NSG 6420 Midterm Exam 2025/2026
Exam Questions and Answers | A+ Score
Assured
1. Your patient has been using chewing tobacco for 10 years. On physical
examination, you observe a white ulceration surrounded by an
erythematous base on the side of his tongue. The clinician should
recognize that very often this is:
a) Malignant melanoma
b) Squamous cell carcinoma
c) Aphthous ulceration
d) Behcet's syndrome - 🧠 ANSWER ✔✔b) Squamous cell carcinoma
2. Which of the following would be considered a "red flag" that requires
more investigation in a patient assessment?
a) Colon cancer in family member at age 70
,b) Breast cancer in family member at age 75
c) Myocardial infarction in family member at age 35
d) All the above - 🧠 ANSWER ✔✔c) Myocardial infarction in family member
at age 35
3. The pathophysiological hallmark of ACD is:
a) Depleted iron stores
b) Impaired ability to use iron stores
c) Chronic uncorrectable bleeding
e) Reduced intestinal absorption of iron - 🧠 ANSWER ✔✔b) Impaired ability
to use iron stores
4. It is important to not dilate the eye if ____ is suspected.
a) Cataract
b) Macular degeneration
c) Acute closed-angle glaucoma
d) Chronic open-angle glaucoma - 🧠 ANSWER ✔✔c) Acute closed-angle
glaucoma
, 5. A 66-year-old patient presents to the clinic complaining of dyspnea and
wheezing. The patient reports a smoking history of 2 packs of cigarettes
per day since age 16. This would be recorded in the chart as:
a) 50 x 2-pack years
b) 100-pack years
c) 50-year, 2-pack history
d) 100-pack history - 🧠 ANSWER ✔✔b) 100-pack years
6. When teaching a group of older adults regarding prevention of
gastroesophageal reflux disease symptoms, the nurse practitioner will
include which of the following instructions?
a) Raise the head of the bed with pillows at night and chew peppermints
when symptoms of heartburn begins.
b) Raise the head of the bed on blocks and take the proton pump inhibitor
medication at bedtime.
c) Sit up for an hour after taking any medication and restrict fluid intake.
d) Avoid food intolerances, raise head of bed on blocks, and take a proton
pump inhibitor before a meal. - 🧠 ANSWER ✔✔d) Avoid food intolerances,
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
Exam Questions and Answers | A+ Score
Assured
1. Your patient has been using chewing tobacco for 10 years. On physical
examination, you observe a white ulceration surrounded by an
erythematous base on the side of his tongue. The clinician should
recognize that very often this is:
a) Malignant melanoma
b) Squamous cell carcinoma
c) Aphthous ulceration
d) Behcet's syndrome - 🧠 ANSWER ✔✔b) Squamous cell carcinoma
2. Which of the following would be considered a "red flag" that requires
more investigation in a patient assessment?
a) Colon cancer in family member at age 70
,b) Breast cancer in family member at age 75
c) Myocardial infarction in family member at age 35
d) All the above - 🧠 ANSWER ✔✔c) Myocardial infarction in family member
at age 35
3. The pathophysiological hallmark of ACD is:
a) Depleted iron stores
b) Impaired ability to use iron stores
c) Chronic uncorrectable bleeding
e) Reduced intestinal absorption of iron - 🧠 ANSWER ✔✔b) Impaired ability
to use iron stores
4. It is important to not dilate the eye if ____ is suspected.
a) Cataract
b) Macular degeneration
c) Acute closed-angle glaucoma
d) Chronic open-angle glaucoma - 🧠 ANSWER ✔✔c) Acute closed-angle
glaucoma
, 5. A 66-year-old patient presents to the clinic complaining of dyspnea and
wheezing. The patient reports a smoking history of 2 packs of cigarettes
per day since age 16. This would be recorded in the chart as:
a) 50 x 2-pack years
b) 100-pack years
c) 50-year, 2-pack history
d) 100-pack history - 🧠 ANSWER ✔✔b) 100-pack years
6. When teaching a group of older adults regarding prevention of
gastroesophageal reflux disease symptoms, the nurse practitioner will
include which of the following instructions?
a) Raise the head of the bed with pillows at night and chew peppermints
when symptoms of heartburn begins.
b) Raise the head of the bed on blocks and take the proton pump inhibitor
medication at bedtime.
c) Sit up for an hour after taking any medication and restrict fluid intake.
d) Avoid food intolerances, raise head of bed on blocks, and take a proton
pump inhibitor before a meal. - 🧠 ANSWER ✔✔d) Avoid food intolerances,
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
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