3P’s EXAM questions latest

3P’s EXAM

1.            When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and 20/40 in the right eye using the Snellen eye chart. This means:

a)            have the patient returning in two weeks for a follow up vision screen

b)            dilated the eye and retest

c)            refer the patient to an ophthalmologist

d)            document this as a normal finding

 

2.            The American psychiatric association’s diagnostic and statistical manual of mental disorder defines Munchausen Syndrome By Proxy

a)            a self-inflicted injury to gain attention

b)            a caregiver making up or causing an illness or injury in a person under his or her care

c)            an abusive behavior that does not involve the caregiver

d)            a situation in which the abuser is often inattentive and uncaring toward the victim

 

 

3.            Symptoms of depression are a side effect of which neurotransmitter medication?

a)            dopamine           serotonin, norepinephrine

b)            gabapentin

c)            mil

d)            cortisol

 

4.            Which lesion is dark raised and asymmetric with irregular border? Quizlet Bates Chapter 20

a)            Nevus

b)            Actinic keratosis

c)            Keratoacanthoma

d)            Melanoma

 

5.            A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting periorbital edema this finding is suggestive of this condition? APEA

a)            Nephrotic syndrome

b)            Myxedema

c)            Cushing syndrome

d)            Sinusitis

6.            A 42 years old woman with a past medical history of migraine headaches is requesting prophylactic medication treatment. Which medication should the Nurse practitioner prescribe?

a)            Sumatriptan (Imitrex)

b)            Amitriptyline (Elavil)

c)            Verapamil (verelan)

d)            Metoprolol (Lopressor)

 

 

7.            A pediatric patient has areas of scaling on the scalp with round patches of alopecia. This clinical finding is consistent with:

a)            Tinea capitis

b)            Seborrheic dermatitis

c)            Trichotillomania

d)            Alopecia areata

 

8.            What is the appropriate prophylactic medication for an 18 years old woman with a past medical history of migraine headaches?

a)            Sumatriptan (Imitrex) b) Propanolol (Inderal)

c)            Ibuprofeno (motrin)

d)            Dihydroergotamine (DHE)

 

9.            Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient with a past medical history of type 2 diabetes, obesity, chronic smoking and sedentary life

a)            She is obese

b)            She has type 2 diabetes mellitus

c)            Her age and tobacco use

d)            She leads a sedentary lifestyle

 

10.          During the breast examination of a perimenopausal woman the NP detects a bloody spontaneous discharge from the right nipple. This indicates further evaluation.

a)            Fibroadenoma

b)            Polycystic breast disease Generalized breast pain or tenderness. Green or dark brown nonbloody nipple discharge that tends to leak without pressure or squeezing

c)            An intraductal papilloma

d)            Pituitary prolactinoma

 

11.          Rh negative women should receive Rho (D) immunoglobulin at what gestational time?

a)            6 weeks

b)            12 weeks

c)            28 weeks

d)            35 weeks

What happens is the client is Rh negative and has a negative antibody screen?

 

12.          When interpreting a complete blood count (CBC) lab report which of the following results describes the size of the RBCs?

a)            Hemoglobin

b)            Mean corpuscular volume (MCV)

c)            Red cell distribution width (RDw)

d)            Hematocrit

 

 

13.          What medication should be avoided when prescribe prophylactic therapy for headache

a)            Verapamil

b)            Propranolol

c)            Venlataxin (Effexor)

d)            Nimodipine

 

14.          What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transposition of the great arteries

a)            To maintain equal pressure in the ventricles

b)            To maintain patency of the great arteries

c)            To produce vasodilation on …………….

d)            To prevent cyanotic episodes by trapping blood in the lower …………

 

15.                          Which of the following complaints best describes lower extremity calf pain associated with peripheral artery disease

a)            A sharp stabbing pains

b)            A dull pain or cramp

c)            An electric shock

d)            A pulsating pain

 

 

16.          Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47- year-old premenopausal woman?

a)            Hirsutism

b)            Gynecomastia

c)            Oligomenorrhea

d)            Acne

17.          When treating a patient with asthma who is experiencing acute wheezing which medication should be given to relieve the symptom?

a)            Short acting bronchodilator

b)            Long acting bronchodilator

c)            Inhaled corticosteroid

d)            Combination of methylxanthine and long acting bronchodilator

 

18.          Which immunization reduces a patient’s risk for infection with the virus that causes painful localized blistering rash?

a)            Smallpox vaccine

b)            Varicella vaccine (chicken Pox)

c)            Shingles (herpes zoster) vaccine

d)            Meningococcal vaccine

 

 

22.          Which of the following is the most common presenting sign of substance abuse in adolescents?

a)            Poor school performance

b)            change in sleep habits

c)            increased blood pressure

d)            changes in behavior

 

23.          A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery, a set of premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL system to document her maternal status

a)            Gravida 4 para 1114

b)            Gravida 4, para 1314 4 is the number of living children GTPAL

c. Gravida 3, para 1114

c)            Gravida 3, para 1112

 

 

24.          The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 years old patient. The Nurse Practitioner should asses the patents

a)            Throat, face, and right ear

b)            Neck and supraclavicular region

c)            Right forearm and hand

d)            Right groin and abdomen

 

 

25.          Anticholinergics are indicated for the treatment of

a)            Asymptomatic bacteriuria

b)            Renal insufficiency

 

c)            Urge incontinence

d)            Overflow incontinence

58.          The medication that blocks the transportation of glucose across the intestines into the blood stream to target prandial blood glucose is:

a)            Metformin (Glucophage XR)

b)            Acarbose (Precose)

 

c)            Rosiglitazone (Avandia)

 

d)            Glipizide (Glucotrol XL)

 

 

59.          Prostate pain is usually located in the:

a)            Supra pubic area

 

b)            Back

 

c)            Perineum

 

d)            In the glans penis

 

 

60.          A nurse practitioner examines the skin of an elderly patient which finding below is NOT benign lesion associated with the aging process?

a)            Xerosis

 

b)            Cherry angiomas and senile purpura

 

c)            Senile keratosis and senile lentigines

 

d)            Dermatophytosis

 

61.          A 65-year-old male presents with findings of symmetric thorax with moderate kyphosis and anterior diameter. Chest expansion is decreased and the diaphragm descending 2 cm bilaterally. These findings relate to:

a)            Pneumothorax

 

b)            Plural effusion

 

c)            A fractured rib

 

d)            Chronic obstructive pulmonary disease

 

62.          Phenazopyridine (Pyridium) is recommended for very short-term use in patients with urinary tract infections (UTIs) because:

a)            Possible resistance

b)            Occurrence of hemolytic anemia

c)            Gastritis

d)            Cost

 

63.          Estrogen-progestin contraceptives should be avoided in women with:

a)            Tension headaches

b)            Migraines with aura

c)            Unilateral headaches

d)            Cluster headaches

 

64.          The addition of benzoyl peroxide to erythromycin for the topical treatment of acne:

a)            Improve the efficacy of erythromycin

 

b)            Decrease the risk of desquamation

 

c)            Decreases the risk of resistance to erythromycin

 

d)            Increases the time patient can be exposed to sunlight

 

 

65.          An elderly male with benign prostate hyperplasia (BPH) should be advised to avoid antihistamines. What is the reason for this?

a)            Urinary incontinence

 

b)            Constipation

 

c)            Orthostatic hypotension

 

d)            Urinary retention

 

66.          Examination of the hair reveals a fine silky appearance. This finding may be seen in patients that have:

a)            Hypothyroidism

 

b)            Hyperthyroidism

 

c)            Type 2 diabetes

 

d)            Celiac disease

 

67.          A patient develops a cough secondary to an angiotensin-converting-enzyme (ACE). The most appropriate statement related to ACE-I cough is that the cough typically:

a)            Resolves within a week after stopping the ACE inhibitor

 

b)            Resolves with splitting the daily dose to twice daily dosing

 

c)            Occurs with an angiotensin- II receptor blocker (ARB)

 

d)            Affects men more than women

 

 

137)       which of the following drug classes is not indicated for the treatment of depression?

a)            Buspirone (Buspar)

 

b)            Selective Serotonin reuptake inhibitor (SSRI)

 

c)            Tricyclic antidepressant (TCA)

 

d)            Bupropion (Wellbutrin)

 

Buspirone is an anti-anxiety medicine

 

138)       A Hispanic woman who is 26 weeks pregnant states that she recently began eating ice chips between meals.

a)            Have the patient checked for diabetes

b)            Asses the patient for iron deficiency anemia

c)            Encourage the patient to eat more at meal times

d)            Tell the patient that this cultural practice can be harmful

 

139)       Snellen chart evaluation indicated that the patient vision is 20/30. What is the proper description of this result?

a)            At 20 feet, this patient can see what a person with normal vision can see at 30 feet

 

b)            At 30 feet, this patient can see what a person with normal vision can see at 20 feet

 

c)            At 20 feet, this patient can see what few people can see at 30 feet

 

d)            This patient has sight abilities that are worse than a patient with 20/40 vision

 

140)       which of the following is NOT a common symptom of Vit b12 deficiency

a)            Sore tongue

 

b)            Fatigue

 

c)            Constipation

 

d)            Vomiting

 

141)       during a migraine, the cerebral arteries

a)            Constrict

b)            Dilate

 

c)            Pulsate

 

d)            vibrate

 

142)       which is the appropriate medication for a 31 y/o pregnant diagnosed with UTI

a)            Cefuroxime (Zinafed) or nitrofurantoin (Macrobid)

 

b)            Nitrofurantoin (Macrobid) or Ciprofloxacin (cipro)

 

c)            Ciprofloxacin (cipro) or tetracycline (Sumycin)

 

d)            tetracycline (Sumycin) or amoxicillin (Amoxil)

 

 

143)       which of the following medication is not indicated for the treatment of muscle spasms?

a)            Baclofen (lioresal)

 

b)            Tizanidine (Zanaflex)

 

c)            Cyclobenzaprine (Flexeril)

 

d)            Carisoprodol (Soma)

 

 

144)       during an abdominal examination the NP percusses the bulging area of the abdomen. Which sounds suggest the presence

a)            Tympanic

b)            Dullness

 

c)            Hyperresonant sounds

 

d)            Normal resonance

 

145)       which pathogen is associated with common urinary tract infections?

a)            e.coli

 

b)            klebsiella

 

c)            streptococcus

 

d)            proteus mirabilis

 

146)       which condition is caused by an insufficient production of intrinsic factor by gastric mucosa and vitamin B insufficiency?

a)            Diarrhea

 

b)            Pernicious anemia

 

c)            Osteoporosis

 

d)            Muscle weakness

 

147)       A multiparous pregnant patient presents at 24 weeks gestation with complain of painless vaginal bleeding. This presentation is consistent with:

a)            Placenta accreta

 

b)            Placenta previa

 

c)            Placenta percreta

 

d)            Placental abruption

 

Placenta accreta poses a major risk of severe vaginal bleeding (hemorrhage) after delivery. Placenta previa vary, but the most common symptom is painless bleeding during the third trimester.

 

148)       when measuring the fundal high of a pregnant female at 32 weeks gestation, which measurement would the NP suspect fetal growth

a)            29 cm

 

b)            30cm

 

c)            31cm

 

d)            32 cm

 

Fundal height is generally defined as the distance from the pubic bone to the top of the uterus measured in centimeters. After 20 weeks of pregnancy, your fundal height measurement often matches the number of weeks you’ve been pregnant.

 

149)       A 40 y/o female, the overall texture of the breast is soft, with an uneven contour bilaterally. The NP informs the patient that:

a)            Warrants a mammogram

 

b)            Is considered normal

 

c)            May be suggestive of fibroadenoma

 

d)            May indicate cystic breast

 

150)       A 74 y/o man who recently lost his spouse of 50 years in an auto accident tells the NP that “ he has no purpose in this life”

a.            Have you told your family how you feel?

 

b.            Have you thought about hurting yourself?

 

c.             Are you taking your medication?

 

d.            Do you have any friends?

 

151)       A 67 y/o woman with Hx of A-fib and an ejection fraction of 48% has had normal digoxin levels. Which can cause a decrease of digoxin level?

 

a.            Decrease creatinine clearance

 

b.            Weight loss

 

c.             Increase exercise

 

d.            Regular use of antacid

 

152)       5-alpha reductase inhibitor work to improve symptoms of benign prostatic hyperplasia by?

a.            Decreasing the size of the prostate

 

b.            Increasing blood flow to the prostate

 

c.             Relaxing smooth muscle in the bladder neck

 

d.            Relaxing smooth muscle in the prostate capsule

 

5-alpha reductase such as finasteride reduced amount of dihydrotestosterone in the prostate causing it to shrink. This helps you to pass urine more easily.

 

 

 

153)       which medication is indicated for patients with generalized anxiety disorder?

a.            Buspirone (Buspar)

 

b.            Citalopram (Celexa)

 

c.             Imipramine (Tofranil)

 

d.            Bupropion HCL (Welbutrin)

 

Buspirone (Buspar) is an antianxiolytic, the other choices are antidepressants

 

154)       pregnant women are evaluated for syphilis with serology testing because:

a.            Syphilis during pregnancy predisposes the fetus to spontaneously abort or the newborn to have congenital syphilis

 

b.            Hormonal changes associated with pregnancy may trigger activation of latent syphilis

 

c.             Syphilis may be passed to the fetus beginning in the third trimes