1
NSG6020 MIDTERM EXAM QUESTIONS AND ANSWERS BEST RATED A+ |
LATEST UPDATE 2026 GUARANTEED PASS
1.
A 58-year-old patient presents for an annual primary-care evaluation and reports
several months of progressive fatigue, intermittent headaches, and reduced
exercise tolerance. During the history, the patient states that the symptoms began
gradually but cannot identify a specific triggering event. The advanced practice
nurse wants to establish the chronology, severity, associated features, and
functional impact of the symptoms before developing a differential diagnosis.
Which approach is most appropriate?
A. Ask focused questions about onset, location, duration, characteristics,
aggravating and relieving factors, and associated symptoms
B. Begin the physical examination without obtaining additional history
C. Ask only whether the patient has experienced similar symptoms previously
D. Focus exclusively on the patient's family history before discussing the current
symptoms
Answer: A
2.
A 42-year-old patient reports intermittent episodes of chest discomfort occurring
primarily when climbing stairs and resolving after several minutes of rest. During
the history, the patient describes the discomfort as pressure rather than sharp
pain and reports occasional shortness of breath. Which additional question is
most important when characterizing this symptom?
A. “What is your favorite type of physical activity?”
B. “Does the discomfort occur after eating, and how long does it typically last?”
C. “Have you ever had a skin rash?”
D. “How many hours do you usually sleep?”
Answer: B
,2
3.
A patient reports recurrent headaches that have recently changed from an
intermittent mild discomfort to sudden severe headaches associated with
vomiting and transient difficulty speaking. The patient has no previous history of
similar headaches. Which feature should increase the clinician's concern for a
potentially serious secondary headache disorder?
A. Headache occurring after a long workday
B. Mild headache relieved by sleep
C. Sudden severe headache with new neurological symptoms
D. Headache occurring occasionally during periods of stress
Answer: C
4.
A 67-year-old patient reports dizziness when standing from a seated position. The
clinician obtains blood pressure and heart rate while the patient is supine and
again after standing. The blood pressure decreases substantially after standing
while the patient becomes symptomatic. Which finding best supports orthostatic
hypotension?
A. Increased blood pressure after standing
B. A clinically significant decrease in blood pressure associated with standing
C. Identical blood pressure readings in both positions
D. Increased blood pressure accompanied by bradycardia while supine
Answer: B
5.
A patient reports a sensation that the room is spinning when turning the head or
getting out of bed. The episodes are brief and occur with specific changes in
position. The patient denies chest pain, syncope, or focal neurological deficits.
Which symptom description is most consistent with vertigo?
,3
A. A spinning sensation associated with positional changes
B. A generalized feeling of tiredness after exertion
C. A feeling of impending fainting without movement
D. A sensation of chest pressure during physical activity
Answer: A
6.
A 72-year-old patient reports difficulty hearing conversations, particularly when
several people are speaking simultaneously. The patient frequently asks family
members to repeat themselves and has gradually increased the television volume.
Which additional assessment is most appropriate initially?
A. Assess hearing ability and inspect the external auditory canals and tympanic
membranes
B. Perform only an abdominal examination
C. Immediately diagnose sensorineural hearing loss without examination
D. Obtain a neurological diagnosis solely from the patient's age
Answer: A
7.
A patient reports episodes of hearing loss accompanied by a sensation of fullness
in one ear and intermittent spinning episodes. The clinician wants to distinguish
an inner-ear disorder from a purely conductive hearing problem. Which
associated symptom is particularly relevant?
A. Intermittent vertigo
B. Increased appetite
C. Abdominal bloating
D. Urinary frequency
Answer: C
8.
, 4
A patient presents with acute unilateral facial weakness and difficulty closing one
eye. The clinician observes that the forehead is also involved on the affected side.
Which cranial nerve is primarily responsible for the motor findings?
A. Cranial nerve V
B. Cranial nerve VII
C. Cranial nerve VIII
D. Cranial nerve XII
Answer: B
9.
A patient reports sudden onset of weakness involving the right arm and leg
accompanied by difficulty speaking. The clinician performs a focused neurological
assessment while arranging urgent evaluation. Which finding is most concerning
for an acute cerebrovascular event?
A. Chronic mild forgetfulness
B. Sudden focal neurological deficit
C. Gradual difficulty sleeping
D. Intermittent tension headache
Answer: B
10.
A patient presents with difficulty swallowing and reports that food occasionally
seems to “go down the wrong way.” The clinician asks whether the patient coughs
during meals and observes the patient's ability to manage secretions. Which
additional finding would increase concern for an oropharyngeal swallowing
disorder?
A. Coughing or choking immediately after swallowing
B. Increased hunger before meals
C. Mild abdominal bloating after eating
D. Increased thirst in the afternoon
NSG6020 MIDTERM EXAM QUESTIONS AND ANSWERS BEST RATED A+ |
LATEST UPDATE 2026 GUARANTEED PASS
1.
A 58-year-old patient presents for an annual primary-care evaluation and reports
several months of progressive fatigue, intermittent headaches, and reduced
exercise tolerance. During the history, the patient states that the symptoms began
gradually but cannot identify a specific triggering event. The advanced practice
nurse wants to establish the chronology, severity, associated features, and
functional impact of the symptoms before developing a differential diagnosis.
Which approach is most appropriate?
A. Ask focused questions about onset, location, duration, characteristics,
aggravating and relieving factors, and associated symptoms
B. Begin the physical examination without obtaining additional history
C. Ask only whether the patient has experienced similar symptoms previously
D. Focus exclusively on the patient's family history before discussing the current
symptoms
Answer: A
2.
A 42-year-old patient reports intermittent episodes of chest discomfort occurring
primarily when climbing stairs and resolving after several minutes of rest. During
the history, the patient describes the discomfort as pressure rather than sharp
pain and reports occasional shortness of breath. Which additional question is
most important when characterizing this symptom?
A. “What is your favorite type of physical activity?”
B. “Does the discomfort occur after eating, and how long does it typically last?”
C. “Have you ever had a skin rash?”
D. “How many hours do you usually sleep?”
Answer: B
,2
3.
A patient reports recurrent headaches that have recently changed from an
intermittent mild discomfort to sudden severe headaches associated with
vomiting and transient difficulty speaking. The patient has no previous history of
similar headaches. Which feature should increase the clinician's concern for a
potentially serious secondary headache disorder?
A. Headache occurring after a long workday
B. Mild headache relieved by sleep
C. Sudden severe headache with new neurological symptoms
D. Headache occurring occasionally during periods of stress
Answer: C
4.
A 67-year-old patient reports dizziness when standing from a seated position. The
clinician obtains blood pressure and heart rate while the patient is supine and
again after standing. The blood pressure decreases substantially after standing
while the patient becomes symptomatic. Which finding best supports orthostatic
hypotension?
A. Increased blood pressure after standing
B. A clinically significant decrease in blood pressure associated with standing
C. Identical blood pressure readings in both positions
D. Increased blood pressure accompanied by bradycardia while supine
Answer: B
5.
A patient reports a sensation that the room is spinning when turning the head or
getting out of bed. The episodes are brief and occur with specific changes in
position. The patient denies chest pain, syncope, or focal neurological deficits.
Which symptom description is most consistent with vertigo?
,3
A. A spinning sensation associated with positional changes
B. A generalized feeling of tiredness after exertion
C. A feeling of impending fainting without movement
D. A sensation of chest pressure during physical activity
Answer: A
6.
A 72-year-old patient reports difficulty hearing conversations, particularly when
several people are speaking simultaneously. The patient frequently asks family
members to repeat themselves and has gradually increased the television volume.
Which additional assessment is most appropriate initially?
A. Assess hearing ability and inspect the external auditory canals and tympanic
membranes
B. Perform only an abdominal examination
C. Immediately diagnose sensorineural hearing loss without examination
D. Obtain a neurological diagnosis solely from the patient's age
Answer: A
7.
A patient reports episodes of hearing loss accompanied by a sensation of fullness
in one ear and intermittent spinning episodes. The clinician wants to distinguish
an inner-ear disorder from a purely conductive hearing problem. Which
associated symptom is particularly relevant?
A. Intermittent vertigo
B. Increased appetite
C. Abdominal bloating
D. Urinary frequency
Answer: C
8.
, 4
A patient presents with acute unilateral facial weakness and difficulty closing one
eye. The clinician observes that the forehead is also involved on the affected side.
Which cranial nerve is primarily responsible for the motor findings?
A. Cranial nerve V
B. Cranial nerve VII
C. Cranial nerve VIII
D. Cranial nerve XII
Answer: B
9.
A patient reports sudden onset of weakness involving the right arm and leg
accompanied by difficulty speaking. The clinician performs a focused neurological
assessment while arranging urgent evaluation. Which finding is most concerning
for an acute cerebrovascular event?
A. Chronic mild forgetfulness
B. Sudden focal neurological deficit
C. Gradual difficulty sleeping
D. Intermittent tension headache
Answer: B
10.
A patient presents with difficulty swallowing and reports that food occasionally
seems to “go down the wrong way.” The clinician asks whether the patient coughs
during meals and observes the patient's ability to manage secretions. Which
additional finding would increase concern for an oropharyngeal swallowing
disorder?
A. Coughing or choking immediately after swallowing
B. Increased hunger before meals
C. Mild abdominal bloating after eating
D. Increased thirst in the afternoon
