EXAM 4 PRACTICE NEWEST 2026 ACTUAL EXAM| NURSE PRACTITIONERS IN PRIMARY CARE I EXAM 4 REVIEW WITH COMPLETE 300 REAL EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)

EXAM 4 PRACTICE NEWEST 2026
ACTUAL EXAM| NURSE
PRACTITIONERS IN PRIMARY CARE I
EXAM 4 REVIEW WITH COMPLETE
300 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST
RECENT!!)
Ampatientmismablemtomflexmhismrightmarmmforwardmwithoutmdifficultymormpainmbutmismunablemtomabd
uctmhismarmmbecausemofmpainmandmmusclemspasms;mthemnursemshouldmsuspect:



1.crepitation

2.rotatormcuffmlesions

3.dislocatedmshoulder

4.rheumatoidmarthritism-mCORRECTmANSWERm2.rotatormcuffmlesions



Anm85-year-
oldmpatientmcommentsmduringmhismannualmphysicalmthatmhemseemsmtombemgettingmshortermasmhema
ges.mThemnursemshouldmexplainmthatmdecreasedmheightmoccursmwithmagingmbecause:



1.longmbonesmtendmtomshortenmwithmage

2.ofmthemshorteningmofmthemvertebralmcolumn

3.theremismamsignificantmlossmofmsubcutaneousmfat.

4.theremismamthickeningmofmthemintervertebralmdisksm-
mCORRECTmANSWERm2.ofmthemshorteningmofmthemvertebralmcolumn

,Whenmreviewingmthemmusculoskeletalmsystem,mthemnursemrecallsmthatmhematopoiesismtakesmplac
eminmthe:



1.liver

2.spleen

3.kidneys

4.bonemmarrowm-mCORRECTmANSWERm4.bonemmarrow



AmnursemsuspectsmthatmampatientmhasmcarpalmtunnelmsyndromemandmwantsmtomperformmthemPhale
n'smtest.mTomperformmthismtest,mthemnursemshouldminstructmthempatientmto:



1.dorsiflexmthemfoot

2.plantarflexmthemfoot

3.holdmbothmhandsmbackmtombackmwhilemflexingmthemwristsm90mdegreesmform60mseconds.

4.hyperextendmthemwristsmwithmthempalmarmsurfacemofmbothmhandsmtouchingmandmwaitmform60mse
condsm-
mCORRECTmANSWERm3.holdmbothmhandsmbackmtombackmwhilemflexingmthemwristsm90mdegreesmform6


0mseconds.



Ampatientmismbeingmassessedmformrangemofmjointmmovement.mThemnursemasksmhimmtommovemhismar
mminmtowardmthemcentermofmhismbody.mThismmovementmismcalled:



1.flexion

2.extension

3.adduction

4.abductionm-mCORRECTmANSWERm3.adduction

,Amteenagemgirlmhasmarrivedmcomplainingmofmpainminmhermleftmwrist.mShemwasmplayingmbasketballmw
henmshemfellmandmlandedmonmhermleftmhand.mThemnursemexaminesmhermhandmandmwouldmexpectmam
fracturemifmthemgirlmcomplains:



1.ofmamdullmachemthatmstartedmshortlymaftermtheminjury

2.thatmthempainminmhermwristmismdeep

3.ofmsharpmpainmthatmincreasesmwithmmovement

4.ofmdullmthrobbingmpainmthatmincreasesmwithmrestm-
mCORRECTmANSWERm3.ofmsharpmpainmthatmincreasesmwithmmovement




Themnursemismexplainingmtomampatientmthatmtheremarem"shockmabsorbers"minmhismbackmtomcushionmt
hemspinemandmtomhelpmitmmove.mThemnursemismreferringmtomthe



1.vertebralmcolumn

2.nucleusmpulposus

3.vertebralmforamen

4.intervertebralmdisksm-mCORRECTmANSWERm4.intervertebralmdisks



Themnursemismexaminingmthemhipmareamofmampatientmandmpalpatesmamflatmdepressionmonmthemupper
,mlateralmsidemofmthemthighmwhenmthempatientmismstanding.mThemnurseminterpretsmthismfindingmasmt
he:



1.ischialmtuberosity

2.greatermtrochanter

3.iliacmcrest

4.gluteusmmaximusmmusclem-mCORRECTmANSWERm2.greatermtrochanter

, Ampatientmismcomplainingmofmamsharpmpainmalongmthemcostovertebralmangles.mThemnursemknowsmth
atmthismsymptommismmostmoftenmindicativemof:



1.ovaryminfection.

2.livermenlargement.

3.kidneyminflammation.

4.spleenmenlargementm-mCORRECTmANSWERm3.kidneyminflammation.



Themnursemsuspectsmthatmampatientmhasmamdistendedmbladder.mHowmshouldmthemnursemassessmform
thismcondition?



1.Percussmandmpalpateminmthemlumbarmregion.

2.Inspectmandmpalpateminmthemepigastricmregion.

3.Auscultatemandmpercussminmtheminguinalmregion.

4.Percussmandmpalpatemthemmidlinemareamabovemthemsuprapubicmbonem-
mCORRECTmANSWERm4.Percussmandmpalpatemthemmidlinemareamabovemthemsuprapubicmbone




Ampatient'smabdomenmismbulgingmandmstretchedminmappearance.mThemnursemshouldmdescribemthism
findingmas:



1.obese

2.herniated

3.scaphoid

4.protruberantm-mCORRECTmANSWERm4.protruberant



Whichmismthempropermsequencemofmexaminationmformthemabdomen?