1. In examination of the nose, the clinician observes gray, pale mucous membranes with clear, serous 

discharge. This is most likely indicative of: Allergic rhinitis

2. Your patient complains of a feeling of heaviness in the lower legs daily. You note varicosities, edema, 

and dusky color of both ankles and feet. Which of the following is the most likely cause for these 

symptoms? Venous insufficiency

3. Which of the following is the most important question to ask during cardiovascular health history?

Sudden death of a family member

4. Rheumatic heart disease is a complication that can arise from which type of infection?

Group A beta hemolytic streptococcus

5. A cough is described as chronic if it has been present for: 8 weeks or more

6. A key symptom of ischemic heart disease is chest pain. However, angina equivalents may include 

exertional dyspnea. Angina equivalents are important because:A & B only

7. A woman with an X-linked dominant disorder will: Transmit the disorder to 50% of her offspring (male 

or female)

8. A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain on heavy 

exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm without ST 

segment abnormalities. Your plan may include: Exercise stress test

9. The aging process causes what normal physiological changes in the heart?

The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis

10. It is important to not dilate the eye if ____ is suspected Acute closed-angle glaucoma

11. Your patient is a 78-year-old female with a smoking history of 120-pack years. She complains of 

hoarseness that has developed over the last few months. It is important to exclude the possibility of:

Laryngeal cancer

12. In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds a 

suspicious oral lesion. The patient has been referred for a biopsy to be sent for pathology. Which is the 

most common oral precancerous lesion? Leukoplakia