Examl 1:l NSG554/l NSGl 554l (NEWl 2025/l
2026l Update)l Primaryl Carel Il Review|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Wilkes
QUESTION
Duringl al preplacementl screeningl forl al personl hiredl forl al jobl requiringl heavyl lifting,l al
primaryl carel providerl notesl thatl al historyl ofl gastroesophageall refluxl diseasel (GERD),l
recurrentl eczema,l al previousl historyl ofl anl anklel fracture,l andl normall lowerl backl
strengthl andl flexibility.l Al urinel drugl screenl isl negative.l Whatl willl bel includedl inl thel
reportl tol thel employer?l (Selectl alll thatl apply.)
a.l GERDl history
b.l Historyl ofl allergiesl andl eczema
c.l Historyl ofl anklel fracture
d.l Lowerl backl screeningl results
e.l Urinel drugl screeningl results
Answer:
ANS:l D,l E
Onlyl findingsl relatedl tol thel abilityl ofl thel individuall tol performl positionl requirementsl
forl thel jobl arel includedl inl thel report.l Otherl findingsl shouldl notl bel included,l evenl
thoughl theyl mayl needl tol bel addressed.
QUESTION
Al femalel collegel studentl seeksl informationl aboutl emergencyl contraception.l Whatl isl thel
mostl importantl partl ofl thel assessmentl ofl thisl patient?
a.l Culturall considerationsl forl usel ofl contraception
b.l Feelingsl ofl guiltl aboutl al possiblel pregnancy
c.l Possiblel concernsl aboutl confidentiality
d.l Thel female'sl sensel ofl controll inl sexuall situations
,Answer:
ANS:l D
Becausel collegel womenl arel atl greaterl riskl forl sexuall violencel andl assault,l al requestl
forl emergencyl contraceptionl mustl bel followedl byl anl evaluationl ofl possiblel rapel orl
assault.l Thel otherl considerationsl mayl bel partl ofl thel assessmentl butl arel notl asl
importantl asl determiningl whetherl al rapel hasl occurred.
QUESTION
Al femalel freshmanl collegel studentl tellsl thel primaryl carel providerl atl thel studentl healthl
centerl thatl shel hasl al historyl ofl anorexial nervosal thatl hasl beenl well-controlledl forl
severall years.l Whatl willl thel providerl recommendl forl thisl student?
a.l Dietaryl counseling
b.l Participationl inl sports
c.l Regularl weightl assessments
d.l Stressl managementl strategies
Answer:
ANS:l D
Studentsl withl previousl eatingl disordersl mayl regressl whenl stressed,l sol stressl
managementl isl essential.l Unlessl shel beginsl tol regress,l dietaryl counselingl isl notl
indicated.l Manyl whol participatel inl sportsl willl developl eatingl disordersl tol controll
weight.l Itl isl notl necessaryl tol evaluatel weightl regularly.
QUESTION
Whichl patientl shouldl havel pulmonaryl functionl testingl asl partl ofl thel presurgicall exam?l
a.l Al patientl olderl thanl 60l yearsl ofl age
b.l Al patientl undergoingl majorl intrathoracicl surgery
c.l Al patientl withl al historyl ofl pneumonial inl thel lastl 2l years
d.l Al patientl withl diabetesl andl morbidl obesity
Answer:
,ANS:l B
Anyl patientl undergoingl majorl thoracicl surgeryl shouldl havel pulmonaryl functionl testing.l
Agel overl 60l years,l al historyl ofl pneumonia,l andl diabetesl andl obesityl dol notl requirel
pulmonaryl functionl testingl unlessl therel isl comorbidl COPD.
QUESTION
Duringl al preparticipationl sportsl physical,l thel examinerl notesl al differencel inl strengthl ofl
thel patient'sl radiall andl femorall pulsesl withl thel femorall pulsesl beingl weaker.l Whatl willl
thel providerl do?
a.l Evaluatel forl orthostaticl hypotension.
b.l Obtainl Dopplerl studiesl ofl lowerl extremityl circulation.
c.l Reassurel thel patientl thatl thisl isl al normall finding.
d.l Referl thel patientl forl al cardiologicl exam.
Answer:
ANS:l D
Differencesl inl strengthl betweenl radiall andl femorall pulsesl mayl indicatel coarctationl ofl
thel aortal andl shouldl bel evaluatedl byl al cardiologist.l Thisl findingl doesl notl indicatel
orthostaticl hypotension.l Thel likelihoodl ofl decreasedl circulationl isl lowl inl al youngl
athlete.
QUESTION
Al high-schooll adolescentl isl beingl screenedl forl fitnessl beforel participatingl inl sports.l Thel
adolescentl hasl al normall examinationl andl thel examinerl notesl S1l andl S2l heartl soundsl
withoutl murmur,l normall bloodl pressure,l andl equall pulses.l Thel parentl reportsl thatl thel
adolescent'sl fatherl hasl al historyl orl Wolff-Parkinson-Whitel syndrome,l whichl hasl beenl
treated.l Whatl willl thel providerl do?
a.l Clearl thel adolescentl tol playl sports.
b.l Performl anl electrocardiogram.
c.l Referl thel adolescentl tol al cardiologist.
d.l Telll thel adolescentl thatl sportsl arel notl allowed.
, Answer:
ANS:l C
Al positivel familyl historyl ofl Wolff-Parkinson-Whitel syndromel requiresl physicianl
consultationl orl referrall beforel medicall clearancel canl bel given.l Thel adolescentl hasl al
normall heartl ratel andl physicall exam,l sol thel ECGl mayl notl yieldl significantl orl usefull
results.l Thel examinerl cannotl clearl thel adolescentl withoutl consultingl withl al specialist.l
Thel adolescentl mayl bel clearedl forl sportsl byl thel specialist.
QUESTION
Anl overweightl adolescentl whol takesl metforminl hasl typel 2l diabetesl withl al HgA1Cl ofl
8.5%l andl asksl aboutl sportsl participation.l Whatl willl thel providerl recommend?
a.l Losingl weightl priorl tol initiatingl sportsl participation
b.l Participationl inl strenuousl sportsl tol helpl withl weightl loss
c.l Referrall tol thel endocrinologistl forl sportsl clearance
d.l Switchingl tol insulinl therapyl priorl tol participation
Answer:
ANS:l C
Patientsl withl poorlyl controlledl diabetesl shouldl bel referredl tol al specialistl priorl tol
clearancel forl sportsl participation.l Thisl patientl hasl anl elevatedl HgA1C,l indicatingl poorl
control.l Thel endocrinologistl mayl suggestl thel otherl options,l butl thel primaryl carel
providerl shouldl notl clearl thisl patientl forl participationl inl sports.
QUESTION
Al patientl diagnosedl withl asthmal hasl beenl prescribedl threel bronchodilatorl treatmentsl butl
continuesl tol experiencel wheezingl andl shortnessl ofl breath.l Thel healthl carel providerl
caringl forl thel patientl notesl anl oxygenl saturationl ofl 90%l onl rooml air.l Whatl actionl isl
indicated?l
a.l Administerl oxygenl andl continuel tol monitorl thel patient.
b.l Contactl thel respiratoryl therapistl tol administerl anotherl treatment.
c.l Notifyl thel patient'sl physicianl immediately.
d.l Reassurel thel patientl thatl thel treatmentsl willl takel effectl soon.
2026l Update)l Primaryl Carel Il Review|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Wilkes
QUESTION
Duringl al preplacementl screeningl forl al personl hiredl forl al jobl requiringl heavyl lifting,l al
primaryl carel providerl notesl thatl al historyl ofl gastroesophageall refluxl diseasel (GERD),l
recurrentl eczema,l al previousl historyl ofl anl anklel fracture,l andl normall lowerl backl
strengthl andl flexibility.l Al urinel drugl screenl isl negative.l Whatl willl bel includedl inl thel
reportl tol thel employer?l (Selectl alll thatl apply.)
a.l GERDl history
b.l Historyl ofl allergiesl andl eczema
c.l Historyl ofl anklel fracture
d.l Lowerl backl screeningl results
e.l Urinel drugl screeningl results
Answer:
ANS:l D,l E
Onlyl findingsl relatedl tol thel abilityl ofl thel individuall tol performl positionl requirementsl
forl thel jobl arel includedl inl thel report.l Otherl findingsl shouldl notl bel included,l evenl
thoughl theyl mayl needl tol bel addressed.
QUESTION
Al femalel collegel studentl seeksl informationl aboutl emergencyl contraception.l Whatl isl thel
mostl importantl partl ofl thel assessmentl ofl thisl patient?
a.l Culturall considerationsl forl usel ofl contraception
b.l Feelingsl ofl guiltl aboutl al possiblel pregnancy
c.l Possiblel concernsl aboutl confidentiality
d.l Thel female'sl sensel ofl controll inl sexuall situations
,Answer:
ANS:l D
Becausel collegel womenl arel atl greaterl riskl forl sexuall violencel andl assault,l al requestl
forl emergencyl contraceptionl mustl bel followedl byl anl evaluationl ofl possiblel rapel orl
assault.l Thel otherl considerationsl mayl bel partl ofl thel assessmentl butl arel notl asl
importantl asl determiningl whetherl al rapel hasl occurred.
QUESTION
Al femalel freshmanl collegel studentl tellsl thel primaryl carel providerl atl thel studentl healthl
centerl thatl shel hasl al historyl ofl anorexial nervosal thatl hasl beenl well-controlledl forl
severall years.l Whatl willl thel providerl recommendl forl thisl student?
a.l Dietaryl counseling
b.l Participationl inl sports
c.l Regularl weightl assessments
d.l Stressl managementl strategies
Answer:
ANS:l D
Studentsl withl previousl eatingl disordersl mayl regressl whenl stressed,l sol stressl
managementl isl essential.l Unlessl shel beginsl tol regress,l dietaryl counselingl isl notl
indicated.l Manyl whol participatel inl sportsl willl developl eatingl disordersl tol controll
weight.l Itl isl notl necessaryl tol evaluatel weightl regularly.
QUESTION
Whichl patientl shouldl havel pulmonaryl functionl testingl asl partl ofl thel presurgicall exam?l
a.l Al patientl olderl thanl 60l yearsl ofl age
b.l Al patientl undergoingl majorl intrathoracicl surgery
c.l Al patientl withl al historyl ofl pneumonial inl thel lastl 2l years
d.l Al patientl withl diabetesl andl morbidl obesity
Answer:
,ANS:l B
Anyl patientl undergoingl majorl thoracicl surgeryl shouldl havel pulmonaryl functionl testing.l
Agel overl 60l years,l al historyl ofl pneumonia,l andl diabetesl andl obesityl dol notl requirel
pulmonaryl functionl testingl unlessl therel isl comorbidl COPD.
QUESTION
Duringl al preparticipationl sportsl physical,l thel examinerl notesl al differencel inl strengthl ofl
thel patient'sl radiall andl femorall pulsesl withl thel femorall pulsesl beingl weaker.l Whatl willl
thel providerl do?
a.l Evaluatel forl orthostaticl hypotension.
b.l Obtainl Dopplerl studiesl ofl lowerl extremityl circulation.
c.l Reassurel thel patientl thatl thisl isl al normall finding.
d.l Referl thel patientl forl al cardiologicl exam.
Answer:
ANS:l D
Differencesl inl strengthl betweenl radiall andl femorall pulsesl mayl indicatel coarctationl ofl
thel aortal andl shouldl bel evaluatedl byl al cardiologist.l Thisl findingl doesl notl indicatel
orthostaticl hypotension.l Thel likelihoodl ofl decreasedl circulationl isl lowl inl al youngl
athlete.
QUESTION
Al high-schooll adolescentl isl beingl screenedl forl fitnessl beforel participatingl inl sports.l Thel
adolescentl hasl al normall examinationl andl thel examinerl notesl S1l andl S2l heartl soundsl
withoutl murmur,l normall bloodl pressure,l andl equall pulses.l Thel parentl reportsl thatl thel
adolescent'sl fatherl hasl al historyl orl Wolff-Parkinson-Whitel syndrome,l whichl hasl beenl
treated.l Whatl willl thel providerl do?
a.l Clearl thel adolescentl tol playl sports.
b.l Performl anl electrocardiogram.
c.l Referl thel adolescentl tol al cardiologist.
d.l Telll thel adolescentl thatl sportsl arel notl allowed.
, Answer:
ANS:l C
Al positivel familyl historyl ofl Wolff-Parkinson-Whitel syndromel requiresl physicianl
consultationl orl referrall beforel medicall clearancel canl bel given.l Thel adolescentl hasl al
normall heartl ratel andl physicall exam,l sol thel ECGl mayl notl yieldl significantl orl usefull
results.l Thel examinerl cannotl clearl thel adolescentl withoutl consultingl withl al specialist.l
Thel adolescentl mayl bel clearedl forl sportsl byl thel specialist.
QUESTION
Anl overweightl adolescentl whol takesl metforminl hasl typel 2l diabetesl withl al HgA1Cl ofl
8.5%l andl asksl aboutl sportsl participation.l Whatl willl thel providerl recommend?
a.l Losingl weightl priorl tol initiatingl sportsl participation
b.l Participationl inl strenuousl sportsl tol helpl withl weightl loss
c.l Referrall tol thel endocrinologistl forl sportsl clearance
d.l Switchingl tol insulinl therapyl priorl tol participation
Answer:
ANS:l C
Patientsl withl poorlyl controlledl diabetesl shouldl bel referredl tol al specialistl priorl tol
clearancel forl sportsl participation.l Thisl patientl hasl anl elevatedl HgA1C,l indicatingl poorl
control.l Thel endocrinologistl mayl suggestl thel otherl options,l butl thel primaryl carel
providerl shouldl notl clearl thisl patientl forl participationl inl sports.
QUESTION
Al patientl diagnosedl withl asthmal hasl beenl prescribedl threel bronchodilatorl treatmentsl butl
continuesl tol experiencel wheezingl andl shortnessl ofl breath.l Thel healthl carel providerl
caringl forl thel patientl notesl anl oxygenl saturationl ofl 90%l onl rooml air.l Whatl actionl isl
indicated?l
a.l Administerl oxygenl andl continuel tol monitorl thel patient.
b.l Contactl thel respiratoryl therapistl tol administerl anotherl treatment.
c.l Notifyl thel patient'sl physicianl immediately.
d.l Reassurel thel patientl thatl thel treatmentsl willl takel effectl soon.
