NSG 6020 3P
2019
PROCTORED
EXAM
,Questions 1
When performing a visual acuity test, the nurse practitioner notes 20/30 in the left
eye and 20/60 in the right eye. The next step is to
A- Have the patient return in 2 weeks for a follow-up vision screen
B- Dilate the eyes and retest
C- Refer the patient to an ophthalmologist
D- Document this as a normal finding.
Question 2
The American Psychiatric Association’s Diagnostic and Statistical Manual
Disorder fifth edition (DMS-5) describes Munchausen Syndrome by proxy as
A- A self-inflicted injury to gain attention
B- A caregiver making up or causing an illness or injury in a person under
his or her care
C- An abusive behavior that does not involve the caregiver
D- A situation in which the abuser is often inattentive and uncaring toward the
victim
Question 3
Symptoms of depression are a side effect of which neurotransmitter medication?
[There are 3 categories of neurotransmitters in the brain: small molecules for fast
action/excitatory transmission = glutamate & GABA; small molecules for slower
modulation of activity = dopamine & serotonin; Peptides = endorphins,
cannabindoids, oxytocin)
A- Dopamine
B- B- Gabapentin
C- C- Mu
D- Cortisol
Question 4
The right lymphatic ducts drain into what part of the circulatory system? (There
are two lymph ducts, the right lymphatic duct and the thoracic duct. The right
drains lymph from the right upper limb, the right side of thorax, and the right
halves of head and neck. The thoracic duct drains lymph into the circulatory
system between the left subclavian and the left internal jugular veins)
A- Arterial
B- Venous
C- Arteriovenous system
D- Capillary bed
, Question 5
Which lesion is dark, raised and asymmetric with irregular borders?
A- Nevus (the medical term for a mole. Nevi are very common. Most people have
between 10 and 40. Common nevi are harmless collections of colored cells. They
typically appear as small brown, tan, or pink spots)
B- Actinic (a rough, scaly patch on your skin that develops from years of
exposure to the sun. It's most commonly found on your face, lips, ears, back of
your hands, forearms, scalp or neck)
C- Keratoacanthoma (a dome-shaped lump or tumor that grows on your skin)
D- Melanoma (the most serious type of skin cancer, develops in the cells
(melanocytes) that produce melanin — the pigment that gives your skin its
color. Melanoma is asymmetric, irregular border, change in color, change in
diameter, and evolved over time [ABCDE])
Question 6
A pediatric patient has areas of scaling on the scalp, with round patches of
alopecia. This clinical finding is consistent with
A- Tinea capitis (Ringworm of the scalp is not really a worm, but a fungal
infection. It gets the name ringworm because the fungus makes circular
marks on the skin, often with flat centers and raised borders. Also called
Tinea capitis, this infection affects your scalp and hair shafts, causing
small patches of itchy, scaly skin)
B- Seborrheic dermatitis (a common skin condition that mainly affects your scalp.
It causes scaly patches, red skin and stubborn dandruff. Seborrheic dermatitis
can also affect oily areas of the body, such as the face, sides of the nose,
eyebrows, ears, eyelids and chest. For infants, the condition is known as cradle
cap and causes crusty, scaly patches on the scalp.)
C- Trichotillomania (hair-pulling disorder, is a mental disorder that involves
recurrent, irresistible urges to pull out hair from your scalp, eyebrows or other
areas of your body, despite trying to stop)
D - Alopecia areata (a condition that causes hair to fall out in small patches,
which can be unnoticeable. These patches may connect, however, and then
become noticeable. The condition develops when the immune system attacks the
hair follicles, resulting in hair loss)
Question 7
A patient with an acute presentation of acute aortic regurgitation (AR) typically
presents with sudden severe shortness of breath, lower extremity edema, a rapid
heartbeat, and
A- Dry mouth
B- Chest pain
C- Decreased blood pressure
E - Systolic murmur
2019
PROCTORED
EXAM
,Questions 1
When performing a visual acuity test, the nurse practitioner notes 20/30 in the left
eye and 20/60 in the right eye. The next step is to
A- Have the patient return in 2 weeks for a follow-up vision screen
B- Dilate the eyes and retest
C- Refer the patient to an ophthalmologist
D- Document this as a normal finding.
Question 2
The American Psychiatric Association’s Diagnostic and Statistical Manual
Disorder fifth edition (DMS-5) describes Munchausen Syndrome by proxy as
A- A self-inflicted injury to gain attention
B- A caregiver making up or causing an illness or injury in a person under
his or her care
C- An abusive behavior that does not involve the caregiver
D- A situation in which the abuser is often inattentive and uncaring toward the
victim
Question 3
Symptoms of depression are a side effect of which neurotransmitter medication?
[There are 3 categories of neurotransmitters in the brain: small molecules for fast
action/excitatory transmission = glutamate & GABA; small molecules for slower
modulation of activity = dopamine & serotonin; Peptides = endorphins,
cannabindoids, oxytocin)
A- Dopamine
B- B- Gabapentin
C- C- Mu
D- Cortisol
Question 4
The right lymphatic ducts drain into what part of the circulatory system? (There
are two lymph ducts, the right lymphatic duct and the thoracic duct. The right
drains lymph from the right upper limb, the right side of thorax, and the right
halves of head and neck. The thoracic duct drains lymph into the circulatory
system between the left subclavian and the left internal jugular veins)
A- Arterial
B- Venous
C- Arteriovenous system
D- Capillary bed
, Question 5
Which lesion is dark, raised and asymmetric with irregular borders?
A- Nevus (the medical term for a mole. Nevi are very common. Most people have
between 10 and 40. Common nevi are harmless collections of colored cells. They
typically appear as small brown, tan, or pink spots)
B- Actinic (a rough, scaly patch on your skin that develops from years of
exposure to the sun. It's most commonly found on your face, lips, ears, back of
your hands, forearms, scalp or neck)
C- Keratoacanthoma (a dome-shaped lump or tumor that grows on your skin)
D- Melanoma (the most serious type of skin cancer, develops in the cells
(melanocytes) that produce melanin — the pigment that gives your skin its
color. Melanoma is asymmetric, irregular border, change in color, change in
diameter, and evolved over time [ABCDE])
Question 6
A pediatric patient has areas of scaling on the scalp, with round patches of
alopecia. This clinical finding is consistent with
A- Tinea capitis (Ringworm of the scalp is not really a worm, but a fungal
infection. It gets the name ringworm because the fungus makes circular
marks on the skin, often with flat centers and raised borders. Also called
Tinea capitis, this infection affects your scalp and hair shafts, causing
small patches of itchy, scaly skin)
B- Seborrheic dermatitis (a common skin condition that mainly affects your scalp.
It causes scaly patches, red skin and stubborn dandruff. Seborrheic dermatitis
can also affect oily areas of the body, such as the face, sides of the nose,
eyebrows, ears, eyelids and chest. For infants, the condition is known as cradle
cap and causes crusty, scaly patches on the scalp.)
C- Trichotillomania (hair-pulling disorder, is a mental disorder that involves
recurrent, irresistible urges to pull out hair from your scalp, eyebrows or other
areas of your body, despite trying to stop)
D - Alopecia areata (a condition that causes hair to fall out in small patches,
which can be unnoticeable. These patches may connect, however, and then
become noticeable. The condition develops when the immune system attacks the
hair follicles, resulting in hair loss)
Question 7
A patient with an acute presentation of acute aortic regurgitation (AR) typically
presents with sudden severe shortness of breath, lower extremity edema, a rapid
heartbeat, and
A- Dry mouth
B- Chest pain
C- Decreased blood pressure
E - Systolic murmur
