NSG 6440 MAJORITY EXAM
NSG 6440 MAJORITY EXAM 2025/2026 ACTUAL TEST|
WITH ACCURATE EXAM QUESTIONS AND VERIFIED
ANSWERS|PRE-EVALUATED A+ |BRAND NEW!!
Which of the following antihypertensive medications would you avoid prescribing for an elderly white
female with the comorbid diagnosis of osteoporosis?
- CORRECT ANS ->>Calcium channel blockers
Which of the following class of drugs is preferred treatment for a diabetic with stage II hypertension?
- CORRECT ANS ->>Angiotensin converting enzyme inhibitor
You are caring for a 30-year-old white male in your office with a BP of 144/90. He has never had a
diagnosis of hypertension. He doesn't check his blood pressure at home. He has a family history of
hypertension. What are your recommendations?
- CORRECT ANS ->>Instruct to purchase a BP cuff, record blood pressures, call if over 140's over 90's, low
salt diet, return in 2 weeks
You are treating a young adult female with HTN and migraine headaches. Which class of medications
could you choose to treat both?
- CORRECT ANS ->>Beta blockers
A 42-year-old male presents with the following lipid profile. He is not on any medications for cholesterol
or herbal supplements.
Total: 210
LDL: 145
TG 162
HDL 52
What medication would you recommend?
- CORRECT ANS ->>Low dose statin
You are caring for a 68-year-old male who has been taking atorvastatin (Lipitor) for 8 weeks. He
complains of fatigue, muscle aches, and dark-colored urine. Which of the following is the most
appropriate treatment plan?
- CORRECT ANS ->>Order lipid level and serum creatine phosphokinase (CPK, creatine kinase).
What would you advise this patient regarding taking his atorvastatin (Lipitor)?
- CORRECT ANS ->>Stop taking atorvastatin until the labs are available.
,NSG 6440 MAJORITY EXAM
A 58-year-old male presents to your office with an episode of chest tightness in his substernal area that
radiated to his back while he was jogging. It was relieved with rest. Which of the following does this best
describe?
- CORRECT ANS ->>Angina pectoris
What is the most common cause of left ventricular hypertrophy in the United States?
- CORRECT ANS ->>Chronic hypertension
Which of the following heart sounds is associated with heart failure?
- CORRECT ANS ->>S3
While performing a routine physical exam on a 60-year-old hypertensive male, you notice a bruit over
the carotid area on the left side of the neck. There is no induration of the skin. This patient is at higher
risk for:
- CORRECT ANS ->>Stroke and coronary heart disease
A 72-year-old female presents to your office with gradual difficulty breathing, non- productive cough,
bilateral swelling of her feet, and a 10-pound weight gain. Upon examination you hear crackles and
rhonchi with an S3 heart sound. What is the most likely diagnosis?
- CORRECT ANS ->>Congestive heart failure
What is your treatment plan for this patient with difficulty breathing, cough, weight gain, edema, and S3
heart sounds?
- CORRECT ANS ->>Diuretics, digoxin, and anti-hypertensive medications
You are treating a 49-year-old female who presents with fatigue and palpitations. You check her apical
pulse and she is irregular and tachycardic. You obtain an EKG and it reveals a fib with rapid ventricular
response. What is your treatment plan?
- CORRECT ANS ->>You admit her to the hospital for new onset a fib.
Upon examination of a 17-year-old during a sports physical, you hear a split S2 during inspiration that
disappears during expiration. The patient denies chest pain and dyspnea. What will you tell the mother
and patient regarding your findings?
- CORRECT ANS ->>Educate the mother and patient that this is a benign finding.
The first sign of an asthma exacerbation is:
- CORRECT ANS ->>Cough
According to the NAEPP-3 Guidelines for the Treatment and Management of Asthma, what is the gold
, NSG 6440 MAJORITY EXAM
standard for daily treatment of mild-persistent asthma?
- CORRECT ANS ->>Inhaled steroids
You are treating an adult asthma patient and reviewing her metered dose inhaler (MDI) technique. She
demonstrates her MDI technique by shaking the inhaler, placing the inhaler in her mouth, pressing the
canister, and inhaling quickly. What is your response?
- CORRECT ANS ->>You educate the patient that, first, she should exhale fully, then shake the inhaler,
and finally, as she presses the canister, inhale slowly and fully.
An adult patient with a history of chronic obstructive lung disease (COPD) presents to your office with 1
day of worsening shortness of breath, wheezing, and non-productive cough. You determine he has a
COPD exacerbation. What is your treatment plan?
- CORRECT ANS ->>7-10 days prednisone spurt, Albuterol/Atrovent inhaler 2 puffs QID
All of the following are useful in treating patients with COPD except:
- CORRECT ANS ->>Antihistamines
Which of the following is less likely to be found in a patient with emphysema dominant COPD?
- CORRECT ANS ->>A cough that is productive with large amounts of purulent sputum
You are treating a patient in your office whom you suspect has chronic lung disease, but you are unsure
if you should start treatment today. What do you consider ordering first?
- CORRECT ANS ->>An office spirometry
You are treating an elderly patient who tells you he has a history of allergies. His concern today is he is
coughing more at night for the past 6 weeks and wheezing intermittently. He has no history of heart
failure, smoking, or other lung disease. Your physical examination is unremarkable. What are your
differential diagnosis(es) for cough?
Select all that apply.
- CORRECT ANS ->>Asthma
Sinusitis Postnasal drip GERD
A chronic cough lasts longer than:
- CORRECT ANS ->>a. 3 weeks.
You are doing a cerumen extraction and touch the external meatus of your patient's ear. He winces and
starts coughing. What is the name of this reflex?
- CORRECT ANS ->>b. Arnold reflex
NSG 6440 MAJORITY EXAM 2025/2026 ACTUAL TEST|
WITH ACCURATE EXAM QUESTIONS AND VERIFIED
ANSWERS|PRE-EVALUATED A+ |BRAND NEW!!
Which of the following antihypertensive medications would you avoid prescribing for an elderly white
female with the comorbid diagnosis of osteoporosis?
- CORRECT ANS ->>Calcium channel blockers
Which of the following class of drugs is preferred treatment for a diabetic with stage II hypertension?
- CORRECT ANS ->>Angiotensin converting enzyme inhibitor
You are caring for a 30-year-old white male in your office with a BP of 144/90. He has never had a
diagnosis of hypertension. He doesn't check his blood pressure at home. He has a family history of
hypertension. What are your recommendations?
- CORRECT ANS ->>Instruct to purchase a BP cuff, record blood pressures, call if over 140's over 90's, low
salt diet, return in 2 weeks
You are treating a young adult female with HTN and migraine headaches. Which class of medications
could you choose to treat both?
- CORRECT ANS ->>Beta blockers
A 42-year-old male presents with the following lipid profile. He is not on any medications for cholesterol
or herbal supplements.
Total: 210
LDL: 145
TG 162
HDL 52
What medication would you recommend?
- CORRECT ANS ->>Low dose statin
You are caring for a 68-year-old male who has been taking atorvastatin (Lipitor) for 8 weeks. He
complains of fatigue, muscle aches, and dark-colored urine. Which of the following is the most
appropriate treatment plan?
- CORRECT ANS ->>Order lipid level and serum creatine phosphokinase (CPK, creatine kinase).
What would you advise this patient regarding taking his atorvastatin (Lipitor)?
- CORRECT ANS ->>Stop taking atorvastatin until the labs are available.
,NSG 6440 MAJORITY EXAM
A 58-year-old male presents to your office with an episode of chest tightness in his substernal area that
radiated to his back while he was jogging. It was relieved with rest. Which of the following does this best
describe?
- CORRECT ANS ->>Angina pectoris
What is the most common cause of left ventricular hypertrophy in the United States?
- CORRECT ANS ->>Chronic hypertension
Which of the following heart sounds is associated with heart failure?
- CORRECT ANS ->>S3
While performing a routine physical exam on a 60-year-old hypertensive male, you notice a bruit over
the carotid area on the left side of the neck. There is no induration of the skin. This patient is at higher
risk for:
- CORRECT ANS ->>Stroke and coronary heart disease
A 72-year-old female presents to your office with gradual difficulty breathing, non- productive cough,
bilateral swelling of her feet, and a 10-pound weight gain. Upon examination you hear crackles and
rhonchi with an S3 heart sound. What is the most likely diagnosis?
- CORRECT ANS ->>Congestive heart failure
What is your treatment plan for this patient with difficulty breathing, cough, weight gain, edema, and S3
heart sounds?
- CORRECT ANS ->>Diuretics, digoxin, and anti-hypertensive medications
You are treating a 49-year-old female who presents with fatigue and palpitations. You check her apical
pulse and she is irregular and tachycardic. You obtain an EKG and it reveals a fib with rapid ventricular
response. What is your treatment plan?
- CORRECT ANS ->>You admit her to the hospital for new onset a fib.
Upon examination of a 17-year-old during a sports physical, you hear a split S2 during inspiration that
disappears during expiration. The patient denies chest pain and dyspnea. What will you tell the mother
and patient regarding your findings?
- CORRECT ANS ->>Educate the mother and patient that this is a benign finding.
The first sign of an asthma exacerbation is:
- CORRECT ANS ->>Cough
According to the NAEPP-3 Guidelines for the Treatment and Management of Asthma, what is the gold
, NSG 6440 MAJORITY EXAM
standard for daily treatment of mild-persistent asthma?
- CORRECT ANS ->>Inhaled steroids
You are treating an adult asthma patient and reviewing her metered dose inhaler (MDI) technique. She
demonstrates her MDI technique by shaking the inhaler, placing the inhaler in her mouth, pressing the
canister, and inhaling quickly. What is your response?
- CORRECT ANS ->>You educate the patient that, first, she should exhale fully, then shake the inhaler,
and finally, as she presses the canister, inhale slowly and fully.
An adult patient with a history of chronic obstructive lung disease (COPD) presents to your office with 1
day of worsening shortness of breath, wheezing, and non-productive cough. You determine he has a
COPD exacerbation. What is your treatment plan?
- CORRECT ANS ->>7-10 days prednisone spurt, Albuterol/Atrovent inhaler 2 puffs QID
All of the following are useful in treating patients with COPD except:
- CORRECT ANS ->>Antihistamines
Which of the following is less likely to be found in a patient with emphysema dominant COPD?
- CORRECT ANS ->>A cough that is productive with large amounts of purulent sputum
You are treating a patient in your office whom you suspect has chronic lung disease, but you are unsure
if you should start treatment today. What do you consider ordering first?
- CORRECT ANS ->>An office spirometry
You are treating an elderly patient who tells you he has a history of allergies. His concern today is he is
coughing more at night for the past 6 weeks and wheezing intermittently. He has no history of heart
failure, smoking, or other lung disease. Your physical examination is unremarkable. What are your
differential diagnosis(es) for cough?
Select all that apply.
- CORRECT ANS ->>Asthma
Sinusitis Postnasal drip GERD
A chronic cough lasts longer than:
- CORRECT ANS ->>a. 3 weeks.
You are doing a cerumen extraction and touch the external meatus of your patient's ear. He winces and
starts coughing. What is the name of this reflex?
- CORRECT ANS ->>b. Arnold reflex
