NSGl 554/l NSG554l Examl 1l –l Nursel
Practitionersl inl Primaryl Carel Il Guide|l
Wilkesl (Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Humanl traffickingl -l whol isl atl risk
Answer:
Nativel Americans,l LGBTQ+,l peoplel withl disabilities,l low-income,l illegall immigrants
Anyonel susceptiblel tol force,l fraud,l orl coercion
Q:l Indicatorsl ofl humanl trafficking
Answer:
Anotherl personl speaksl forl them
Isl unsurel ofl thel day,l date,l year
Notl inl controll ofl personall identificationl andl money
Scriptedl orl inconsistentl story
Hesitantl tol answerl questions
Doesl notl knowl theirl address
Isl notl beingl paidl orl wagesl arel withheld
Oddl living/workl spacel -l tintedl windows,l securityl cameras,l etc
Q:l Assessmentl findingsl indicativel ofl humanl trafficking
Answer:
Unexplainedl injuries
Bruises,l burns,l fractures,brokenl teeth
TBI,l headaches,l unexplainedl memoryl loss,l insomnia
Constipationl orl IBSl "worsenedl byl stress"
Severel weightl loss,l malnutrition,l lossl ofl appetite
,STI,l genitourinaryl issues,l repeatedl unwantedl pregnancies,l genitall trauma,l retainedl foreignl
body
Prolongedl exposurel tol extremel temperaturesl orl chemicals
Depression,l suicidall ideation,l self-harmingl behaviors,l anxiety,l PTSD,l shamel orl guilt,l
hyper-vigilance,l attachmentl disorders,l depersonalization,l dissociation
Highl riskl behaviors,l traumal bondingl withl traffickerl orl otherl victims,l difficultyl withl
healthyl relationships,l impairedl sociall skills,delayedl physicall orl cognitivel development
Q:l Pre-surgicall testing
Answer:
Onlyl testl indicatedl forl asymptomaticl patientl notl undergoingl highl riskl surgeryl isl
pregnancyl testingl andl evenl thatl isl controversial.l Languagel usedl isl thel testl shouldl bel
CONSIDEREDl firstl alll child-bearingl agel women.
Q:l Pre-surgicall testing
Answer:
Thoroughl medicall h&pl tol assessl thel needl forl furtherl testing
Encouragel ptsl tol optimizel theirl healthl tol improvel outcomes
Q:l Pre-surgicall testingl cardiovascular
Answer:
Goodl exercisel tolerancel asl determinedl byl anl assessmentl tooll suchl asl Dukel Activityl
Statusl Indexl requirel minimal,l ifl any,l furtherl testing
Q:l Goalsl forl sportsl physical
Answer:
1-Identifyl abnormalitiesl thatl mayl interferel withl al child'sl abilityl tol participatel inl al sport
2-Identifyl healthl problemsl thatl increasel thel riskl ofl injuryl orl deathl duringl sportsl
participation
,3-Tol helpl selectl anl appropriatel sportl forl al person'sl particularl abilitiesl andl physicall
status
Q:l Sportsl physicall referrall neededl when
Answer:
Abnormall cardiacl historyl orl examinationl findings,l orl al combinationl ofl those
Q:l Bronchospasml causes
Answer:
acutel reversiblel reflexl spasml ofl thel smoothl musclel inl thel bronchioles
l -l asthmal exacerbationl (mostl common)l froml cold,l allergens,l respl Ix,l irritants
l -l COPD
l -l recentl URIl withinl pastl 2l weeks
l -l allergicl reactionl tol medication,l food,l environment
Q:l Bronchospasml tx
Answer:
-l administerl O2
-l inhaledl bronchodilators
-l epinephrine
-l severel -l IVl meds
Q:l Bronchospasml PE
Answer:
-l wheezing
-l chestl tightness
-l coughing
-l SOB
-l increasedl workl ofl breathing
, Q:l S/sl ofl severel bronchospasm
Answer:
-l lossl ofl breathl sounds
-l hypoxia
-l desaturation
-l bradycardia
-l hypotension
-l wheezingl uponl bothl inspirationl andl expiration
-l mayl havel hypoxemial andl respiratoryl distress
Q:l Anaphylaxisl tx
Answer:
-l IMl epinephrinel (fasterl thanl SQ)
-l laterall thighl hasl fastestl ratel ofl absorption
-l onlyl lastsl 15-20l minutesl andl mayl needl repeated
-l Nebulizerl mayl bel usedl butl ifl tidall volumel isl veryl diminishedl orl ineffective,l
bronchodilatorsl mayl notl bel ablel tol reachl thel constrictedl airways
-l corticosteroidsl tol reducel inflammation
-l identifyingl andl avoidingl triggersl tol preventl exacerbations
Q:l Asthmal exacerbationsl assessment
Answer:
Assessl exacerbationl WHILEl startingl SABAl andl oxygen
-l checkl forl anaphylaxis
-l assessl dyspneal (speakl sentencesl orl words)
-l RR
-l HR
-l O2l sat
-l Lungl functionl (PEF)
-l considerl alternatel causesl (HF,l PE,l foreignl body)
-l arrangel immediatel transferl ifl severel exacerbation,l drowsy,l confused,l orl silentl chestl
(givel inhaledl SABA,l inhaledl ipratropiuml bromide,l oxygen,l systemicl corticosteroids)
Practitionersl inl Primaryl Carel Il Guide|l
Wilkesl (Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Humanl traffickingl -l whol isl atl risk
Answer:
Nativel Americans,l LGBTQ+,l peoplel withl disabilities,l low-income,l illegall immigrants
Anyonel susceptiblel tol force,l fraud,l orl coercion
Q:l Indicatorsl ofl humanl trafficking
Answer:
Anotherl personl speaksl forl them
Isl unsurel ofl thel day,l date,l year
Notl inl controll ofl personall identificationl andl money
Scriptedl orl inconsistentl story
Hesitantl tol answerl questions
Doesl notl knowl theirl address
Isl notl beingl paidl orl wagesl arel withheld
Oddl living/workl spacel -l tintedl windows,l securityl cameras,l etc
Q:l Assessmentl findingsl indicativel ofl humanl trafficking
Answer:
Unexplainedl injuries
Bruises,l burns,l fractures,brokenl teeth
TBI,l headaches,l unexplainedl memoryl loss,l insomnia
Constipationl orl IBSl "worsenedl byl stress"
Severel weightl loss,l malnutrition,l lossl ofl appetite
,STI,l genitourinaryl issues,l repeatedl unwantedl pregnancies,l genitall trauma,l retainedl foreignl
body
Prolongedl exposurel tol extremel temperaturesl orl chemicals
Depression,l suicidall ideation,l self-harmingl behaviors,l anxiety,l PTSD,l shamel orl guilt,l
hyper-vigilance,l attachmentl disorders,l depersonalization,l dissociation
Highl riskl behaviors,l traumal bondingl withl traffickerl orl otherl victims,l difficultyl withl
healthyl relationships,l impairedl sociall skills,delayedl physicall orl cognitivel development
Q:l Pre-surgicall testing
Answer:
Onlyl testl indicatedl forl asymptomaticl patientl notl undergoingl highl riskl surgeryl isl
pregnancyl testingl andl evenl thatl isl controversial.l Languagel usedl isl thel testl shouldl bel
CONSIDEREDl firstl alll child-bearingl agel women.
Q:l Pre-surgicall testing
Answer:
Thoroughl medicall h&pl tol assessl thel needl forl furtherl testing
Encouragel ptsl tol optimizel theirl healthl tol improvel outcomes
Q:l Pre-surgicall testingl cardiovascular
Answer:
Goodl exercisel tolerancel asl determinedl byl anl assessmentl tooll suchl asl Dukel Activityl
Statusl Indexl requirel minimal,l ifl any,l furtherl testing
Q:l Goalsl forl sportsl physical
Answer:
1-Identifyl abnormalitiesl thatl mayl interferel withl al child'sl abilityl tol participatel inl al sport
2-Identifyl healthl problemsl thatl increasel thel riskl ofl injuryl orl deathl duringl sportsl
participation
,3-Tol helpl selectl anl appropriatel sportl forl al person'sl particularl abilitiesl andl physicall
status
Q:l Sportsl physicall referrall neededl when
Answer:
Abnormall cardiacl historyl orl examinationl findings,l orl al combinationl ofl those
Q:l Bronchospasml causes
Answer:
acutel reversiblel reflexl spasml ofl thel smoothl musclel inl thel bronchioles
l -l asthmal exacerbationl (mostl common)l froml cold,l allergens,l respl Ix,l irritants
l -l COPD
l -l recentl URIl withinl pastl 2l weeks
l -l allergicl reactionl tol medication,l food,l environment
Q:l Bronchospasml tx
Answer:
-l administerl O2
-l inhaledl bronchodilators
-l epinephrine
-l severel -l IVl meds
Q:l Bronchospasml PE
Answer:
-l wheezing
-l chestl tightness
-l coughing
-l SOB
-l increasedl workl ofl breathing
, Q:l S/sl ofl severel bronchospasm
Answer:
-l lossl ofl breathl sounds
-l hypoxia
-l desaturation
-l bradycardia
-l hypotension
-l wheezingl uponl bothl inspirationl andl expiration
-l mayl havel hypoxemial andl respiratoryl distress
Q:l Anaphylaxisl tx
Answer:
-l IMl epinephrinel (fasterl thanl SQ)
-l laterall thighl hasl fastestl ratel ofl absorption
-l onlyl lastsl 15-20l minutesl andl mayl needl repeated
-l Nebulizerl mayl bel usedl butl ifl tidall volumel isl veryl diminishedl orl ineffective,l
bronchodilatorsl mayl notl bel ablel tol reachl thel constrictedl airways
-l corticosteroidsl tol reducel inflammation
-l identifyingl andl avoidingl triggersl tol preventl exacerbations
Q:l Asthmal exacerbationsl assessment
Answer:
Assessl exacerbationl WHILEl startingl SABAl andl oxygen
-l checkl forl anaphylaxis
-l assessl dyspneal (speakl sentencesl orl words)
-l RR
-l HR
-l O2l sat
-l Lungl functionl (PEF)
-l considerl alternatel causesl (HF,l PE,l foreignl body)
-l arrangel immediatel transferl ifl severel exacerbation,l drowsy,l confused,l orl silentl chestl
(givel inhaledl SABA,l inhaledl ipratropiuml bromide,l oxygen,l systemicl corticosteroids)
