NSG 6440 Predictor Comprehensive
Actual Exam 2025 NSG 6440 Predictor
Comprehensive Test Exam Latest Update
2025
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?
a. Low dose statin
b. Low dose bile acid sequestrant
c. Low dose fibrate
d. Fish oil -Answer-Low dose statin
You are caring for a 68-year-old male who has been taking atorvastain
(Lipitor) for 8 weeks. He complains of fatigue, muscle aches, and
dark-colored urine. Which of the following is the most appropriate
treatment plan?
a. Order a CBC and CMP.
b. Order lipid level and serum creatine phosphokinase
(CPK, creatine kinase)
c. Order a 24 hr urine
d. Recommend increasing his fluids and rest. -Answer-Order lipid level
and serum creatine phosphokinase (CPK, creatine kinase).
,What would you advise this patient regarding taking his atrovastatin
(Lipitor)?
Continuing taking the medication until the labs are
available
Take atorvastatin every other day until labs are
available
Take half of the atorvastatin every other day until labs
are available
Stop taking the atorvastatin until the labs are
available -Answer-Stop taking atorvastatin until the labs are available.
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?
Acute myocardial infarction
Gastroesophageal reflux disease
Angina pectoris
Acute costochondritis -Answer-Angina pectoris
What is the most common cause of left ventricular hypertrophy in the
United States?
Mitral valve prolapse
Chronic atrial fibrillation
Pulmonary hypertension
Chronic hypertension -Answer-Chronic hypertension
Which of the following heart sounds is associated with heart failure?
,Still's murmer and S4
S3
S1, S2, and S4
S1, S2, and S3 -Answer-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:
Stroke and coronary heart disease
Temporal arteritis and brain aneurysms
Abdominal aneurysm and congestive heart gailure
Dizziness and headaches -Answer-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?
COPD
Renal hypertension
Congestive heart hailure
Asthma -Answer-Congestive heart failure
What is your treatment plan for this patient with difficulty breathing,
cough, weight gain, edema, and S3 heart sounds?
Rest and increase fluids
Diuretics, digoxin, and anti-hypertensive medications
Nebulized albuterol and prednisone
, Anti-coagulation and cardiology evaluation -Answer-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 afib with rapid
ventricular response. What is your treatment plan?
You order a 2D echo.
You admit her to the hospital for new onset afib.
You perform cardiac massage and have her relax.
You order a cardiology consult. -Answer-You admit her to the hospital
for new onset afib.
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?
You advise the patient to avoid strenuous physical
activity until further investigation
You recommend a referral to cardiology.
Due to the patient being an athlete, you recommend a
stress echo
Educate the mother and patient that this is a benign
finding -Answer-Educate the mother and patient that this is a benign
finding.
The first sign of an asthma exacerbation is:
Cough
Wheeze
Actual Exam 2025 NSG 6440 Predictor
Comprehensive Test Exam Latest Update
2025
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?
a. Low dose statin
b. Low dose bile acid sequestrant
c. Low dose fibrate
d. Fish oil -Answer-Low dose statin
You are caring for a 68-year-old male who has been taking atorvastain
(Lipitor) for 8 weeks. He complains of fatigue, muscle aches, and
dark-colored urine. Which of the following is the most appropriate
treatment plan?
a. Order a CBC and CMP.
b. Order lipid level and serum creatine phosphokinase
(CPK, creatine kinase)
c. Order a 24 hr urine
d. Recommend increasing his fluids and rest. -Answer-Order lipid level
and serum creatine phosphokinase (CPK, creatine kinase).
,What would you advise this patient regarding taking his atrovastatin
(Lipitor)?
Continuing taking the medication until the labs are
available
Take atorvastatin every other day until labs are
available
Take half of the atorvastatin every other day until labs
are available
Stop taking the atorvastatin until the labs are
available -Answer-Stop taking atorvastatin until the labs are available.
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?
Acute myocardial infarction
Gastroesophageal reflux disease
Angina pectoris
Acute costochondritis -Answer-Angina pectoris
What is the most common cause of left ventricular hypertrophy in the
United States?
Mitral valve prolapse
Chronic atrial fibrillation
Pulmonary hypertension
Chronic hypertension -Answer-Chronic hypertension
Which of the following heart sounds is associated with heart failure?
,Still's murmer and S4
S3
S1, S2, and S4
S1, S2, and S3 -Answer-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:
Stroke and coronary heart disease
Temporal arteritis and brain aneurysms
Abdominal aneurysm and congestive heart gailure
Dizziness and headaches -Answer-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?
COPD
Renal hypertension
Congestive heart hailure
Asthma -Answer-Congestive heart failure
What is your treatment plan for this patient with difficulty breathing,
cough, weight gain, edema, and S3 heart sounds?
Rest and increase fluids
Diuretics, digoxin, and anti-hypertensive medications
Nebulized albuterol and prednisone
, Anti-coagulation and cardiology evaluation -Answer-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 afib with rapid
ventricular response. What is your treatment plan?
You order a 2D echo.
You admit her to the hospital for new onset afib.
You perform cardiac massage and have her relax.
You order a cardiology consult. -Answer-You admit her to the hospital
for new onset afib.
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?
You advise the patient to avoid strenuous physical
activity until further investigation
You recommend a referral to cardiology.
Due to the patient being an athlete, you recommend a
stress echo
Educate the mother and patient that this is a benign
finding -Answer-Educate the mother and patient that this is a benign
finding.
The first sign of an asthma exacerbation is:
Cough
Wheeze
