PRIMARY CARE I - FINAL EXAM
REVIEW NEWEST 2026 ACTUAL
EXAM| NURSE PRACTITIONERS IN
PRIMARY CARE I EXAM 4 REVIEW
WITH COMPLETE 100 REAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
(MOST RECENT!!)
Whichmofmfollowingmstatementsmbestmcapturesmthemimportancemofmemployingmdiagnosticmreasoni
ng?
1.mAmsystematicmapproachmtomdiagnosismcanmreducemerrorsminmallmhealthcaremenvironments
2.mDiagnosticmreasoningmforcesmprovidersmtomquicklymnarrowmtheirmdifferential
E.mEmergencymroommcaremismoftenmrushedmandmdiagnosticmreasoningmslowsmthemthinkingmprocess
4.mDiagnosticmreasoningminvolvesmusemofmamcomprehensivemROSmandmphysicalmexamm-
mCORRECTmANSWERm1.mAmsystematicmapprochmtomdiagnosismcanmreducemerrorsminmallmhealthcarem
environments
Themessentialmdifferencembetweenmamdiagnosticmframeworkmandmamdifferentialmismthat:
1.mDiagnosticmframeworksmaremsymptommbased,mdifferentialmarempatientmbased
2.mDiagnosticmframeworksmrequiremamgreatermunderstandingmofmillnessmscripts
3.mDiagnosticmframeworksmaremrankedminmordermofmlikelihood
4.mDiagnosticmframeworksmaremonlymnecessarymwhenmthempresentingmsymptomsmaremvaguem-
mCORRECTmANSWERm1.mDiagnosticmframeworksmaremsymptommbased,mdifferentialmarempatientmba
sed
Ideally,mtomruleminmamdiagnosis,mthembettermtestmwouldmbe:
,1.mThemleastmexpensivemtest
2.mThemtestmwithmthemlargestmnegativemlikelihoodmratio
3.mThemtestmwithmampositivempredictivemvaluemofm1
4.mThemtestmwithmthemlargestmpositivemlikelihoodmratiom-
mCORRECTmANSWERm4.mThemtestmwithmthemlargestmpositivemlikelihoodmratio
Ampatientmwithmpolyarticularmjointmpain,mfatigue,mmalaisemandmulnarmdeviationmofmthemmetacarpal
mjoints.mWhichmbloodmtestmismmostmspecificmformthismdisease?
1.mAnticyclicmCitrullinatedmPeptidem(Anti-CCP)
2.mRheumatoidmFactorm(RF)
3.mAntimdoublemstrengthmDNAm(Anti-DSmDNA)
4.mAntinuclearmantibodym(ANA)m-mCORRECTmANSWERm1.mAnti-CCP
Inmmostmautoimmunemdiseases,mthembestmusemofmanmESRmandmCRPmis?
1.mMonitoringmthemprogressionmofmamdiseasemandmthemeffectivenessmofmammedication
2.mAsmtheminitialmscreeningmtool
3.mRulingminmanminfectiousmprocess
4.mEstablishingmthempresencemofmanmautoimmunemdiseasem-
mCORRECTmANSWERm1.mMonitoringmthemprogressionmformdiseasemandmthemeffectivenessmofmamme
dication
Amkeymfeaturemdifferentiatingmosteoarthritismfrommrheumatoidmarthritismis:
1.mMonoarticularmvs.mpolyarticular
2.mObesitymvs.munderweight
3.mPainmaftermusemvs.mpainmaftermimmobility
4.mAcutemvs.mchronicmonsetm-mCORRECTmANSWERm3.mPainmaftermusemvs.mpainmaftermimmobility
, AmmajormdifferencembetweenmNSAIDSmandmDMARDSmismthat:
1.mNSAIDSmaremmoremeffectiveminmsmallermjoints,mDMARDSmaremmoremeffectiveminmlargermjoints
2.mDMARDSmcanmrestoremlostmfunction,mNSAIDSmcannotmrestoremlostmfunction
3.mDMARDSmprovidemmuchmmorempainmcontrol
4.mDMARDSmslowmthemprogressionmofmthemdisease,mNSAIDSmdomnotm-
mCORRECTmANSWERm4.mDMARDSmslowmthemprogressionmofmthemdisease,mNSAIDSmdomnot
Whichmprinciplemshouldmguidemdiagnosismofmanmautoimmunemdisease?
1.mAlwaysmmaintainmamsuspicionmofmautoimmunemdisease
2.mIncludedmamscreeningmCBCmwithmanympatientmwithmjointmpain
3.mAutoimmunemdiseasemcanmbemruledmoutmifmtheremaremnotmarthralgiasm(jointmpain)
4.mRefermanymjointmpainmtomorthomormrheumatologym-
mCORRECTmANSWERm1.mAlwaysmmaintainmamsuspicionmofmautoimmunemdisease
AmyoungmchildmismdiagnosedmwithmCF.mThemparentsmaremconcernedmthatmanymothermchildrenmtheym
havemwillmalsombembornmwithmCF.mThempractitionermexplainsmthatmCFmismanmautosomalmrecessivemin
heritedmdiseasemandmthatmanymfuturemchildren:
1.mIsmmuchmmoremlikelymtomhavemthismconditionmifmtheymaremmale
2.mWillmhavemam25%mchancemofminheritingmthemdisease
3.mIsmverymunlikelymtomhavemthismconditionmbecausemitmismextremelymrare
4.mWillmhavemam50%mchancemofminheritancem-
mCORRECTmANSWERm2.mWillmhavemam25%mchancemofminheritingmthemdisease
Ammajormconcernmwhenmampatientmismtakingmambiologicalmdiseasemmodifyingmantimrheumaticmdrugm
is:
1.mImmunosuppression
2.mThrombocytopenia
3.mToxicmdermatologicalmreactions
REVIEW NEWEST 2026 ACTUAL
EXAM| NURSE PRACTITIONERS IN
PRIMARY CARE I EXAM 4 REVIEW
WITH COMPLETE 100 REAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
(MOST RECENT!!)
Whichmofmfollowingmstatementsmbestmcapturesmthemimportancemofmemployingmdiagnosticmreasoni
ng?
1.mAmsystematicmapproachmtomdiagnosismcanmreducemerrorsminmallmhealthcaremenvironments
2.mDiagnosticmreasoningmforcesmprovidersmtomquicklymnarrowmtheirmdifferential
E.mEmergencymroommcaremismoftenmrushedmandmdiagnosticmreasoningmslowsmthemthinkingmprocess
4.mDiagnosticmreasoningminvolvesmusemofmamcomprehensivemROSmandmphysicalmexamm-
mCORRECTmANSWERm1.mAmsystematicmapprochmtomdiagnosismcanmreducemerrorsminmallmhealthcarem
environments
Themessentialmdifferencembetweenmamdiagnosticmframeworkmandmamdifferentialmismthat:
1.mDiagnosticmframeworksmaremsymptommbased,mdifferentialmarempatientmbased
2.mDiagnosticmframeworksmrequiremamgreatermunderstandingmofmillnessmscripts
3.mDiagnosticmframeworksmaremrankedminmordermofmlikelihood
4.mDiagnosticmframeworksmaremonlymnecessarymwhenmthempresentingmsymptomsmaremvaguem-
mCORRECTmANSWERm1.mDiagnosticmframeworksmaremsymptommbased,mdifferentialmarempatientmba
sed
Ideally,mtomruleminmamdiagnosis,mthembettermtestmwouldmbe:
,1.mThemleastmexpensivemtest
2.mThemtestmwithmthemlargestmnegativemlikelihoodmratio
3.mThemtestmwithmampositivempredictivemvaluemofm1
4.mThemtestmwithmthemlargestmpositivemlikelihoodmratiom-
mCORRECTmANSWERm4.mThemtestmwithmthemlargestmpositivemlikelihoodmratio
Ampatientmwithmpolyarticularmjointmpain,mfatigue,mmalaisemandmulnarmdeviationmofmthemmetacarpal
mjoints.mWhichmbloodmtestmismmostmspecificmformthismdisease?
1.mAnticyclicmCitrullinatedmPeptidem(Anti-CCP)
2.mRheumatoidmFactorm(RF)
3.mAntimdoublemstrengthmDNAm(Anti-DSmDNA)
4.mAntinuclearmantibodym(ANA)m-mCORRECTmANSWERm1.mAnti-CCP
Inmmostmautoimmunemdiseases,mthembestmusemofmanmESRmandmCRPmis?
1.mMonitoringmthemprogressionmofmamdiseasemandmthemeffectivenessmofmammedication
2.mAsmtheminitialmscreeningmtool
3.mRulingminmanminfectiousmprocess
4.mEstablishingmthempresencemofmanmautoimmunemdiseasem-
mCORRECTmANSWERm1.mMonitoringmthemprogressionmformdiseasemandmthemeffectivenessmofmamme
dication
Amkeymfeaturemdifferentiatingmosteoarthritismfrommrheumatoidmarthritismis:
1.mMonoarticularmvs.mpolyarticular
2.mObesitymvs.munderweight
3.mPainmaftermusemvs.mpainmaftermimmobility
4.mAcutemvs.mchronicmonsetm-mCORRECTmANSWERm3.mPainmaftermusemvs.mpainmaftermimmobility
, AmmajormdifferencembetweenmNSAIDSmandmDMARDSmismthat:
1.mNSAIDSmaremmoremeffectiveminmsmallermjoints,mDMARDSmaremmoremeffectiveminmlargermjoints
2.mDMARDSmcanmrestoremlostmfunction,mNSAIDSmcannotmrestoremlostmfunction
3.mDMARDSmprovidemmuchmmorempainmcontrol
4.mDMARDSmslowmthemprogressionmofmthemdisease,mNSAIDSmdomnotm-
mCORRECTmANSWERm4.mDMARDSmslowmthemprogressionmofmthemdisease,mNSAIDSmdomnot
Whichmprinciplemshouldmguidemdiagnosismofmanmautoimmunemdisease?
1.mAlwaysmmaintainmamsuspicionmofmautoimmunemdisease
2.mIncludedmamscreeningmCBCmwithmanympatientmwithmjointmpain
3.mAutoimmunemdiseasemcanmbemruledmoutmifmtheremaremnotmarthralgiasm(jointmpain)
4.mRefermanymjointmpainmtomorthomormrheumatologym-
mCORRECTmANSWERm1.mAlwaysmmaintainmamsuspicionmofmautoimmunemdisease
AmyoungmchildmismdiagnosedmwithmCF.mThemparentsmaremconcernedmthatmanymothermchildrenmtheym
havemwillmalsombembornmwithmCF.mThempractitionermexplainsmthatmCFmismanmautosomalmrecessivemin
heritedmdiseasemandmthatmanymfuturemchildren:
1.mIsmmuchmmoremlikelymtomhavemthismconditionmifmtheymaremmale
2.mWillmhavemam25%mchancemofminheritingmthemdisease
3.mIsmverymunlikelymtomhavemthismconditionmbecausemitmismextremelymrare
4.mWillmhavemam50%mchancemofminheritancem-
mCORRECTmANSWERm2.mWillmhavemam25%mchancemofminheritingmthemdisease
Ammajormconcernmwhenmampatientmismtakingmambiologicalmdiseasemmodifyingmantimrheumaticmdrugm
is:
1.mImmunosuppression
2.mThrombocytopenia
3.mToxicmdermatologicalmreactions
