2025/2026 Exam Questions and Verified
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When evaluating a 78-year-old man, the PMHNP notices the patient
frequently leans in with the right side of his head and frequently asks for
things to be repeated. His daughter is very worried that he has dementia or
depression because he has also become increasingly isolated, as well as
increasingly irritable as he believes people are yelling at him out of
frustration of not being heard. The daughter is tearful, anxious, and
frustrated. What should the PMHNP do first?
Order a CT scan of the head
Separate the patient from the daughter and interview him alone
Examine the patient's ear canals
,Provide anticipatory guidance regarding aging parents to the daughter -
🧠ANSWER ✔✔Examine the patient's ear canals
A 35-year-old man diagnosed with bipolar disorder mentions to his PMHNP
that he had felt a lump on his left testicle. He is concerned he has not had a
physical exam in 10 years. What is the best action by the PMHNP?
Explore the reason for not having had a physical in so long
Refer him to his primary care provider
Perform a urogenital exam and order an ultrasound
Refer him to urology - 🧠ANSWER ✔✔Explore the reason for not having had
a physical in so long
In observing the appearance of the patient with depression and a history of
systemic lupus erythematosus, the PMHNP notices a lesion on the neck of
the patient about the size of a pencil eraser, flush with the skin, uniformly
colored, with discrete borders, and consistent texture. The PMHNP should:
Refer the patient to oncology
, Watch and wait
Refer the patient to rheumatology
Refer the patient to dermatology - 🧠ANSWER ✔✔Watch and wait
Which of the following best represent the physical exam maneuver known
as Murphy's sign?
While supine, ask the patient to grasp her knee while tucking 1 leg up to
the chest. A positive test occurs when pain prohibits elevation of the
ipsilateral leg.
The examiner palpates in the right upper abdominal quadrant below the
costal margin while the patient breathes in. The test is positive if the
examiner observes pain during inhalation.
Press and palpate deeply into the abdomen and release quickly observing
for pain.
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