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Sample Test

1 )

The NP recalls that widened pulse pressure is seen in which of the following clinical situations?


  decreased intracranial pressure
  increased intracranial pressure
  polycythemia vera
  parkinson's disease

2 )

On examination of the diagnostic work up in suspected appendicitis, all of the following are expected except:


  positive Markle sign is found
  Neutrophilia
  Tenderness at McBurney's point
  McMurray's sign

3 )

In the physical examination of a patient complaining of blurred vision and whirling sensation in the head, the NP notes rotary nystagmus. Included in the differential are all except:


  Labyrinthitis
  Acoustic neuroma
  Bell's palsy
  Multiple sclerosis

4 )

A nurse practitioner is getting a history for a patient with suspected cluster headaches. The NP examines the patient and gets supporting findings that the headache is cluster when it is noted that:


  Loss of a visual field
  The pupil on the affected side is miotic
  The patient complains of a band like feeling around the entire head
  The pupils are equal

5 )

A 41 year old farmer is examined for lesions on his mouth. The accompanying picture is highly suggestive of;


  varicella zoster
  herpes simplex
  melanoma
  squamous cell

6 )

During the physical examination of a hypertensive patient's heart the NP notes an extra sound heard best at the 2nd intercostal space to the left of the sternum. Which of the following supports that the sound is a physiological split of S2?


  inspiration decreases the sound
  inspiration increases the sound
  the sound is heard best with the bell
  the sound does not vary with the respiratory cycle

7 )

Physical assessment findings that support a diagnosis of iron deficiency anemia include all of the following except:


  pale palpebral conjunctiva
  pale bulbar conjunctiva
  Hmct 30
  Koilonyochia

8 )

Characteristics of the murmur of aortic stenosis include all of the following except:


  it is diastolic
  it happens between the S1 and S2
  it radiates to the neck
  can be associated with a displaced PMI

9 )

The normal adult thyroid has all of the following characteristics except:


  it can be palpable
  it can be non-palpable
  the left lobe can be slightly larger than the right
  its widest diameter is 8 cm

10 )

The posterior tibial pulse is located:


  behind the medial malleolus
  in front of the lateral malleolus
  above the lateral malleolus
  behind the knee

11 )

A 55 year old hypertensive is being examined by the health care provider for a routine comprehensive visit. During the assessment of the abdomen the NP notes that there is a midline bruit at the epigastrium. Which of the following support a diagnosis of aortic abdominal aneurysm?


  forward bounding suprapubic pulsation
  diminished femoral pulses
  SEM at the apex of the heart
  JVD at 5 cm

12 )

Assessment of the skin of a 22 year old graduate student reveals that there is a herald patch. This supports a diagnosis of which of the following?


  Tinea versicolor
  Impetigo
  Pityriasis rosea
  Fifth’s disease

13 )

Upon examination of a patient with Multiple Sclerosis, the NP notes that the patient is having difficulty looking downward and out. The cranial nerve likely to be affected is:


  CN 1
  CN 2
  CN 3
  CN 4

14 )

Auscultation of the heart of a patient complaining of chest pain reveals a grating sound heard at the left sternal border. This is increased with inspiration. Which of the following will support the diagnosis of a pericardial friction rub?


  heard best with the bell
  louder with the diaphragm
  happens only in diastole
  stops when the patient holds his breath

15 )

Pulsus alternans is best identified in:


  dehydration
  anemia
  congestive heart failure
  pulsus paradoxus

16 )

Temporal arteritis is suspected in an elderly client when the following is noted


  unilateral temporal pain
  bilateral temporal pain
  fever of 101 or above
  elevated RBC count

17 )

An NP is examining a patient with generalized muscle weakness. Which of the following would support a diagnosis of hypothyroidism?


  silky fine har
  prolonged recovery of the achilles DTR
  exopthalmous
  3+ DTRs throughout

18 )

Pheochromocytoma has the following charactieristics in physical assessment of clients affected by this disorder


  serum sodium is high
  face is pale and diaphoretic
  increased hyperpigmentation of the skin is noted
  facial flushing that is paroxysmal may occur

19 )

The cervical os of the nulliparous female is described as


  stellate
  star shaped
  circular
  punctate

20 )

A male client is noted to have a positve prehn sign when examined. This supports a diagnosis of which of the following


  testicular torsion
  testicular cancer
  prostatic cancer
  epididymitis

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