Exit Exam

Question 1

The groove of the metacarpophalangeal joint can be palpated by having the patient:

Answer 1

a. Flex his hand

Question 2

When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are:

Answer 2

a. vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on percussion

Question 3

The ankle-brachial index is a screening test used to assess a person’s risk for:

Answer 3

a. Peripheral artery disease

Question 4

Olecranon bursitis may be caused by all of the following except:

Answer 4

a. Frozen shoulder

Question 5

In patients who have allergic rhinitis, the nasal mucosa appears:

Answer 5

a. Pale

Question 6

A term used to describe an increase in muscular bulk with diminished strength is:

Answer 6

a. Pseudohypertrophy

Question 7

If abdominal pain persists when the patient raises his head and shoulders, the origin of the tenderness is probably:

Answer 7

a. In the abdominal wall

Question 8

On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide with abdominal cramps. These findings are most consistent with:

Answer 8

a. Intestinal obstruction

Question 9

Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around the macular area. These findings are consistent with:

Answer 9

a. Microaneurysms

Question 10

Symptoms of a subdural hematoma include:

Answer 10

a. Noticeable bleeding between the dura and the cerebrum on x-ray

Question 11

On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and shuffling gait are observed. These findings are consistent with:

Answer 11

a. Parkinson’s disease

Question 12

When discussing the musculoskeletal system, all of the following statements related to articular structure disease are true except which one?

Answer 12

a. Articular disease is usually due to stiffness or pain

Question 13

Focal tenderness over the trochanter confirms:
a. Bursitis

Answer 13

a. Bursitis

Question 14

Assessing the neurological status of a child with a ventriculoperitoneal shunt should include

Answer 14

a. Use of the Glasgow coma scale

Question 15

The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is:

Answer 15

a. Salty taste on the skin

Question 16

A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be present at birth and enlarge during the first 10 to 15 months is characteristic of a:

Answer 16

a. Cavernous hemangioma

Question 17

The hamstring muscles flex the knee and are located on the:

Answer 17

a. Posterior aspect of the thigh

Question 18

Ophthalmoscopic examination reveals dark specks noted between the fundus and the lens. These specks are most likely:

Answer 18

a. Vitreous floaters

Question 19

When performing the first Leopold maneuver on a pregnant woman, if the buttocks and head are not easily palpated at the fundus, the fetus is said to be in:

Answer 19

a. Transverse lie

Question 20

When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of his body. This motion of the shoulder girdle would be an example of:

Answer 20

a. Flexion

Question 21

To locate the twelfth rib, palpate:

Answer 21

a. Between the spine and the lateral chest

Question 22

Walking on the toes and heels may reveal:

Answer 22

a. Distal muscular weakness in the legs

Question 23

When performing a bimanual exam of the vagina, the examiner should lubricate the index and middle fingers of a gloved hand. From a standing position, the fingers should be inserted into the vagina while exerting pressure primarily:

Answer 23

a. Posteriorly

Question 24

During pregnancy, which hormone results in increased blood viscosity?

Answer 24

a. Erythropoietin

Question 25

Resting tremors refer to those tremors that disappear:

Answer 25

a. With voluntary movement

Question 26

A patient presents with complaints of bright red stools over the past week. This symptom could be consistent with:

Answer 26

a. Cancer of the sigmoid colon

Question 27

Mydriasis is a term used to describe:

Answer 27

a. Dilation of the pupils

Question 28

When performing a musculoskeletal exam on a patient with mechanical low back pain, osteoporosis is suspected. Positive findings would include all of the following except:

Answer 28

a. Calf wasting

Question 29

Which stage of pressure is consistent with findings on dermatologic examination of a full thickness tissue loss and subcutaneous fat visible with mild slough on the right hip?

Answer 29

a. Stage III

Question 30

The vertebral column angles sharply posteriorly and becomes immovable at the:

Answer 30

a. Lumbosacral junction

Question 31

Which one of the following is at the HIGHEST risk for suicide?

Answer 31

a. A 52-year-old white man

Question 32

When auscultating heart sounds arising from the aortic valve in an adult patient, place the stethoscope:

Answer 32

a. Between the 2nd and 3rd intercostal spaces at the right upper sternal border

Question 33

Pain and crepitus over the patella suggests:

Answer 33

a. Roughening of the patellar undersurface

Question 34

Which one of the following findings is NOT typical in a patient who has delirium?

Answer 34

a. Intact attention and concentration

Question 35

When examining the skin, multiple areas of circumscribed elevations of the skin filled with serous fluid measuring approximately 0.5cm were noted. These types of lesions could be seen in:

Answer 35

a. Herpes simplex or varicella

Question 36

The principal muscles involved when closing the mouth are innervated by which cranial nerve?

Answer 36

a. Cranial nerve V (Trigeminal)

Question 37

The structure that creates a channel for the vertebral artery is known as the:

Answer 37

a. Transverse Foramen

Question 38

Which of the following is NOT a compliant patient with type 1 diabetes?

Answer 38

a. Polycythemia

Question 39

When suspecting pediculosis capitis, the chief complaint is

Answer 39

a. Itching

Question 40

The structure that appears as the large swelling posteriorly on the superior ramus of the ischium and bears most of the weight in sitting, is known as the:

Answer 40

a. Ischial tuberosity

Question 41

When percussing the posterior chest, which one of the following techniques would be omitted?

Answer 41

a. Percuss areas over the scapulae

Question 42

On examination of the pupils, both are round but the right pupil appears larger than the left and reacts much slower to light. This condition may be indicative of:

Answer 42

a. A tonic pupil

Question 43

During the type of seizure activity, the patient experiences partial seizures that resemble tonic-clonic seizures. The patient may recall the aura and unilateral neurologic deficit is present during the postictal period. This type of seizure activity is referred to as a:

Answer 43

a. focal seizure that becomes generalized

Question 44

A female patient complains of weakness in both arms when transferring the wet clothes from the washer and placing them in the dryer. This finding could be suggestive of which type of weakness pattern?

Answer 44

a. Symmetric

Question 45

To palpate the right ovary when performing the bimanual vaginal exam, the abdominal hand should be on the right lower quadrant and the pelvic hand needs to be:

Answer 45

a. In the right lateral fornix

Question 46

A serious disturbance in a person’s mental abilities that results in a decreased awareness of one’s environment and confused thinking is referred to as:

Answer 46

a. Delirium

Question 47

Which of the following screening tests for hearing loss can detect both sensorineural and conductive hearing loss?

Answer 47

a. Weber test

Question 48

Located on the anterior aspect of the distal femur, the patella slides on this groove during flexion and extension of the knee. The name of this groove is the:

Answer 48

a. Trochlear groove

Question 49

A 86-year-old man with uncontrolled hypertension presents with sudden, intense left lower abdominal pain that radiates to the back. The pain is associated with a tearing sensation. These findings are MOST likely associated with:

Answer 49

a. An abdominal aortic aneurysm (AAA)

Question 50

Men between the ages of 40 and 64 years should be screened yearly for:

Answer 50

a. Hypertension

Question 51

A term used to describe drainage from the nose is:

Answer 51

a. Rhinorrhea

Question 52

Tenderness over the scapulohumeral muscle group with the inability to abduct the arm above the shoulder level would be consistent with all of the following except:

Answer 52

a. Synovitis of the glenohumeral joint

Question 53

In the older adult, the test for leg mobility is known as the:

Answer 53

a. Timed “get up and go test”

Question 54

Which one of the following procedures would confirm a definitive medical diagnosis of Hirschsprung’s disease?

Answer 54

a. A rectal biopsy

Question 55

Hypofunctioning of the thyroid gland would lead to all the following disorders except:

Answer 55

a. Graves’ disease

Question 56

The fleshy projection of the earlobe is known as the:

Answer 56

a. Lobule

Question 57

A 50-year-old male describes difficulty emptying his bladder. On exam, a distended bladder is noted following urination. This finding may be associated with:

Answer 57

a. Overflow incontinence

Question 58

When performing an examination of the external genitalia of a female patient, a small firm, round cystic nodule in the labia is identified. This lesion is most consistent with:

Answer 58

a. Epidermoid cyst

Question 59

Passive flexion, varus stress, and external rotation of the lower leg evaluates the:

Answer 59

a. Medial meniscus

Question 60

When examining the knee, swelling above and adjacent to the patella was noted. This finding could be suggestive of:

Answer 60

a. Synovial thickening over the knee joint

Question 61

While assessing the cranial nerves, the NP touches the cornea lightly with a wisp of cotton. This maneuver assesses which cranial nerve?

Answer 61

a. Cranial nerve V, Trigeminal

Question 62

The NP instructs the patient to look over one shoulder, then the other. This maneuver would assess cervical:

Answer 62

a. Rotation

Question 63

During a speculum exam of the cervix the speculum is maintained in an open position by:

Answer 63

a. Gently tightening the thumb screw on the speculum

Question 64

The NP is examining the elbow of a 16-year-old male athlete. Increased pain is noted when he tries to extend his wrist against resistance. This finding is most consistent with:

Answer 64

a. Lateral epicondylitis

Question 65

Which examination finding is defined as a congenital ventral displacement of the meatus on the penis?

Answer 65

a. Hypospadias

Question 66

Bowel sounds may be increased in the presence of:

Answer 66

a. early intestinal obstruction

Question 67

Eversion of the upper eyelid can be performed by placing the cotton applicator on the upper lid above the level of the internal tarsal plates and then:

Answer 67

a. Gently push down with the stick and lift the lashes up and flip the lid inside out

Question 68

Anticipatory guidance for the family of a pre-adolescent with cognitive impairment should include information about:

Answer 68

a. Sexual development

Question 69

Asymmetry, irregular borders, variation in color, diameter greater than 6 mm, and elevation represent the “ABCDEs” of:

Answer 69

a. Malignant melanoma

Question 70

When performing a spinal exam, the NP noted the appearance of poor posture and a “hump” appearance of the upper back. This finding could be suggestive of:

Answer 70

a. Thoracic kyphosis

Question 71

The area where the iliac crest terminates anteriorly on the ilium is known as the:

Answer 71

a. Anterior superior iliac spine

Question 72

Following injury to the extremities, assessment for neurovascular competency should include the:

Answer 72

a. Skin color, temperature, movement, and sensation of the extremity

Question 73

A patient is experiencing a dull achy pain in the epigastric area with eating. This type of pain is consistent with:

Answer 73

a. A gastric ulcer

Question 74

Which of the following conditions is NOT related to Polyuria?

Answer 74

a. Hyperkalemic nephropathy

Question 75

When examining the elbow for range of motion, the NP instructs the patient to turn his palm upward. This motion is an example of:

Answer 75

a. Supination

Question 76

The forward slippage of one vertebrae resulting in spinal cord compression is referred to as:

Answer 76

a. Spondylolisthesis

Question 77

Skin conditions such as pruritis, hyperpigmentation, and calciphylaxis may be seen in patients who have:

Answer 77

a. Chronic renal failure

Question 78

The extension of the spine of the scapula located at the highest point of the shoulder is referred to as the:

Answer 78

a. Acromion process

Question 79

A 60-year-old patient presents with severe, deep left eye pain. Findings reveal dilated and fixed left dilated and fixed left pupil and the cornea is cloudy. There is no ocular discharge noted. These findings are most likely consistent with:

Answer 79

a. Acute angle closure glaucoma

Question 80

A patient has a papule with an ulcerated center on the lower lid and medial canthus of the eye. This is consistent with:

Answer 80

a. A basal cell carcinoma

Question 81

Patients with prior hypospadias surgery who develop slow and painful urination as well as prostatitis are experiencing symptoms of:

Answer 81

a. Urethral stricture

Question 82

Which substance used during pregnancy accounts for one third of all low birth-weight infants, placental abruption, and preterm labor?

Answer 82

a. Tobacco

Question 83

When screening for bladder cancer in a primary care setting, the test that would be LEAST appropriate is:

Answer 83

a. Cystoscopy

Question 84

The axioscapular group of muscles include which on of the following?

Answer 84

a. Trapezius

Question 85

A mental health condition characterized by over-the-top behavior such as emotional outbursts, noisy displays of temper, compulsive attention seeking and self-centered actions is:

Answer 85

a. Histrionic

Question 86

Social phobia, panic disorder, and post-traumatic stress disorder (PTSD) are all examples of:

Answer 86

a. Generalized anxiety disorder (GAD)

Question 87

In older adults, the presence of heart sound S3 suggests:

Answer 87

a. Heart failure

Question 88

Depigmented macules appearing on the face, hands, feet, and other parts of the body due to the lack of melanin are termed:

Answer 88

a. Vitiligo

Question 89

Restrictions of internal and external rotation of the hip are sensitive indicators of:

Answer 89

a. Arthritis

Question 90

Which of the following neurological findings indicate the need for further evaluation?

Answer 90

a. Weak and ineffective sucking movements