Barkley Acute Nurse Practitioner Exams Test
Bank Actual Correct Questions Verified Detailed
Rationales Answers Latest Update A+ 2026.
A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for
many years to control her Stage II hypertension. Her blood pressure
(BP) at this visit is 168/96. She is currently complaining of pain on her
right hip and on both knees. She has increased her dose of ibuprofen
(Motrin) from 400 mg 3 times day (TID) to 800 mg TID. She is still in
pain and would like something stronger. Which of the following
statements is the best explanation of the effects of ibuprofen (Motrin) on
her disease?
A) It increases the chances of adverse effects to her health
B) It inhibits the effect of renal prostaglandins and blunts the
effectiveness of the diuretic
C) It prolongs the therapeutic effects of hydrochlorothiazide and other
diuretics
D) None of the statements are true - ANSWER-B) It inhibits the effect
of renal prostaglandins and blunts the effectiveness of the diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins,
which predisposes the kidney to ischemia. NSAIDs and diuretics can
cause acute prerenal failure by decreasing renal blood flow.
2. All of the following are infections that affect mostly the labia and
vagina except:
,A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis - ANSWER-D) Chlamydia trachomatis
Infections that commonly affect the labia and vagina include bacterial
vaginosis, candidiasis, and trichomoniasis. Chlamydia trachomatis
commonly affects the cervix, endometrial lining , fallopian tubes, and
pelvic cavity.
The nurse practitioner would test the obturator and iliopsoas muscle to
evaluate for:
A) Cholecystitis
B) Acute appendicitis
C) Inguinal hernia
D) Gastriculcer - ANSWER-B) Acute appendicitis.
Signs and symptoms of an acute abdomen include invol- untary
guarding, rebound tenderness, boardlike abdomen, and a positive obtu-
rator and psoas sign. A positive obturator sign occurs when pain is
elicted by internal rotation of the right hip from 90 degrees hip/knee
flexion. The psoas sign is positive when pain occurs with passive
extension of the thigh while the patient is lying on his/her side with
knees extended, or when pain occurs with active flexion of his/her thigh
at the hip.
Treatment for mild preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet
count
,D) A prescription of methyldopa (Aldomet) to control blood pressure -
ANSWER-D) A prescription of methyldopa (Aldomet) to control blood
pressure
Recommended care for women diagnosed with preeclampsia includes
bed rest with bath- room privileges, weight and BP monitoring, and
closely following urine protein and serum protein, creatinine, and
platelet counts. Oral medications are not used as first-line treatment.
All of the following services are covered under Medicare Part A except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons - ANSWER-C) Nursing home care
Medicare A coverage includes inpatient hospitalization and skilled care
given in a certified skilled nursing facility. Most nursing home care is
custodial care (help with bathing, dressing, using a bathroom, and
eating). This care is not covered by Medicare A.
A 28-year-old student is seen in the school health clinic with complaints
of a hacking cough that is productive of small amounts of sputum and a
runny nose. He does not take any medications, denies any allergies, and
has no significant medical history. Physical examination reveals a low-
grade temperature of 99.9 degrees Fahrenheit, respirations of 16/min, a
pulse of 90 beats per minute, and diffuse fine crackles in the base of the
lungs. A chest radiograph (x-ray) shows diffuse infiltrates on the lower
lobe of the right lung. The total white blood cell count is 10,500/uL.
What is the most likely diagnosis?
A) Streptococcal pneumonia
B) Mycoplasma pneumonia
C) Acute bronchitis
D) Legionnaires disease - ANSWER-B) Mycoplasma pneumonia
, Mycoplasma pneumonia is the organism most com- monly seen in
children and young adults. It is easily spread from droplets, from
sneezing and coughing, in close proximity. Diagnosis is based on
symptoms and x-ray results of infiltrates in lower lobes.
A 39-year-old migrant worker presents to the clinic 2.5 days after a
purified protein derivative (PPD) test. What minimum size of induration
would be considered posi- tive for this patient?
A) 3 mm B) 5 mm C) 10 mm D) 15 mm - ANSWER-C) 10 mm
The PPD is administered on the volar aspect of the lower arm and read
48 hours after the test is given. The PPD result must have induration and
measure 10 mm or greater to be positive in a low-risk patient. Induration
(firmness with palpation) must be present. If the site has erythema but no
induration, result would be negative. Color is not important.
All of the following are correct statements regarding the role of the
person named in a durable power of attorney except:
A) The agent's decisions are legally binding
B) The agent can make decisions in other areas of the patient's life such
as financial
issues
C) The agent can decide for the patient who is on life support when that
life support
can be terminated
D) The patient's spouse has a right to override the agent's decisions -
ANSWER-D) The patient's spouse has a right to override the agent's
decisions
The person named in a durable power of attorney (the agent) is
designated by the patient to make all medical decisions, as well as any
decisions regarding the patient's private affairs in the event that the
Bank Actual Correct Questions Verified Detailed
Rationales Answers Latest Update A+ 2026.
A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for
many years to control her Stage II hypertension. Her blood pressure
(BP) at this visit is 168/96. She is currently complaining of pain on her
right hip and on both knees. She has increased her dose of ibuprofen
(Motrin) from 400 mg 3 times day (TID) to 800 mg TID. She is still in
pain and would like something stronger. Which of the following
statements is the best explanation of the effects of ibuprofen (Motrin) on
her disease?
A) It increases the chances of adverse effects to her health
B) It inhibits the effect of renal prostaglandins and blunts the
effectiveness of the diuretic
C) It prolongs the therapeutic effects of hydrochlorothiazide and other
diuretics
D) None of the statements are true - ANSWER-B) It inhibits the effect
of renal prostaglandins and blunts the effectiveness of the diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins,
which predisposes the kidney to ischemia. NSAIDs and diuretics can
cause acute prerenal failure by decreasing renal blood flow.
2. All of the following are infections that affect mostly the labia and
vagina except:
,A) Bacterialvaginosis
B) Candidiasis
C) Trichomoniasis
D) Chlamydia trachomatis - ANSWER-D) Chlamydia trachomatis
Infections that commonly affect the labia and vagina include bacterial
vaginosis, candidiasis, and trichomoniasis. Chlamydia trachomatis
commonly affects the cervix, endometrial lining , fallopian tubes, and
pelvic cavity.
The nurse practitioner would test the obturator and iliopsoas muscle to
evaluate for:
A) Cholecystitis
B) Acute appendicitis
C) Inguinal hernia
D) Gastriculcer - ANSWER-B) Acute appendicitis.
Signs and symptoms of an acute abdomen include invol- untary
guarding, rebound tenderness, boardlike abdomen, and a positive obtu-
rator and psoas sign. A positive obturator sign occurs when pain is
elicted by internal rotation of the right hip from 90 degrees hip/knee
flexion. The psoas sign is positive when pain occurs with passive
extension of the thigh while the patient is lying on his/her side with
knees extended, or when pain occurs with active flexion of his/her thigh
at the hip.
Treatment for mild preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet
count
,D) A prescription of methyldopa (Aldomet) to control blood pressure -
ANSWER-D) A prescription of methyldopa (Aldomet) to control blood
pressure
Recommended care for women diagnosed with preeclampsia includes
bed rest with bath- room privileges, weight and BP monitoring, and
closely following urine protein and serum protein, creatinine, and
platelet counts. Oral medications are not used as first-line treatment.
All of the following services are covered under Medicare Part A except:
A) Inpatienthospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons - ANSWER-C) Nursing home care
Medicare A coverage includes inpatient hospitalization and skilled care
given in a certified skilled nursing facility. Most nursing home care is
custodial care (help with bathing, dressing, using a bathroom, and
eating). This care is not covered by Medicare A.
A 28-year-old student is seen in the school health clinic with complaints
of a hacking cough that is productive of small amounts of sputum and a
runny nose. He does not take any medications, denies any allergies, and
has no significant medical history. Physical examination reveals a low-
grade temperature of 99.9 degrees Fahrenheit, respirations of 16/min, a
pulse of 90 beats per minute, and diffuse fine crackles in the base of the
lungs. A chest radiograph (x-ray) shows diffuse infiltrates on the lower
lobe of the right lung. The total white blood cell count is 10,500/uL.
What is the most likely diagnosis?
A) Streptococcal pneumonia
B) Mycoplasma pneumonia
C) Acute bronchitis
D) Legionnaires disease - ANSWER-B) Mycoplasma pneumonia
, Mycoplasma pneumonia is the organism most com- monly seen in
children and young adults. It is easily spread from droplets, from
sneezing and coughing, in close proximity. Diagnosis is based on
symptoms and x-ray results of infiltrates in lower lobes.
A 39-year-old migrant worker presents to the clinic 2.5 days after a
purified protein derivative (PPD) test. What minimum size of induration
would be considered posi- tive for this patient?
A) 3 mm B) 5 mm C) 10 mm D) 15 mm - ANSWER-C) 10 mm
The PPD is administered on the volar aspect of the lower arm and read
48 hours after the test is given. The PPD result must have induration and
measure 10 mm or greater to be positive in a low-risk patient. Induration
(firmness with palpation) must be present. If the site has erythema but no
induration, result would be negative. Color is not important.
All of the following are correct statements regarding the role of the
person named in a durable power of attorney except:
A) The agent's decisions are legally binding
B) The agent can make decisions in other areas of the patient's life such
as financial
issues
C) The agent can decide for the patient who is on life support when that
life support
can be terminated
D) The patient's spouse has a right to override the agent's decisions -
ANSWER-D) The patient's spouse has a right to override the agent's
decisions
The person named in a durable power of attorney (the agent) is
designated by the patient to make all medical decisions, as well as any
decisions regarding the patient's private affairs in the event that the
