NSG 6440 PRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS GRADED A+ WITH A
100% GUARANTEED PASS
A 15-year-old girl is seen in the clinic because she has not yet had her first period. Which of the following
questions would help the clinician determine the cause? - ✔✔How long have you been underweight
A 21-year-old student presents with complaints of fatigue, headache, anorexia and a runny nose, all of
which began about 2 weeks ago. She started taking vitamins and over-the-counter cold preparations but
feels worse. The smell of food makes her nauseated. Her boyfriend had mononucleosis about 1 month
ago, and she wonders if she might have it also. Examination reveals cervical adenopathy and an enlarged
liver and spleen. Which of the following labs would be most helpful in the differential diagnosis at this
point? - ✔✔Antihepatitis D virus
A 22-year-old woman is diagnosed with premenstrual syndrome. Which of the following lifestyle changes
should the clinician suggest to help minimize the patient's symptoms? - ✔✔regular exercise
A 24- year old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal
discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted
disease has she most probable been exposed to? - ✔✔Chlamydia
A 35-year-old woman presents with symptoms of hypoglycemia. There is no history of diabetes mellitus.
Which condition should be included in the differential diagnosis? - ✔✔pheochromocytoma
A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe dysuria. She is
diagnosed with acute pyelonephritis. How should this patient be managed? - ✔✔hospitalization
A 78-year-old man says he has been diagnosed with stage 0 bladder cancer and asks the provider what
that means. Which is the best response? - ✔✔You have cancer that has spread to the surrounding tissue
A male patient with type 1 diabetes comes to the clinic complaining of feeling nervous and clammy. He
states that he took his insulin this morning but was late for work and did not eat breakfast. Which action
should the clinician take first? - ✔✔have him drink 4 ounce of juice
,A patient comes to the office complaining of constipation. The patient lists all of the following
medications. Which drug could be responsible for the constipation? - ✔✔Pepto-Bismol
A patient has CFS. Which strategy should the clinician consider to manage this patient? - ✔✔Cognitive-
behavioral therapy
A patient is diagnosed with GERD, and his endoscopic report reveals the presence of Barrett's
epithelium. Which of the following should the PCP include in the explanation of the pathology report? -
✔✔this tissue is to resistant to gastric acid
A patient presents with CVA tenderness and a several-day history of high fever, chills and dysuria. Which
of the following diagnoses is most likely given the above information? - ✔✔pyelonephritis
A ratchet-like rhythmic contraction, especially in the hand, during passive stretching is known as: -
✔✔cogwheeling
A score of 12 to 24 on this test indicates intermediate Alzheimer's disease: - ✔✔MMSE
A sunscreen with a sun-protection factor of at least what number will block most harmful ultraviolet
radiation? - ✔✔15
After 6 months of Synthroid therapy, the clinician should expect which result in the repeat thyroid-
stimulating hormone studies? - ✔✔Normal
After typical groin hernia surgery, the patient should be instructed to: - ✔✔avoid heavy lifting for 4 to 6
weeks
an 8-year-old patient is admitted to the hospital due to Reye's syndrome. Which medication was most
likely the cause? - ✔✔aspirin
An acutely presenting, erythematous, tender lump within the eyelid is called? - ✔✔Hordeolum
,Billy presents with edematous and erythematous lid margins and closer visual inspection with a Wood's
lamp reveals scaling. Which of the following conditions could be the diagnosis? - ✔✔blepharitis
Clinicians should ask older adults about their end-of-life plans when older patients are: - ✔✔undergoing
an outpatient procedure
Danielle presents to the clinic saying " I do not feel like I want to eat." She also notes she is experiencing
lethargy, nausea, headache, and muscle cramps. She "did not go to the bathroom a lot" yesterday. Which
of the following stages of acute kidney injury (AKI) is Danielle in? - ✔✔Initiating stage
Data from the Framingham Heart Study suggest that individual who are normotensive at 55 years of age
have how much lifetime risk of developing hypertension? - ✔✔90%
Diagnostic testing for a patient with a newly detected hypertension should include all of the following
except: - ✔✔uric acid
Donna is a 36-year-old African American woman with chronic pancreatitis. Which of the following are
necessary to manage her condition? - ✔✔a low-fat diet of less than 50 g of fat per day
During treatment for anaphylaxis, which site is used for the initial injection of epinephrine? - ✔✔upper
lateral thigh
Eddie, age 4, presents to the emergency department with a live insect trapped in his ear canal causing a
lot of distress. What should be your first step? - ✔✔sedate Eddie with diazepam
Gerald presents with a very dark color on his right pinkie finger. What is the the health-care provider's
next care step? - ✔✔Referral to a dermatologist for a nail biopsy
Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from
infection with which of the following pathogens? - ✔✔Group A streptococcus
How much nicotine does an average cigarette contain? - ✔✔10 to 15 mg
, In the model for future Advanced Practice Registered Nurse (APRN) practice, what does the "C" of LACE
represent? - ✔✔Certification
jean has acute otitis externa with fluid that is black and malodorous. Which of the following is
responsible for the infection? - ✔✔fungal infection
Josh, aged 22, has tinea versicolor. Which description is the most likely for this condition? - ✔✔There are
round, hypopigmented macules on his back
Julie has relapsing-remitting muscular sclerosis. She has not had a good response to interferon. Which
medication might help given IV once a month? - ✔✔Natalizumab
Maria had impetigo and is seeing her health-care provider for a follow-up visit. Which of the following
teaching points should the provider discuss? - ✔✔Keeping fingernails short can prevent the spread of
impetigo
Marie has diabetes mellitus with proliferative retinopathy. how often should she see her
ophthalmologist? - ✔✔annually
Robin presents with tearing in her right eye that started this morning. What is the most likely cause in
the provider's differential diagnosis? - ✔✔foreign body in the eye
The barrel-chest characteristic of emphysema is a result of: - ✔✔Hyperinflation
The clinician is examining the back of Christian, a 15-year-old male. What is the correct way for the
clinician to check for hamstring flexibility? - ✔✔Christian should stand straight and flex90 degrees
forward at the waist
The clinician is examining the skin of Mary, who would like to be cleared to play beach volleyball. What is
the clinician's most important focus point when looking at her skin? - ✔✔Freckles, to assess if she
potentially has a melanoma
CORRECT ANSWERS GRADED A+ WITH A
100% GUARANTEED PASS
A 15-year-old girl is seen in the clinic because she has not yet had her first period. Which of the following
questions would help the clinician determine the cause? - ✔✔How long have you been underweight
A 21-year-old student presents with complaints of fatigue, headache, anorexia and a runny nose, all of
which began about 2 weeks ago. She started taking vitamins and over-the-counter cold preparations but
feels worse. The smell of food makes her nauseated. Her boyfriend had mononucleosis about 1 month
ago, and she wonders if she might have it also. Examination reveals cervical adenopathy and an enlarged
liver and spleen. Which of the following labs would be most helpful in the differential diagnosis at this
point? - ✔✔Antihepatitis D virus
A 22-year-old woman is diagnosed with premenstrual syndrome. Which of the following lifestyle changes
should the clinician suggest to help minimize the patient's symptoms? - ✔✔regular exercise
A 24- year old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal
discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted
disease has she most probable been exposed to? - ✔✔Chlamydia
A 35-year-old woman presents with symptoms of hypoglycemia. There is no history of diabetes mellitus.
Which condition should be included in the differential diagnosis? - ✔✔pheochromocytoma
A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe dysuria. She is
diagnosed with acute pyelonephritis. How should this patient be managed? - ✔✔hospitalization
A 78-year-old man says he has been diagnosed with stage 0 bladder cancer and asks the provider what
that means. Which is the best response? - ✔✔You have cancer that has spread to the surrounding tissue
A male patient with type 1 diabetes comes to the clinic complaining of feeling nervous and clammy. He
states that he took his insulin this morning but was late for work and did not eat breakfast. Which action
should the clinician take first? - ✔✔have him drink 4 ounce of juice
,A patient comes to the office complaining of constipation. The patient lists all of the following
medications. Which drug could be responsible for the constipation? - ✔✔Pepto-Bismol
A patient has CFS. Which strategy should the clinician consider to manage this patient? - ✔✔Cognitive-
behavioral therapy
A patient is diagnosed with GERD, and his endoscopic report reveals the presence of Barrett's
epithelium. Which of the following should the PCP include in the explanation of the pathology report? -
✔✔this tissue is to resistant to gastric acid
A patient presents with CVA tenderness and a several-day history of high fever, chills and dysuria. Which
of the following diagnoses is most likely given the above information? - ✔✔pyelonephritis
A ratchet-like rhythmic contraction, especially in the hand, during passive stretching is known as: -
✔✔cogwheeling
A score of 12 to 24 on this test indicates intermediate Alzheimer's disease: - ✔✔MMSE
A sunscreen with a sun-protection factor of at least what number will block most harmful ultraviolet
radiation? - ✔✔15
After 6 months of Synthroid therapy, the clinician should expect which result in the repeat thyroid-
stimulating hormone studies? - ✔✔Normal
After typical groin hernia surgery, the patient should be instructed to: - ✔✔avoid heavy lifting for 4 to 6
weeks
an 8-year-old patient is admitted to the hospital due to Reye's syndrome. Which medication was most
likely the cause? - ✔✔aspirin
An acutely presenting, erythematous, tender lump within the eyelid is called? - ✔✔Hordeolum
,Billy presents with edematous and erythematous lid margins and closer visual inspection with a Wood's
lamp reveals scaling. Which of the following conditions could be the diagnosis? - ✔✔blepharitis
Clinicians should ask older adults about their end-of-life plans when older patients are: - ✔✔undergoing
an outpatient procedure
Danielle presents to the clinic saying " I do not feel like I want to eat." She also notes she is experiencing
lethargy, nausea, headache, and muscle cramps. She "did not go to the bathroom a lot" yesterday. Which
of the following stages of acute kidney injury (AKI) is Danielle in? - ✔✔Initiating stage
Data from the Framingham Heart Study suggest that individual who are normotensive at 55 years of age
have how much lifetime risk of developing hypertension? - ✔✔90%
Diagnostic testing for a patient with a newly detected hypertension should include all of the following
except: - ✔✔uric acid
Donna is a 36-year-old African American woman with chronic pancreatitis. Which of the following are
necessary to manage her condition? - ✔✔a low-fat diet of less than 50 g of fat per day
During treatment for anaphylaxis, which site is used for the initial injection of epinephrine? - ✔✔upper
lateral thigh
Eddie, age 4, presents to the emergency department with a live insect trapped in his ear canal causing a
lot of distress. What should be your first step? - ✔✔sedate Eddie with diazepam
Gerald presents with a very dark color on his right pinkie finger. What is the the health-care provider's
next care step? - ✔✔Referral to a dermatologist for a nail biopsy
Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from
infection with which of the following pathogens? - ✔✔Group A streptococcus
How much nicotine does an average cigarette contain? - ✔✔10 to 15 mg
, In the model for future Advanced Practice Registered Nurse (APRN) practice, what does the "C" of LACE
represent? - ✔✔Certification
jean has acute otitis externa with fluid that is black and malodorous. Which of the following is
responsible for the infection? - ✔✔fungal infection
Josh, aged 22, has tinea versicolor. Which description is the most likely for this condition? - ✔✔There are
round, hypopigmented macules on his back
Julie has relapsing-remitting muscular sclerosis. She has not had a good response to interferon. Which
medication might help given IV once a month? - ✔✔Natalizumab
Maria had impetigo and is seeing her health-care provider for a follow-up visit. Which of the following
teaching points should the provider discuss? - ✔✔Keeping fingernails short can prevent the spread of
impetigo
Marie has diabetes mellitus with proliferative retinopathy. how often should she see her
ophthalmologist? - ✔✔annually
Robin presents with tearing in her right eye that started this morning. What is the most likely cause in
the provider's differential diagnosis? - ✔✔foreign body in the eye
The barrel-chest characteristic of emphysema is a result of: - ✔✔Hyperinflation
The clinician is examining the back of Christian, a 15-year-old male. What is the correct way for the
clinician to check for hamstring flexibility? - ✔✔Christian should stand straight and flex90 degrees
forward at the waist
The clinician is examining the skin of Mary, who would like to be cleared to play beach volleyball. What is
the clinician's most important focus point when looking at her skin? - ✔✔Freckles, to assess if she
potentially has a melanoma
