CMN 568 (USA) Advanced Nursing Practice – 100 Multiple
Choice Questions with Answers and Rationales Practice
Exam
1. A patient presents with chest pain radiating to the left arm. What is the priority action?
A. Give antacids
B. Order chest X-ray
C. Obtain ECG immediately
D. Assess pain level
Answer: C
Rationale: Suspected acute coronary syndrome requires immediate ECG to identify ischemia
or infarction.
2. First-line treatment for uncomplicated hypertension in adults is:
A. ACE inhibitors
B. Beta blockers
C. Diuretics
D. Calcium supplements
Answer: C
Rationale: Thiazide diuretics are often first-line unless contraindicated.
3. A patient with diabetes has HbA1c of 9%. This indicates:
A. Good control
B. Moderate control
C. Poor control
D. Normal finding
Answer: C
Rationale: HbA1c >7% indicates poor glycemic control.
4. The most common cause of community-acquired pneumonia is:
A. E. Coli
B. Streptococcus pneumoniae
,C. Staphylococcus aureus
D. Pseudomonas
Answer: B
Rationale: S. Pneumoniae is the leading cause in adults.
5. Which lab is most specific for myocardial injury?
A. CK-MB
B. Troponin I
C. Myoglobin
D. LDH
Answer: B
Rationale: Troponin I is highly specific and sensitive for cardiac muscle damage.
6. A key symptom of left-sided heart failure is:
A. Ascites
B. Peripheral edema
C. Pulmonary crackles
D. Hepatomegaly
Answer: C
Rationale: Left-sided failure causes pulmonary congestion.
7. Which medication is contraindicated in pregnancy?
A. Amoxicillin
B. Lisinopril
C. Acetaminophen
D. Penicillin
Answer: B
Rationale: ACE inhibitors are teratogenic.
8. The most common symptom of urinary tract infection is:
A. Hematuria without pain
B. Dysuria
, C. Weight loss
D. Hypertension
Answer: B
Rationale: Burning urination is classic for UTI.
9. Normal adult respiratory rate is:
A. 6–10
B. 12–20
C. 20–30
D. 30–40
Answer: B
10. Which condition requires airborne precautions?
A. Influenza
B. Tuberculosis
C. Hepatitis B
D. MRSA
Answer: B
Rationale: TB spreads via airborne droplets.
11. Most appropriate test for diagnosing diabetes:
A. Random glucose only
B. HbA1c
C. Urine dipstick
D. CBC
Answer: B
12. A sign of hypoglycemia is:
A. Dry skin
B. Sweating and confusion
C. Slow pulse
D. High blood pressure
Choice Questions with Answers and Rationales Practice
Exam
1. A patient presents with chest pain radiating to the left arm. What is the priority action?
A. Give antacids
B. Order chest X-ray
C. Obtain ECG immediately
D. Assess pain level
Answer: C
Rationale: Suspected acute coronary syndrome requires immediate ECG to identify ischemia
or infarction.
2. First-line treatment for uncomplicated hypertension in adults is:
A. ACE inhibitors
B. Beta blockers
C. Diuretics
D. Calcium supplements
Answer: C
Rationale: Thiazide diuretics are often first-line unless contraindicated.
3. A patient with diabetes has HbA1c of 9%. This indicates:
A. Good control
B. Moderate control
C. Poor control
D. Normal finding
Answer: C
Rationale: HbA1c >7% indicates poor glycemic control.
4. The most common cause of community-acquired pneumonia is:
A. E. Coli
B. Streptococcus pneumoniae
,C. Staphylococcus aureus
D. Pseudomonas
Answer: B
Rationale: S. Pneumoniae is the leading cause in adults.
5. Which lab is most specific for myocardial injury?
A. CK-MB
B. Troponin I
C. Myoglobin
D. LDH
Answer: B
Rationale: Troponin I is highly specific and sensitive for cardiac muscle damage.
6. A key symptom of left-sided heart failure is:
A. Ascites
B. Peripheral edema
C. Pulmonary crackles
D. Hepatomegaly
Answer: C
Rationale: Left-sided failure causes pulmonary congestion.
7. Which medication is contraindicated in pregnancy?
A. Amoxicillin
B. Lisinopril
C. Acetaminophen
D. Penicillin
Answer: B
Rationale: ACE inhibitors are teratogenic.
8. The most common symptom of urinary tract infection is:
A. Hematuria without pain
B. Dysuria
, C. Weight loss
D. Hypertension
Answer: B
Rationale: Burning urination is classic for UTI.
9. Normal adult respiratory rate is:
A. 6–10
B. 12–20
C. 20–30
D. 30–40
Answer: B
10. Which condition requires airborne precautions?
A. Influenza
B. Tuberculosis
C. Hepatitis B
D. MRSA
Answer: B
Rationale: TB spreads via airborne droplets.
11. Most appropriate test for diagnosing diabetes:
A. Random glucose only
B. HbA1c
C. Urine dipstick
D. CBC
Answer: B
12. A sign of hypoglycemia is:
A. Dry skin
B. Sweating and confusion
C. Slow pulse
D. High blood pressure
