[NSG_6020_3P_EXAM] QUESTIONS AND ANSWERS ALREADY GRADED
A+. 100% VERIFIED SOLUTIONS | UPDATED PER LATEST GUIDELINES |
GRADED A+
Question 1
A nurse practitioner is performing a comprehensive health assessment on a 45-year-old client. Which
component of the health history provides the most information about the client's current health status?
A. Past medical history
B. History of present illness
C. Family history
D. Review of systems
🟢 Correct Answer: B. History of present illness
🔴 RATIONALE: The history of present illness provides detailed information about the client's current health
concern, including onset, duration, characteristics, and associated symptoms. This information is most directly
relevant to the client's current health status and guides the focused physical examination. Past medical history,
family history, and review of systems provide supporting information.
,Question 2
During a physical examination, the nurse practitioner notes that the client's skin has a yellow-orange
discoloration on the palms and soles. This finding is most consistent with:
A. Jaundice
B. Carotenemia
C. Cyanosis
D. Pallor
🟢 Correct Answer: B. Carotenemia
🔴 RATIONALE: Carotenemia is characterized by a yellow-orange discoloration of the skin, particularly on the
palms and soles, caused by excessive dietary intake of carotene-rich foods. Jaundice presents as yellowing of
the skin and sclera, cyanosis is bluish discoloration, and pallor is pale skin. Carotenemia does not affect the
sclera, which helps differentiate it from jaundice.
Question 3
A nurse practitioner is assessing a client's pulses. Which pulse site is used to assess circulation to the foot?
,A. Popliteal
B. Dorsalis pedis
C. Femoral
D. Posterior tibial
🟢 Correct Answer: B. Dorsalis pedis
🔴 RATIONALE: The dorsalis pedis pulse is located on the top of the foot and is used to assess circulation to
the foot. The posterior tibial pulse is also used for foot assessment. The popliteal pulse assesses the knee area,
and the femoral pulse assesses the groin area.
Question 4
A nurse practitioner is assessing the client's respiratory system. Which finding is abnormal during inspection of
the thorax?
A. Symmetrical chest expansion
B. Anteroposterior to transverse diameter ratio of 1:2
C. Barrel-shaped chest
D. Skin color consistent with the rest of the body
, 🟢 Correct Answer: C. Barrel-shaped chest
🔴 RATIONALE: A barrel-shaped chest, characterized by an increased anteroposterior diameter, is an abnormal
finding associated with chronic obstructive pulmonary disease (COPD) and emphysema. Symmetrical chest
expansion, an AP:transverse ratio of 1:2, and skin color consistent with the rest of the body are normal findings.
Question 5
A nurse practitioner is performing a neurological assessment. The nurse practitioner asks the client to close their
eyes and identify a familiar object placed in their hand. This tests which sensation?
A. Stereognosis
B. Graphesthesia
C. Two-point discrimination
D. Proprioception
🟢 Correct Answer: A. Stereognosis
🔴 RATIONALE: Stereognosis is the ability to identify an object by touch without visual input. Graphesthesia is
the ability to identify numbers or letters written on the skin, two-point discrimination assesses the ability to
distinguish two points of contact, and proprioception is the sense of joint position.
A+. 100% VERIFIED SOLUTIONS | UPDATED PER LATEST GUIDELINES |
GRADED A+
Question 1
A nurse practitioner is performing a comprehensive health assessment on a 45-year-old client. Which
component of the health history provides the most information about the client's current health status?
A. Past medical history
B. History of present illness
C. Family history
D. Review of systems
🟢 Correct Answer: B. History of present illness
🔴 RATIONALE: The history of present illness provides detailed information about the client's current health
concern, including onset, duration, characteristics, and associated symptoms. This information is most directly
relevant to the client's current health status and guides the focused physical examination. Past medical history,
family history, and review of systems provide supporting information.
,Question 2
During a physical examination, the nurse practitioner notes that the client's skin has a yellow-orange
discoloration on the palms and soles. This finding is most consistent with:
A. Jaundice
B. Carotenemia
C. Cyanosis
D. Pallor
🟢 Correct Answer: B. Carotenemia
🔴 RATIONALE: Carotenemia is characterized by a yellow-orange discoloration of the skin, particularly on the
palms and soles, caused by excessive dietary intake of carotene-rich foods. Jaundice presents as yellowing of
the skin and sclera, cyanosis is bluish discoloration, and pallor is pale skin. Carotenemia does not affect the
sclera, which helps differentiate it from jaundice.
Question 3
A nurse practitioner is assessing a client's pulses. Which pulse site is used to assess circulation to the foot?
,A. Popliteal
B. Dorsalis pedis
C. Femoral
D. Posterior tibial
🟢 Correct Answer: B. Dorsalis pedis
🔴 RATIONALE: The dorsalis pedis pulse is located on the top of the foot and is used to assess circulation to
the foot. The posterior tibial pulse is also used for foot assessment. The popliteal pulse assesses the knee area,
and the femoral pulse assesses the groin area.
Question 4
A nurse practitioner is assessing the client's respiratory system. Which finding is abnormal during inspection of
the thorax?
A. Symmetrical chest expansion
B. Anteroposterior to transverse diameter ratio of 1:2
C. Barrel-shaped chest
D. Skin color consistent with the rest of the body
, 🟢 Correct Answer: C. Barrel-shaped chest
🔴 RATIONALE: A barrel-shaped chest, characterized by an increased anteroposterior diameter, is an abnormal
finding associated with chronic obstructive pulmonary disease (COPD) and emphysema. Symmetrical chest
expansion, an AP:transverse ratio of 1:2, and skin color consistent with the rest of the body are normal findings.
Question 5
A nurse practitioner is performing a neurological assessment. The nurse practitioner asks the client to close their
eyes and identify a familiar object placed in their hand. This tests which sensation?
A. Stereognosis
B. Graphesthesia
C. Two-point discrimination
D. Proprioception
🟢 Correct Answer: A. Stereognosis
🔴 RATIONALE: Stereognosis is the ability to identify an object by touch without visual input. Graphesthesia is
the ability to identify numbers or letters written on the skin, two-point discrimination assesses the ability to
distinguish two points of contact, and proprioception is the sense of joint position.