicited, then cataracts are present
▶ The mother of a 4-week-old infant is concerned that her infant's eyes are
crossed for a few seconds occasionally. The nurse practitioner would:
A) Recommend referral to a pediatric ophthalmologist
B) Advise the mother that this is a normal finding in infants up to 2 months
of age
C) Recommend that multivitamin supplements be given to the infant daily
D) Educate her on how to patch the infant's eye every 4 hours. Answer: B)
Advise the mother that this is a normal finding in infants up to 2 months of
age
Infants' eyes commonly cross over at times, and this is a normal finding up
to 2 months of age.
▶ All of the following are factors important in determining the peak
expiratory flow volume except:
A) Weight
B) Height
C) Age
D) Gender. Answer: A) Weight
,Peak expiratory flow volume is determined by using height, gender, and
age.
▶ You are reviewing a Pap smear report on a 25-year-old female. Which of
the following cells should be on a Pap smear to be classified as a
satisfactory specimen?
A) Clue cells and endometrial cells
B) Vaginal cells and cervical cells
C) Squamous epithelial cells and endocervical cells
D) Leukocytes and RBCs. Answer: C) Squamous epithelial cells and
endocervical cells
Squamous epithelial cells and endocervical cells must be obtained when
performing a Pap smear to be considered satisfactory to evaluate the cells
from the endocervix.
▶ When assessing a patient suspected of having vertigo, which description
provided by the patient is most consistent with the diagnosis?
A) A sensation of imbalance while walking
B) A sensation of spinning or rotating
C) A sensation of "passing out"
D) A sensation of lightheadedness when changing positions from reclining
to standing. Answer: B) A sensation of spinning or rotating
Vertigo is defined as having a sensation of spinning or rotating
▶ A 56-year-old man complains of episodes of lancinating pain that shoots
up to his right cheek when he eats or drinks. He has stopped drinking cold
drinks because of the pain. Which of the following is most likely?
A) Trigeminal neuralgia
B) Cluster headache
C) Acute sinusitis
D) Sinus headache. Answer: A) Trigeminal neuralgia
Pain shooting up the right cheek with food or drink is seen with trigeminal
neuralgia.
, ▶ What does a KOH (potassium hydroxide) prep help the nurse practitioner
diagnose?
A) Herpes zoster infections
B) Yeast infections
C) Herpes simplex infections
D) Viral infections. Answer: B) Yeast infections
The KOH prep test is performed by placing a sample of dis- charge on a
glass slide, with one drop of potassium hydroxide and a coverslip on top to
evaluate for yeast infections. Budding spores and pseudohyphae will be
seen with Candida, with a pH of 3.5-4.5.
▶ All of the following are considered selective serotonin reuptake inhibitors
(SSRIs) except:
A) Imipramine (Elavil)
B) Fluoxetine (Prozac)
C) Sertraline (Zoloft)
D) Paroxetine (Paxil CR). Answer: A) Imipramine (Elavil)
Prozac, Zoloft, and Paxil CR are selective serotonin reuptake inhibitors.
Elavil is a tricyclic antidepressant.
▶ All of the following tests require the patient's voice to perform correctly
except:
A) Egophony
B) Tactile fremitus
C) Whispered pectoriloquy
D) Auscultation. Answer: D) Auscultation
Egophony, tactile fremitus, and whispered pectoriloquy require the patient
to speak. Auscultation is listening to an organ with the use of a
stethoscope.
▶ While checking for the red reflex on a 3-year-old boy during a well child
visit, a white reflection is seen on the child's left pupil. Which of the
following conditions should be ruled out?
