NSG6020 3Ps Exam Latest 2021

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. Thismeans:
a) have the patient returning in two weeks for a follow up visionscreen
b) dilated the eye and retest
c) refer the patient to anophthalmologist
d) document this as a normalfinding
2. TheAmericanpsychiatricassociation’sdiagnosticandstatisticalmanualofmentaldisorder defines Munchausen Syndrome ByProxy
a) a self-inflicted injury to gainattention
b) acaregivermakinguporcausinganillnessorinjuryinapersonunderhisorher care
c) an abusive behavior that does not involve the caregiver
d) a situation in which the abuser is often inattentive and uncaring toward thevictim
3. Symptoms of depression are a side effect of which neurotransmittermedication?
a) dopamine serotonin,norepinephrine
b) gabapentin
c) mil
d) cortisol
4. Which lesion is dark raised and asymmetric with irregular border? Quizlet Bates Chapter20
a) Nevus
b) Actinickeratosis
c) Keratoacanthoma
d) Melanoma
5. A 32 years old woman presents with dull puffiness of the ayes pronounced notpitting periorbital edema this finding is suggestive of this condition?APEA
a) Nephroticsyndrome
b) Myxedema
c) Cushingsyndrome
d) Sinusitis
6. A 42 years old woman with a past medical history of migraine headaches isrequesting 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 consistentwith:
a) Tineacapitis
b) Seborrheicdermatitis
c) Trichotillomania
d) Alopeciaareata
8. What is the appropriate prophylactic medication for an 18 years old woman with apast medical history of migraineheadaches?
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 sedentarylife
a) She isobese
b) She has type 2 diabetesmellitus
c) Her age and tobaccouse
d) She leads a sedentarylifestyle
10. During the breast examination of a perimenopausal woman the NP detects abloody spontaneous discharge from the right nipple. This indicates furtherevaluation.
a) Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green or dark brown nonbloody nipple discharge that tends to leak without pressure orsqueezing
c) An intraductalpapilloma
d) Pituitary prolactinoma
11. Rh negative women should receive Rho (D) immunoglobulin at what gestationaltime?
a) 6weeks
b) 12weeks
c) 28weeks
d) 35weeks
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 followingresults describes the size of theRBCs?
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 forheadache
a) Verapamil
b) Propranolol
c) Venlataxin(Effexor)
d) Nimodipine
14. What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transpositionof the greatarteries
a) To maintain equal pressure in theventricles
b) To maintain patency of the greatarteries
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 associatedwith peripheral arterydisease
a) A sharp stabbingpains
b) A dull pain orcramp
c) An electric shock
d) A pulsatingpain
16. Which of the following conditions is NOT a typical finding of hyperprolactinemia in a47- year-old premenopausalwoman?
a) Hirsutism
b) Gynecomastia
c) Oligomenorrhea
d) Acne
17. When treating a patient with asthma who is experiencing acute wheezing whichmedication should be given to relieve the symptom?
a) Short actingbronchodilator
b) Long actingbronchodilator
c) Inhaledcorticosteroid
d) Combination of methylxanthine and long actingbronchodilator
18. Which immunization reduces a patient’s risk for infection with the virus that causespainful localized blistering rash?
a) Smallpoxvaccine
b) Varicella vaccine (chickenPox)
c) Shingles (herpes zoster)vaccine
d) Meningococcal vaccine
19. Headache warning signs that need prompt investigation include all of thefollowing EXCEPT:
a) new onset after age50
b) aggravated or relieved by change ofposition
c) precipitated by Valsalvamaneuver
d) Headache relieved with mild infrequent use ofanalgesics
20. The client with iron deficiency anemia should be advised to take the ironsupplement
a) With milk to avoid stomachupset
b) With milk of magnesia at bedtime to avoid constipation
c) On an empty stomach betweenmeals
d) For 30 days to 5weeks
21. Which one of the following statements is true of Munchausen syndrome byproxy?
a) The injury is self-inflicted as the patient is seeking attention fromothers
b) Under the supervision of adults other than the abuser, the patient does notexhibit symptoms
c) The caregiver is usually not involver in the abusivebehavior
d) The abuser is often inattentive and uncaring towards thevictim
22. Which of the following is the most common presenting sign of substance abusein adolescents?
a) Poor schoolperformance
b) change in sleephabits
c) increased blood pressure
d) changes inbehavior
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 herTPAL system to document her maternalstatus
a) Gravida 4 para1114
b) Gravida 4, para 1314 4 is the number of living childrenGTPAL
c. Gravida 3, para 1114
c) Gravida 3, para1112
24. The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 yearsold patient. The Nurse Practitioner should asses thepatents
a) Throat, face, and rightear
b) Neck and supraclavicularregion
c) Right forearm and hand
d) Right groin andabdomen
25. Anticholinergics are indicated for the treatmentof
a) Asymptomatic bacteriuria
b) Renalinsufficiency
c) Urgeincontinence
d) Overflowincontinence
26. A patient presents with signs of chest pain, the nurse practitioner observes jugularvenous distention. Their finding is consistentwith
a) Hypertension
b) Heartfailure
c) Asthma
d) Pneumonia
27. On examination of the neck, a dome shaped lesion in the dermis forming a benign closed firm sac attached to the epidermis is noted on the right lateral side of the neck. The typeof lesion is known as
a) Keloid
b) Tophi
c) A cutaneouscyst
d) Chondrodermatitis
28. Symptoms of heartburn and regurgitation are associated with:
a) Hiatalhernia
b) Gastroesophagealreflux
c) Peptic ulcerdisease
d) Esophagealcancer
29. A 70 years old man walks 20 minutes most days of the week. He has begun to complain of pain of his left calf when he is walking. The problem has gotten gradually worse and now he is unable to complete his 20 minutes walks without stopping to rest. What choice best describes the pain associated with peripheral artery disease?
a) A sharp, stabbingpain
b) A dull pain andcramp
c) An electric shock
d) A pulsatingpain
30. Papilledema is a cause for concern because it is suggestiveof
a) Optic atrophy
b) Microaneurysms
c) Increased intracranialpressure
d) Retinal hemorrhage
31. A 38-year-old patient with a history of abdominal pain presents to the nurse practitioner. Findings reveal superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus. Hemorrhagic pancreatic is suspected because of whichfinding?
a) A positive Gray Turner’ssign
b) A positive Cullen’ssign
c) Kaposi’ssarcoma
d) Petechiae
32. A 57 years old post-menopausal female presents with a complaint of vaginal burning, pruritus and painful intercourse. On examination, the nurse practitioner would be most concern with the findings
a) A thin, pale, dry vaginalmucosa
b) Absence ofrugae
c) A friablecervix
d) Raised yellowish cervicallesion
33. What intervention does the American College of Rheumatology recommend as firstline therapy for Osteoarthritis, rheumatoid arthritis or somethingelse
a) Diagnostic workup to rule out rheumaticarthritis
b) NSAID use at lowest effectivedose
c) Acetaminophen use up to 4grams/day
d) Exercise and weightloss
34. Which of the following drugs is not contraindicated for concurrent use withwarfarin (Coumadin)?
a) Amoxicillin(Amoxil)
b) Trimethroprim/sulfamethaxazole(Bactrim)
c) Cirpofloxacin (Cipro)
d) Clarithromycin(Biaxin)
35. The lymphatic ducts drain into the(APEA)
a) arterialsystem
b) venoussystem
c) vertebral bodies of thespine
d) shoulder
36. Which of the following is the most appropriate treatment for trichomoniasis in anon- pregnantwoman?
a) Metronidazole (flagyl)
b) Doxycycline(Vibramycin)
c) Clindamycin(Cleocin)
d) Clotrimazole(lotrimin)
37. Osteosarcoma in a pediatric patient is most often diagnosed when thereis:
a) Pain in the affected bone
b) Pathologic fracture
c) Repeatfracture
d) Apophysealavulsion
38. In a patient who has a history of migraine headaches, which characteristics is mostcommon?
a) Focal deficits
b) Familyhistory
c) Weakness
d) Initial onset after age35
39. Symptoms associated with small bowel obstruction usuallyinclude:
a) Nausea anddiarrhea
b) Vomiting andpain
c) Hematemesis and bloodystool
d) Indigestion andanorexia
40. Unilateral rhinitis could be caused by all of the followingexcept
a) A foreign body in the nasalcanal
b) A nasalpolyp
c) Drug inducedrhinitis
d) A deviatedsputum
41. A 7 years old child has been diagnosed with acute sinusitis. The drug class that shouldbe avoidedis:
a) Antihistamines
b) Expectorants
c) Decongestants
d) Nasalsteroids
42. A patient present with an elongated head with bony prominence of the forehead, noseand lower jaw. These facial features could be suggestiveof:
a) Nephroticsyndrome
b) Acromegaly
c) Cushing’ssyndrome
d) Parkinson’sdisease
43. Why would a child diagnosed with beta thalassemia and hemosiderosis receivedeferoxamine (desferal)?
a) To prevent blood transfusionreactions
b) To simulate red blood cellproduction
c) To improve the oxygen carrying capacity ofRBCs
d) To eliminate excessive iron and prevent organdamage
44. Apatient has newly diagnosed hypothyroidism. What are the patients TSH level expected to be?
a) Higher thannormal
b) Lower than normal
c) Within normalrange
d) TSH is not used to diagnose hypothyroidism Suggest that the provider lower thedose.
45. Which of the following symptoms would be a clinical manifestation noted duringthe secondary stage ofsyphilis?
a) Absence ofsymptoms
b) Single painless lesion, chancre on the genitalarea.
c) Rash marked by red or reddish-brown, penny-sized lesions over the palms andsoles
d) Poor muscle coordination
46. An 84-year-old male with prostatic hypertrophy is at increased riskof:
a) Constipation
b) Fecalincontinence
c) Urinary tract infections
d) Prostate cancer
47. A characteristic lesion observed in a male with primary syphilis isa:
A) Group of small scattered vesicles
B)Chancre
C) Papule of many shapes
D) Non-tender penile induratednodule
48. During an acute attack of gout, the nurse practitioner knows NOT toprescribe
a) Colchicine(Colcrys)
b) Allopurinol (zyloprim)
c) Steroids
d) NSAIDS
49. What two vitamins and minerals should be included in oral multivitamins inwomen
a) Folic Acid and VitaminC
b) Iron and VitaminB12
c) Vitamin D andIron
d) Folic Acid andIron
50. In a patient with bacterial meningitis, the most common reason for finding ofheadaches:
a) Meningealerythema
b) Increased intracranialpressure
c) Meningealirritation
d) Swelling of the spinal cord
51. Janeway lesions, petechiae and Oster nodes are associatedwith:
a) Gonococcemia
b) Infective endocarditis
c) Hyperthyroidism
d) Peripheral vasculardisease
52. Apatient present with decreased hearing related to antibiotic use. Which class of antibiotics isthis?
a) Aminoglycosides
b) Beta-lactams
c) Cephalosporins
d) Macrolides
53. Which antihypertensive would be appropriate to prescribe for a hypertensive patient (B/P 150/95) that is in her thirdtrimester?
a) Candesartan
b) Lisinopril
c) Methyldopa
d) Furosemide
54. A 40-year-old admits to multiple sex partners presents with several lesions over his body. Finding reveals hemorrhagic vesiculopustular lesions over the hands and feet. Theselesions are most likely associatedwith:
a) Gonococcemia
b) Infective endocarditis
c) Hyperthyroidism
d) Peripheral vasculardisease
55. Which agent is NOT useful in prophylactic treatment of migraineheadaches?
a) Sumatriptan(Imitrex)
b) Amitriptyline (elavil)
c) Verapamil(verelant)
d) Metropolol(lopresor)
56. The right lymph duct drains lymphatic fluid from all the following expect the(APEA)
a) Right side of the heard
b) Right upper thorax
c) Right arm
d) Rightleg
57. Acute lymphocytic leukemia is usually diagnosed by:
a) A completed bloodcount
b) Magnetic resonanceimaging
c) A nuclear bonescans
d) A bone marrowexamination
58. The medication that blocks the transportation of glucose across the intestines into the blood stream to target prandial blood glucoseis:
a) Metformin (Glucophage XR)
b) Acarbose(Precose)
c) Rosiglitazone(Avandia)
d) Glipizide (GlucotrolXL)
59. Prostate pain is usually located inthe:
a) Supra pubicarea
b) Back
c) Perineum
d) In the glans penis
60. A nurse practitioner examines the skin of an elderly patient which finding below isNOT benign lesion associated with the aging process?
a) Xerosis
b) Cherry angiomas and senile purpura
c) Senile keratosis and senilelentigines
d) Dermatophytosis
61. A 65-year-old male presents with findings of symmetric thorax with moderate kyphosisand anterior diameter. Chest expansion is decreased and the diaphragm descending 2 cm bilaterally. These findings relateto:
a) Pneumothorax
b) Pluraleffusion
c) A fracturedrib
d) Chronic obstructive pulmonarydisease
62. Phenazopyridine (Pyridium) is recommended for very short-term use in patients withurinary tract infections (UTIs) because:
a) Possibleresistance
b) Occurrence of hemolyticanemia
c) Gastritis
d) Cost
63. Estrogen-progestin contraceptives should be avoided in womenwith:
a) Tensionheadaches
b) Migraines withaura
c) Unilateralheadaches
d) Cluster headaches
64. The addition of benzoyl peroxide to erythromycin for the topical treatment ofacne:
a) Improve the efficacy oferythromycin
b) Decrease the risk ofdesquamation
c) Decreases the risk of resistance toerythromycin
d) Increases the time patient can be exposed tosunlight
65. An elderly male with benign prostate hyperplasia (BPH) should be advised toavoid antihistamines. What is the reason forthis?
a) Urinary incontinence
b) Constipation
c) Orthostatichypotension
d) Urinary retention
66. Examination of the hair reveals a fine silky appearance. This finding may be seen inpatients thathave:
a) Hypothyroidism
b) Hyperthyroidism
c) Type 2diabetes
d) Celiac disease
67. A patient develops a cough secondary to an angiotensin-converting-enzyme (ACE). Themost appropriate statement related to ACE-I cough is that the coughtypically:
a) Resolves within a week after stopping the ACEinhibitor
b) Resolves with splitting the daily dose to twice dailydosing
c) Occurs with an angiotensin- II receptor blocker(ARB)
d) Affects men more thanwomen
68. A patient with a diagnosis of giardiasis is being treated with metronidazole (flagyl).What information would be important to obtain before prescribing thismedication?
a) If the patient allergic to sulfa
b) If the patient has peptic ulcerdisease
c) If the patient is at least 18 year of age
d) If the patient drinksalcohol
69. A 20 years old male living in the college dorm, complains of a dry cough for the pastmonth. Assessment finding associated with an atypical, community acquired pneumonia would include:
a) A low-grade fever, malaise, and clear lung fields onauscultation
b) A low-grade fever, malaise, and crackles audible throughout the lungfields
c) Temperature of 1010F, sore throat, and diminished breath sounds on auscultation
d) Temperature of 1020F, dyspnea, and diminished lung sounds onauscultation
70. The most appropriate medication indicated for reversing the anticoagulated effectsof dabigatran etexilate(Pradaxa)
a) Idarucizumab(Praxbind)
b) Vitamin K
c) Protamine sulfate
d) Fondaparinux (Arixtra)
71. A common pathological finding in patient withasthma
a) Necrosis of smallairway
b) Absence of gobletcells
c) Absence of ciliaryregeneration
d) Hypertrophy of smoothmuscle
72. Which cranial nerves are responsible for eyemovement?
a) CN II, III,IV
b) CN III, IV,VI
c) CN II, IV,VI
d) CN III, IV,VII
73. The typical presentation of severe acute aortic regurgitation (AR) includes suddensevere shortness of breath rapidly developing heart failure,and:
a) Drycough
b) Chestpain
c) Decreased bloodpressure
d) Systolic murmur
74. Disorders in the kidneys and the ureters may cause pain in all of the following areasexcept the:
a) Flank
b) Abdomen
c) Back
d) Suprapubic
75. When palpating the prostate gland during the rectal exam, the prostate feels tender,swollen, boggy and warm. This finding is consistentwith:
a) A normal prostategland
b) Acute bacterialprostatitis
c) Benign prostatichyperplasia
d) Carcinoma of theprostate.
76. This contagious disease causes fever, headache, stiff neck, photophobia, nausea,vomiting, and altered mental status. What immunization preventsthis?
a) Meningococcal vaccine
b) Pneumococcal vaccine
c) Measles, Mumps, and Rubella (MMR)vaccine
d) Varicellavaccine
77. Headache warning signs that need prompt investigation include all of thefollowing
a) New onset after50
b) Aggravated or relieved by change orposition
c) Precipitated by Valsalvamaneuver
d) Headaches relieved with mild recurrent use of analgesics
78. Serotonin Syndrome is a potentially life-threatening condition associatedwith:
a) Depression
b) Anxiety
c) Increased levels ofserotonin
d) Chlylothorax
79. Which one of the following statements about treating scabies with lindane (Kewell)is correct? Know that Nix is the treatment.
a) Lindane is safe to use in pregnant women, babies, children, and theelderly
b) Lindane lotion and/or shampoo in not considered first-linetherapy
c) Repeated applications of lindane can be used if there has been a twelve-hourinterval
d) Lindane can be used in patient with a history ofseizures.
80. Symptoms consistent with later stage human deficiency disease (HIV) typically include allof the followingexcept,
a) Night sweats
b) Lymphadenopathy for more than 3 months
c) Persistentvomiting
d) Persistent, unexplained fatigue
81. The earliest clinical manifestation of diabetic nephropathyis:
a) An elevation in blood urea nitrogen(BUN)
b) An elevation in blood urea nitrogen (BUN) and creatinine(CR)
c) A decreased glomerular filtrationrate
d) Microalbuminuria
82. When fluid accumulates between the visceral and parietal pleural spaces, the term usedis:
a) Pericardialeffusion
b) Pleural effusion
c) Pleuralempyema
83. Children born with down syndrome often have other anomalies. They especiallyrequire evaluation of what bodysystem?
a) Orthopedic
b) Gastrointestinal
c) Cardiac
d) Endocrine
84. What finding is typical in a patient with a meniscal tear?(APEA)
a) Positive McMurray’stest
b) Positive anterior drawer test
c) Audible click at the joinline
d) Fixed patellar subluxation
85. Thenursepractitionerdiagnosesafemalepatientwithtrichomoniasis.Acommonchief complaint of a patient whit trichomoniasisis:
a) Painless, ulcerated vulvar lesion with vaginal discharged
b) Fever, papules, and vaginal discharged with burning
c) Vaginaldischarge
d) Dyspareunia and upper abdominalpain
86. When deciding on an initial treatment option for an acute flare of atopic dermatitis, unresponsive to emollient therapy, the next best choice for treatment is:
a) Oral corticosteroids (prednisone)
b) Betamethasone dipropionate 0.05%(betanate)
c) Desonide0.5%
d) Pimecrolimus 1% cream (Elidel)
87. When examining the breast, the “tail of Spence” would belocated
a) In the upper innerquadrant
b) In the lower innerquadrant
c) In the lower outerquadrant
d) Laterally across the anterior axillaryfold
88. Headaches with symptoms of nausea and vomiting may be associated with all ofthe following,EXCEPT:
a) Migraineheadache
b) Brain tumors
c) Subarachnoidhemorrhage
d) Tension headache
89. Which of the following finding could indicate a need for further evaluation of the cardiac patient?
a) Hematocrit42%
b) Potassium 4.2mg/dl
c) Sodium 140mEq/dl
d) Low density lipoprotein of 190 mg/dl
90. Alpha-adrenergic blocker increases urine outflow in males by:
a) Improving detrusor musclestability
b) Shrinking the prostategland
c) Relaxing prostate smoothmuscle
d) Dilating the urethralvasculature
91. The scoliosis patient who would cause the greatest concern for the nurse practitioner isa:
a) 13 y/o female with a 100 curve
b) 17 y/o female with a 100curve
c) 12 y/o female with a 50curve
d) 18 y/o female with a 50curve
92. Which finding bellow would be unusual in a patient with diabeticretinopathy?
a) Papilledema
b) Dot and blothemorrhages
c) Microaneurysms
d) Cotton woolspots
93. Where should the uterine fundus be palpable at 12 weeks?
a) At the level of theumbilicus
b) At the level of the symphysispubis
c) Midway between the symphysis andumbilicus
d) Bellow the symphysispubis
94. Ophthalmoscopic examination of a 40 years old carpenter reveals a triangular thickening of the bulbar conjunctiva across the outer surface of the cornea. This condition istermed:
a) Cornealarcus
b) Cornealscar
c) Pterygium
d) Cataract
95. Apatient calls the nurse practitioner, and states that he missed his morning daily dose of warfarin, 5 mg yesterday and today. The nurse practitioner instructs the patientto:
a) Wait until tomorrow and resume daily dosing of warfarin 5mg.
b) Take warfarin 10 mgnow
c) Take warfarin 5 mg now, warfarin 5 mg at 5 pm, today and resume the daily warfarin 5 mg dose in the morning as schedule
d) take warfarin 5 mg now and resume the warfarin 5 mg daily dose in the morningas schedule.
96. What common clinical finding is present in a patient who hascroup?
a) Barkingcough
b) Sudden onset of symptoms
c) Nighttime symptoms
d) Shortness ofbreath
97. A type of breast cancer that begins with erythema and swelling of the breast andprogresses rapidly istermed:
a) Paget’s disease
b) Invasive ductalcarcinoma
c) Inflammatory breastcancer
d) Invasive locularcarcinoma
98. Salmeterol (sereventR) in combination with an inhaled steroid is prescribed for a patient with moderate persistent asthma. What is the most important teaching point aboutsalmeterol?
a) It is not effective during an acute asthmaattack
b) It may take 2 to 3 weeks to beginworking
c) The drug works within 10minutes
d) The drug may be used bay patients 6 yearsolder.
99. A50yearsoldmalehasanon-tender,enlargedscrotum.Thenursepractitionersuspects which of the following conditions:
a) Orchitis
b) Epididymitis
c) Hydrocele
d) Prostatitis
100. Risk factors associated with breast cancer include all of the followingexcept:
a) Personal family history of breastcancer
b) Use of hormone replacementtherapy
c) Post-menopausalobesity
d) Low socioeconomicstatus.

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Solution: NSG6020 3Ps Exam Latest 2021