NSG 6020 3P Exam Verified Questions And Answers
{94.67%} Correct 250
250 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 NSG 6020 3P Exam Verified Questions And Answers {94.67%} Correct 250
Page 1
,Q1
A 28-year-old graduate student presents for evaluation of pain "all over." She reports the pain is
worse in the neck, shoulders, hands, low back, and knees. She denies joint swelling. The pain is
worse in the morning. There is no limitation in range of motion. On physical examination, she has
several points on the muscles of the neck, shoulders, and back that are tender to palpation.
Muscle strength and range of motion are normal. Which one of the following is likely the cause of
her pain?
A) Rheumatoid arthritis
B) Osteoarthritis
C) Fibromyalgia CORRECT
D) Polymyalgia rheumatica
Rationale
Fibromyalgia is characterized by widespread chronic pain with tender trigger points at specific anatomic
sites. The absence of joint swelling, normal range of motion, and normal muscle strength distinguish
fibromyalgia from inflammatory arthritis.
Q2
A new patient complains of severe pruritus that is worse at night. Several family members have
the same symptoms. Upon examination, areas of excoriated papules are noted on some of the
interdigital webs of both hands and on the axillae. This finding is most consistent with:
A) Atopic dermatitis
B) Scabies CORRECT
C) Contact dermatitis
D) Psoriasis
Rationale
Scabies presents with intense nocturnal pruritus and characteristic burrows in interdigital webs, axillae,
and other intertriginous areas. The condition is highly contagious and often affects multiple family
members.
Page 2
,Q3
Which headache sign does NOT warrant immediate investigation?
A) Aggravated or relieved by change of position
B) Precipitated by Valsalva maneuver
C) New onset after age 50
D) Relieved with use of common analgesics CORRECT
Rationale
Headache that is relieved with common analgesics is typically benign and does not warrant immediate
investigation. In contrast, headaches aggravated by position change, precipitated by Valsalva maneuver,
or new onset after age 50 are red flags requiring further evaluation.
Q4
During a migraine, what happens to the cerebral arteries?
A) They constrict
B) They dilate CORRECT
C) They vibrate
D) They pulsate
Rationale
During a migraine, cerebral arteries dilate (vasodilation). This vasodilation is thought to contribute to the
headache pain through stretching of pain-sensitive vascular structures and release of inflammatory
mediators.
Q5
You are evaluating a 15-year-old patient for bipolar disorder. His parents report severe mood
swings, easy distractibility, and that he constantly corrects his teachers. You would have a high
suspicion for bipolar disorder if which symptom was present?
A) He is forgetful
B) He sleeps less than 4 hours nightly CORRECT
C) He has difficulty concentrating
Page 3
, D) He has low self-esteem
Rationale
Decreased need for sleep (sleeping less than 4 hours nightly without feeling tired) is a hallmark symptom
of mania and strongly suggests bipolar disorder.
Q6
What system should be assessed for a patient with Down syndrome?
A) Cardiovascular CORRECT
B) Respiratory
C) Gastrointestinal
D) Musculoskeletal
Rationale
Down syndrome patients have a high incidence of congenital heart defects (AV septal defects, VSD).
Cardiovascular assessment is a priority for murmurs, cyanosis, and failure signs.
Q7
Which lymph node is located above the elbow?
A) Epitrochlear CORRECT
B) Axillary
C) Supraclavicular
D) Popliteal
Rationale
Epitrochlear nodes are located in the depression above and posterior to the medial condyle of the
humerus, approximately 1-2 cm above the elbow.
Page 4
{94.67%} Correct 250
250 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 NSG 6020 3P Exam Verified Questions And Answers {94.67%} Correct 250
Page 1
,Q1
A 28-year-old graduate student presents for evaluation of pain "all over." She reports the pain is
worse in the neck, shoulders, hands, low back, and knees. She denies joint swelling. The pain is
worse in the morning. There is no limitation in range of motion. On physical examination, she has
several points on the muscles of the neck, shoulders, and back that are tender to palpation.
Muscle strength and range of motion are normal. Which one of the following is likely the cause of
her pain?
A) Rheumatoid arthritis
B) Osteoarthritis
C) Fibromyalgia CORRECT
D) Polymyalgia rheumatica
Rationale
Fibromyalgia is characterized by widespread chronic pain with tender trigger points at specific anatomic
sites. The absence of joint swelling, normal range of motion, and normal muscle strength distinguish
fibromyalgia from inflammatory arthritis.
Q2
A new patient complains of severe pruritus that is worse at night. Several family members have
the same symptoms. Upon examination, areas of excoriated papules are noted on some of the
interdigital webs of both hands and on the axillae. This finding is most consistent with:
A) Atopic dermatitis
B) Scabies CORRECT
C) Contact dermatitis
D) Psoriasis
Rationale
Scabies presents with intense nocturnal pruritus and characteristic burrows in interdigital webs, axillae,
and other intertriginous areas. The condition is highly contagious and often affects multiple family
members.
Page 2
,Q3
Which headache sign does NOT warrant immediate investigation?
A) Aggravated or relieved by change of position
B) Precipitated by Valsalva maneuver
C) New onset after age 50
D) Relieved with use of common analgesics CORRECT
Rationale
Headache that is relieved with common analgesics is typically benign and does not warrant immediate
investigation. In contrast, headaches aggravated by position change, precipitated by Valsalva maneuver,
or new onset after age 50 are red flags requiring further evaluation.
Q4
During a migraine, what happens to the cerebral arteries?
A) They constrict
B) They dilate CORRECT
C) They vibrate
D) They pulsate
Rationale
During a migraine, cerebral arteries dilate (vasodilation). This vasodilation is thought to contribute to the
headache pain through stretching of pain-sensitive vascular structures and release of inflammatory
mediators.
Q5
You are evaluating a 15-year-old patient for bipolar disorder. His parents report severe mood
swings, easy distractibility, and that he constantly corrects his teachers. You would have a high
suspicion for bipolar disorder if which symptom was present?
A) He is forgetful
B) He sleeps less than 4 hours nightly CORRECT
C) He has difficulty concentrating
Page 3
, D) He has low self-esteem
Rationale
Decreased need for sleep (sleeping less than 4 hours nightly without feeling tired) is a hallmark symptom
of mania and strongly suggests bipolar disorder.
Q6
What system should be assessed for a patient with Down syndrome?
A) Cardiovascular CORRECT
B) Respiratory
C) Gastrointestinal
D) Musculoskeletal
Rationale
Down syndrome patients have a high incidence of congenital heart defects (AV septal defects, VSD).
Cardiovascular assessment is a priority for murmurs, cyanosis, and failure signs.
Q7
Which lymph node is located above the elbow?
A) Epitrochlear CORRECT
B) Axillary
C) Supraclavicular
D) Popliteal
Rationale
Epitrochlear nodes are located in the depression above and posterior to the medial condyle of the
humerus, approximately 1-2 cm above the elbow.
Page 4
