Exam Questions and Verified Correct Answers
JUST RELEASED
Your new patient intake history of an elderly man includes a history of Ehlers-Danlos with
complications of retinal detachment treated with gas pneumopexy. In discussing this history, you
recall the transparent mass of gelatinous material where the gas pneumopexy is performed can
be found in which chamber(s) of the eye?
A -None of the above; it's only seen as an abnormal finding with malignancy
B -Anterior only
C -Posterior only
D -Both but greater in the anterior chamber - answer>>>B -Anterior only
While assessing the patient, you covered their right eye while you covered your left eye, then
brought a set number of fingers or wiggling fingers into each quadrant of the patient's visual field
while you had them identify when they saw your fingers/movement. A normal exam would be
documented as which of the following?
A -Normal confrontation
B -Normal visual acuity
C -Normal refractory reflexes
D -Normal convergence test - answer>>>A -Normal confrontation
Your late adolescent female patient presents with a history of heavy menses and pale conjunctiva.
Your review of systems is fairly unremarkable other than she lives in a house built in 1965, has an
unrestricted diet, and her family heredity is Italian. She denies any history of chronic health
conditions. Initial CBC with differential shows a microcytic hypochromic anemia which has not yet
been diagnosed or treated and the red cell distribution width (RDW) is elevated at 15%. Based on
the most common cause of microcytic hypochromic anemia, which of the following labs will you
order first?
A -B12 and Folate
B -Gel Electrophoresis
C -Serum Lead
D -TIBC and Ferritin - answer>>>D -TIBC and Ferritin
,A patient of Mediterranean descent who presents with microcytic anemia with normal red cell
distribution width should be evaluated using gel electrophoresis to confirm which of the following
types of anemia?
A -Aplastic
B -Thalassemia
C -Iron deficiency
D -Pernicious - answer>>>B -Thalassemia
The 43 year old male patient with macrocytic anemia should be evaluated for which of the
following lab levels to help narrow down the etiology?
A -Vitamin B12
B -Lead level
C -Ferritin
D -TIBC - answer>>>A -Vitamin B12
While assessing the complete metabolic profile of the 66 year old female patient with end stage
renal disease (ESRD) on dialysis, you find a creatinine of 4.3, BUN of 62, phos of 5.2. On review of
the CBC with differential, you would anticipate which of the following levels?
A -Normal MCH, Hemoglobin 9.6
B -Elevated MCH. Hemoglobin 14.5
C -Low RDW, Elevated MCV
D -Low MCV, Hemoglobin 13.4 - answer>>>A -Normal MCH, Hemoglobin 9.6
Your patient has just been diagnosed with Hepatitis A. Which of the following immunoglobulin are
first to be elevated in the serum?
A -IgD
B -IgG
C -IgA
D -IgM - answer>>>D -IgM
Your patient had a history of Hepatitis A approximately one year ago. Which of the following
immunoglobulin is most likely to be elevated at this time?
A -IgD
B -IgA
C -IgG
D -IgM - answer>>>C -IgG
,Your 32 year old female patient presents with a suspected diagnosis of systemic lupus
erythematous (SLE). Which of the useful labs in making the diagnosis of SLE?
A -Gel electrophoresis
B -Antinuclear antibody
C -Rheumatoid factor lab
D -Spectrophotometric assay - answer>>>B -Antinuclear antibody
Which one of the following sweat glands concentrated in the palms of the hands and soles of the
feet and is involved in temperature regulation?
A -Sebaceous
B -Apocrine
C -Eccrine
D -Epidermis - answer>>>C -Eccrine
Your 53 year old female patient with pale skin and easy freckling presents for a skin survey due to
their family history of skin cancer. When screening for melanoma, which one of the following
findings would be considered a suspicious feature of a mole characteristic of a possible
melanoma?
A -Regular border
B -Diameter of 0.3 cm
C -Dual color, particularly white-reddish or blue-black
D -Symmetry of the lesion, mirror-like image when divided in half - answer>>>C -Dual color,
particularly white-reddish or blue-black
The diagnosis of anxiety in your 28-year-old male patient may be differentiated from
hyperthyroidism following testing?
A -Free cortisol
B -Electrocardiogram
C -PHQ-9 screening
D -TSH and free T4 - answer>>>D -TSH and free T4
Your schizophrenic patient is agitated during your exam and states "what is that awful taste?" This
is an example of which of the types of hallucinations?
A -Visual
B -Limbic
C -Olfactory
D -Gustatory - answer>>>D -Gustatory
, Your patient has made an attempt on their own life, and has survived. In assessing them, it is
important the nurse practitioner recognize that patients with a history of self-harm need to be
evaluated for which of the following underlying disease states, which is the most common co-
diagnosis in patients who have made attempts of self-harm?
A -Depression
B -Anxiety
C -Schizophrenia
D -Bipolar Disorder - answer>>>A -Depression
You are assessing a 26-year-old male patient who complains that his arm hurts. When assessing
ROM of the shoulder, you ask him to
touch the opposite scapula by placing his arm up and over the back of his neck, but the patient
reports tremendous pain when attempting to do this. Which one of the following would you
suspect?
A -Humeral malignancy
B -Rotator cuff injury
C -Ulnar nerve injury
D -Biceps brachii injury - answer>>>B -Rotator cuff injury
The 19 year old female patient complains of jaw pain anterior and inferior to the ear bilaterally.
All of the following are common symptoms of a tempromandibular joint (TMJ) disorder EXCEPT
which one?
A -Pain and tenderness with palpation, often increases with chewing
B -Facial asymmetry and unilateral pain with jaw clenching
C -Palpable swelling and tenderness of the joint
D -Relief from pain with joint displacement - answer>>>D -Relief from pain with joint
displacement
Unequal shoulder height with a lateral and rotary curvature of the spine would be associated with
which one of the following spinal deformity diagnosis?
A -Scoliosis
B -Rhuematoid Arthritis (RA)
C -Kyphosis
D -Lordosis - answer>>>A -Scoliosis