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NSG6020 / NSG 6020 FINAL EXAM 2026 QUESTIONS AND ANSWERS
UPDATED () (VERIFIED ANSWERS)
1.
A 45-year-old patient presents for an annual primary-care visit and states that the
main reason for coming is persistent fatigue that has gradually worsened over
three months. The patient also reports recent weight loss but has difficulty
describing exactly when the symptoms began. Which interviewing approach
would be most appropriate for the advanced practice nurse to initially obtain a
comprehensive history?
A. Begin with a detailed review of every body system using only yes-or-no
questions.
B. Immediately suggest possible diagnoses and ask the patient whether each one
sounds correct.
C. Begin with an open-ended question allowing the patient to describe the
primary concern, followed by focused clarification.
D. Ask only about medications because fatigue is usually medication related.
Answer: C
2.
During a comprehensive health history, a patient becomes tearful while discussing
a recent divorce and states that the emotional stress has affected sleep, appetite,
and work performance. The patient pauses and appears uncomfortable
continuing. Which response best demonstrates therapeutic communication while
maintaining the assessment?
A. “It sounds like this has been difficult for you. Take your time, and we can
continue when you are ready.”
B. “You should try not to become emotional during a medical appointment.”
C. “We need to move on because there are many more questions.”
D. “I will skip the psychosocial questions because they appear upsetting.”
Answer: A
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3.
A patient reports intermittent abdominal discomfort but initially gives only a
vague description. The nurse wants to determine the location, quality, timing,
severity, and factors that worsen or relieve the symptom. Which approach is most
appropriate?
A. Ask only whether the pain is severe.
B. Use a structured symptom framework such as OLDCARTS to obtain additional
details.
C. Ask the patient to identify the diagnosis they believe is causing the pain.
D. Complete the physical examination before asking any additional questions.
Answer: B
4.
An advanced practice nurse is reviewing subjective and objective information
collected during an encounter. Which statement correctly distinguishes the two
categories?
A. Subjective data consist only of laboratory findings.
B. Objective data are always obtained directly from the patient's verbal report.
C. Subjective data are findings that can be measured by equipment.
D. Subjective data are symptoms reported by the patient, whereas objective data
are observable or measurable findings.
Answer: D
5.
A patient tells the nurse, “I have been having chest discomfort for several weeks,
but I don't think it is important.” The nurse recognizes that the symptom could
represent a potentially serious condition. What is the most appropriate response?
A. Explore the symptom further, including onset, location, quality, severity,
duration, associated symptoms, and risk factors.
B. Reassure the patient that intermittent chest discomfort is usually benign.
,3
C. Document the complaint without further questioning.
D. Focus the interview on unrelated chronic conditions.
Answer: A
6.
A patient who speaks limited English presents for a comprehensive health
assessment. The patient's adult daughter offers to interpret the entire encounter.
Which action by the advanced practice nurse is most appropriate?
A. Use the daughter because family members understand the patient's culture
best.
B. Speak louder and slower in English.
C. Arrange for an appropriate qualified medical interpreter while still addressing
the patient directly.
D. Ask the patient to sign a statement declining interpretation services.
Answer: C
7.
During a health history, a patient states that traditional cultural practices are
important when making healthcare decisions. Which response demonstrates
culturally responsive assessment?
A. Explain that evidence-based medicine should replace traditional practices.
B. Ask the patient which practices are important and determine whether they can
be safely incorporated into the plan of care.
C. Avoid discussing cultural practices because they are unrelated to physical
assessment.
D. Assume that all members of the patient's cultural group follow the same
practices.
Answer: B
8.
, 4
A 70-year-old patient presents for an annual assessment. The patient has several
chronic illnesses and takes multiple medications prescribed by different clinicians.
Which assessment strategy is most important?
A. Review only the medication prescribed by the current clinic.
B. Ask the patient to identify only prescription medications.
C. Focus exclusively on the patient's chief complaint.
D. Perform medication reconciliation, including prescription drugs, OTC
medications, supplements, and herbal products.
Answer: D
9.
A patient reports dizziness that occurs when standing from a seated position.
During assessment, the nurse obtains blood pressure and pulse while the patient
is lying down and then after standing. Which finding would most strongly support
orthostatic hypotension?
A. A clinically significant decrease in blood pressure after standing accompanied
by symptoms such as dizziness.
B. A small increase in systolic pressure after standing.
C. A stable blood pressure with no symptoms.
D. A slight increase in heart rate after exercise.
Answer: A
10.
An advanced practice nurse is assessing a patient with several chronic conditions.
The patient states, “I don't really know what my blood pressure is supposed to
be.” Which intervention best demonstrates health promotion?
A. Tell the patient to search online for a blood-pressure target.
B. Provide individualized education about blood-pressure monitoring, lifestyle
factors, medications, and follow-up.
C. Avoid discussing blood pressure because the patient is asymptomatic.
D. Tell the patient that one elevated reading establishes hypertension.
NSG6020 / NSG 6020 FINAL EXAM 2026 QUESTIONS AND ANSWERS
UPDATED () (VERIFIED ANSWERS)
1.
A 45-year-old patient presents for an annual primary-care visit and states that the
main reason for coming is persistent fatigue that has gradually worsened over
three months. The patient also reports recent weight loss but has difficulty
describing exactly when the symptoms began. Which interviewing approach
would be most appropriate for the advanced practice nurse to initially obtain a
comprehensive history?
A. Begin with a detailed review of every body system using only yes-or-no
questions.
B. Immediately suggest possible diagnoses and ask the patient whether each one
sounds correct.
C. Begin with an open-ended question allowing the patient to describe the
primary concern, followed by focused clarification.
D. Ask only about medications because fatigue is usually medication related.
Answer: C
2.
During a comprehensive health history, a patient becomes tearful while discussing
a recent divorce and states that the emotional stress has affected sleep, appetite,
and work performance. The patient pauses and appears uncomfortable
continuing. Which response best demonstrates therapeutic communication while
maintaining the assessment?
A. “It sounds like this has been difficult for you. Take your time, and we can
continue when you are ready.”
B. “You should try not to become emotional during a medical appointment.”
C. “We need to move on because there are many more questions.”
D. “I will skip the psychosocial questions because they appear upsetting.”
Answer: A
,2
3.
A patient reports intermittent abdominal discomfort but initially gives only a
vague description. The nurse wants to determine the location, quality, timing,
severity, and factors that worsen or relieve the symptom. Which approach is most
appropriate?
A. Ask only whether the pain is severe.
B. Use a structured symptom framework such as OLDCARTS to obtain additional
details.
C. Ask the patient to identify the diagnosis they believe is causing the pain.
D. Complete the physical examination before asking any additional questions.
Answer: B
4.
An advanced practice nurse is reviewing subjective and objective information
collected during an encounter. Which statement correctly distinguishes the two
categories?
A. Subjective data consist only of laboratory findings.
B. Objective data are always obtained directly from the patient's verbal report.
C. Subjective data are findings that can be measured by equipment.
D. Subjective data are symptoms reported by the patient, whereas objective data
are observable or measurable findings.
Answer: D
5.
A patient tells the nurse, “I have been having chest discomfort for several weeks,
but I don't think it is important.” The nurse recognizes that the symptom could
represent a potentially serious condition. What is the most appropriate response?
A. Explore the symptom further, including onset, location, quality, severity,
duration, associated symptoms, and risk factors.
B. Reassure the patient that intermittent chest discomfort is usually benign.
,3
C. Document the complaint without further questioning.
D. Focus the interview on unrelated chronic conditions.
Answer: A
6.
A patient who speaks limited English presents for a comprehensive health
assessment. The patient's adult daughter offers to interpret the entire encounter.
Which action by the advanced practice nurse is most appropriate?
A. Use the daughter because family members understand the patient's culture
best.
B. Speak louder and slower in English.
C. Arrange for an appropriate qualified medical interpreter while still addressing
the patient directly.
D. Ask the patient to sign a statement declining interpretation services.
Answer: C
7.
During a health history, a patient states that traditional cultural practices are
important when making healthcare decisions. Which response demonstrates
culturally responsive assessment?
A. Explain that evidence-based medicine should replace traditional practices.
B. Ask the patient which practices are important and determine whether they can
be safely incorporated into the plan of care.
C. Avoid discussing cultural practices because they are unrelated to physical
assessment.
D. Assume that all members of the patient's cultural group follow the same
practices.
Answer: B
8.
, 4
A 70-year-old patient presents for an annual assessment. The patient has several
chronic illnesses and takes multiple medications prescribed by different clinicians.
Which assessment strategy is most important?
A. Review only the medication prescribed by the current clinic.
B. Ask the patient to identify only prescription medications.
C. Focus exclusively on the patient's chief complaint.
D. Perform medication reconciliation, including prescription drugs, OTC
medications, supplements, and herbal products.
Answer: D
9.
A patient reports dizziness that occurs when standing from a seated position.
During assessment, the nurse obtains blood pressure and pulse while the patient
is lying down and then after standing. Which finding would most strongly support
orthostatic hypotension?
A. A clinically significant decrease in blood pressure after standing accompanied
by symptoms such as dizziness.
B. A small increase in systolic pressure after standing.
C. A stable blood pressure with no symptoms.
D. A slight increase in heart rate after exercise.
Answer: A
10.
An advanced practice nurse is assessing a patient with several chronic conditions.
The patient states, “I don't really know what my blood pressure is supposed to
be.” Which intervention best demonstrates health promotion?
A. Tell the patient to search online for a blood-pressure target.
B. Provide individualized education about blood-pressure monitoring, lifestyle
factors, medications, and follow-up.
C. Avoid discussing blood pressure because the patient is asymptomatic.
D. Tell the patient that one elevated reading establishes hypertension.
