NSGl 550/l NSG550l Examl 3l –l Diagnosticl
Reasoningl forl Nursel Practitionersl
Review|l Wilkesl (Latestl 2026/l 2027l
Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Whatl isl al colposcopy?
Answer:
-Anl examl thatl looksl atl thel cervix,l vagina,l andl vulval throughl al magnifyingl devicel
(colposcope).l
-Typicallyl donel ifl youl havel anl abnormall papl smearl (screening)l orl concernl forl HPV.l Itl
canl bel donel atl bedside.
Q:l Whatl isl thel Bethesdal system?
Answer:
-Thel Nationall Cancerl Institutel developedl al standardl systeml calledl thel Bethesdal Systeml
tol classifyl andl reportl cervicall cytologyl (PAP).
-itl improvesl accuracyl andl consistencyl tol guidel followl upl andl treatment.
Q:l Bethesdal systeml findings
Answer:
Thel Bethesdal systeml findingsl categorizel differentl typesl ofl cellsl foundl inl cervicall
samples,l rangingl froml nol abnormall cellsl tol pre-cancerousl andl cancerousl cells,l helpingl
tol identifyl potentiall risksl andl guidel furtherl medicall decisions.
examplesl are...
-NILMl (negativel forl intraepitheliall lesionl orl malignancy..l nol abnormall cellsl arel present)
,-ASC-US
-ASC-H
-LSILl
-HSIL
-AGCl -l atypicall glandularl cellsl (pre-cancerousl cells)l -l cellsl thatl linel thel insidel ofl thel
cervixl -l precancerous
-AISl -l adenocarcinomal inl situl -l abnormall glandularl cellsl thatl arel cancerousl butl notl
spreadl beyondl sitel ofl origin
-Invasivel carcinomal -l cancerousl cellsl withl invasionl ofl surroundingl tissue
Q:l Whatl isl al DEXAl scan?
Answer:
X-rayl tol measurel bonel densityl (riskl ofl osteoporosis,l fractures)
Q:l Ifl youl arel concernedl aboutl ironl deficiencyl youl needl to...
Answer:
sendl offl anl ironl panel.l
Ifl you'rel worriedl aboutl lowl ironl levels,l thinkl ofl sendingl anl ironl panell asl exploringl al
diagnosisl -l likel investigatingl al crimel scenel tol findl cluesl aboutl whetherl it'sl macrocyticl
anemial orl microcyticl anemia.
Q:l Whatl isl includedl inl anl ironl panel?
Answer:
-TIBCl (totall ironl bindingl capacity)l measuresl transferrinl (proteinl thatl transportsl iron).l
-Transferrinl saturationl calculatesl thel percentagel ofl transferrinl thatl isl carryingl iron
-Ironl Saturation
Ferritinl isl NOTl includedl inl panell -l thisl needsl tol bel sentl separately.
Q:l Ifl someonel presentsl withl vaguel fatiguel symptoms,l whatl labsl shouldl youl consider?
, Answer:
-evaluatel forl anemia
-thyroidl studies
Q:l Whatl isl includedl inl al CBCl withl differential
Answer:
CBC;l WBC,l hgb,l hct,l MCB,l MCH,l platelets.
-yourl differentiall hasl tol equall 100.l Ifl somethingl isl elevated,l somethingl elsel hasl tol
dropl down/compensate.
Q:l Whatl canl causel al leftl shiftl inl ourl differential?
Answer:
Neutrophils,l oftenl referredl tol asl "bandemia"l
Al leftl shiftl inl ourl differential,l whichl refersl tol anl increasel inl immaturel neutrophilsl
calledl "bandemia,"l canl bel causedl byl infectionsl orl otherl inflammatoryl conditions.
Q:l Interpretingl antibioticl tables
Answer:
S:l Sensitivel (thinkl ofl suitable),l whichl meansl thatl thel antibioticl willl killl thel pathogen
R:l resistant—willl NOTl killl thel pathogen
I:l indeterminant,l notl thel bestl choice
Q:l Whatl isl al biophysicall profile?
Answer:
Al biophysicall profilel isl likel al comprehensivel check-upl forl al babyl beforel itl isl born,l
usingl ultrasoundl tol assessl itsl movement,l musclel tone,l breathing,l andl thel amountl ofl
amnioticl fluid.l
-Performedl pre-delivery/antepartum
Reasoningl forl Nursel Practitionersl
Review|l Wilkesl (Latestl 2026/l 2027l
Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Whatl isl al colposcopy?
Answer:
-Anl examl thatl looksl atl thel cervix,l vagina,l andl vulval throughl al magnifyingl devicel
(colposcope).l
-Typicallyl donel ifl youl havel anl abnormall papl smearl (screening)l orl concernl forl HPV.l Itl
canl bel donel atl bedside.
Q:l Whatl isl thel Bethesdal system?
Answer:
-Thel Nationall Cancerl Institutel developedl al standardl systeml calledl thel Bethesdal Systeml
tol classifyl andl reportl cervicall cytologyl (PAP).
-itl improvesl accuracyl andl consistencyl tol guidel followl upl andl treatment.
Q:l Bethesdal systeml findings
Answer:
Thel Bethesdal systeml findingsl categorizel differentl typesl ofl cellsl foundl inl cervicall
samples,l rangingl froml nol abnormall cellsl tol pre-cancerousl andl cancerousl cells,l helpingl
tol identifyl potentiall risksl andl guidel furtherl medicall decisions.
examplesl are...
-NILMl (negativel forl intraepitheliall lesionl orl malignancy..l nol abnormall cellsl arel present)
,-ASC-US
-ASC-H
-LSILl
-HSIL
-AGCl -l atypicall glandularl cellsl (pre-cancerousl cells)l -l cellsl thatl linel thel insidel ofl thel
cervixl -l precancerous
-AISl -l adenocarcinomal inl situl -l abnormall glandularl cellsl thatl arel cancerousl butl notl
spreadl beyondl sitel ofl origin
-Invasivel carcinomal -l cancerousl cellsl withl invasionl ofl surroundingl tissue
Q:l Whatl isl al DEXAl scan?
Answer:
X-rayl tol measurel bonel densityl (riskl ofl osteoporosis,l fractures)
Q:l Ifl youl arel concernedl aboutl ironl deficiencyl youl needl to...
Answer:
sendl offl anl ironl panel.l
Ifl you'rel worriedl aboutl lowl ironl levels,l thinkl ofl sendingl anl ironl panell asl exploringl al
diagnosisl -l likel investigatingl al crimel scenel tol findl cluesl aboutl whetherl it'sl macrocyticl
anemial orl microcyticl anemia.
Q:l Whatl isl includedl inl anl ironl panel?
Answer:
-TIBCl (totall ironl bindingl capacity)l measuresl transferrinl (proteinl thatl transportsl iron).l
-Transferrinl saturationl calculatesl thel percentagel ofl transferrinl thatl isl carryingl iron
-Ironl Saturation
Ferritinl isl NOTl includedl inl panell -l thisl needsl tol bel sentl separately.
Q:l Ifl someonel presentsl withl vaguel fatiguel symptoms,l whatl labsl shouldl youl consider?
, Answer:
-evaluatel forl anemia
-thyroidl studies
Q:l Whatl isl includedl inl al CBCl withl differential
Answer:
CBC;l WBC,l hgb,l hct,l MCB,l MCH,l platelets.
-yourl differentiall hasl tol equall 100.l Ifl somethingl isl elevated,l somethingl elsel hasl tol
dropl down/compensate.
Q:l Whatl canl causel al leftl shiftl inl ourl differential?
Answer:
Neutrophils,l oftenl referredl tol asl "bandemia"l
Al leftl shiftl inl ourl differential,l whichl refersl tol anl increasel inl immaturel neutrophilsl
calledl "bandemia,"l canl bel causedl byl infectionsl orl otherl inflammatoryl conditions.
Q:l Interpretingl antibioticl tables
Answer:
S:l Sensitivel (thinkl ofl suitable),l whichl meansl thatl thel antibioticl willl killl thel pathogen
R:l resistant—willl NOTl killl thel pathogen
I:l indeterminant,l notl thel bestl choice
Q:l Whatl isl al biophysicall profile?
Answer:
Al biophysicall profilel isl likel al comprehensivel check-upl forl al babyl beforel itl isl born,l
usingl ultrasoundl tol assessl itsl movement,l musclel tone,l breathing,l andl thel amountl ofl
amnioticl fluid.l
-Performedl pre-delivery/antepartum
