NSG 6420 MIDTERM EXAM |2025-2026 LATEST UPDATED |ACTUAL
EXAM QUESTIONS WITH SOLUTIONS | 100% RATED CORRECT |
100% VERFIED SOLTIONS | ALREADY GRADED A+
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
,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
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:
a) CBC with differential
b) Stool culture and sensitivity
c) Abdominal X-ray
d) Colonoscopy - (ANSWER)d) Colonoscopy
EXAM QUESTIONS WITH SOLUTIONS | 100% RATED CORRECT |
100% VERFIED SOLTIONS | ALREADY GRADED A+
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
,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
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:
a) CBC with differential
b) Stool culture and sensitivity
c) Abdominal X-ray
d) Colonoscopy - (ANSWER)d) Colonoscopy
