SECURITY TRAINING ACTUAL EXAM
PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ cluster headache.
Answer: pain around eye/cheek, usually unilateralmay awaken from
sleepcyclical nature of attackstypically in males age 20-40hx smokingmore
common in spring or fallcan last 20 min - 2hoursseveral attacks / day for
weeks with HA free intervalslacrimation, rhinorrhea, facial flushing, Horner
syndromeno aura
◍ The palliative care NP is providing care to a patient with end-stage COPD;
she reports air hunger, seems anxious, and is using accessory muscles to
breathe. The oxygen saturation level is 94%, the respiratory rate is 26, and
the heart rate is 112. The NP has already maximized the use of inhaled
bronchodilators and corticosteroid medication. The NP now should:Initiate
oxygen therapy via face mask.Add oral theophylline.Begin oral pharyngeal
suctioning.Provide an opioid around the clock to achieve a steady state of
relief..
Answer: Provide an opioid around the clock to achieve a steady state of
relief.
◍ Alzheimers.
Answer: Gradual onset, no plateusMost affected: recall of recent eventsRisk
factor: CV diseaseDepression and apathySleep disturbancesmost common
type of dementiatx: cholinesterase inhibitors for mild to moderate
(donepezil, galantamine, rivastigmine); AE: GI effectsmemantadine for
moderate to severeadd 2,000 IU vit E to cholinesterase inhibitorsexercise,
cognitive stimulation
◍ Strategies for promoting health literacy in clinical practice should
, include:Keep the visit to only 30 minutes to avoid overloading the
patient.Utilize visual aids and/or other education devices when
possible.Provide written materials at the 9th-grade level.Patient participation
should be kept to a minimum..
Answer: Utilize visual aids and/or other education devices when possible.
◍ Which of the following true regarding Texas Administrative Code Rule
228.1, Standards of Practice in Pain Management?The goal of pain
management is to therapeutically treat the patient's pain in relation to overall
health, including physical function, psychological, social, and work-related
factors.Proper treatment of pain must be based on patient's preference of
pain medication.Medications must be prescribed in a manner that helps
increase office revenue. It is not important if the medication is not
recognized to be pharmacologically appropriate.Once pain medication has
been prescribed, follow-up between patient and provider is not necessary..
Answer: The goal of pain management is to therapeutically treat the patient's
pain in relation to overall health, including physical function, psychological,
social, and work-related factors.
◍ Chronic pain often coexists with:Opioid-induced constipation
(OIC)Changes in GnRH from the hypothalamusDepression and
anxietyNumbness and tingling down bilateral lower extremities.
Answer: Depression and anxiety
◍ Delirium.
Answer: Recent hospitalization or acute illnessInattentionFluctuating
behaviorsAltered LOCAltered wake/sleep
cycleHallucinationsDelusionsDiagnostic criteria: disturbance in attention
and awareness, develops over hours/days, fluctuates, varies from baseline,
additional disturbances (memory, disorientation, language, visuospatial
ability, perception), cannot be explained by another neurocog disorder,
patient is not in a low level of consciousness, usually due to physiological
response to a medical condition, medication, withdrawal, intoxication
◍ Frontotemporal dementia.
, Answer: AKA Pick's diseaseSocially inacceptable behaviorLoss of
empathyChange in dress, eating habits, religious/political beliefsProgressive
aphasiaImpulsions
◍ HIV.
Answer: hyperreflexiaApathypoor attention and concentrationslow limb
movements
◍ The written agreement for pain management during treatment of chronic
pain with a controlled substance beyond 90 days requires the patient
to:Submit to urine or blood testing for confirmation the controlled substance
is found.Use only medication provided by a pain management specialist
after referral from a primary care provider.Use only two pharmacies for
controlled substances related to pain management.Stop all pain medication
abruptly once pain is controlled..
Answer: Submit to urine or blood testing for confirmation the controlled
substance is found.
◍ Hypoperfusion from heart failure.
Answer: syncope
◍ What is the most common source of pain and disability in modern
society?LumbagoLeft rotator cuff tearChronic neck painNeuropathyNext.
Answer: Lumbago
◍ intracranial tumor.
Answer: seizureneuro defects
◍ Which is considered an interventional treatment option for low back
pain?Chiropractic manipulationAcupunctureLumbar epidural steroid
injectionsShort term course of a controlled substance.
Answer: Lumbar epidural steroid injections
◍ "_______" is considered first-line therapy for patients with chronic
neuropathic pain..
Answer: Gabapentin
, ◍ A patient with chronic pain is inquiring about more natural therapies to
augment his pain management plan. Which of the following may be
effective in managing pain for patients with chronic pain?" Select all that
apply.Physical therapyCognitive behavioral therapyHigh dose vitamin
CMassageCryotherapyManual therapy.
Answer: Physical therapyCognitive behavioral therapyMassageManual
therapy
◍ Palliative care provides relief from symptoms, pain, and stress of serious
illness. It is a team approach to a serious problem. Both providers and
patients do not recognize those patients who may benefit from palliative
care. At what point during the course of disease should a NP consider
hospice care for a patient?When the patient has progression of disease,
including functional declineWhen the patient has pain and/or other
symptoms not responding to optimal medical treatmentWhen the patient has
a need for advanced care planning including designation of a surrogate
decision-makerWhen a patient has a life expectancy of less than 6 months.
Answer: When a patient has a life expectancy of less than 6 months
◍ Match the facts about dementia or delirium to the correct diagnosis:Slow,
progressive condition, Level of consciousness is not disturbed, There is no
cure for this disease.
Answer: Dementia
◍ Medication AE.
Answer: anticholinergicsBenzosopioidsmuscle relaxants
◍ Match the facts about dementia or delirium to the correct diagnosis:Sudden
onset of symptoms, Goal of management is to treat underlying etiology,
Common etiologies include infection, medications, stroke, and alcohol
withdrawal..
Answer: Delirium
◍ Which of the following best describes a patient's presentation during an
absence (petit mal) seizure?Blank staring lasting 3-50 seconds, accompanied
by impaired level of consciousnessBlank staring lasting 1-2 minutes,
PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ cluster headache.
Answer: pain around eye/cheek, usually unilateralmay awaken from
sleepcyclical nature of attackstypically in males age 20-40hx smokingmore
common in spring or fallcan last 20 min - 2hoursseveral attacks / day for
weeks with HA free intervalslacrimation, rhinorrhea, facial flushing, Horner
syndromeno aura
◍ The palliative care NP is providing care to a patient with end-stage COPD;
she reports air hunger, seems anxious, and is using accessory muscles to
breathe. The oxygen saturation level is 94%, the respiratory rate is 26, and
the heart rate is 112. The NP has already maximized the use of inhaled
bronchodilators and corticosteroid medication. The NP now should:Initiate
oxygen therapy via face mask.Add oral theophylline.Begin oral pharyngeal
suctioning.Provide an opioid around the clock to achieve a steady state of
relief..
Answer: Provide an opioid around the clock to achieve a steady state of
relief.
◍ Alzheimers.
Answer: Gradual onset, no plateusMost affected: recall of recent eventsRisk
factor: CV diseaseDepression and apathySleep disturbancesmost common
type of dementiatx: cholinesterase inhibitors for mild to moderate
(donepezil, galantamine, rivastigmine); AE: GI effectsmemantadine for
moderate to severeadd 2,000 IU vit E to cholinesterase inhibitorsexercise,
cognitive stimulation
◍ Strategies for promoting health literacy in clinical practice should
, include:Keep the visit to only 30 minutes to avoid overloading the
patient.Utilize visual aids and/or other education devices when
possible.Provide written materials at the 9th-grade level.Patient participation
should be kept to a minimum..
Answer: Utilize visual aids and/or other education devices when possible.
◍ Which of the following true regarding Texas Administrative Code Rule
228.1, Standards of Practice in Pain Management?The goal of pain
management is to therapeutically treat the patient's pain in relation to overall
health, including physical function, psychological, social, and work-related
factors.Proper treatment of pain must be based on patient's preference of
pain medication.Medications must be prescribed in a manner that helps
increase office revenue. It is not important if the medication is not
recognized to be pharmacologically appropriate.Once pain medication has
been prescribed, follow-up between patient and provider is not necessary..
Answer: The goal of pain management is to therapeutically treat the patient's
pain in relation to overall health, including physical function, psychological,
social, and work-related factors.
◍ Chronic pain often coexists with:Opioid-induced constipation
(OIC)Changes in GnRH from the hypothalamusDepression and
anxietyNumbness and tingling down bilateral lower extremities.
Answer: Depression and anxiety
◍ Delirium.
Answer: Recent hospitalization or acute illnessInattentionFluctuating
behaviorsAltered LOCAltered wake/sleep
cycleHallucinationsDelusionsDiagnostic criteria: disturbance in attention
and awareness, develops over hours/days, fluctuates, varies from baseline,
additional disturbances (memory, disorientation, language, visuospatial
ability, perception), cannot be explained by another neurocog disorder,
patient is not in a low level of consciousness, usually due to physiological
response to a medical condition, medication, withdrawal, intoxication
◍ Frontotemporal dementia.
, Answer: AKA Pick's diseaseSocially inacceptable behaviorLoss of
empathyChange in dress, eating habits, religious/political beliefsProgressive
aphasiaImpulsions
◍ HIV.
Answer: hyperreflexiaApathypoor attention and concentrationslow limb
movements
◍ The written agreement for pain management during treatment of chronic
pain with a controlled substance beyond 90 days requires the patient
to:Submit to urine or blood testing for confirmation the controlled substance
is found.Use only medication provided by a pain management specialist
after referral from a primary care provider.Use only two pharmacies for
controlled substances related to pain management.Stop all pain medication
abruptly once pain is controlled..
Answer: Submit to urine or blood testing for confirmation the controlled
substance is found.
◍ Hypoperfusion from heart failure.
Answer: syncope
◍ What is the most common source of pain and disability in modern
society?LumbagoLeft rotator cuff tearChronic neck painNeuropathyNext.
Answer: Lumbago
◍ intracranial tumor.
Answer: seizureneuro defects
◍ Which is considered an interventional treatment option for low back
pain?Chiropractic manipulationAcupunctureLumbar epidural steroid
injectionsShort term course of a controlled substance.
Answer: Lumbar epidural steroid injections
◍ "_______" is considered first-line therapy for patients with chronic
neuropathic pain..
Answer: Gabapentin
, ◍ A patient with chronic pain is inquiring about more natural therapies to
augment his pain management plan. Which of the following may be
effective in managing pain for patients with chronic pain?" Select all that
apply.Physical therapyCognitive behavioral therapyHigh dose vitamin
CMassageCryotherapyManual therapy.
Answer: Physical therapyCognitive behavioral therapyMassageManual
therapy
◍ Palliative care provides relief from symptoms, pain, and stress of serious
illness. It is a team approach to a serious problem. Both providers and
patients do not recognize those patients who may benefit from palliative
care. At what point during the course of disease should a NP consider
hospice care for a patient?When the patient has progression of disease,
including functional declineWhen the patient has pain and/or other
symptoms not responding to optimal medical treatmentWhen the patient has
a need for advanced care planning including designation of a surrogate
decision-makerWhen a patient has a life expectancy of less than 6 months.
Answer: When a patient has a life expectancy of less than 6 months
◍ Match the facts about dementia or delirium to the correct diagnosis:Slow,
progressive condition, Level of consciousness is not disturbed, There is no
cure for this disease.
Answer: Dementia
◍ Medication AE.
Answer: anticholinergicsBenzosopioidsmuscle relaxants
◍ Match the facts about dementia or delirium to the correct diagnosis:Sudden
onset of symptoms, Goal of management is to treat underlying etiology,
Common etiologies include infection, medications, stroke, and alcohol
withdrawal..
Answer: Delirium
◍ Which of the following best describes a patient's presentation during an
absence (petit mal) seizure?Blank staring lasting 3-50 seconds, accompanied
by impaired level of consciousnessBlank staring lasting 1-2 minutes,
