NRNP 6565 COMPREHENSIVE WEEK 4
COMPLETE 110+EXAM QUESTIONS WITH
100% CORRECT ANSWERS
Question 1
Question: Mike is a 22 y/o male with 5-day cough (no sputum), worse in
the morning, hoarseness, postnasal drip, low-grade fever. Otherwise
healthy. Treatment includes all EXCEPT:
A) Rest
B) Mucolytics
C) Antibiotics
D) Increased fluid intake
Correct Answer: C) Antibiotics
Rationale: This is likely acute bronchitis, usually viral. Antibiotics are not
indicated unless bacterial infection is confirmed. Supportive care
includes rest, hydration, and mucolytics.
Question 2
Question: Martin (41 y/o) has fever, chills, malaise, new murmur
(prosthetic valve), splinter hemorrhages, petechiae on palate. Presumed
diagnosis?
A) Congestive heart failure
,B) Infective endocarditis
C) Dissecting AAA
D) None of the above
Correct Answer: B) Infective endocarditis
Rationale: Prosthetic valve + new murmur + peripheral signs (splinter
hemorrhages, petechiae) strongly suggests endocarditis.
Question 3
Question: According to USPSTF, cervical cancer screening should NOT
begin before what age?
A) 30 y/o or younger
B) 35 y/o or younger
C) 20 y/o or younger
D) 40 y/o or younger
Correct Answer: C) 20 y/o or younger
Rationale: USPSTF recommends starting at age 21, so screening is not
recommended before age 20 or younger.
Question 4
Question: Diagnostic studies for Type 2 DM include?
A) HbA1C >6.5%
B) FPG ≥126 mg/dL
C) Random glucose >200 mg/dL
D) All of the above
,Correct Answer: D) All of the above
Rationale: All three criteria are valid for diagnosing diabetes per ADA
guidelines.
Question 5
Question: Joan (39 y/o) with fever, chills, n/v, flank pain, CVA
tenderness, leukocytes, hematuria, WBC casts, proteinuria.
Pharmacological treatment?
A) Fluoroquinolone
B) Ceftriaxone
C) Ciprofloxacin
D) All of the above
E) A & C only
Correct Answer: D) All of the above
Rationale: This is acute pyelonephritis. All options are appropriate
antibiotics (fluoroquinolones like ciprofloxacin, or ceftriaxone).
Question 6
Question: Mike (22 y/o, cough, postnasal drip, low fever) – differentials
include?
A) Pneumonia
B) Sinusitis
C) COPD
D) All of the above
E) A & B only
, Correct Answer: E) A & B only
Rationale: Pneumonia and sinusitis are possible; COPD is unlikely in a
young healthy patient.
Question 7
Question: Typical ratio of basal to bolus insulin?
A) 70:30 or 55:45
B) 50:50 or 60:40
C) 40:60 to 45:55
D) None of the above
Correct Answer: B) 50:50 or 60:40
Rationale: Common physiologic replacement is ~50% basal, 50% bolus,
sometimes 60/40.
Question 8
Question: Jay (72 y/o) with fatigue, dyspnea on exertion, ankle swelling,
weight gain. Most likely diagnosis?
A) AMI
B) Infective endocarditis
C) Congestive heart failure
D) Dissecting AAA
Correct Answer: C) Congestive heart failure
Rationale: Peripheral edema, dyspnea, fatigue, weight gain (fluid
retention) are classic for CHF.
COMPLETE 110+EXAM QUESTIONS WITH
100% CORRECT ANSWERS
Question 1
Question: Mike is a 22 y/o male with 5-day cough (no sputum), worse in
the morning, hoarseness, postnasal drip, low-grade fever. Otherwise
healthy. Treatment includes all EXCEPT:
A) Rest
B) Mucolytics
C) Antibiotics
D) Increased fluid intake
Correct Answer: C) Antibiotics
Rationale: This is likely acute bronchitis, usually viral. Antibiotics are not
indicated unless bacterial infection is confirmed. Supportive care
includes rest, hydration, and mucolytics.
Question 2
Question: Martin (41 y/o) has fever, chills, malaise, new murmur
(prosthetic valve), splinter hemorrhages, petechiae on palate. Presumed
diagnosis?
A) Congestive heart failure
,B) Infective endocarditis
C) Dissecting AAA
D) None of the above
Correct Answer: B) Infective endocarditis
Rationale: Prosthetic valve + new murmur + peripheral signs (splinter
hemorrhages, petechiae) strongly suggests endocarditis.
Question 3
Question: According to USPSTF, cervical cancer screening should NOT
begin before what age?
A) 30 y/o or younger
B) 35 y/o or younger
C) 20 y/o or younger
D) 40 y/o or younger
Correct Answer: C) 20 y/o or younger
Rationale: USPSTF recommends starting at age 21, so screening is not
recommended before age 20 or younger.
Question 4
Question: Diagnostic studies for Type 2 DM include?
A) HbA1C >6.5%
B) FPG ≥126 mg/dL
C) Random glucose >200 mg/dL
D) All of the above
,Correct Answer: D) All of the above
Rationale: All three criteria are valid for diagnosing diabetes per ADA
guidelines.
Question 5
Question: Joan (39 y/o) with fever, chills, n/v, flank pain, CVA
tenderness, leukocytes, hematuria, WBC casts, proteinuria.
Pharmacological treatment?
A) Fluoroquinolone
B) Ceftriaxone
C) Ciprofloxacin
D) All of the above
E) A & C only
Correct Answer: D) All of the above
Rationale: This is acute pyelonephritis. All options are appropriate
antibiotics (fluoroquinolones like ciprofloxacin, or ceftriaxone).
Question 6
Question: Mike (22 y/o, cough, postnasal drip, low fever) – differentials
include?
A) Pneumonia
B) Sinusitis
C) COPD
D) All of the above
E) A & B only
, Correct Answer: E) A & B only
Rationale: Pneumonia and sinusitis are possible; COPD is unlikely in a
young healthy patient.
Question 7
Question: Typical ratio of basal to bolus insulin?
A) 70:30 or 55:45
B) 50:50 or 60:40
C) 40:60 to 45:55
D) None of the above
Correct Answer: B) 50:50 or 60:40
Rationale: Common physiologic replacement is ~50% basal, 50% bolus,
sometimes 60/40.
Question 8
Question: Jay (72 y/o) with fatigue, dyspnea on exertion, ankle swelling,
weight gain. Most likely diagnosis?
A) AMI
B) Infective endocarditis
C) Congestive heart failure
D) Dissecting AAA
Correct Answer: C) Congestive heart failure
Rationale: Peripheral edema, dyspnea, fatigue, weight gain (fluid
retention) are classic for CHF.
