NSG 6020 NSG 6020 final exam Newest Exam
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Question 1
The brain and spinal cord are included in which of the following?
A) Peripheral nervous system
B) Central nervous system
C) Autonomic nervous system
D) Somatic nervous system
Answer: B) Central nervous system
Explanation: The central nervous system (CNS) consists of the brain and
spinal cord. The peripheral nervous system (PNS) includes all neural
tissue outside the CNS, including cranial nerves, spinal nerves, and their
branches. The autonomic and somatic nervous systems are subdivisions
of the PNS.
Question 2
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The cranial nerves, 31 pairs of spinal nerves, and their branches make
up which of the following?
A) Central nervous system
B) Autonomic nervous system
C) Peripheral nervous system
D) Enteric nervous system
Answer: C) Peripheral nervous system
Explanation: The peripheral nervous system is composed of all nerves
and ganglia outside the brain and spinal cord. This includes the 12 pairs
of cranial nerves, 31 pairs of spinal nerves, and their numerous
branches, which connect the CNS to the rest of the body.
Question 3
Which of the following is true regarding a patient who has been eating
ice during the 26th week of pregnancy?
A) This is a normal craving and requires no further evaluation
B) The patient should be checked for anemia
C) The patient should be referred to a nutritionist
D) This indicates a possible thyroid disorder
Answer: B) The patient should be checked for anemia
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Explanation: Pica, the craving and consumption of non-food items or
unusual food substances such as ice (pagophagia), is often associated
with iron deficiency anemia. In pregnancy, iron requirements increase
substantially, and pagophagia should prompt evaluation for anemia
with appropriate laboratory testing.
Question 4
A patient presents with breast tissue that feels lumpy with an uneven
contour bilaterally. What is the most likely diagnosis?
A) Fibroadenoma
B) Cystic breasts
C) Malignant neoplasm
D) Mastitis
Answer: B) Cystic breasts
Explanation: Fibrocystic breast changes are characterized by lumpy,
tender breasts with an irregular or uneven contour, often bilateral and
most pronounced in the upper outer quadrants. This benign condition is
common in premenopausal women and fluctuates with the menstrual
cycle. Unlike malignancies, fibrocystic changes are typically bilateral
and mobile.
Question 5
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A patient presents with a symmetric thorax, moderate kyphosis, and
bilateral diaphragmatic distention of 2 cm. Which condition is most
consistent with these findings?
A) Pneumonia
B) COPD
C) Pulmonary embolism
D) Pleural effusion
Answer: B) COPD
Explanation: Chronic obstructive pulmonary disease (COPD) is
associated with hyperinflation of the lungs, which leads to a barrel-
shaped chest, increased anterior-posterior diameter, and diaphragmatic
flattening or distention. Kyphosis may also be present due to chronic
postural changes and osteoporosis, which are common in this
population.
Question 6
Abby is a newly married woman who is unable to have intercourse
because of vaginismus. Which of the following is true?
A) This condition is always caused by a physical abnormality
B) Psychosocial reasons may cause this condition
C) Surgical intervention is the first-line treatment
D) This condition typically resolves without intervention