NSG 6 0 2 0 3P A C T U A L E X A M QUEST I ON S W I T H
C OR R E C T D E TAIL E D VE R I F I E D AN S WE RS
2 0 25/2 0 26
I n t ro d u c t i on :
Th i s Doc u m ent Co ntains T he A ctu al NSG 6020 3P Exa m Quest i on s
W i th Detai l ed, V er i fied Co r r ect Answ er s F or T he A c ad emic Y ea r
202 5 –202 6 . It C ov er s A Wi de R ange Of Cl i n i c al S c en a r i os, Phys i c al
Ass es s m ent Te chni qu es, D i a gn ost i c Fin di ngs, A nd P a ti en t C a s e
St u d i es C om monly Tested In Ad v an ce d P r a cti c e Nu r s i ng E x a ms. T he
M at eri al P r ov i des B oth The Quest i ons And C or r ect A n s w er s, M a k i ng
It A C om p r eh ens i ve St u dy G ui de F or E x am P re p aration.
E xa m Qu est i ons A n d A n s wer s :
A 28 - Ye a r - Ol d G r a d u ate St u d ent C om es To Y our Cl i n i c F or E val u ation
Of P a i n " A l l Ov er ." W i th F u r th er Quest i on i ng, S h e I s A bl e T o R el ate
T h at
The P a i n I s W or se I n T h e N ec k , Shou l d er s, H ands, L ow Ba ck A nd
K n ees. She D en i es S w elli n g In H er Jo i nts. S h e S t at es That T h e P ain Is
W or se I n The M or n i ng. Th er e I s No Li mitat i on I n H er R ange Of
Mo ti on. On Phys i c a l E x a mina ti on, S h e H a s Se v er al P oi n ts On T h e
M u s cles Of T he
N ec k , Shou l d er s A nd B a ck T h a t A r e T end er To P alpati on . M u sc l e
S tre ng th
And R an g e Of Mot i on Are No r m a l . W h i ch One O f The Fol l owi ng Is
L i ke l y The C a u s e Of H er P ain ?--- Co r re c t A ns wer - - - Fi br om y alg i a
,A N ew P a tie nt Is C om p l ain i ng Of Se v er e P r uri tus That I s Wor s e At
N i gh t. Sev er al F a mi l y M emb er s Also H ave T he S a me S y m p tom s. U pon
E x a m i n ation, A r ea s Of E x cor i a ted Pa pu l es Are N oted On So m e Of T he
I nte r d i g i tal We bs Of B oth H ands And On T h e A x illa e. T his Fin di ng Is
Most Consi s tent W i th : - - - C orre c t A n s wer - - - S c a bi es
A n O bese 55 - Ye a r - Ol d W om an W ent T h r ou g h M en arc h e A t A g e 16 And
M en op a u s e 2 Y ear s A go. S h e I s C on c er n ed B ec ause A n A unt H ad
Se v er e Osteo p or os i s. Wh i ch One Of The F oll owi ng Is A R i s k F a ctor
For Osteo p or os i s ?- -- C orre c t A n s wer - - - De l a y ed M en arc h e
Ms . Whi ti ng I s A 6 8 - Y ea r - Ol d F em a l e W ho C om es In F or H er U s ual
Fol l ow - U p V i s i t. Y ou Not i ce A F ew Flat Re d And Pu r ple L es i ons,
Abo u t 6 C ent i m eter s In D ia m eter , On The U l n a r As p ect Of H er
Fo r ea r ms B ut No w h er e E l s e. She Doesn ' t M ent i on T h em . T h ey Are
Te n der W h en Y ou E x a m i n e T h em. W h a t S hou l d Y ou D o?- - - Corr ect
A n s w er - - - A sk How She A cqu ir ed T h em .
A 5 8 - Y ea r - Ol d M an C om es To Yo u r Of fi ce Co m plain i ng Of B il a ter al
B a ck P a i n T h a t Now Aw a ke ns H i m At N i gh t. Th i s H a s B ee n S t ead il y
I nc r easing For The P ast 2 Mo n ths. W hich One Of The Fol l owi ng Is T h e
Most R eassuring I n Th i s P a ti ent Wi th B a ck P a i n ?- - - Corre c t A n s wer - - -
P ain That I s B il ate r al
,The P h alen's T est I s U s ed To E val u at e: --- Corr ec t A n s w er ---
I nfl am m a ti on Of T h e M ed ia n N er ve
Wh i ch Of T h e Fol l owi ng W ou l d L ead Y ou To S u s p ect A H y dro cel e
V er s u s Oth er C aus es O f S c r otal S w elli ng ?- -- Corre c t A n s wer - - - A
P os i ti ve Tr a ns ill um i n ation Test
Y ou Are E x a min i n g A N ewb or n A nd N ote T h a t T h e R i ght T est i cle I s
Not I n The S c r ot u m. W h at Shou l d Y ou D o N ex t?- - - C o rre c t A n s wer - - -
A ttem pt To B r i ng Do w n T h e Test i s F r om T h e I n g u i nal C an al
, A 5 0 - Y ea r - Ol d T r u c k D r i ver C om es To Y our Cl i n i c F or A W or k P hys i c a l .
H e H as H ad No U p p er R espi r at or y , C ard i a c, Pu l mo n a r y ,
Gastroin testinal, U r i n a r y , Or Mu s cu l osk el etal S y st em C om p l aint s . H i s
P a st M ed i ca l Hi s tor y I s Si g n i fi c ant F or Mi l d A r thrit i s A n d P r i or K n ee
S u r g er y I n Col l eg e. H e I s M ar r i ed And Ju st C h a n g ed Jobs, W or k i ng For
A D i f fe r ent Tru c k i ng Co m p a n y . H e Sm oke s On e P a ck Of C i ga r ettes A
Da y , Drinks L ess T h a n S i x B eer s A We ek , A n d Den i es U si ng Any Ill egal
Drug s . H i s Mot h er H a s H i gh B l ood P r ess ur e And A r th r i ti s And His
F a th er D i ed Of L ung C a n c er I n His S i x ti es . On E xa minat i on, His B l ood
P r ess ur e I s
A nd His P u l se I s 8 0 . H i s C a r d i a c, L un g , And A bd ominal
E x a m i n ations Are No r m a l . H e H as No I ng ui nal He r n i a, B ut On His
D i g i tal R ect a l E xa minat i on Y ou P al p ate A Soft, S m ooth, And
Non tend er P ed u ncu l at ed M a s s On T he Pos ter i or W all Of T he R ect u m .
W h at An al , Re ctal, Or P r osta te D i sord er B est Fits His P re s entat i on ? --
- Co r re c t A n s wer - - - Re ct al P oly p
A 15 - Ye a r - Ol d Hi g h S c hool Foo tball Play er I s B r ou g ht T o Y our Of f i c e
B y His Mo th er . H e I s Co m plain i ng Of S eve r e T est i cu l ar P a i n S i n c e
E x a ctl y
8: 0 0 Th i s M or n i n g . H e D en i es A ny S ex ual A cti v i ty A nd S tates T h a t H e
Hurts S o B ad H e C a n ' t E v en U r i nat e. H e I s N aus eat ed A nd Is
T h r owi ng Up. H e Den i es Any Re c ent Ill n ess O r F ev er . H i s P a st
M ed i ca l Hi s tor y I s
C OR R E C T D E TAIL E D VE R I F I E D AN S WE RS
2 0 25/2 0 26
I n t ro d u c t i on :
Th i s Doc u m ent Co ntains T he A ctu al NSG 6020 3P Exa m Quest i on s
W i th Detai l ed, V er i fied Co r r ect Answ er s F or T he A c ad emic Y ea r
202 5 –202 6 . It C ov er s A Wi de R ange Of Cl i n i c al S c en a r i os, Phys i c al
Ass es s m ent Te chni qu es, D i a gn ost i c Fin di ngs, A nd P a ti en t C a s e
St u d i es C om monly Tested In Ad v an ce d P r a cti c e Nu r s i ng E x a ms. T he
M at eri al P r ov i des B oth The Quest i ons And C or r ect A n s w er s, M a k i ng
It A C om p r eh ens i ve St u dy G ui de F or E x am P re p aration.
E xa m Qu est i ons A n d A n s wer s :
A 28 - Ye a r - Ol d G r a d u ate St u d ent C om es To Y our Cl i n i c F or E val u ation
Of P a i n " A l l Ov er ." W i th F u r th er Quest i on i ng, S h e I s A bl e T o R el ate
T h at
The P a i n I s W or se I n T h e N ec k , Shou l d er s, H ands, L ow Ba ck A nd
K n ees. She D en i es S w elli n g In H er Jo i nts. S h e S t at es That T h e P ain Is
W or se I n The M or n i ng. Th er e I s No Li mitat i on I n H er R ange Of
Mo ti on. On Phys i c a l E x a mina ti on, S h e H a s Se v er al P oi n ts On T h e
M u s cles Of T he
N ec k , Shou l d er s A nd B a ck T h a t A r e T end er To P alpati on . M u sc l e
S tre ng th
And R an g e Of Mot i on Are No r m a l . W h i ch One O f The Fol l owi ng Is
L i ke l y The C a u s e Of H er P ain ?--- Co r re c t A ns wer - - - Fi br om y alg i a
,A N ew P a tie nt Is C om p l ain i ng Of Se v er e P r uri tus That I s Wor s e At
N i gh t. Sev er al F a mi l y M emb er s Also H ave T he S a me S y m p tom s. U pon
E x a m i n ation, A r ea s Of E x cor i a ted Pa pu l es Are N oted On So m e Of T he
I nte r d i g i tal We bs Of B oth H ands And On T h e A x illa e. T his Fin di ng Is
Most Consi s tent W i th : - - - C orre c t A n s wer - - - S c a bi es
A n O bese 55 - Ye a r - Ol d W om an W ent T h r ou g h M en arc h e A t A g e 16 And
M en op a u s e 2 Y ear s A go. S h e I s C on c er n ed B ec ause A n A unt H ad
Se v er e Osteo p or os i s. Wh i ch One Of The F oll owi ng Is A R i s k F a ctor
For Osteo p or os i s ?- -- C orre c t A n s wer - - - De l a y ed M en arc h e
Ms . Whi ti ng I s A 6 8 - Y ea r - Ol d F em a l e W ho C om es In F or H er U s ual
Fol l ow - U p V i s i t. Y ou Not i ce A F ew Flat Re d And Pu r ple L es i ons,
Abo u t 6 C ent i m eter s In D ia m eter , On The U l n a r As p ect Of H er
Fo r ea r ms B ut No w h er e E l s e. She Doesn ' t M ent i on T h em . T h ey Are
Te n der W h en Y ou E x a m i n e T h em. W h a t S hou l d Y ou D o?- - - Corr ect
A n s w er - - - A sk How She A cqu ir ed T h em .
A 5 8 - Y ea r - Ol d M an C om es To Yo u r Of fi ce Co m plain i ng Of B il a ter al
B a ck P a i n T h a t Now Aw a ke ns H i m At N i gh t. Th i s H a s B ee n S t ead il y
I nc r easing For The P ast 2 Mo n ths. W hich One Of The Fol l owi ng Is T h e
Most R eassuring I n Th i s P a ti ent Wi th B a ck P a i n ?- - - Corre c t A n s wer - - -
P ain That I s B il ate r al
,The P h alen's T est I s U s ed To E val u at e: --- Corr ec t A n s w er ---
I nfl am m a ti on Of T h e M ed ia n N er ve
Wh i ch Of T h e Fol l owi ng W ou l d L ead Y ou To S u s p ect A H y dro cel e
V er s u s Oth er C aus es O f S c r otal S w elli ng ?- -- Corre c t A n s wer - - - A
P os i ti ve Tr a ns ill um i n ation Test
Y ou Are E x a min i n g A N ewb or n A nd N ote T h a t T h e R i ght T est i cle I s
Not I n The S c r ot u m. W h at Shou l d Y ou D o N ex t?- - - C o rre c t A n s wer - - -
A ttem pt To B r i ng Do w n T h e Test i s F r om T h e I n g u i nal C an al
, A 5 0 - Y ea r - Ol d T r u c k D r i ver C om es To Y our Cl i n i c F or A W or k P hys i c a l .
H e H as H ad No U p p er R espi r at or y , C ard i a c, Pu l mo n a r y ,
Gastroin testinal, U r i n a r y , Or Mu s cu l osk el etal S y st em C om p l aint s . H i s
P a st M ed i ca l Hi s tor y I s Si g n i fi c ant F or Mi l d A r thrit i s A n d P r i or K n ee
S u r g er y I n Col l eg e. H e I s M ar r i ed And Ju st C h a n g ed Jobs, W or k i ng For
A D i f fe r ent Tru c k i ng Co m p a n y . H e Sm oke s On e P a ck Of C i ga r ettes A
Da y , Drinks L ess T h a n S i x B eer s A We ek , A n d Den i es U si ng Any Ill egal
Drug s . H i s Mot h er H a s H i gh B l ood P r ess ur e And A r th r i ti s And His
F a th er D i ed Of L ung C a n c er I n His S i x ti es . On E xa minat i on, His B l ood
P r ess ur e I s
A nd His P u l se I s 8 0 . H i s C a r d i a c, L un g , And A bd ominal
E x a m i n ations Are No r m a l . H e H as No I ng ui nal He r n i a, B ut On His
D i g i tal R ect a l E xa minat i on Y ou P al p ate A Soft, S m ooth, And
Non tend er P ed u ncu l at ed M a s s On T he Pos ter i or W all Of T he R ect u m .
W h at An al , Re ctal, Or P r osta te D i sord er B est Fits His P re s entat i on ? --
- Co r re c t A n s wer - - - Re ct al P oly p
A 15 - Ye a r - Ol d Hi g h S c hool Foo tball Play er I s B r ou g ht T o Y our Of f i c e
B y His Mo th er . H e I s Co m plain i ng Of S eve r e T est i cu l ar P a i n S i n c e
E x a ctl y
8: 0 0 Th i s M or n i n g . H e D en i es A ny S ex ual A cti v i ty A nd S tates T h a t H e
Hurts S o B ad H e C a n ' t E v en U r i nat e. H e I s N aus eat ed A nd Is
T h r owi ng Up. H e Den i es Any Re c ent Ill n ess O r F ev er . H i s P a st
M ed i ca l Hi s tor y I s
