NGR6202 Final Exam M9-13 Questions
with Complete Solutions (Latest 2025)
A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3
months. On physical examination, the clinician notices
muscular stiffness; brittle nails, coarse, dry hair; and a delay
in relation in deep tendon reflexes. Which test should be
ordered next?
A. Electrolytes
B. Thyroid-stimulating hormone
C. Serum calcium
D. Urine specific gravity - Correct Answers ✅B. Thyroid-
stimulating hormone
This patient likely has hypothyroidism
A 30-year old man who has spent 5 of the last 10 years in
prison comes to your office to establish care due to
hemoptysis. He has a h/x of TB diagnosed 3 years ago and
took isoniazid and rifampin for about a month. A cavitary
lesion is seen on cxr. The FNP should do all of the following
except
,NGR6202 Final Exam M9-13 Questions
with Complete Solutions (Latest 2025)
a. obtain sputum for acid-fast bacilli stain, culture, and
sensitivty
b. start supervised isoniazid and rifampin admin
c. place the patient in respiratory isolation - Correct
Answers ✅b. start supervised isoniazid and rifampin admin
recent TB resistance and health department initiates TB meds
A 64-year-old man with type 2 diabetes presents to the clinic
with the complaint of "my feet feel like they are on fire." He
has a loss of vibratory sense and +1 Achilles reflex. Which of
the following would be an appropriate treatment?
A. Aspirin
B. Angiotensin-converting enzyme inhibitors
C. Tricyclic antidepressants
D. Insulin - Correct Answers ✅C. Tricyclic antidepressants
A 70 year-old female fell 2 weeks ago and developed
immediate pain in her left elbow on the lateral epicondyle.
,NGR6202 Final Exam M9-13 Questions
with Complete Solutions (Latest 2025)
She thought she just bruised it, but is now worried because it
has not improved. She has used Tylenol® and ice at home,
and that has helped slightly. During your examination, you
find she has moderate swelling and ecchymosis, but no
overtly obvious deformity. Her ROM is uncomfortable and
severely diminished due to the pain. No crepitus is heard or
felt. Her fingers are warm; her pulse is strong; and capillary
refill is less than 2 seconds. What should you do?
A. Make an immediate referral for an orthopedic surgical
evaluation without further assessment.
B. Tell her that it takes time for these bruises to improve, so
she should be patient.
C. Prescribe a splint for her left wrist and begin corticosteroid
injections.
D. Send her to the emergency room for reduction of this
obvious wrist fracture. - Correct Answers ✅C. Prescribe a
splint for her left wrist and begin corticosteroid injections.
A male patient with diabetes asks the FNP why he needs to
check his blood sugar at home even when he feels good.
Which response by the FNP would be most appropriate?
, NGR6202 Final Exam M9-13 Questions
with Complete Solutions (Latest 2025)
A. Control of glucose will help postpone or delay
complications
B. Because you know it is the right thing to do for your
disease
C. Monitoring glucose will promote a sense of connectedness
D. Regularly checking blood sugar will help you - Correct
Answers ✅A. Control of glucose will help postpone or delay
complications.
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?
A. Call 911
B. Have him drink 4 ounces of juice
C. Ask him about his usual eating habits
D. Administering glucagon subcutaneously - Correct
Answers ✅B. Have him drink 4 ounces of juice.
with Complete Solutions (Latest 2025)
A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3
months. On physical examination, the clinician notices
muscular stiffness; brittle nails, coarse, dry hair; and a delay
in relation in deep tendon reflexes. Which test should be
ordered next?
A. Electrolytes
B. Thyroid-stimulating hormone
C. Serum calcium
D. Urine specific gravity - Correct Answers ✅B. Thyroid-
stimulating hormone
This patient likely has hypothyroidism
A 30-year old man who has spent 5 of the last 10 years in
prison comes to your office to establish care due to
hemoptysis. He has a h/x of TB diagnosed 3 years ago and
took isoniazid and rifampin for about a month. A cavitary
lesion is seen on cxr. The FNP should do all of the following
except
,NGR6202 Final Exam M9-13 Questions
with Complete Solutions (Latest 2025)
a. obtain sputum for acid-fast bacilli stain, culture, and
sensitivty
b. start supervised isoniazid and rifampin admin
c. place the patient in respiratory isolation - Correct
Answers ✅b. start supervised isoniazid and rifampin admin
recent TB resistance and health department initiates TB meds
A 64-year-old man with type 2 diabetes presents to the clinic
with the complaint of "my feet feel like they are on fire." He
has a loss of vibratory sense and +1 Achilles reflex. Which of
the following would be an appropriate treatment?
A. Aspirin
B. Angiotensin-converting enzyme inhibitors
C. Tricyclic antidepressants
D. Insulin - Correct Answers ✅C. Tricyclic antidepressants
A 70 year-old female fell 2 weeks ago and developed
immediate pain in her left elbow on the lateral epicondyle.
,NGR6202 Final Exam M9-13 Questions
with Complete Solutions (Latest 2025)
She thought she just bruised it, but is now worried because it
has not improved. She has used Tylenol® and ice at home,
and that has helped slightly. During your examination, you
find she has moderate swelling and ecchymosis, but no
overtly obvious deformity. Her ROM is uncomfortable and
severely diminished due to the pain. No crepitus is heard or
felt. Her fingers are warm; her pulse is strong; and capillary
refill is less than 2 seconds. What should you do?
A. Make an immediate referral for an orthopedic surgical
evaluation without further assessment.
B. Tell her that it takes time for these bruises to improve, so
she should be patient.
C. Prescribe a splint for her left wrist and begin corticosteroid
injections.
D. Send her to the emergency room for reduction of this
obvious wrist fracture. - Correct Answers ✅C. Prescribe a
splint for her left wrist and begin corticosteroid injections.
A male patient with diabetes asks the FNP why he needs to
check his blood sugar at home even when he feels good.
Which response by the FNP would be most appropriate?
, NGR6202 Final Exam M9-13 Questions
with Complete Solutions (Latest 2025)
A. Control of glucose will help postpone or delay
complications
B. Because you know it is the right thing to do for your
disease
C. Monitoring glucose will promote a sense of connectedness
D. Regularly checking blood sugar will help you - Correct
Answers ✅A. Control of glucose will help postpone or delay
complications.
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?
A. Call 911
B. Have him drink 4 ounces of juice
C. Ask him about his usual eating habits
D. Administering glucagon subcutaneously - Correct
Answers ✅B. Have him drink 4 ounces of juice.
