Barkley Pre Test EXAM WITH VERIFIED QUESTIONS AND ANSWER.2024/2025 GRADED A+ UPDATED.

Barkley Pre Test
EXAM WITH VERIFIED
QUESTIONS AND
ANSWER.2024/2025
GRADED A+ UPDATED.
1. The 27 year old patient is experiencing
secondary amenorrhea. At the time of her visit
her period is 5 weeks late. she has given birth
twice before and says she does not believe she is
pregnant since she is not experiencing any
symptoms of pregnancy. What is your first step
as her nurse practitioner
a) Perform a public ultrasound to check her
anatomical abnormalities
b) refer the patient to an endocrinologist
c) refer the patient to an oncologist
d) order a pregnancy test
D
2. a 50 year old male has weakness in his
quadriceps, pain rating into the medical
malleolus comma along with numbness and a
diminished patellar reflex period you suspect an
L34 disc herniation period which screening exam
is appropriate to confirm this diagnosis
a) Have the patient walk on heels of feet
b) have the patient walk on toes
c) have the patient reach upward keeping head
forward
d) have the patient squat and rise
D
3. A mother of a 15 year old high school student
is inquiring about contraception options for her
daughter. She mentions oral contraceptives but
is curious about the disadvantages of this
method. What would be your best response?
a) Oral contraceptives though effective in many
cases are considered too expensive for some
women can lead to mood changes offer no
protection against HIV and can cause rare
circulatory complications
b) oral contraceptives are very cost effective for
women and provide a great choice for protection
against HIV. Oral contraceptives, however, must
be taken daily and have possible side effects such
as nausea, headaches, and breakthrough
bleeding.
c) Oral contraceptives are difficult to locate and
offer no protection against HIV. Furthermore,
oral contraceptives increase the risk of rare liver
tumors and must be taken daily.
d) oral contraceptives provide protection against
HIV infections and are
A
4. From the following, which is a characteristic of
the 2007 National Heart lung and blood Institute
or national asthma education and prevention
program guidelines for the diagnosis and
management of asthma?
a) If continued controlled asthma is sustained for
two months of treatment, step down treatment
may begin
b) patients are organized into four distinct age
groups based on current impairment and future
risk
c) for the treatment of persistent asthma, ICS are
typically contraindicated for patients younger
than five years of age
d) long acting beta agonists may be combined
with inhaled cortical steroids to act as a step up
treatment for persistent asthma
D
5. You are performing a quad screen on a
pregnant patient, which component of the
screen is most telling in detecting Down
syndrome?
a) Amniotic fluid
b) human chorionic gonadotropin
c) estriol
d) Alpha fetoprotein
D
6. A woman was in a motor vehicle crash in
which she states her abdomen hit the steering
wheel. She tells you that as she is approximately
3 months pregnant. Given your knowledge of
obstetrics, what will you assess?
a) Braxton Hicks
b) the fundus which should be palpable below
the umbilicus
c) fetal heart tones
d) Leopold maneuvers
C
7. A 24 year old is presented to the urgent care
clinic with a markedly solin scrotum. He admits
to being moderately sexually active with several
partners in the past year. He denies any trauma
or injury. He also adds "it hurts when I pee".
Based on your suspected diagnosis which agent
would be most appropriate to order at this time
a) Trimethoprim-sulfamethoxazole +
ciprofloxacin
b) finasteride + oflaxacin
c) Trimethoprim-sulfamethoxazole + ceftriaxone
d) Ceftriaxone + doxycycline
D
8. After insistence from his girlfriend, 18 year old
Tim is seeing you regarding persistent headaches
that have occurred since high school. While
interviewing Tim, who is overweight, you learn
that his symptoms have a slow onset and
sometimes he sees stars when the symptoms are
at their worst. He also reports that his
headaches, which usually occur during the
afternoon, can last for up to several hours.
Which of the following is the most likely
diagnosis
a) migraine headaches
b) headaches due to severe hypertension
c) tension headaches
d) cluster headaches
A
9. A 32 year old patient reports to the emergency
room with severe pain in his right lower quadrant
and nausea. While performing a physical exam of
the patient, you find that he clutches his right
lower quadrant upon contact and complains of
pain when he extends his right thigh. What is the
most likely diagnosis?
a) Appendicitis
b) gastroenteritis
c) diverticulitis
d) colon cancer
A
10. A 9 year old preparing to enter elementary
school in the US for the first time comes to your
office accompanied by her mother. When asked
about past vaccinations, her mother tells you the
child has received one or two vaccines, but she
did not keep up with the scheduled routine
vaccination visits and does not have an
immunization record. After consulting the
common immunization chart and prior to the
immunization update, which of the following
should not be included?
a) Diptheria, tetanus and pertussis vaccine
b) tetanus diphtheria and acellular pertussis
vaccine
c) hepatitis B vaccine
d) measles mumps and rubella vaccine
A