Dunphy Primary Care Practice Test

These questions are part of the practice quiz. Start practicing

• What symptom is least likely associated with a diagnosis of allergic rhinitis?
• In a diabetic patient, what medication is most likely causing a 3-month persistent cough?
• A patient asks how to avoid contracting pharyngitis and tonsillitis. Which piece of advice is not appropriate for this patient?
• Marian, age 52, presents with severe right upper quadrant pain. What might you suspect?
• A 60-year-old presents with pruritus, night sweats, and enlarged supraclavicular nodes. What do you suspect?
• In a patient encounter note, what does the acronym SOAP stand for?
• If a breast cancer screening test accurately identified 80 out of 100 individuals free from breast cancer, what is the specificity of this test?
• Which lifestyle change is often suggested to help prevent urinary tract infections?
• Which type of bloody urine indicates bleeding from the upper urinary tract?
• What finding would suggest a diagnosis of iritis over conjunctivitis?
• Which symptom is a common indicator of pneumonia in older adults?
• A 19-year-old experiences pain over her cheeks and discolored nasal discharge. Which sinus do you suspect is affected?
• What is the most common bacterial cause of traveler's diarrhea?
• Which of the following types of lung cancer is most associated with paraneoplastic syndromes?
• What condition could Doug, age 6, likely have based on his symptoms?
• What type of foods should Jim avoid if he has a history of kidney stones found to be oxalate stones?
• What is the most common cause of epistaxis?
• Pelvic floor exercises (Kegel exercises) are primarily used to address which type of incontinence?
• What is the most appropriate antimicrobial option for a patient with acute otitis media who is allergic to penicillin?
• Which of the following initiatives does not fall under the National Prevention Strategy?
• What long-term control therapy is indicated for Marci, age 15, diagnosed with step 1 (intermittent) asthma?
• A 17-year-old high school student presents with persistent sore throat and malaise not relieved by penicillin therapy. What would you order next?
• Cough and congestion can result from breathing which of the following?
• What primary goal should guide health promotion initiatives?
• Which complication can arise from untreated long-term asthma?
• Which test is recommended for diagnosing asthma in a patient with recurrent nighttime coughing and wheezing?
• What is the likely diagnosis for a patient with an erythematous ear canal and pain on manipulation of the auricle after swimming?
• Which of the following patients would you recommend get a low-dose computed tomography (CT) scan for lung cancer screening?
• In a child with asthma symptoms occurring 2 days a week, what is the recommended action regarding treatment?
• What does Grey Turner sign indicate in a patient with pancreatitis?
• What is the most common histologic type of lung cancer?
• Which of the following is not one of the generalized patterns of nursing care included in the Circle of Caring model?
• Which indication suggests that Martin, age 76, should be hospitalized after being diagnosed with pneumonia?
• What is the essential information to teach clients about using steroid inhalers for asthma or COPD?
• What dietary management should be implemented for a client in acute renal failure?
• Which of the following statements about health promotion is false?
• Which of the following therapies is often recommended for patients with COPD exacerbation?
• Why is it important for women to perform a monthly breast self-examination (BSE) even with regular mammograms?
• Marty, age 52, notices a bulge that is likely a ventral hernia. What type is it?
• How would you classify Susan, who has type 2 diabetes, hypertension, and central obesity, during her examination?
• What is true regarding pain management for a patient with chronic kidney disease undergoing treatment for low back pain?
• Which type of exercise would be most beneficial for enhancing cardiovascular health?
• Which of the following is not a possible adverse reaction to Levaquin (levofloxacin)?
• If a client has an elevated mean corpuscular volume (MCV), which diagnosis should be considered?
• What is the diagnosis for a patient presenting with nasal congestion, clear mucus, and pale nasal turbinates?
• Stridor on auscultation is commonly associated with which condition?
• What condition should be evaluated for if an older adult has an abrupt change in bowel habits?
• What is the best treatment for traveler's diarrhea after returning from Central America?
• Which of the following factors is least likely to influence patient adherence to treatment?
• Which of the following statements regarding the respiratory status of a pregnant woman is true?
• Which of the following statements does not belong in the past medical history portion of your chart note?
• What is the primary concern of a patient with early symptoms of BPH?
• Which diagnostic method is commonly used to visualize kidney stones?
• Which of the following symptoms is often associated with pulmonary tuberculosis?
• For a patient suffering from stress urinary incontinence seeking relief without increasing medication, what might you recommend?
• After a hemorrhoidectomy, what misunderstanding might indicate a lack of comprehension in a patient's care plan?
• Which workers are most at risk for developing black lung disease?
• The antibiotic of choice for the treatment of Streptococcus pneumoniae infection is:
• What is the most common cause of megaloblastic anemia?
• What indicates that a patient has oropharyngeal candidiasis?
• In children aged 1 to 5 years with a chronic cough, which condition should be included in the differential diagnosis after ruling out common causes?
• Which treatment is indicated for a patient experiencing an acute asthma attack?
• Which type of leukemia is most commonly found in the United States?
• What preventive measure should be recommended to a swimmer with a history of swimmer's ear?
• The gold standard for diagnosing sickle cell anemia is which test?
• In a patient exhibiting symptoms after swimming, what aspect of external otitis might be observed?
• When teaching a mother about promoting her child's pulmonary function with cystic fibrosis (CF), what approach is emphasized?
• The presence of which component in a urinalysis indicates bacteria or severe renal disease?
• What is an important guideline for a patient with chronic hepatitis C regarding transmission prevention?
• Which category of diuretics is associated with the side effects of hyperkalemia and menstrual disturbances?
• A homeless patient with iron deficiency anemia has several risk factors. Which one is not a risk factor for her condition?
• Laura, age 36, presents with dyspnea and other concerning symptoms. What do you suspect?
• You diagnose a patient with viral conjunctivitis. What treatment should you recommend?
• As a primary care provider, which of the following topics is not typically important for adults aged 20 to 40?
• What is the recommended foot care advice for a diabetic patient with decreased sensation in both feet?
• In patients with persistent urinary incontinence, which type of specialist is typically consulted?
• Which factor is most likely to exacerbate asthma symptoms in patients?
• What distinguishing characteristic can help differentiate between conjunctivitis and iritis?
• Which condition is characterized by intermittent episodes of airway obstruction caused by bronchospasm?
• What is one effective strategy for preventing bone loss in a young woman?
• Which finding in urinary sediment is indicative of pyelonephritis and interstitial nephritis?
• What neurological condition is suspected when a patient cannot differentiate between sharp and dull stimulation on both sides of the face?
• In the context of a patient evaluation, what does 'objective' refer to in the SOAP note format?
• What do you suspect in a patient with a headache, cough, fever, and eosinophilia but negative blood cultures?
• What is a simple action that might help relieve stress urinary incontinence aside from Kegel exercises?
• What is the recommended treatment plan for a 67-year-old male suspected of having pneumonia?
• In tumor classification, TNM stands for which of the following?
• What is a therapeutic indication for a bronchoscopy?
• Which medication would be most appropriate for Sarah, age 25, with allergic rhinitis and nasal congestion?
• What might help with urinary incontinence alongside Kegel exercises?
• When does the diagnosis of tuberculosis not need to be reported?
• Which of the following diagnoses would most likely present with difficulty in vision changes and redness in the eye?
• According to screening guidelines, what test is recommended at age 50?
• Which of the following doesn't fall under the umbrella of health promotion as a nurse practitioner?
• What is the likely diagnosis for a 7-year-old with right-sided abdominal pain and elevated WBC count?
• Which of the following medications prescribed for asthma acts to prevent binding of IgE receptors on basophils and mast cells?
• Which behavior indicates Rose misunderstands her GERD management plan?
• In patients with sleep apnea, what is a common complication if left unmanaged?
• What is a general recommendation to prevent kidney stones, irrespective of the stone type?
• What should you teach about tiotropium (Spiriva) when prescribing it for a client with COPD?
• What indicates a lack of understanding in a client counseling session about asthma management?
• For someone with acute renal failure, what is a dietary recommendation?
• Which of the following statements does not belong in the physical exam portion of a patient with ankle pain?
• What should patients with diabetes do monthly to maintain foot health?
• Which of the following is a characteristic feature of a cough associated with lisinopril?
• What diameter of a raised lesion at a PPD injection site is considered positive for the test?
• What is the likely diagnosis for a patient experiencing hematochezia with a positive fecal occult blood test?
• What is the best course of action for Jamie, age 16, who has recent difficulty breathing at night despite previously well-controlled asthma?
• Which laboratory value change is associated with kidney disease?
• Which type of incontinence is characterized by decreased bladder capacity and irritation due to various factors?
• Which parapharyngeal upper respiratory tract infection is most common in children aged 2 to 5 years?
• Which sinuses are affected in a case of acute sinusitis if pain is reported behind the eye?
• What is a likely reason for Marvin's bleeding problems due to cirrhosis?
• For a patient with pneumonia and fever, what is the best treatment option for inpatient care?
• What question would be most appropriate to ask a young child to determine if they have nausea?
• What is the greatest risk factor for developing chronic obstructive pulmonary disease (COPD)?
• Which category of asthma severity is Jill in if she has daily symptoms and exacerbations affecting her activities at least twice weekly?
• Which medication class is often used as a first-line treatment for asthma control?
• Which of the following is not considered a risk factor for cholecystitis?
• Which approach is most effective in improving health literacy among patients?
• A 56-year-old social worker has fever, facial pain, and purulent nasal discharge for 6 days. What condition should the nurse practitioner suspect?
• If 1 serving of fat contains 3 g, how many calories of fat does it provide?
• What is a typical sign of chronic bronchitis?
• What condition may be characterized by excessive bronchial secretions leading to airway obstruction?
• A cough caused by postnasal drip related to sinusitis is more prevalent at what time of day?
• What is a common symptom of internal hemorrhoids?
• What is the most likely reason for diarrhea in a patient who believes his antacids are the cause?
• What does terazosin hydrochloride (Hytrin) do for patients with benign prostatic hyperplasia?
• For an 83-year-old female with diarrhea post-hospitalization, what is the recommended treatment?
• Which of the following is not a complication of untreated group A streptococcal pharyngitis?
• Which of the following is not a subjective finding?
• What is the primary treatment for a teacher suffering from severe hoarseness and sore throat?
• In differentiating between chronic bronchitis and emphysema, which statement describes chronic bronchitis?
• What medication should Rose with gastroesophageal reflux disease (GERD) avoid?
• What is a likely pathogen to suspect if a camper develops gastroenteritis after eating canned food?
• What is the role of citrate in preventing kidney stones?
• How long should a patient undergoing tuberculosis treatment expect to take medication?
• What physical finding may indicate "impaired gas exchange" in an elderly female patient?
• What is the definitive test for diagnosing cystic fibrosis?
• Which diagnostic procedure can visualize the renal outline and identify lower rib fractures?
• What is a concerning bowel movement frequency for an older adult that warrants further evaluation?
• What is the most likely pathogen causing pulmonary infiltrates in both lungs for a patient with fever and cough?
• Mark, age 72, complains of a productive cough and other symptoms for 8 weeks. What would be one of the first tests you order?
• What is the first step in treating uric acid kidney stones?
• What is the most common bacterial pathogen associated with acute otitis media?
• What might elevated calcium levels in urine indicate?
• What condition is suggested by symptoms of pale conjunctivae, tachycardia, and cheilosis?
• What is the primary cause of macrocytic normochromic anemias?
• What is the pH level indicative of respiratory acidosis in a patient with COPD?
• Which of the following patients is considered health literate?
• Which diagnostic study assesses for the lack of erythropoietin in renal function evaluation?
• What is a common sign of moderate persistent asthma in children?
• What common advice is given to hydrate properly and ensure kidney health?
• What factor significantly impacts the long-term outcome of Melva's pancreatitis?
• Which condition is indicated by a blood gas pH of 7.3, Pao2 of 57 mm Hg, Paco2 of 54 mm Hg?
• Which of the following demonstrates a subjective finding?
• A new patient presents with generalized lymphadenopathy. This is indicative of what?
• What is the most accurate response to Leslie's inquiry about her chances of developing polycystic kidney disease?
• Postmenopausal women are more prone to urinary tract infections due to?
• Which serum test is most effective for early detection of iron deficiency?
• What percussion tone is heard over a distended bladder?
• An infant with periodic breathing may have an increased risk of which condition?
• What is an important follow-up for patients with chronic obstructive pulmonary disease (COPD)?
• In which circumstance is the reticulocyte count typically elevated?
• Which of the following best describes the significance of performing dermal checks in diabetic patients?
• For an asthmatic patient, why might a peak expiratory flow meter be recommended?
• What is the most common metabolic condition that leads to kidney stone formation?
• Which of the following would be considered an objective finding in a clinical exam?
• How long should Jill, age 42, exercise each week for optimal health?
• What lifestyle change would best assist in preventing osteoporosis in young adults?
• What should a nurse suspect in a patient with a painful red eye without discharge?
• A patient has slightly reduced hemoglobin and hematocrit readings. What should be your next action after dietary inquiry?
• Which of the following statements regarding pulmonary tuberculosis is true?
• What is the most common cause of acute pancreatitis?
• Your client has an elevated platelet count. What do you suspect?
• What is the recommended empirical treatment for a gastroduodenal ulcer caused by Helicobacter pylori?
• What is the best treatment for a college student with a positive rapid influenza test?
• Bobby, age 6, with periumbilical pain and vomiting likely has what condition?
• What are the well-established risk factors for nosocomial pneumonia caused by multidrug-resistant organisms?
• What is the most appropriate test to confirm a suspected diagnosis of asthma?
• What protozoal infection is suspected in a patient with AIDS experiencing diarrhea?
• Which of the following is considered a nephrotoxic agent that should be avoided in clients with chronic renal failure (CRF)?
• What do current screening guidelines recommend for colon cancer in the general population?
• What is a sign that a patient may be suffering from depression?
• Which medication is commonly used in combination with a proton pump inhibitor to treat H. pylori infection?
• Which of the following is NOT a risk factor for developing asthma?
• What condition might be suspected in Lucy, age 49, who has pain in both lower quadrants?
• What is an uncommon risk factor for gallbladder disease?
• What abnormal finding in a urinalysis may indicate severe renal disease?
• Coughing up blood or sputum that is streaked or tinged with blood is known as?
• Which condition is characterized by itchy eyes, runny nose, and pale nasal turbinates?
• What is the gold standard for the diagnosis of asthma?
• What condition is suggested by costovertebral angle tenderness in Gordon, age 29?
• What is commonly a symptom of cystic fibrosis in children?
• Of the following groups, which is at the highest risk of tuberculosis in the United States?
• When teaching Holly, age 14, to use a peak expiratory flow meter, which "zone" indicates her expiratory compliance is 50% to 80% of her personal best?
• What condition is typically indicated by cloudy urine?
• Which factor is not considered a modifiable risk factor?
• What diagnosis is suggested by the gradual onset of dry cough, dyspnea, and fever in a middle-aged man?
• As a nurse practitioner, which of the following would not be an example of primary health promotion?
• In response to an acid-base disturbance, which condition leads to increased excretion of HCO3 by the kidneys to lower pH?
• Which statement regarding sleep apnea is incorrect?
• What is the minimum duration a patient with COPD should be on oxygen therapy to improve oxygen saturation?
• When teaching smokers about starting nicotine gum to aid in smoking cessation, tell them to:
• Women with reduced estrogen levels tend to have recurrent urinary tract infections due to?