1|Page
NSG 6420 MIDTERM EXAM 2025 ACTUAL EXAM
COMPLETE ACCURATE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+/ LATEST EXAM!!!
1. Your patient has been using chewing tobacco for 10
years. On physical examination, you observe a white
ulceration surrounded by an erythematous base on the
side of his tongue. The clinician should recognize that very
often this is:
a) Malignant melanoma
b) Squamous cell carcinoma
c) Aphthous ulceration
d) Behcet's syndrome - Answer-b) Squamous cell
carcinoma
2. Which of the following would be considered a "red flag"
that requires more investigation in a patient assessment?
a) Colon cancer in family member at age 70
b) Breast cancer in family member at age 75
c) Myocardial infarction in family member at age 35
d) All the above - Answer-c) Myocardial infarction in family
member at age 35
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3. The pathophysiological hallmark of ACD is:
a) Depleted iron stores
b) Impaired ability to use iron stores
c) Chronic uncorrectable bleeding
e) Reduced intestinal absorption of iron - Answer-b)
Impaired ability to use iron stores
4. It is important to not dilate the eye if ____ is suspected.
a) Cataract
b) Macular degeneration
c) Acute closed-angle glaucoma
d) Chronic open-angle glaucoma - Answer-c) Acute
closed-angle glaucoma
5. A 66-year-old patient presents to the clinic complaining
of dyspnea and wheezing. The patient reports a smoking
history of 2 packs of cigarettes per day since age 16. This
would be recorded in the chart as:
a) 50 x 2-pack years
b) 100-pack years
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c) 50-year, 2-pack history
d) 100-pack history - Answer-b) 100-pack years
6. When teaching a group of older adults regarding
prevention of gastroesophageal reflux disease symptoms,
the nurse practitioner will include which of the following
instructions?
a) Raise the head of the bed with pillows at night and
chew peppermints when symptoms of heartburn begins.
b) Raise the head of the bed on blocks and take the
proton pump inhibitor medication at bedtime.
c) Sit up for an hour after taking any medication and
restrict fluid intake.
d) Avoid food intolerances, raise head of bed on blocks,
and take a proton pump inhibitor before a meal. - Answer-
d) Avoid food intolerances, raise head of bed on blocks,
and take a proton pump inhibitor before a meal.
7. A 56-year-old male complains of anorexia, changes in
bowel habits, extreme fatigue, and unintentional weight
loss. At times he is constipated and other times he has
episodes of diarrhea. His physical examination is
unremarkable. It is important for the clinician to recognize
the importance of:
, 4|Page
a) CBC with differential
b) Stool culture and sensitivity
c) Abdominal X-ray
d) Colonoscopy - Answer-d) Colonoscopy
8. Dan G., a 65-year-old man, presents to your primary
care office for the evaluation of chest pain and left-sided
shoulder pain. Pain begins after strenuous activity,
including walking. Pain is characterized as dull, aching;
8/10 during activity, otherwise 0/10. Began a few months
ago, intermittent, aggravated by exercise, and relieved by
rest. Has occasional nausea. Pain is retrosternal, radiating
to left shoulder, definitely affects quality of life by limiting
activity. Pain is worse today; did not go away after he
stopped walking. BP 120/80. Pulse 72 and regular. Normal
heart sounds, S1 and S2, no murmurs. Which of the
following differential diagnoses would be most likely?
a) Musculoskeletal chest wall syndrome with radiation
b) Esophageal motor disorder with radiation
c) Acute cholecystitis with cholelithiasis
d) Coronary artery disease with angina pectoris - Answer-
d) Coronary artery disease with angina pectoris
NSG 6420 MIDTERM EXAM 2025 ACTUAL EXAM
COMPLETE ACCURATE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+/ LATEST EXAM!!!
1. Your patient has been using chewing tobacco for 10
years. On physical examination, you observe a white
ulceration surrounded by an erythematous base on the
side of his tongue. The clinician should recognize that very
often this is:
a) Malignant melanoma
b) Squamous cell carcinoma
c) Aphthous ulceration
d) Behcet's syndrome - Answer-b) Squamous cell
carcinoma
2. Which of the following would be considered a "red flag"
that requires more investigation in a patient assessment?
a) Colon cancer in family member at age 70
b) Breast cancer in family member at age 75
c) Myocardial infarction in family member at age 35
d) All the above - Answer-c) Myocardial infarction in family
member at age 35
,2|Page
3. The pathophysiological hallmark of ACD is:
a) Depleted iron stores
b) Impaired ability to use iron stores
c) Chronic uncorrectable bleeding
e) Reduced intestinal absorption of iron - Answer-b)
Impaired ability to use iron stores
4. It is important to not dilate the eye if ____ is suspected.
a) Cataract
b) Macular degeneration
c) Acute closed-angle glaucoma
d) Chronic open-angle glaucoma - Answer-c) Acute
closed-angle glaucoma
5. A 66-year-old patient presents to the clinic complaining
of dyspnea and wheezing. The patient reports a smoking
history of 2 packs of cigarettes per day since age 16. This
would be recorded in the chart as:
a) 50 x 2-pack years
b) 100-pack years
,3|Page
c) 50-year, 2-pack history
d) 100-pack history - Answer-b) 100-pack years
6. When teaching a group of older adults regarding
prevention of gastroesophageal reflux disease symptoms,
the nurse practitioner will include which of the following
instructions?
a) Raise the head of the bed with pillows at night and
chew peppermints when symptoms of heartburn begins.
b) Raise the head of the bed on blocks and take the
proton pump inhibitor medication at bedtime.
c) Sit up for an hour after taking any medication and
restrict fluid intake.
d) Avoid food intolerances, raise head of bed on blocks,
and take a proton pump inhibitor before a meal. - Answer-
d) Avoid food intolerances, raise head of bed on blocks,
and take a proton pump inhibitor before a meal.
7. A 56-year-old male complains of anorexia, changes in
bowel habits, extreme fatigue, and unintentional weight
loss. At times he is constipated and other times he has
episodes of diarrhea. His physical examination is
unremarkable. It is important for the clinician to recognize
the importance of:
, 4|Page
a) CBC with differential
b) Stool culture and sensitivity
c) Abdominal X-ray
d) Colonoscopy - Answer-d) Colonoscopy
8. Dan G., a 65-year-old man, presents to your primary
care office for the evaluation of chest pain and left-sided
shoulder pain. Pain begins after strenuous activity,
including walking. Pain is characterized as dull, aching;
8/10 during activity, otherwise 0/10. Began a few months
ago, intermittent, aggravated by exercise, and relieved by
rest. Has occasional nausea. Pain is retrosternal, radiating
to left shoulder, definitely affects quality of life by limiting
activity. Pain is worse today; did not go away after he
stopped walking. BP 120/80. Pulse 72 and regular. Normal
heart sounds, S1 and S2, no murmurs. Which of the
following differential diagnoses would be most likely?
a) Musculoskeletal chest wall syndrome with radiation
b) Esophageal motor disorder with radiation
c) Acute cholecystitis with cholelithiasis
d) Coronary artery disease with angina pectoris - Answer-
d) Coronary artery disease with angina pectoris
