NSG 6440 FINAL EXAM 2026/2027 | NURSING STUDY GUIDE, PRACTICE
QUESTIONS, ANSWERS & EXAM REVIEW
Which of the following is an example of secondary prevention in a 50-year-old woman? - ANS ✔✔***A.
Yearly mammogram
THINK SECONDARY="S" AND "S" =SCREENING
B. Low animal-fat diet
C. Use of seat belt
D. Daily application of sunscreen
Which of the following is an example of tertiary prevention in a patient with chronic renal
failure? - ANS ✔✔A. Fluid restriction
***B. Hemodialysis 4 days a week
THINK "T" AND "T"= TREATMENT
C. High-protein diet
D. Maintenance of blood pressure at 120/80
Which statement about confusion is true? - ANS ✔✔A. Confusion is a disease process.
B. Confusion is always temporary.
C. Age is a reliable predictor of confusion.
***D. Polypharmacy is a major contributor to confusion in older adults
Which of the following indicates a diagnosis of dementia? - ANS ✔✔A. Onset after an infection
B. Abrupt onset over a week
C. Difficulty with long-term memory
***D. Hard time finding words
The hallmark of an absence seizure is: - ANS ✔✔A. No activity at all
***B. A blank stare
C. Urine is usually voided involuntarily
D. The attack usually lasts several minutes
Over the course of 3 years, a patient has had two MS flares. The patient's primary
complaints during the episodes are bilateral tingling and pain in their legs, depression, and
numbness in their right hand with complete recovery in between occurrences. Which MS
classification fits their disease process? - ANS ✔✔A. Clinically isolated syndrome
***B. Relapsing-remitting
C. Primary progressive
D. Secondary progressive
Which of the following is a risk factor for developing Alzheimer's disease? - ANS ✔✔A. Having a master's
or doctoral degree
B. Patient is a physician
***C. Patient has Down's syndrome **This said "Family history of Alzheimers" on my exam, not
down's**
D. History of neurological disease
, Which drug for Alzheimer's disease should be administered beginning at the time of
diagnosis? - ANS ✔✔***A. Cholinesterase inhibitors
B. Anxiolytics
C. Antidepressants
D. Atypical antipsychotics
The health-care provider is treating a patient who was hit in the head with a frying pan.
Which of the following should the provider suspect? - ANS ✔✔A. Intraparenchymal hemorrhage
***B. Subdural hematoma
C. Epidural hematoma
D. Subarachnoid hematoma
Which hematoma occurs along the temporal cranial wall and results from tears in the
middle meningeal artery? - ANS ✔✔***A. Epidural hematoma
B. Subdural hematoma
C. Subarachnoid hematoma
D. Intraparenchymal hemorrhage
Which of the following must be completed prior to administering TPA (tissue
plasminogen activator)? - ANS ✔✔A. Full-body MRI
B. Head x-ray
***C. Head CT
D. Head MRI
Which cranial nerve is affected in a patient with a cerebrovascular accident who has
difficulty chewing? - ANS ✔✔***A. CN V
B. CN VII
C. CN IX
D. CN X
Which of the following has been linked to a delay in treatment for stroke? - ANS ✔✔A. Patient has stroke
symptoms at work.
B. Patient experiences stroke during the day.
C. Patient lives with a family member.
***D. Patient calls their primary-care provider (PCP) instead of 911 at sign of stroke
Which patient is more likely to have a cluster headache? - ANS ✔✔A. A female in her reproductive years
B. A 40-year-old African American male
C. A 55-year-old female who drinks 10 cups of coffee daily
***D. A 45-year-old male awakened at night
A patient has been diagnosed with meningitis caused by a Streptococcus pneumoniae
infection. Which of the following treatments would be appropriate? - ANS ✔✔***A. Cefotaxime
B. Isoniazid
C. Acyclovir
D. Amphotericin
QUESTIONS, ANSWERS & EXAM REVIEW
Which of the following is an example of secondary prevention in a 50-year-old woman? - ANS ✔✔***A.
Yearly mammogram
THINK SECONDARY="S" AND "S" =SCREENING
B. Low animal-fat diet
C. Use of seat belt
D. Daily application of sunscreen
Which of the following is an example of tertiary prevention in a patient with chronic renal
failure? - ANS ✔✔A. Fluid restriction
***B. Hemodialysis 4 days a week
THINK "T" AND "T"= TREATMENT
C. High-protein diet
D. Maintenance of blood pressure at 120/80
Which statement about confusion is true? - ANS ✔✔A. Confusion is a disease process.
B. Confusion is always temporary.
C. Age is a reliable predictor of confusion.
***D. Polypharmacy is a major contributor to confusion in older adults
Which of the following indicates a diagnosis of dementia? - ANS ✔✔A. Onset after an infection
B. Abrupt onset over a week
C. Difficulty with long-term memory
***D. Hard time finding words
The hallmark of an absence seizure is: - ANS ✔✔A. No activity at all
***B. A blank stare
C. Urine is usually voided involuntarily
D. The attack usually lasts several minutes
Over the course of 3 years, a patient has had two MS flares. The patient's primary
complaints during the episodes are bilateral tingling and pain in their legs, depression, and
numbness in their right hand with complete recovery in between occurrences. Which MS
classification fits their disease process? - ANS ✔✔A. Clinically isolated syndrome
***B. Relapsing-remitting
C. Primary progressive
D. Secondary progressive
Which of the following is a risk factor for developing Alzheimer's disease? - ANS ✔✔A. Having a master's
or doctoral degree
B. Patient is a physician
***C. Patient has Down's syndrome **This said "Family history of Alzheimers" on my exam, not
down's**
D. History of neurological disease
, Which drug for Alzheimer's disease should be administered beginning at the time of
diagnosis? - ANS ✔✔***A. Cholinesterase inhibitors
B. Anxiolytics
C. Antidepressants
D. Atypical antipsychotics
The health-care provider is treating a patient who was hit in the head with a frying pan.
Which of the following should the provider suspect? - ANS ✔✔A. Intraparenchymal hemorrhage
***B. Subdural hematoma
C. Epidural hematoma
D. Subarachnoid hematoma
Which hematoma occurs along the temporal cranial wall and results from tears in the
middle meningeal artery? - ANS ✔✔***A. Epidural hematoma
B. Subdural hematoma
C. Subarachnoid hematoma
D. Intraparenchymal hemorrhage
Which of the following must be completed prior to administering TPA (tissue
plasminogen activator)? - ANS ✔✔A. Full-body MRI
B. Head x-ray
***C. Head CT
D. Head MRI
Which cranial nerve is affected in a patient with a cerebrovascular accident who has
difficulty chewing? - ANS ✔✔***A. CN V
B. CN VII
C. CN IX
D. CN X
Which of the following has been linked to a delay in treatment for stroke? - ANS ✔✔A. Patient has stroke
symptoms at work.
B. Patient experiences stroke during the day.
C. Patient lives with a family member.
***D. Patient calls their primary-care provider (PCP) instead of 911 at sign of stroke
Which patient is more likely to have a cluster headache? - ANS ✔✔A. A female in her reproductive years
B. A 40-year-old African American male
C. A 55-year-old female who drinks 10 cups of coffee daily
***D. A 45-year-old male awakened at night
A patient has been diagnosed with meningitis caused by a Streptococcus pneumoniae
infection. Which of the following treatments would be appropriate? - ANS ✔✔***A. Cefotaxime
B. Isoniazid
C. Acyclovir
D. Amphotericin
