2024
3P’s EXAM
1. Which one of the following statements is true of Munchausen syndrome by proxy?
a) The injury is self-inflicted as the patient is seeking attention from others
b) Under the supervision of adults other than the abuser, the patient does not exhibit
symptoms
c) The caregiver is usually not involver in the abusive behavior
d) The abuser is often inattentive and uncaring towards the victim
Munchausen syndrome by proxy (MSP) is a mental illness. It is also a form of child abuse. It
affects caregivers, especially caregivers of children. It is also known as factitious disorder by
proxy. Mothers of small children are most often affected by this condition. Fathers or other
caregivers can have it as well.
2. Which of the following is the most common presenting sign of substance abuse in
adolescents?
a) Poor school performance
b) change in sleep habits
c) increased blood pressure
d) changes in behavior
NSG 6420 3p’s exam questions with 100% solved
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3. A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery,
a set of premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL
system to document her maternal status
a) Gravida 4 para 1114
b) Gravida 4, para 1314 4 is the number of living children GTPAL
c. Gravida 3, para 1114
c) Gravida 3, para 1112
Gravida, Term babies, Preterm babies, Abort and Living child
4. The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 years old
patient. The Nurse Practitioner should asses the patents
a) Throat, face, and right ear
b) Neck and supraclavicular region
c) Right forearm and hand
d) Right groin and abdomen
Lower arm and hand for erythema and swelling
5. Anticholinergics are indicated for the treatment of
a) Asymptomatic bacteriuria
NSG 6420 3p’s exam questions with 100% solved
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b) Renal insufficiency
c) Urge incontinence
d) Overflow incontinence
Anticholinergics are drugs that block the action of acetylcholine. Anticholinergics can treat a
variety of conditions, including: urinary incontinence, overactive bladder, COPD, They also
help block involuntary muscle movements associated with certain diseases such as Parkinson’s
disease.
6. A patient presents with signs of chest pain, the nurse practitioner observes jugular venous
distention. Their finding is consistent with
a) Hypertension
b) Heart failure
c) Asthma
d) Pneumonia
Heart failure causes decreased cardiac output when the heart fails as a pump and the circulation
becomes backed up and congested. Signs and symptoms: dyspnea, orthopnea, paroxysmal
nocturnal dyspnea, decreased blood pressure, dependent, pitting edema; anxiety; confusion;
jugular vein distention; fatigue. The S3 may be the earliest sign of heart failure.(Studyblue)
NSG 6420 3p’s exam questions with 100% solved
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2024
7. On examination of the neck, a dome shaped lesion in the dermis forming a benign closed
firm sac attached to the epidermis is noted on the right lateral side of the neck. The type of
lesion is known as
a) Keloid
b) Tophi
c) A cutaneous cyst
d) Chondrodermatitis
Dome-shaped lump in the dermis forms a benign closed firm sac attached to the epidermis. A
dark dot (blackhead) may be visible on its surface. Usually either an Epidermoid cyst (common
on face/neck) or pilar (trichilemmal) cyst (common in the scalp). Both may become inflamed.
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8. Symptoms of heartburn and regurgitation are associated with:
a) Hiatal hernia
b) Gastroesophageal reflux
c) Peptic ulcer disease
d) Esophageal cancer
Classic GERD symptoms are: Heartburn, Regurgitation: bitter, acidic fluid in the mouth when
lying down or bending over
NSG 6420 3p’s exam questions with 100% solved
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