NSG5003 COMPREHENSIVE EXAM UPDATED
QUESTIONS AND ANSWERS GRADED A+
✔✔The most common cause of eye redness is: - ✔✔Conjunctivitis
✔✔In AR disorders, carriers have: - ✔✔One copy of a gene mutation but not the
disease
✔✔According to the Genetic Information Nondiscrimination Act (GINA): - ✔✔All of the
above
✔✔Aortic regurgitation requires medical treatment for early signs of CHF with: - ✔✔ACE
inhibitors
✔✔Which of the following is the most common cause of heartburn-type epigastric pain?
- ✔✔Decreased lower esophageal sphincter tone
✔✔The best way to diagnose structural heart disease/dysfunction non-invasively is: -
✔✔Echocardiogram
✔✔Essential parts of a health history include all of the following except: - ✔✔Current
vital signs
✔✔Men have faster and more efficient biotransformation of drugs and this is thought to
be due to: - ✔✔testosterone (prostate enlargement)
✔✔The main focus of treatment of patients with ACD is: - ✔✔Management of the
underlying disorder
✔✔A 72-year-old woman and her husband are on a cross-country driving vacation.
After a long day of driving, they stop for dinner. Midway through the meal, the woman
becomes very short of breath, with chest pain and a feeling of panic. Which of the
following problems is most likely? - ✔✔Pulmonary embolism
✔✔Your patient has been using chewing tobacco for 10 years. On physical
examination, you observe a white ulceration surrounded by erythematous base on the
side of his tongue. The clinician should recognize that very often this is: - ✔✔Squamous
cell carcinoma
✔✔The first assessment to complete related to the eyes is: - ✔✔Visual acuity
, ✔✔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: - ✔✔100-pack years
✔✔Which disease process typically causes episodic right upper quadrant pain,
epigastric pain or chest pain that can last 4-6 hours or less, often radiates to the back
(classically under the right shoulder blade) and is often accompanied by nausea or
vomiting and often follows a heavy, fatty meal. - ✔✔Cholecystitis
✔✔Which of the following conditions is the most common cause of nausea, vomiting,
and diarrhea? - ✔✔Viral gastroenteritis
✔✔Which of the following findings should trigger an urgent referral to a cardiologist or
neurologist? - ✔✔History of transient and painless monocular loss of vision
✔✔In order to provide a comprehensive genetic history of a patient, the NP should: -
✔✔All of the above
✔✔Patients that have atopic disorders are mediated by the production of
Immunoglobulin E (IgE) will have histamine stimulated as an immediate phase
response. This release of histamine results in which of the following? -
✔✔Bronchospasm, vascular permeability, and vasodilation
✔✔A 56-year-old male complains of anorexia, changes in bowel habits, extreme
fatigue, and unintentional weight loss. At times he is constipated and other times he has
episodes of diarrhea. His physical examination is unremarkable. It is important for the
clinician to recognize the importance of: - ✔✔Colonoscopy
✔✔Mr. Keenan is a 42-year-old man with a mild history of GERD and a remote history
of an appendectomy, presenting with an acute onset of significant right upper-quadrant
abdominal pain and vomiting. His pain began after a large meal, was unrelieved by a
proton-pump inhibitor, was unlike his previous episodes of heartburn, but upon
questioning, reports milder, prodromal episodes of similar post-prandial pain. His pain
seems to radiate to his back. Despite a family history of cardiac disease, he reports no
classic anginal signs or chest pain. He furthermore denies respiratory or pleuritic signs
and denies fever, night sweats, and unintended weight loss. Finally, there are no
dermatologic signs, nor genitourinary symptoms.
When all lab work is returned within normal limits, what is the most practical imaging
study to order, considering cost, availability, and sensitivity? - ✔✔Abdominal ultrasound
✔✔A common auscultatory finding in advanced CHF is: - ✔✔S3 gallop rhythm
✔✔Mr. A presents to your office complaining of chest pain, mid-sternal and radiating to
his back. He was mowing his lawn. He reports the pain lasting for about 8 minutes and
QUESTIONS AND ANSWERS GRADED A+
✔✔The most common cause of eye redness is: - ✔✔Conjunctivitis
✔✔In AR disorders, carriers have: - ✔✔One copy of a gene mutation but not the
disease
✔✔According to the Genetic Information Nondiscrimination Act (GINA): - ✔✔All of the
above
✔✔Aortic regurgitation requires medical treatment for early signs of CHF with: - ✔✔ACE
inhibitors
✔✔Which of the following is the most common cause of heartburn-type epigastric pain?
- ✔✔Decreased lower esophageal sphincter tone
✔✔The best way to diagnose structural heart disease/dysfunction non-invasively is: -
✔✔Echocardiogram
✔✔Essential parts of a health history include all of the following except: - ✔✔Current
vital signs
✔✔Men have faster and more efficient biotransformation of drugs and this is thought to
be due to: - ✔✔testosterone (prostate enlargement)
✔✔The main focus of treatment of patients with ACD is: - ✔✔Management of the
underlying disorder
✔✔A 72-year-old woman and her husband are on a cross-country driving vacation.
After a long day of driving, they stop for dinner. Midway through the meal, the woman
becomes very short of breath, with chest pain and a feeling of panic. Which of the
following problems is most likely? - ✔✔Pulmonary embolism
✔✔Your patient has been using chewing tobacco for 10 years. On physical
examination, you observe a white ulceration surrounded by erythematous base on the
side of his tongue. The clinician should recognize that very often this is: - ✔✔Squamous
cell carcinoma
✔✔The first assessment to complete related to the eyes is: - ✔✔Visual acuity
, ✔✔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: - ✔✔100-pack years
✔✔Which disease process typically causes episodic right upper quadrant pain,
epigastric pain or chest pain that can last 4-6 hours or less, often radiates to the back
(classically under the right shoulder blade) and is often accompanied by nausea or
vomiting and often follows a heavy, fatty meal. - ✔✔Cholecystitis
✔✔Which of the following conditions is the most common cause of nausea, vomiting,
and diarrhea? - ✔✔Viral gastroenteritis
✔✔Which of the following findings should trigger an urgent referral to a cardiologist or
neurologist? - ✔✔History of transient and painless monocular loss of vision
✔✔In order to provide a comprehensive genetic history of a patient, the NP should: -
✔✔All of the above
✔✔Patients that have atopic disorders are mediated by the production of
Immunoglobulin E (IgE) will have histamine stimulated as an immediate phase
response. This release of histamine results in which of the following? -
✔✔Bronchospasm, vascular permeability, and vasodilation
✔✔A 56-year-old male complains of anorexia, changes in bowel habits, extreme
fatigue, and unintentional weight loss. At times he is constipated and other times he has
episodes of diarrhea. His physical examination is unremarkable. It is important for the
clinician to recognize the importance of: - ✔✔Colonoscopy
✔✔Mr. Keenan is a 42-year-old man with a mild history of GERD and a remote history
of an appendectomy, presenting with an acute onset of significant right upper-quadrant
abdominal pain and vomiting. His pain began after a large meal, was unrelieved by a
proton-pump inhibitor, was unlike his previous episodes of heartburn, but upon
questioning, reports milder, prodromal episodes of similar post-prandial pain. His pain
seems to radiate to his back. Despite a family history of cardiac disease, he reports no
classic anginal signs or chest pain. He furthermore denies respiratory or pleuritic signs
and denies fever, night sweats, and unintended weight loss. Finally, there are no
dermatologic signs, nor genitourinary symptoms.
When all lab work is returned within normal limits, what is the most practical imaging
study to order, considering cost, availability, and sensitivity? - ✔✔Abdominal ultrasound
✔✔A common auscultatory finding in advanced CHF is: - ✔✔S3 gallop rhythm
✔✔Mr. A presents to your office complaining of chest pain, mid-sternal and radiating to
his back. He was mowing his lawn. He reports the pain lasting for about 8 minutes and
