NR547 Week 2: PMHNP Pre-Clinical Diagnostic Exam (March-2026)

NR547 Week 2: PMHNP Pre-Clinical Diagnostic Exam

PMHNP Pre-Clinical Diagnostic Exam

1. Multiple Choice – 1 point

When using a sphygmomanometer, which one of the following would result in an inaccurate, falsely decreased blood pressure?

1. Utilizing a blood pressure cuff that is too large for the patient’s arm. ✅
2. Having the patient lying in trendelenberg position
3. Utilizing a cuff that is too small for a patient’s arm.
4. Having the patient’s arm positioned below their heart

2. Multiple Choice – 1 point

Where would you anticipate hearing a S1 or S2 heart sound in the cardiac cycle?

1. Diastole
2. S1 in systole while S2 in diastole ✅
3. S1 in diastole while S2 in systole
4. Neither in Systole

3. Multiple Choice – 1 point

Where would the S2 heart sounds correlate with the electrocardiographic waves?

1. At the start of the P wave.
2. Peak of the R wave.
3. At the end of the T wave. ✅
4. At the start of the QRS wave.

4. Multiple Choice – 1 point

The point of maximum impulse (PMI) is MOST often palpable in healthy adults when positioned in the supine or left lateral decubitus position. Which one of the following valves is most likely to be heard in this location?

1. Aortic valve
2. Tricuspid valve
3. Mitral valve ✅
4. Pulmonic valve

5. Multiple Choice – 1 point

You auscultated abnormal breath sounds, and now assess transmission of voice sounds by having the patient say “ee” while auscultating the chest with the diaphragm of your stethoscope. Normally you should auscultate a muffled “e” sound, however, you hear a nasally “a” sound. Which one of the following is present?

1. Stereognosis.
2. Whispering pectoriloquy.
3. Bronchophony.
4. Egophony. ✅

6. Multiple Choice – 1 point

How does performing percussion of the thorax assist the provider during the physical examination?

1. To assess for any pain or discomfort prior to palpitation of the chest wall.
2. To identify if underlying tissue are air-filled, fluid-filled or consolidated. ✅
3. To assess for deep-seated lesion and tumors.
4. To assist with the confirmation of cardiac origin of angina.

7. Multiple Choice – 1 point

You are about to perform a diaphragmatic excursion test on your healthy patient. Which one of the following results would you expect to see in a healthy patient with no abnormalities?

1. Approximately equal level of change in the descent of the diaphragm bilaterally during maximal inspiration and expiration. ✅
2. Much greater descent of the diaphragm on the right side due to the liver present (two-three times larger).
3. Ascension of 8–12 inches of the diaphragm noted bilaterally on expiration, though often much less on the right side due to the location of the heart and great vessels.
4. Absent or no change in movement of the diaphragm noted between full inspiration and full expiration measurement.

8. Multiple Choice – 1 point

A large inspiration of air to the further extent the patient can reasonably accomplish followed by a full exhalation is referred to as forced vital capacity. This is part of which common pulmonary examination?

1. Ventilatory perfusion scan
2. Peak flow testing
3. Reserve capacity testing
4. Pulmonary function testing ✅

9. Multiple Choice – 1 point

A large goiter on the neck is most likely related to which of the following diagnoses?

1. Hypothyroidism
2. Myxedema Coma.
3. Hyperthyroidism. ✅
4. Hashimotos Thyroiditis.

Correct Answer: 3. Hyperthyroidism. ✅

10. Multiple Choice – 1 point

Your patient states they have a diagnosis of hyperthyroidism. On assessment, which of the following represent typical findings of hyperthyroidism?

1. Tremor ✅
2. Hypersomnia.
3. Recent unplanned weight gain.
4. Bradycardia.

148 Multiple Choice (1 point)

Patients who have a suspected pelvic inflammatory disease (PID) diagnosis should be treated with which of the following agents?

A. Cephalexin (Keflex) only.
B. Ceftriaxone (Rocephin) IM plus Azithromycin (Zithromax) PO. ✅
C. Amoxicillin (Amoxil) plus Metronidazole (Flagyl).
D. Doxycycline (Vibramycin) alone.

149 Multiple Choice (1 point)

This non-prescription agent may be helpful during menopause to help with hot flashes:

A. Dandelion root.
B. St Johns Wort. ✅
C. Echinacea.
D. Magnesium.

150 Multiple Choice (1 point)

The patient with symptoms of scabies would most likely be successfully treated with which of the following medications?

A. Ivermectin (Stromectol) ✅
B. Sulfamethoxazole/Trimethoprim (Bactrim DS)
C. Benzylpenicillin (Penicillin G)
D. Metronidazole (Flagyl)………………………………….purchase all the 150 questions and answers at $75 only