NSG5003 ACTUAL FINAL PAPER UPDATED QUESTIONS
AND ANSWERS GRADED A+
✔✔Laryngeal cancer - ✔✔Your patient is a 78-year-old female with a smoking history of
120-pack years. She complains of hoarseness that has developed over the last few
months. It is important to exclude the possibility of
✔✔A. Yes, there is tenderness over the fifth metatarsal
C. - ✔✔A 43-year-old female was in a bicycling accident and complains of severe pain
of the right foot. The patient limps into the emergency room. On physical examination,
there is no point tenderness over the medial or lateral ankle malleolus. There is no foot
tenderness except at the base of the fifth metatarsal bone. According to the Ottawa foot
rules, should an X-ray of the feet be ordered
✔✔The tremor occurs with purposeful movements - ✔✔When assessing a patient who
complains of a tremor, the nurse practitioner must differentiate essential tremor from the
tremor of Parkinson's disease. Which of the following findings are consistent with
essential tremor
✔✔Staphylococcal infection - ✔✔Folliculitis is most commonly due to
✔✔Vesicles - ✔✔What kind of lesions are caused by the herpes simplex virus?
✔✔Giant cell arteritis - ✔✔A 65-year-old male complains of a headache that feels "like a
knife is cutting into his head." He also reports feeling right-sided scalp and facial pain
and "seeing double" at times. He has a history of hypertension and hyperlipidemia. His
medications include beta blocker, statin drug, and an ACE inhibitor. On physical
examination, you note palpable tenderness over the right side of the forehead. There
are no neurological deficits. Vision is 20/20 with lenses. No weakness of extremities. CN
II to XII are intact. The history corresponds to which of the following disorders
✔✔Viral gastroenteritis - ✔✔Which of the following conditions is the most common
cause of nausea, vomiting, and diarrhea
✔✔Soft tissue swelling - ✔✔The nurse practitioner orders bilateral wrist X-rays on a 69-
year-old gentleman complaining of pain in both wrists for the past 6 weeks not related to
any known trauma. The nurse practitioner suspects elderly onset rheumatoid arthritis.
The initial radiographic finding in a patient with elderly onset rheumatoid arthritis would
be
✔✔S3 gallop rhythm - ✔✔A common auscultatory finding in advanced CHF is
✔✔Bradykinesia, rigidity, and tremor - ✔✔The three cardinal features of Parkinson's
disease are:
, ✔✔One copy of a gene mutation but not the disease - ✔✔In AR disorders, carriers have
✔✔Arterial insufficiency - ✔✔A 75-year-old patient complains of pain and paresthesias
in the right foot that worsens with exercise and is relieved by rest. On physical
examination you note pallor of the right foot, capillary refill of 4 seconds in the right foot,
+1 dorsalis pedis pulse in the right foot, and +2 pulse in left foot. Which of the following
is a likely cause of the signs and symptoms?
✔✔Most anti-arrhythmics have a low toxic/therapeutic ratio and some are exceedingly
toxic - ✔✔Which of the following statements is true concerning anti-arrhythmic drugs?
✔✔Clubbing - ✔✔A 23-year-old patient who has had bronchiectasis since childhood is
likely to have which of the following
✔✔Missed meals
Menses
Alcohol
All of the above - ✔✔Which of the following is a common trigger of migraine headache
✔✔Urinary incontinence - ✔✔A 55-year-old patient complains of lower back pain due to
heavy lifting at work yesterday. He reports weakness of the left leg and paresthesias in
the left foot. On physical examination, the patient has diminished ability to dorsiflex the
left ankle. Which of the following symptoms should prompt the clinician to make
immediate referral to a neurosurgeon?
✔✔Pityriasis Rosea - ✔✔The appearance of a 2-10 cm. herald patch with subsequent
development of parallel oval lesions on the trunk in a christmas tree distribution
involving the upper arms and upper legs are common in
✔✔Hemoglobin <12 g/dl, MCV normal, MCH normal - ✔✔When interpreting laboratory
data, you would expect to see the following in a patient with Anemia of Chronic Disease
(ACD):
✔✔Diffuse epigastric pain - ✔✔In differentiating a gastric ulcer from a duodenal ulcer,
you know that each type of ulcer can present with distinct signs and symptoms. Which
of the following pieces of information from the patient's history is the least useful for you
to determine that the patient has a duodenal ulcer?
✔✔Pyelonephritis - ✔✔A 43-year-old male patient complains of right-sided abdominal
and pain in the back in the right costovertebral angle region, fever, chills, dysuria, and
nausea. On physical examination, there is 102 degree fever, tachycardia, and right
costovertebral angle tenderness to percussion. The most likely condition is
AND ANSWERS GRADED A+
✔✔Laryngeal cancer - ✔✔Your patient is a 78-year-old female with a smoking history of
120-pack years. She complains of hoarseness that has developed over the last few
months. It is important to exclude the possibility of
✔✔A. Yes, there is tenderness over the fifth metatarsal
C. - ✔✔A 43-year-old female was in a bicycling accident and complains of severe pain
of the right foot. The patient limps into the emergency room. On physical examination,
there is no point tenderness over the medial or lateral ankle malleolus. There is no foot
tenderness except at the base of the fifth metatarsal bone. According to the Ottawa foot
rules, should an X-ray of the feet be ordered
✔✔The tremor occurs with purposeful movements - ✔✔When assessing a patient who
complains of a tremor, the nurse practitioner must differentiate essential tremor from the
tremor of Parkinson's disease. Which of the following findings are consistent with
essential tremor
✔✔Staphylococcal infection - ✔✔Folliculitis is most commonly due to
✔✔Vesicles - ✔✔What kind of lesions are caused by the herpes simplex virus?
✔✔Giant cell arteritis - ✔✔A 65-year-old male complains of a headache that feels "like a
knife is cutting into his head." He also reports feeling right-sided scalp and facial pain
and "seeing double" at times. He has a history of hypertension and hyperlipidemia. His
medications include beta blocker, statin drug, and an ACE inhibitor. On physical
examination, you note palpable tenderness over the right side of the forehead. There
are no neurological deficits. Vision is 20/20 with lenses. No weakness of extremities. CN
II to XII are intact. The history corresponds to which of the following disorders
✔✔Viral gastroenteritis - ✔✔Which of the following conditions is the most common
cause of nausea, vomiting, and diarrhea
✔✔Soft tissue swelling - ✔✔The nurse practitioner orders bilateral wrist X-rays on a 69-
year-old gentleman complaining of pain in both wrists for the past 6 weeks not related to
any known trauma. The nurse practitioner suspects elderly onset rheumatoid arthritis.
The initial radiographic finding in a patient with elderly onset rheumatoid arthritis would
be
✔✔S3 gallop rhythm - ✔✔A common auscultatory finding in advanced CHF is
✔✔Bradykinesia, rigidity, and tremor - ✔✔The three cardinal features of Parkinson's
disease are:
, ✔✔One copy of a gene mutation but not the disease - ✔✔In AR disorders, carriers have
✔✔Arterial insufficiency - ✔✔A 75-year-old patient complains of pain and paresthesias
in the right foot that worsens with exercise and is relieved by rest. On physical
examination you note pallor of the right foot, capillary refill of 4 seconds in the right foot,
+1 dorsalis pedis pulse in the right foot, and +2 pulse in left foot. Which of the following
is a likely cause of the signs and symptoms?
✔✔Most anti-arrhythmics have a low toxic/therapeutic ratio and some are exceedingly
toxic - ✔✔Which of the following statements is true concerning anti-arrhythmic drugs?
✔✔Clubbing - ✔✔A 23-year-old patient who has had bronchiectasis since childhood is
likely to have which of the following
✔✔Missed meals
Menses
Alcohol
All of the above - ✔✔Which of the following is a common trigger of migraine headache
✔✔Urinary incontinence - ✔✔A 55-year-old patient complains of lower back pain due to
heavy lifting at work yesterday. He reports weakness of the left leg and paresthesias in
the left foot. On physical examination, the patient has diminished ability to dorsiflex the
left ankle. Which of the following symptoms should prompt the clinician to make
immediate referral to a neurosurgeon?
✔✔Pityriasis Rosea - ✔✔The appearance of a 2-10 cm. herald patch with subsequent
development of parallel oval lesions on the trunk in a christmas tree distribution
involving the upper arms and upper legs are common in
✔✔Hemoglobin <12 g/dl, MCV normal, MCH normal - ✔✔When interpreting laboratory
data, you would expect to see the following in a patient with Anemia of Chronic Disease
(ACD):
✔✔Diffuse epigastric pain - ✔✔In differentiating a gastric ulcer from a duodenal ulcer,
you know that each type of ulcer can present with distinct signs and symptoms. Which
of the following pieces of information from the patient's history is the least useful for you
to determine that the patient has a duodenal ulcer?
✔✔Pyelonephritis - ✔✔A 43-year-old male patient complains of right-sided abdominal
and pain in the back in the right costovertebral angle region, fever, chills, dysuria, and
nausea. On physical examination, there is 102 degree fever, tachycardia, and right
costovertebral angle tenderness to percussion. The most likely condition is
