NPE case studies
NPE · Put your knowledge to work in context.
The Nurse Practitioner Exam (NPE) is a certification-style assessment that tests whether a candidate can think and act like an autonomous advanced practice clinician rather than a memorizer of textbook lists. It is aimed at nurse practitioner candidates who have completed or are near completion of a graduate NP program, as well as practicing NPs who need to demonstrate current competence. The NPE case studies are 5 cases and about 2,666 words.
1Chest Pain in a 58-Year-Old With Atypical Features
A 58-year-old man presents to urgent care with 90 minutes of substernal pressure that began while mowing his lawn and now radiates to the left jaw. He rates it 5/10, denies diaphoresis, and says it eased somewhat with rest but returned when he walked to the exam room.
599 words, about 3 min2Anticoagulation in an Older Adult With Falls and CKD
An 82-year-old woman with atrial fibrillation, stage 4 chronic kidney disease (eGFR 22 mL/min/1.73 m2), hypertension, and two falls in the past six months presents for medication review. She takes apixaban 5 mg twice daily, metoprolol, amlodipine, and occasional ibuprofen for knee pain.
517 words, about 3 min3Vaccine Hesitancy and Catch-Up Immunization in a Family
A 34-year-old mother brings her 11-year-old son for a sports physical. The boy is healthy but has received only two childhood vaccines; records show no MMR since age 1, no varicella, and no HPV or Tdap.
545 words, about 3 min4Acute Asthma Exacerbation With Limited Resources
A 24-year-old woman with moderate persistent asthma presents to a rural clinic with 2 days of worsening wheeze and cough after a viral illness. She used her albuterol inhaler six times in the past 24 hours with partial relief.
523 words, about 3 min5Diabetes and Hypertension in a Patient With Food Insecurity
A 61-year-old man with type 2 diabetes (A1c 10.2%), hypertension, and obesity attends a follow-up visit. His medications are metformin 1000 mg twice daily, glipizide 5 mg daily, lisinopril 20 mg daily, and atorvastatin 40 mg daily.
482 words, about 2 min