SOUTH UNIVERSIT Y
School of Nursing · NSG6440
NSG 6440 — Advanced Practice Nursing
Academic Year: 2026/2027
Final Examination · Question Bank
Question 1
Which test is used to confirm a diagnosis of epididymitis?
A. Ultrasound of the scrotum
B. Urinalysis
C. CT scan of the pelvis
D. MRI of the scrotum
CORRECT ANSWER: A. Ultrasound of the scrotum
RATIONALE:
Scrotal ultrasound with Doppler is the imaging study of choice to confirm epididymitis and
rule out testicular torsion or abscess. It shows increased blood flow to the epididymis.
Urinalysis may support the diagnosis but is not confirmatory. CT and MRI are not the
primary imaging modalities for this condition.
, Question 2
The forced vital capacity is decreased in:
A. Restrictive disease
B. Obstructive disease
C. Both restrictive and obstructive
D. Neither
CORRECT ANSWER: A. Restrictive disease
RATIONALE:
Forced vital capacity (FVC) is decreased in restrictive lung diseases (e.g., pulmonary fibrosis,
sarcoidosis) due to reduced lung volume. In obstructive diseases (e.g., asthma, COPD), FVC
may be normal or mildly decreased, but the FEV1/FVC ratio is reduced.
Question 3
Which of the following is a specific test to MS?
A. There is no specific test
B. MRI of the brain
C. Lumbar puncture
D. Evoked potentials
CORRECT ANSWER: A. There is no specific test
RATIONALE:
Multiple sclerosis is a clinical diagnosis. There is no single specific test to confirm MS. The
diagnosis is made by combining clinical presentation, MRI findings, CSF analysis, and
evoked potentials, but no test is definitive on its own.
, Question 4
Which heart sound is associated with decreased elasticity of the left ventricle in left
ventricular hypertrophy?
A. S4
B. S3
C. Murmur
D. Pericardial friction rub
CORRECT ANSWER: A. S4
RATIONALE:
An S4 heart sound (atrial gallop) is associated with decreased compliance and increased
stiffness of the left ventricle, as seen in left ventricular hypertrophy, hypertension, and
ischemic heart disease. It occurs during atrial contraction against a non-compliant ventricle.
Question 5
During treatment for anaphylaxis, which site is used for the initial injection of
epinephrine?
A. Upper lateral thigh
B. Deltoid muscle
C. Abdomen
D. Buttocks
CORRECT ANSWER: A. Upper lateral thigh
RATIONALE:
The upper lateral thigh (vastus lateralis) is the preferred site for epinephrine injection in
anaphylaxis because it provides rapid absorption and is the site used in auto-injectors
(EpiPen). The deltoid can be used but is not the first choice for emergency administration.
, Question 6
Which of the following medications for temporomandibular disorder has the warning
that patient should NOT drive while taking it?
A. Elavil
B. Ibuprofen
C. Flexeril
D. Naproxen
CORRECT ANSWER: A. Elavil
RATIONALE:
Elavil (amitriptyline) is a tricyclic antidepressant that can cause significant sedation and
drowsiness. Patients should be warned not to drive or operate heavy machinery while
taking it. The other options (ibuprofen, Flexeril, naproxen) do not carry the same strict
driving warning, though cyclobenzaprine (Flexeril) may also cause drowsiness but less
prominently.
Question 7
After 6 months of Synthroid therapy, the clinician should expect which result in the
repeat thyroid-stimulating hormone studies?
A. Normal
B. Elevated
C. Suppressed
D. Fluctuating
CORRECT ANSWER: A. Normal
RATIONALE:
With appropriate Synthroid (levothyroxine) therapy, the TSH level should return to normal
(euthyroid state) after about 6–8 weeks of treatment. The goal is to normalize TSH,
indicating adequate thyroid hormone replacement. An elevated or suppressed TSH would
indicate under- or over-replacement, respectively.
School of Nursing · NSG6440
NSG 6440 — Advanced Practice Nursing
Academic Year: 2026/2027
Final Examination · Question Bank
Question 1
Which test is used to confirm a diagnosis of epididymitis?
A. Ultrasound of the scrotum
B. Urinalysis
C. CT scan of the pelvis
D. MRI of the scrotum
CORRECT ANSWER: A. Ultrasound of the scrotum
RATIONALE:
Scrotal ultrasound with Doppler is the imaging study of choice to confirm epididymitis and
rule out testicular torsion or abscess. It shows increased blood flow to the epididymis.
Urinalysis may support the diagnosis but is not confirmatory. CT and MRI are not the
primary imaging modalities for this condition.
, Question 2
The forced vital capacity is decreased in:
A. Restrictive disease
B. Obstructive disease
C. Both restrictive and obstructive
D. Neither
CORRECT ANSWER: A. Restrictive disease
RATIONALE:
Forced vital capacity (FVC) is decreased in restrictive lung diseases (e.g., pulmonary fibrosis,
sarcoidosis) due to reduced lung volume. In obstructive diseases (e.g., asthma, COPD), FVC
may be normal or mildly decreased, but the FEV1/FVC ratio is reduced.
Question 3
Which of the following is a specific test to MS?
A. There is no specific test
B. MRI of the brain
C. Lumbar puncture
D. Evoked potentials
CORRECT ANSWER: A. There is no specific test
RATIONALE:
Multiple sclerosis is a clinical diagnosis. There is no single specific test to confirm MS. The
diagnosis is made by combining clinical presentation, MRI findings, CSF analysis, and
evoked potentials, but no test is definitive on its own.
, Question 4
Which heart sound is associated with decreased elasticity of the left ventricle in left
ventricular hypertrophy?
A. S4
B. S3
C. Murmur
D. Pericardial friction rub
CORRECT ANSWER: A. S4
RATIONALE:
An S4 heart sound (atrial gallop) is associated with decreased compliance and increased
stiffness of the left ventricle, as seen in left ventricular hypertrophy, hypertension, and
ischemic heart disease. It occurs during atrial contraction against a non-compliant ventricle.
Question 5
During treatment for anaphylaxis, which site is used for the initial injection of
epinephrine?
A. Upper lateral thigh
B. Deltoid muscle
C. Abdomen
D. Buttocks
CORRECT ANSWER: A. Upper lateral thigh
RATIONALE:
The upper lateral thigh (vastus lateralis) is the preferred site for epinephrine injection in
anaphylaxis because it provides rapid absorption and is the site used in auto-injectors
(EpiPen). The deltoid can be used but is not the first choice for emergency administration.
, Question 6
Which of the following medications for temporomandibular disorder has the warning
that patient should NOT drive while taking it?
A. Elavil
B. Ibuprofen
C. Flexeril
D. Naproxen
CORRECT ANSWER: A. Elavil
RATIONALE:
Elavil (amitriptyline) is a tricyclic antidepressant that can cause significant sedation and
drowsiness. Patients should be warned not to drive or operate heavy machinery while
taking it. The other options (ibuprofen, Flexeril, naproxen) do not carry the same strict
driving warning, though cyclobenzaprine (Flexeril) may also cause drowsiness but less
prominently.
Question 7
After 6 months of Synthroid therapy, the clinician should expect which result in the
repeat thyroid-stimulating hormone studies?
A. Normal
B. Elevated
C. Suppressed
D. Fluctuating
CORRECT ANSWER: A. Normal
RATIONALE:
With appropriate Synthroid (levothyroxine) therapy, the TSH level should return to normal
(euthyroid state) after about 6–8 weeks of treatment. The goal is to normalize TSH,
indicating adequate thyroid hormone replacement. An elevated or suppressed TSH would
indicate under- or over-replacement, respectively.
