DRT 1 LATEST REVIEW [STUDY GUIDE EXAM QUESTIONS AND
WELL PREPARED ANSWERS] NEW REVIEW 2025
Which of the following steps comes first in the quality assurance
process?
a. Establishing thresholds for evaluation related to the indicators
b. Collecting and organizing data
c. Delineating the scope of practice
d. Assessing the effectiveness of an action - CORRECT ANSWER -
c. Delineating the scope of practice
Joy, a 30-year-old female, is worried about the "mood" she has
experienced for the past few weeks. She says she feels "really sad" nearly
every day and wants to know if she is clinically depressed. Which of the
following findings is required to confirm the diagnosis?
a. Excessive guilt or feelings of worthlessness
b. Fatigue
c. Anhedonia --> diminished pleasure in almost all activities
d. insomnia - CORRECT ANSWER -c. Anhedonia --> diminished
pleasure in almost all activities
Page 1 of 44
,During an annual exam, you notice a 12-year-old girl with breast
enlargement without separate nipple contour. You tell her she can expect
which of the following next stage of her development?
a. Breast buds with areolar enlargement
b. Receding areolas and retracting nipples
c. Sparse, pale, fine pubic hair
d. Onset of menses - CORRECT ANSWER -d. Onset of menses
What Tanner stage is sparse, pale, fine pubic hair? - CORRECT
ANSWER -Tanner stage II
What Tanner stage is breast buds with areolar enlargement? -
CORRECT ANSWER -Tanner stage II
What Tanner stage is breast enlargement without separate nipple
contour? - CORRECT ANSWER -Tanner stage III
What Tanner stage is onset of menses and projection of areola and
nipple as secondary mound? - CORRECT ANSWER -Tanner stage
IV
What Tanner stage is projection of areola and nipple as secondary -
CORRECT ANSWER -Tanner stage IV
Page 2 of 44
,What Tanner stage is receding areolas and retracting nipples? -
CORRECT ANSWER -Tanner stage V --> menstruation has already
begun
Which of the following is NOT a characteristic of severe asthma in adults?
a. Symptoms throughout the day
b. Extreme limitations on normal activity
c. Predicted forced expiratory value in 1 s < 60%
d. Nighttime awakenings 3-4 times per month - CORRECT
ANSWER -d. Nighttime awakenings 3-4 times per month
An African American complains of being constantly out of breath even in
the absence of strenuous activity. He also noticed a sudden onset of
severe pain in his back and chest. He has a hemoglobin of 13g/dL. What
disease is this patient experiencing and which of the following would be
the LEAST appropriate treatment?
a. 5 units of pack RBC
b. Oxygen
c. Intravenous fluids
d. Analgesics - CORRECT ANSWER -a. 5 units of pack RBC
A 54-year-old is being screened for HTN, a condition that runs in his
family. Which of the following findings is NOT consistent with a diagnosis
of significant HTN?
a. Epistaxis
b. A subparietal headache
Page 3 of 44
, c. Blurred vision
d. A S4 heart sound - CORRECT ANSWER -b. A subparietal
headache
What type of headache is associated with HTN?
a. Suboccipital
b. Subparietal - CORRECT ANSWER -a. Suboccipital
What type of headache is associated with intracranial bleeding?
a. Suboccipital
b. Subparietal - CORRECT ANSWER -b. Subparietal
What is an S4 heart sounds associated with? - CORRECT
ANSWER -Left ventricular hypertrophy
An 8-month-old baby presents with bluish skin and a cleft palate. The NP
notes that the baby is twitching around her mouth, as well as spasms in
her hand and arms. Her parents also report seizures. Upon further
observation, the NP learns that the baby is also developmentally delayed
in many areas. Which of the following should be part of your differential
diagnosis?
a. Marfan syndrome
b. Tay-Sachs disease
c. Turner syndrome
Page 4 of 44
WELL PREPARED ANSWERS] NEW REVIEW 2025
Which of the following steps comes first in the quality assurance
process?
a. Establishing thresholds for evaluation related to the indicators
b. Collecting and organizing data
c. Delineating the scope of practice
d. Assessing the effectiveness of an action - CORRECT ANSWER -
c. Delineating the scope of practice
Joy, a 30-year-old female, is worried about the "mood" she has
experienced for the past few weeks. She says she feels "really sad" nearly
every day and wants to know if she is clinically depressed. Which of the
following findings is required to confirm the diagnosis?
a. Excessive guilt or feelings of worthlessness
b. Fatigue
c. Anhedonia --> diminished pleasure in almost all activities
d. insomnia - CORRECT ANSWER -c. Anhedonia --> diminished
pleasure in almost all activities
Page 1 of 44
,During an annual exam, you notice a 12-year-old girl with breast
enlargement without separate nipple contour. You tell her she can expect
which of the following next stage of her development?
a. Breast buds with areolar enlargement
b. Receding areolas and retracting nipples
c. Sparse, pale, fine pubic hair
d. Onset of menses - CORRECT ANSWER -d. Onset of menses
What Tanner stage is sparse, pale, fine pubic hair? - CORRECT
ANSWER -Tanner stage II
What Tanner stage is breast buds with areolar enlargement? -
CORRECT ANSWER -Tanner stage II
What Tanner stage is breast enlargement without separate nipple
contour? - CORRECT ANSWER -Tanner stage III
What Tanner stage is onset of menses and projection of areola and
nipple as secondary mound? - CORRECT ANSWER -Tanner stage
IV
What Tanner stage is projection of areola and nipple as secondary -
CORRECT ANSWER -Tanner stage IV
Page 2 of 44
,What Tanner stage is receding areolas and retracting nipples? -
CORRECT ANSWER -Tanner stage V --> menstruation has already
begun
Which of the following is NOT a characteristic of severe asthma in adults?
a. Symptoms throughout the day
b. Extreme limitations on normal activity
c. Predicted forced expiratory value in 1 s < 60%
d. Nighttime awakenings 3-4 times per month - CORRECT
ANSWER -d. Nighttime awakenings 3-4 times per month
An African American complains of being constantly out of breath even in
the absence of strenuous activity. He also noticed a sudden onset of
severe pain in his back and chest. He has a hemoglobin of 13g/dL. What
disease is this patient experiencing and which of the following would be
the LEAST appropriate treatment?
a. 5 units of pack RBC
b. Oxygen
c. Intravenous fluids
d. Analgesics - CORRECT ANSWER -a. 5 units of pack RBC
A 54-year-old is being screened for HTN, a condition that runs in his
family. Which of the following findings is NOT consistent with a diagnosis
of significant HTN?
a. Epistaxis
b. A subparietal headache
Page 3 of 44
, c. Blurred vision
d. A S4 heart sound - CORRECT ANSWER -b. A subparietal
headache
What type of headache is associated with HTN?
a. Suboccipital
b. Subparietal - CORRECT ANSWER -a. Suboccipital
What type of headache is associated with intracranial bleeding?
a. Suboccipital
b. Subparietal - CORRECT ANSWER -b. Subparietal
What is an S4 heart sounds associated with? - CORRECT
ANSWER -Left ventricular hypertrophy
An 8-month-old baby presents with bluish skin and a cleft palate. The NP
notes that the baby is twitching around her mouth, as well as spasms in
her hand and arms. Her parents also report seizures. Upon further
observation, the NP learns that the baby is also developmentally delayed
in many areas. Which of the following should be part of your differential
diagnosis?
a. Marfan syndrome
b. Tay-Sachs disease
c. Turner syndrome
Page 4 of 44
