TUTOR: BRILLIANTSCORE

NURSING MISC

3P EXAM QUESTIONS AND

ANSWERS

LATEST 2021 – VERIFIED

VERSION

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Questions 1

When performing a visual acuity test, the nurse practitioner notes 20/30 in the left eye and

20/60 in the right eye. The next step is to

A- Have the patient return in 2 weeks for a follow-up vision screen

B- Dilate the eyes and retest

C- Refer the patient to an ophthalmologist

D- Document this as a normal finding.

Question 2

The American Psychiatric Association’s Diagnostic and Statistical Manual

Disorder fifth edition (DMS-5) describes Munchausen Syndrome by proxy as 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

Question 3

Symptoms of depression are a side effect of which neurotransmitter medication? [There

are 3 categories of neurotransmitters in the brain: small molecules for fast

action/excitatory transmission = glutamate & GABA; small molecules for slower

modulation of activity = dopamine & serotonin; Peptides = endorphins, cannabindoids,

oxytocin)

A- Dopamine

B- B- Gabapentin

C- C- Mu

D- Cortisol

Question 4

The right lymphatic ducts drain into what part of the circulatory system? (There are two

lymph ducts, the right lymphatic duct and the thoracic duct. The right drains lymph from

the right upper limb, the right side of thorax, and the right halves of head and neck. The

thoracic duct drains lymph into the circulatory system between the left subclavian and the

left internal jugular veins)

A- Arterial

B- Venous

C- Arteriovenous system

D- Capillary bed

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Question 5

Which lesion is dark, raised and asymmetric with irregular borders?

A- Nevus (the medical term for a mole. Nevi are very common. Most people have between

10 and 40. Common nevi are harmless collections of colored cells. They typically appear

as small brown, tan, or pink spots)

B- Actinic (a rough, scaly patch on your skin that develops from years of exposure to the

sun. It's most commonly found on your face, lips, ears, back of your hands, forearms,

scalp or neck)

C- Keratoacanthoma (a dome-shaped lump or tumor that grows on your skin)

D- Melanoma (the most serious type of skin cancer, develops in the cells (melanocytes)

that produce melanin — the pigment that gives your skin its color. Melanoma is

asymmetric, irregular border, change in color, change in diameter, and evolved over

time [ABCDE])

Question 6

A pediatric patient has areas of scaling on the scalp, with round patches of alopecia. This

clinical finding is consistent with

A- Tinea capitis (Ringworm of the scalp is not really a worm, but a fungal infection.

It gets the name ringworm because the fungus makes circular marks on the skin,

often with flat centers and raised borders. Also called Tinea capitis, this infection

affects your scalp and hair shafts, causing small patches of itchy, scaly skin)

B- Seborrheic dermatitis (a common skin condition that mainly affects your scalp. It

causes scaly patches, red skin and stubborn dandruff. Seborrheic dermatitis can also

affect oily areas of the body, such as the face, sides of the nose, eyebrows, ears, eyelids

and chest. For infants, the condition is known as cradle cap and causes crusty, scaly

patches on the scalp.)

C- Trichotillomania (hair-pulling disorder, is a mental disorder that involves recurrent,

irresistible urges to pull out hair from your scalp, eyebrows or other areas of your body,

despite trying to stop)

D - Alopecia areata (a condition that causes hair to fall out in small patches, which can

be unnoticeable. These patches may connect, however, and then become noticeable. The

condition develops when the immune system attacks the hair follicles, resulting in hair

loss)

Question 7

A patient with an acute presentation of acute aortic regurgitation (AR) typically presents

with sudden severe shortness of breath, lower extremity edema, a rapid heartbeat, and

A- Dry mouth

B- Chest pain

C- Decreased blood pressure

E - Systolic murmur

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