| 2025 | Actual Exam Questions with Verified
Answers
The hypertensive adult male patient aged 55 years has been initiated on lisinopril
(Privinil) for two consecutive in-clinic blood pressure
readings over 140/90. As you provide the patient with medication education, which
of the following levels should the patient be aware of may elevate and become
potentially life threatening if untreated?
A -BNP
B -Calcium
C -Pro-BNP
D -Potassium - ANSWER D -Potassium
Decreased reflexes, worsening of the confusional state and sleepiness, bladder
paralysis, flushing, headache, and constipation are al evidence of toxic levels of
which of the following?
A -Azithromycin (Zithromax)
B -Magnesium
C -Oxymetazoline (Afrin)
D -Digitalis glycosides (Digoxin) - ANSWER B-
Magnesium
Your 22 year old male patient states during his review of systems thathis scrotum
is very enlarged and feels like it is full a powerlifter and works as a trash collector.
You suspect the patient likely has which of the following diagnoses?
A -Varicocele
B -Meningocele
,C -Rectocele
D -Hydrocele - ANSWER A -Varicocele
The point of maximum impulse (PMI) is MOST often palpable in healthy adults
when positioned in the supine or left lateral decubitus position. Which one of the
following locations is most commonly described as the PMI in a healthy adult?
A -Left 2nd intercostal space, midaxillary line
B -Left 5th intercostal space, midclavicular line
C -Right 4th intercostal space, midaxillary line
D -Right 2nd intercostal space, midclavicular line - ANSWER
B -Left 5th intercostal space, midclavicular line
A40 year old, female, African American patient presents for history and physical.
Upon your initial assessment, you notice she has severe exophthalmos as pictured
below. Which one of the following diagnoses below would be the highest on your
differential diagnose of this physical examination finding?
A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
D -Myexedma - ANSWER B -Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen by pulmonology
and has underwent a pulmonary function test (PFT) with spirometry. As the
patient's primary healthcare provider, you have been asked to explain the findings
of the PFT to the patient in afollow-up visit at which time the patient asks what the
study was evaluating. To describe the PFT to the patient in more useful terms, you
state that the large inspiration of air to the furthest extent they could reasonably
,accomplish followed by a full exhalation is referred to as which of the following
measurements during the PFT?
A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity - ANSWER D -Forced vital
capacity
Your patient has a diagnosis of Addison's disease. Which of the following might
you expect to find during examination?
A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face - ANSWER B -Dowager hump
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2
should include which of the following while evaluating for end organ dysfunction
of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options - ANSWER D -All
of these are appropriate options
During your visit with a 19 year old patient for a college health physical, your
health history includes a diagnosis of angioedema. What of the following parts of
the body are were likely involved?
A -Isolated to the colon
, B -Anywhere in the enteral tract
C -Chest
D -Face and Lips - ANSWER D -Face and Lips
Which of the following dermatologic lesions is precancerous and likely due to
prolonged exposure to UV-B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis - ANSWER A -Actinic Keratosis
Based on your evaluation of ABCDE for melanoma, which of the following
represents a suspicous finding?
A -Irregular borders
B -Symmetrical nature
C -Brown color
D -Diameter of 0.4 cm - ANSWER A -Irregular borders
Your patient is complaining of hypersomnia, lack of motivation, weight gain, and
anhedonia. Suspecting a diagnosis of clinical depression, you anticipate the patient
will benefit from treating their underlying deficit of which of the following
neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate - ANSWER B -Serotonin