NSG 6020 WEEK 8 QUIZ 2025,2026 |ADVANCED NURSING
PRACTICE GUIDE ALSO STRUCTURED WITH
VERIFIED QUESTIONS AND ANSWERS|<UPDATED AND
COMPLETE>
QUESTION A 50-year-old truck driver comes to your clinic for a work physical. He has had no
upper respiratory, cardiac, pulmonary, gastrointestinal, urinary, or musculoskeletal system
complaints. His past medical history is significant for mild arthritis and prior knee surgery in
college. He is married and just changed jobs, working for a different trucking company. He
smokes one pack of cigarettes a day, drinks less than six beers a week, and denies using any
illegal drugs. His mother has high blood pressure and arthritis and his father died of lung cancer
in his sixties. On examination, his blood pressure is 130/80 and his pulse is 80. His cardiac, lung,
and abdominal examinations are normal. He has no inguinal hernia, but on his digital rectal
examination you palpate a soft, smooth, and nontender pedunculated mass on the posterior wall
of the rectum. What anal, rectal, or prostate disorder best fits his presentation? – ANSWER
Rectal polyp
QUESTION A 15-year-old high school football player is brought to your office by his mother.
He is complaining of severe testicular pain since exactly 8:00 this morning. He denies any sexual
activity and states that he hurts so bad he can't even urinate. He is nauseated and is throwing up.
He denies any recent illness or fever. His past medical history is unremarkable. He denies any
tobacco, alcohol, or drug use. His parents are both in good health. On examination, you see a
young teenager lying on the bed with an emesis basin. He is very uncomfortable and keeps
shifting his position. His blood pressure is 150/100, his pulse is 110, and his respirations are 24.
On visualization of the penis, he is circumcised and there are no lesions and no discharge from
the meatus. His scrotal skin is tense and red. Palpation of the left testicle causes severe pain and
the patient begins to cry. His prostate examination is unremarkable. His – ANSWER Torsion of
the spermatic cord
QUESTION Which is true of prostate cancer? – ANSWER Ethnicity is a risk factor.
QUESTION Which of the following conditions involves a tight prepuce which, once retracted,
cannot be returned? – ANSWER Paraphimosis
QUESTION A 12-year-old is brought to your clinic by his father. He was taught in his health
class at school to do monthly testicular self-examinations. Yesterday, when he felt his left
,testicle, it was enlarged and tender. He isn't sure if he has had burning with urination and he says
he has never had sexual intercourse. He has had a sore throat, cough, and runny nose for the last
three days. His past medical history is significant for a tonsillectomy as a small child. His father
has high blood pressure and his mother is healthy. On examination, you see a child in no acute
distress. His temperature is 100.8 and his blood pressure and pulse are unremarkable. On
visualization of his penis, he is uncircumcised and has no lesions or discharge. His scrotum is red
and tense on the left and normal appearing on the right. Palpating his left testicle reveals a mildly
sore swollen testicle. The right testicle is unremarkable. An examin – ANSWER Acute orchitis
QUESTION The most common cause of cancer deaths in males is: - ANSWER Colon cancer
QUESTION Important techniques in performing the rectal examination include which of the
following? – ANSWER All of the above
QUESTION Jim is a 47-year-old man who is having difficulties with sexual function. He is
recently separated from his wife of 20 years. He notes that he has early morning erections but
otherwise cannot function. Which of the following is a likely cause for his problem? – ANSWER
Psychological issues
QUESTION Which of the following is true of human papilloma virus (HPV) infection? –
ANSWER It commonly resolves spontaneously in one to two years.
QUESTION Which of the following is the most effective pattern of palpation for breast cancer?
– ANSWER Beginning at the nipple, make an ever-enlarging spiral.
QUESTION A 14-year-old junior high school student is brought in by his mother and father
because he seems to be developing breasts. The mother is upset because she read on the Internet
that smoking marijuana leads to breast enlargement in males. The young man adamantly denies
using any tobacco, alcohol, or drugs. He has recently noticed changes in his penis, testicles, and
pubic hair pattern. Otherwise, his past medical history is unremarkable. His parents are both in
good health. He has two older brothers who never had this problem. On examination, you see a
mildly overweight teenager with enlarged breast tissue that is slightly tender on both sides.
Otherwise, his examination is normal. He is agreeable to taking a drug test. What is the most
likely cause of his gynecomastia? – ANSWER Imbalance of hormones of puberty
, QUESTION Which of the following represents metrorrhagia? – ANSWER Bleeding between
periods
QUESTION What does a KOH (potassium hydroxide) prep help the nurse practitioner
diagnose? – ANSWER Yeast infections
QUESTION Abby is a newly married woman who is unable to have intercourse because of
vaginismus. Which of the following is true? – ANSWER Psychosocial reasons may cause this
condition.
QUESTION A 30-year-old man notices a firm, 2-cm mass under his areola. He has no other
symptoms and no diagnosis of breast cancer in his first-degree relatives. What is the most likely
diagnosis? – ANSWER Breast tissue
QUESTION Which of the following is true regarding breast self-examination? – ANSWER A
high proportion of breast masses are detected by breast self-examination.
QUESTION A 23-year-old computer programmer comes to your office for an annual
examination. She has recently become sexually active and wants to be placed on birth control.
Her only complaint is that the skin in her armpits has become darker. She states it looks like dirt,
and she scrubs her skin nightly with soap and water but the color stays. Her past medical
symptoms consist of acne and mild obesity. Her periods have been irregular for 3 years. Her
mother has type 2 diabetes, and her father has high blood pressure. The patient denies using
tobacco but has four to five drinks on Friday and Saturday nights. She denies any illegal drug
use. On examination, you see a mildly obese female who is breathing comfortably. Her vital
signs are unremarkable. Looking under her axilla, you see dark, velvet-like skin. Her annual
examination is otherwise unremarkable. What disorder of the breast or axilla is she most likely to
have? – ANSWER Acanthosis nigricans
QUESTION Which of the following is true of women who have had a unilateral mastectomy? –
ANSWER They should be examined carefully along the surgical scar for masses.
QUESTION A 76-year-old retired farmer comes to your office complaining of abdominal pain,
constipation, and a low-grade fever for about three days. He denies any nausea, vomiting, or
diarrhea. The only unusual thing he remembers eating is two bags of popcorn at the movies with
his grandson, three days before his symptoms began. He denies any other recent illnesses. His
, past medical history is significant for coronary artery disease and high blood pressure. He has
been married for over fifty years. He denies any tobacco, alcohol, or drug use. His mother died
of colon cancer and his father had a stroke. On examination, he appears his stated age and is in
no acute distress. His temperature is 100.9 degrees and his other vital signs are unremarkable.
His head, cardiac, and pulmonary examinations are normal. He has normal bowel sounds and is
tender over the left lower quadrant. He has no rebound or guarding. His rectal examination –
ANSWER Acute diverticulitis
QUESTION Jim is a 60-year-old man who presents with vomiting. He denies seeing any blood
with emesis, which has been occurring for two days. He does note a dark, granular substance
resembling the coffee left in the filter after brewing. What do you suspect? – ANSWER Bleeding
from a peptic ulcer
QUESTION A 26-year-old sports store manager comes to your clinic, complaining of severe
right-sided abdominal pain for twelve hours. He began having a stomachache yesterday, with a
decreased appetite, but today the pain seems to be just on the lower right side. He has had some
nausea and vomiting but no constipation or diarrhea. His last bowel movement was the night
before and was normal. He has had no fever or chills. He denies any recent illnesses or injuries.
His past medical history is unremarkable. He is engaged. He denies any tobacco or drug use and
drinks four to six beers per week. His mother has breast cancer and his father has coronary artery
disease. On examination, he appears ill and is lying on his right side. His temperature is 100.4
degrees and his heart rate is 110. His bowel sounds are decreased and he has rebound and
involuntary guarding, one-third of the way between the anterior superior iliac spine and the –
ANSWER Acute appendicitis
QUESTION Josh is a 14-year-old boy who presents with a sore throat. On examination, you
notice dullness in the last intercostal space in the anterior axillary line on his left side with a deep
breath. What does this indicate? – ANSWER His spleen is possibly enlarged and close attention
should be paid to further examination.
QUESTION Diminished radial pulses may be seen in patients with which of the following? –
ANSWER Arterial emboli
QUESTION A 42-year-old florist comes to your office, complaining of chronic constipation for
the last six months. She has had no nausea, vomiting, or diarrhea, and no abdominal pain or
cramping. She denies any recent illnesses or injuries. She denies any changes to her diet or
exercise program. She is on no new medications. During the review of systems (ROS), you note
that she has felt fatigued, had some weight gain, has irregular periods, and has cold intolerance.
PRACTICE GUIDE ALSO STRUCTURED WITH
VERIFIED QUESTIONS AND ANSWERS|<UPDATED AND
COMPLETE>
QUESTION A 50-year-old truck driver comes to your clinic for a work physical. He has had no
upper respiratory, cardiac, pulmonary, gastrointestinal, urinary, or musculoskeletal system
complaints. His past medical history is significant for mild arthritis and prior knee surgery in
college. He is married and just changed jobs, working for a different trucking company. He
smokes one pack of cigarettes a day, drinks less than six beers a week, and denies using any
illegal drugs. His mother has high blood pressure and arthritis and his father died of lung cancer
in his sixties. On examination, his blood pressure is 130/80 and his pulse is 80. His cardiac, lung,
and abdominal examinations are normal. He has no inguinal hernia, but on his digital rectal
examination you palpate a soft, smooth, and nontender pedunculated mass on the posterior wall
of the rectum. What anal, rectal, or prostate disorder best fits his presentation? – ANSWER
Rectal polyp
QUESTION A 15-year-old high school football player is brought to your office by his mother.
He is complaining of severe testicular pain since exactly 8:00 this morning. He denies any sexual
activity and states that he hurts so bad he can't even urinate. He is nauseated and is throwing up.
He denies any recent illness or fever. His past medical history is unremarkable. He denies any
tobacco, alcohol, or drug use. His parents are both in good health. On examination, you see a
young teenager lying on the bed with an emesis basin. He is very uncomfortable and keeps
shifting his position. His blood pressure is 150/100, his pulse is 110, and his respirations are 24.
On visualization of the penis, he is circumcised and there are no lesions and no discharge from
the meatus. His scrotal skin is tense and red. Palpation of the left testicle causes severe pain and
the patient begins to cry. His prostate examination is unremarkable. His – ANSWER Torsion of
the spermatic cord
QUESTION Which is true of prostate cancer? – ANSWER Ethnicity is a risk factor.
QUESTION Which of the following conditions involves a tight prepuce which, once retracted,
cannot be returned? – ANSWER Paraphimosis
QUESTION A 12-year-old is brought to your clinic by his father. He was taught in his health
class at school to do monthly testicular self-examinations. Yesterday, when he felt his left
,testicle, it was enlarged and tender. He isn't sure if he has had burning with urination and he says
he has never had sexual intercourse. He has had a sore throat, cough, and runny nose for the last
three days. His past medical history is significant for a tonsillectomy as a small child. His father
has high blood pressure and his mother is healthy. On examination, you see a child in no acute
distress. His temperature is 100.8 and his blood pressure and pulse are unremarkable. On
visualization of his penis, he is uncircumcised and has no lesions or discharge. His scrotum is red
and tense on the left and normal appearing on the right. Palpating his left testicle reveals a mildly
sore swollen testicle. The right testicle is unremarkable. An examin – ANSWER Acute orchitis
QUESTION The most common cause of cancer deaths in males is: - ANSWER Colon cancer
QUESTION Important techniques in performing the rectal examination include which of the
following? – ANSWER All of the above
QUESTION Jim is a 47-year-old man who is having difficulties with sexual function. He is
recently separated from his wife of 20 years. He notes that he has early morning erections but
otherwise cannot function. Which of the following is a likely cause for his problem? – ANSWER
Psychological issues
QUESTION Which of the following is true of human papilloma virus (HPV) infection? –
ANSWER It commonly resolves spontaneously in one to two years.
QUESTION Which of the following is the most effective pattern of palpation for breast cancer?
– ANSWER Beginning at the nipple, make an ever-enlarging spiral.
QUESTION A 14-year-old junior high school student is brought in by his mother and father
because he seems to be developing breasts. The mother is upset because she read on the Internet
that smoking marijuana leads to breast enlargement in males. The young man adamantly denies
using any tobacco, alcohol, or drugs. He has recently noticed changes in his penis, testicles, and
pubic hair pattern. Otherwise, his past medical history is unremarkable. His parents are both in
good health. He has two older brothers who never had this problem. On examination, you see a
mildly overweight teenager with enlarged breast tissue that is slightly tender on both sides.
Otherwise, his examination is normal. He is agreeable to taking a drug test. What is the most
likely cause of his gynecomastia? – ANSWER Imbalance of hormones of puberty
, QUESTION Which of the following represents metrorrhagia? – ANSWER Bleeding between
periods
QUESTION What does a KOH (potassium hydroxide) prep help the nurse practitioner
diagnose? – ANSWER Yeast infections
QUESTION Abby is a newly married woman who is unable to have intercourse because of
vaginismus. Which of the following is true? – ANSWER Psychosocial reasons may cause this
condition.
QUESTION A 30-year-old man notices a firm, 2-cm mass under his areola. He has no other
symptoms and no diagnosis of breast cancer in his first-degree relatives. What is the most likely
diagnosis? – ANSWER Breast tissue
QUESTION Which of the following is true regarding breast self-examination? – ANSWER A
high proportion of breast masses are detected by breast self-examination.
QUESTION A 23-year-old computer programmer comes to your office for an annual
examination. She has recently become sexually active and wants to be placed on birth control.
Her only complaint is that the skin in her armpits has become darker. She states it looks like dirt,
and she scrubs her skin nightly with soap and water but the color stays. Her past medical
symptoms consist of acne and mild obesity. Her periods have been irregular for 3 years. Her
mother has type 2 diabetes, and her father has high blood pressure. The patient denies using
tobacco but has four to five drinks on Friday and Saturday nights. She denies any illegal drug
use. On examination, you see a mildly obese female who is breathing comfortably. Her vital
signs are unremarkable. Looking under her axilla, you see dark, velvet-like skin. Her annual
examination is otherwise unremarkable. What disorder of the breast or axilla is she most likely to
have? – ANSWER Acanthosis nigricans
QUESTION Which of the following is true of women who have had a unilateral mastectomy? –
ANSWER They should be examined carefully along the surgical scar for masses.
QUESTION A 76-year-old retired farmer comes to your office complaining of abdominal pain,
constipation, and a low-grade fever for about three days. He denies any nausea, vomiting, or
diarrhea. The only unusual thing he remembers eating is two bags of popcorn at the movies with
his grandson, three days before his symptoms began. He denies any other recent illnesses. His
, past medical history is significant for coronary artery disease and high blood pressure. He has
been married for over fifty years. He denies any tobacco, alcohol, or drug use. His mother died
of colon cancer and his father had a stroke. On examination, he appears his stated age and is in
no acute distress. His temperature is 100.9 degrees and his other vital signs are unremarkable.
His head, cardiac, and pulmonary examinations are normal. He has normal bowel sounds and is
tender over the left lower quadrant. He has no rebound or guarding. His rectal examination –
ANSWER Acute diverticulitis
QUESTION Jim is a 60-year-old man who presents with vomiting. He denies seeing any blood
with emesis, which has been occurring for two days. He does note a dark, granular substance
resembling the coffee left in the filter after brewing. What do you suspect? – ANSWER Bleeding
from a peptic ulcer
QUESTION A 26-year-old sports store manager comes to your clinic, complaining of severe
right-sided abdominal pain for twelve hours. He began having a stomachache yesterday, with a
decreased appetite, but today the pain seems to be just on the lower right side. He has had some
nausea and vomiting but no constipation or diarrhea. His last bowel movement was the night
before and was normal. He has had no fever or chills. He denies any recent illnesses or injuries.
His past medical history is unremarkable. He is engaged. He denies any tobacco or drug use and
drinks four to six beers per week. His mother has breast cancer and his father has coronary artery
disease. On examination, he appears ill and is lying on his right side. His temperature is 100.4
degrees and his heart rate is 110. His bowel sounds are decreased and he has rebound and
involuntary guarding, one-third of the way between the anterior superior iliac spine and the –
ANSWER Acute appendicitis
QUESTION Josh is a 14-year-old boy who presents with a sore throat. On examination, you
notice dullness in the last intercostal space in the anterior axillary line on his left side with a deep
breath. What does this indicate? – ANSWER His spleen is possibly enlarged and close attention
should be paid to further examination.
QUESTION Diminished radial pulses may be seen in patients with which of the following? –
ANSWER Arterial emboli
QUESTION A 42-year-old florist comes to your office, complaining of chronic constipation for
the last six months. She has had no nausea, vomiting, or diarrhea, and no abdominal pain or
cramping. She denies any recent illnesses or injuries. She denies any changes to her diet or
exercise program. She is on no new medications. During the review of systems (ROS), you note
that she has felt fatigued, had some weight gain, has irregular periods, and has cold intolerance.
