NURSING MISC 3P EXAM QUESTIONS AND ANSWERS
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
, Question 8
Which of the following conditions is associated with chronic bloody
diarrhea?
A- Irritable bowel syndrome (a common disorder that affects the large
intestine. Signs and symptoms include cramping, abdominal pain,
bloating, gas, and diarrhea or constipation, or both. IBS is a chronic
condition that you'll need to manage long term)
B- Crohn’s disease (an inflammatory bowel disease (IBD). It causes
inflammation of your digestive tract, which can lead to abdominal pain,
severe diarrhea, blood in stool, fatigue, weight loss and malnutrition)
C- Hepatitis A (Hepatitis A is a highly contagious liver infection caused
by the hepatitis A virus. You're most likely to get hepatitis A from
contaminated food or water or from close contact with a person or
object that's infected. signs and symptoms can include: Fatigue,
Sudden nausea and vomiting, Abdominal pain or discomfort, especially
on the upper right side beneath your lower ribs (by your liver), Clay-
colored bowel movements, Loss of appetite, Low-grade fever, Dark
urine, Joint pain, Yellowing of the skin and the whites of your eyes
(jaundice), Intense itching)
D- Celiac disease (an immune reaction to eating gluten, a protein
found in wheat, barley and rye. Over time, this reaction damages your
small intestine's lining and prevents it from absorbing some nutrients
(malabsorption). The intestinal damage often causes diarrhea, fatigue,
weight loss, bloating and anemia, and can lead to serious
complications)
Question 9
Which condition is caused by an insufficient production of intrinsic
factor by the gastric mucosa and vitamin B insufficiency?
A- Diarrhea
B- Pernicious anemia (When your body can’t make enough healthy red
blood cells because it lacks vitamin B-12)
C- Osteoporosis
D- Muscle weakness
Question 10
A 32-year old woman presents with dull puffiness of the eyes with
pronounced non-pitting periorbital edema. This finding is suggestive
of what condition?
A- Nephrotic syndrome (a kidney disorder that causes your body to
pass too much protein in your urine. Nephrotic syndrome is usually
caused by damage to the clusters of small blood vessels in your
kidneys that filter waste and excess water from your blood. The
condition causes swelling, particularly in your feet and ankles, and
increases the risk of other health problems)
B- Myxedema (severely advanced hypothyroidism. This is a condition that
occurs when your body doesn’t produce enough thyroid hormone. The
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
, Question 8
Which of the following conditions is associated with chronic bloody
diarrhea?
A- Irritable bowel syndrome (a common disorder that affects the large
intestine. Signs and symptoms include cramping, abdominal pain,
bloating, gas, and diarrhea or constipation, or both. IBS is a chronic
condition that you'll need to manage long term)
B- Crohn’s disease (an inflammatory bowel disease (IBD). It causes
inflammation of your digestive tract, which can lead to abdominal pain,
severe diarrhea, blood in stool, fatigue, weight loss and malnutrition)
C- Hepatitis A (Hepatitis A is a highly contagious liver infection caused
by the hepatitis A virus. You're most likely to get hepatitis A from
contaminated food or water or from close contact with a person or
object that's infected. signs and symptoms can include: Fatigue,
Sudden nausea and vomiting, Abdominal pain or discomfort, especially
on the upper right side beneath your lower ribs (by your liver), Clay-
colored bowel movements, Loss of appetite, Low-grade fever, Dark
urine, Joint pain, Yellowing of the skin and the whites of your eyes
(jaundice), Intense itching)
D- Celiac disease (an immune reaction to eating gluten, a protein
found in wheat, barley and rye. Over time, this reaction damages your
small intestine's lining and prevents it from absorbing some nutrients
(malabsorption). The intestinal damage often causes diarrhea, fatigue,
weight loss, bloating and anemia, and can lead to serious
complications)
Question 9
Which condition is caused by an insufficient production of intrinsic
factor by the gastric mucosa and vitamin B insufficiency?
A- Diarrhea
B- Pernicious anemia (When your body can’t make enough healthy red
blood cells because it lacks vitamin B-12)
C- Osteoporosis
D- Muscle weakness
Question 10
A 32-year old woman presents with dull puffiness of the eyes with
pronounced non-pitting periorbital edema. This finding is suggestive
of what condition?
A- Nephrotic syndrome (a kidney disorder that causes your body to
pass too much protein in your urine. Nephrotic syndrome is usually
caused by damage to the clusters of small blood vessels in your
kidneys that filter waste and excess water from your blood. The
condition causes swelling, particularly in your feet and ankles, and
increases the risk of other health problems)
B- Myxedema (severely advanced hypothyroidism. This is a condition that
occurs when your body doesn’t produce enough thyroid hormone. The
