NSG 6440 Exam Newest Exam 2026 | All Questions
and Correct Answers | Verified Answers | Graded
A+ | Brand New Version!
A 72-year-old female presents to your office with gradual difficulty breathing,
non-productive cough, bilateral swelling of her feet, and a 10 pound weight gain.
Upon examination you hear crackles and rhonchi with an S3 heart sound. What is
the most likely diagnosis?
COPD
Renal hypertension
Congestive heart hailure
Asthma ---------CORRECT ANSWER-----------------Congestive heart failure
What is your treatment plan for this patient with difficulty breathing, cough,
weight gain, edema, and S3 heart sounds?
Rest and increase fluids
Diuretics, digoxin, and anti-hypertensive medications
Nebulized albuterol and prednisone
Anti-coagulation and cardiology evaluation ---------CORRECT ANSWER----------------
-Diuretics, digoxin, and anti-hypertensive medications
,You are treating a 49-year-old female who presents with fatigue and palpitations.
You check her apical pulse and she is irregular and tachycardic. You obtain an EKG
and it reveals afib with rapid ventricular response. What is your treatment plan?
You order a 2D echo.
You admit her to the hospital for new onset afib.
You perform cardiac massage and have her relax.
You order a cardiology consult. ---------CORRECT ANSWER-----------------You admit
her to the hospital for new onset afib.
Upon examination of a 17-year-old during a sports physical, you hear a split S2
during inspiration that disappears during expiration. The patient denies chest pain
and dyspnea. What will you tell the mother and patient regarding your findings?
You advise the patient to avoid strenuous physical
activity until further investigation
You recommend a referral to cardiology.
Due to the patient being an athlete, you recommend a
stress echo
Educate the mother and patient that this is a benign
finding ---------CORRECT ANSWER-----------------Educate the mother and patient
that this is a benign finding.
,The first sign of an asthma exacerbation is:
Cough
Wheeze
Dyspnea
Chest tightness ---------CORRECT ANSWER-----------------Cough
According to the NAEPP-3 Guidelines for the Treatment and Management of
Asthma, what is the gold standard for daily treatment of mild-persistent asthma?
Inhaled steroids
Long-acting bronchodliators
Short-acting bronchodilators
Combination therapies ---------CORRECT ANSWER-----------------Inhaled steroids
You are treating an adult asthma patient and reviewing her metered dose inhaler
(MDI) technique. She demonstrates her MDI technique by shaking the inhaler,
placing the inhaler in her mouth, pressing the canister, and inhaling quickly. What
is your response?
You praise the patient for demonstrating the correct
MDI technique
, You educate the patient taht, first, she should exhale
fully, then shake the inhale, and finally, as she
presses the canister, inhale slowly and fully
You instruct the patient to take a faster, even
inspiratory effort
You educate the patient that she should always use
a spacer or holding chamber with all MDI's ---------CORRECT ANSWER-----------------
You educate the patient that, first, she should exhale fully, then shake the inhaler,
and finally, as she presses the canister, inhale slowly and fully.
An adult patient with a history of chronic obstructive lung disease (COPD)
presents to your office with 1 day of worsening shortness of breath, wheezing,
and non-productive cough. You determine he has a COPD exacerbation. What is
your treatment plan?
Chest x-ray
Levaquin 500 mg QD for 7 days, Prednisone spurt,
Albuterol/Atrovent inhaler 2 puffs QID
7 - 10 day prednisone spurt, Albuterol/Atrovent
inhaler 2 puffs QID
and Correct Answers | Verified Answers | Graded
A+ | Brand New Version!
A 72-year-old female presents to your office with gradual difficulty breathing,
non-productive cough, bilateral swelling of her feet, and a 10 pound weight gain.
Upon examination you hear crackles and rhonchi with an S3 heart sound. What is
the most likely diagnosis?
COPD
Renal hypertension
Congestive heart hailure
Asthma ---------CORRECT ANSWER-----------------Congestive heart failure
What is your treatment plan for this patient with difficulty breathing, cough,
weight gain, edema, and S3 heart sounds?
Rest and increase fluids
Diuretics, digoxin, and anti-hypertensive medications
Nebulized albuterol and prednisone
Anti-coagulation and cardiology evaluation ---------CORRECT ANSWER----------------
-Diuretics, digoxin, and anti-hypertensive medications
,You are treating a 49-year-old female who presents with fatigue and palpitations.
You check her apical pulse and she is irregular and tachycardic. You obtain an EKG
and it reveals afib with rapid ventricular response. What is your treatment plan?
You order a 2D echo.
You admit her to the hospital for new onset afib.
You perform cardiac massage and have her relax.
You order a cardiology consult. ---------CORRECT ANSWER-----------------You admit
her to the hospital for new onset afib.
Upon examination of a 17-year-old during a sports physical, you hear a split S2
during inspiration that disappears during expiration. The patient denies chest pain
and dyspnea. What will you tell the mother and patient regarding your findings?
You advise the patient to avoid strenuous physical
activity until further investigation
You recommend a referral to cardiology.
Due to the patient being an athlete, you recommend a
stress echo
Educate the mother and patient that this is a benign
finding ---------CORRECT ANSWER-----------------Educate the mother and patient
that this is a benign finding.
,The first sign of an asthma exacerbation is:
Cough
Wheeze
Dyspnea
Chest tightness ---------CORRECT ANSWER-----------------Cough
According to the NAEPP-3 Guidelines for the Treatment and Management of
Asthma, what is the gold standard for daily treatment of mild-persistent asthma?
Inhaled steroids
Long-acting bronchodliators
Short-acting bronchodilators
Combination therapies ---------CORRECT ANSWER-----------------Inhaled steroids
You are treating an adult asthma patient and reviewing her metered dose inhaler
(MDI) technique. She demonstrates her MDI technique by shaking the inhaler,
placing the inhaler in her mouth, pressing the canister, and inhaling quickly. What
is your response?
You praise the patient for demonstrating the correct
MDI technique
, You educate the patient taht, first, she should exhale
fully, then shake the inhale, and finally, as she
presses the canister, inhale slowly and fully
You instruct the patient to take a faster, even
inspiratory effort
You educate the patient that she should always use
a spacer or holding chamber with all MDI's ---------CORRECT ANSWER-----------------
You educate the patient that, first, she should exhale fully, then shake the inhaler,
and finally, as she presses the canister, inhale slowly and fully.
An adult patient with a history of chronic obstructive lung disease (COPD)
presents to your office with 1 day of worsening shortness of breath, wheezing,
and non-productive cough. You determine he has a COPD exacerbation. What is
your treatment plan?
Chest x-ray
Levaquin 500 mg QD for 7 days, Prednisone spurt,
Albuterol/Atrovent inhaler 2 puffs QID
7 - 10 day prednisone spurt, Albuterol/Atrovent
inhaler 2 puffs QID
