NSG5003 EXAMS SCRIPT UPDATED QUESTIONS AND
ANSWERS GRADED A+
✔✔Herpes zoster - ✔✔Which lesions are typically located along the distribution of
dermatome?
✔✔ACE inhibitor - ✔✔Which of the following medications are commonly associated with
the side effect of cough?
✔✔Recognize this as a normal finding that requires periodic follow up - ✔✔On DRE,
you note that a 45-year-old patient has a firm, smooth, non-tender but asymmetrically
shaped prostate. The patient has no symptoms and has a normal urinalysis. The
patient's PSA is within normal limits for the patient's age. The clinician should:
✔✔Venous insufficiency - ✔✔Your patient complains of a feeling of heaviness in the
lower legs daily. You note varicosities, edema, and dusky color of both ankles and feet.
Which of the following is the most likely cause for these symptoms
✔✔Conjunctivitis - ✔✔The most common cause of eye redness is:
✔✔The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis -
✔✔The aging process causes what normal physiological changes in the heart?
✔✔tension headaches - ✔✔Ms. Smith, 37-year-old, comes to the clinic today
complaining of dull, throbbing bilateral headaches almost every evening. You suspect
she is experiencing
✔✔Esophageal varices - ✔✔A 59-year-old patient with history of alcohol abuse comes
to your office because of 'throwing up blood". On physical examination, you note ascites
and caput medusa. A likely cause for the hematemesis is
✔✔Pleural effusion on chest X-ray - ✔✔Which of the following is considered a "red flag"
when diagnosing a patient with pneumonia?
✔✔Colon cancer - ✔✔Your patient complains of lower abdominal pain, anorexia,
extreme fatigue, unintentional weight loss of 10 pounds in last 3 weeks, and you find a
positive hemoccult on digital rectal examination. Laboratory tests show iron deficiency
anemia. The clinician needs to consider
✔✔Ménière's disease - ✔✔You have a patient complaining of vertigo and want to know
what could be the cause. Knowing there are many causes for vertigo, you question the
length of time the sensation lasts. She tells you several hours to days and is
accompanied by tinnitus and hearing loss. You suspect which of the following conditions
,✔✔Leukoplakia - ✔✔In examining the mouth of an older adult with a history of smoking,
the nurse practitioner finds a suspicious oral lesion. The patient has been referred for a
biopsy to be sent for pathology. Which is the most common oral precancerous lesion
✔✔8 weeks or more - ✔✔A cough is described as chronic if it has been present for
✔✔Visual acuity - ✔✔The first assessment to complete related to the eyes is
✔✔A score of 0-2 is a positive screen for dementia - ✔✔The Mini-Cog is a short
screening tool used to assess cognition. Which of the following statements pertaining to
the test is a true statement
✔✔Transmit the disorder to 50% of her offspring (male or female) - ✔✔A woman with
an X-linked dominant disorder will
✔✔Tuberculosis - ✔✔Your patient has just returned from a 6-month missionary trip to
Southeast Asia. He reports unremitting cough, hemoptysis, and an unintentional weight
loss of 10 pounds over the last month. These symptoms should prompt the clinician to
suspect
✔✔Grossly visible corneal defect - ✔✔In assessing the eyes, which of the following is
considered a "red flag" finding when associated with eye redness
✔✔ASA, ACE/ARB, beta-blocker, aldosterone blockade - ✔✔The best evidence rating
drugs to consider in a post myocardial infarction patient include
✔✔Allergic rhinitis - ✔✔In examination of the nose, the clinician observes gray, pale
mucous membranes with clear, serous discharge. This is most likely indicative of
✔✔History of transient and painless monocular loss of vision - ✔✔Which of the following
findings should trigger an urgent referral to a cardiologist or neurologist
✔✔Pain tends to occur with movement, stretching or palpation - ✔✔Which symptom is
more characteristic of Non-Cardiac chest pain
✔✔ACE inhibitors - ✔✔Aortic regurgitation requires medical treatment for early signs of
CHF with:
✔✔Flat plate of abdomen - ✔✔What test is used to confirm the diagnosis of appendicitis
✔✔Reduced physiological reserve
Reduced homeostatic mechanisms
Impaired immunological response
, All of the above - ✔✔The major impact of the physiological changes that occur with
aging is:
✔✔Basal cell carcinoma - ✔✔A smooth round nodule with a pearly gray border and
central induration best describes which skin lesion
✔✔Irritable bowel syndrome - ✔✔A 20-year-old engineering student complains of
episodes of abdominal discomfort, bloating, and episodes of diarrhea. The symptoms
usually occur after eating, and pain is frequently relieved with bowel movement. She is
on a "celiac diet" and the episodic symptoms persist. Physical examination and
diagnostic tests are negative. Colonoscopy is negative for any abnormalities. This is a
history and physical consistent with:
✔✔Cystocele
Overactive bladder
Uterine prolapse
All of the above - ✔✔Which of the following disorders can cause urinary incontinence
✔✔Misoprostol (Cytotec) - ✔✔Which of the following drugs would be useful for the
nurse practitioner to prescribe for an older adult to prevent gastric ulcers when a
nonsteroidal anti-inflammatory drug is used for chronic pain management
✔✔Long-acting beta agonist usage - ✔✔Which of the following details are NOT
considered while staging asthma
✔✔100-pack years - ✔✔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
✔✔Rising BUN level with normal creatinine level - ✔✔A clinical clue for suspected renal
artery stenosis would be
✔✔Aortic stenosis - ✔✔What is the most common valvular heart disease in the older
adult
✔✔Inhibited or induced by drugs - ✔✔The cytochrome p system involves enzymes that
are generally
✔✔Decreased lower esophageal sphincter tone - ✔✔Which of the following is the most
common cause of heartburn-type epigastric pain?
✔✔Bowel Obstruction - ✔✔A nurse practitioner reports that your patient's abdominal X-
ray demonstrates multiple air-fluid levels in the bowel. This is a diagnostic finding found
in
ANSWERS GRADED A+
✔✔Herpes zoster - ✔✔Which lesions are typically located along the distribution of
dermatome?
✔✔ACE inhibitor - ✔✔Which of the following medications are commonly associated with
the side effect of cough?
✔✔Recognize this as a normal finding that requires periodic follow up - ✔✔On DRE,
you note that a 45-year-old patient has a firm, smooth, non-tender but asymmetrically
shaped prostate. The patient has no symptoms and has a normal urinalysis. The
patient's PSA is within normal limits for the patient's age. The clinician should:
✔✔Venous insufficiency - ✔✔Your patient complains of a feeling of heaviness in the
lower legs daily. You note varicosities, edema, and dusky color of both ankles and feet.
Which of the following is the most likely cause for these symptoms
✔✔Conjunctivitis - ✔✔The most common cause of eye redness is:
✔✔The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis -
✔✔The aging process causes what normal physiological changes in the heart?
✔✔tension headaches - ✔✔Ms. Smith, 37-year-old, comes to the clinic today
complaining of dull, throbbing bilateral headaches almost every evening. You suspect
she is experiencing
✔✔Esophageal varices - ✔✔A 59-year-old patient with history of alcohol abuse comes
to your office because of 'throwing up blood". On physical examination, you note ascites
and caput medusa. A likely cause for the hematemesis is
✔✔Pleural effusion on chest X-ray - ✔✔Which of the following is considered a "red flag"
when diagnosing a patient with pneumonia?
✔✔Colon cancer - ✔✔Your patient complains of lower abdominal pain, anorexia,
extreme fatigue, unintentional weight loss of 10 pounds in last 3 weeks, and you find a
positive hemoccult on digital rectal examination. Laboratory tests show iron deficiency
anemia. The clinician needs to consider
✔✔Ménière's disease - ✔✔You have a patient complaining of vertigo and want to know
what could be the cause. Knowing there are many causes for vertigo, you question the
length of time the sensation lasts. She tells you several hours to days and is
accompanied by tinnitus and hearing loss. You suspect which of the following conditions
,✔✔Leukoplakia - ✔✔In examining the mouth of an older adult with a history of smoking,
the nurse practitioner finds a suspicious oral lesion. The patient has been referred for a
biopsy to be sent for pathology. Which is the most common oral precancerous lesion
✔✔8 weeks or more - ✔✔A cough is described as chronic if it has been present for
✔✔Visual acuity - ✔✔The first assessment to complete related to the eyes is
✔✔A score of 0-2 is a positive screen for dementia - ✔✔The Mini-Cog is a short
screening tool used to assess cognition. Which of the following statements pertaining to
the test is a true statement
✔✔Transmit the disorder to 50% of her offspring (male or female) - ✔✔A woman with
an X-linked dominant disorder will
✔✔Tuberculosis - ✔✔Your patient has just returned from a 6-month missionary trip to
Southeast Asia. He reports unremitting cough, hemoptysis, and an unintentional weight
loss of 10 pounds over the last month. These symptoms should prompt the clinician to
suspect
✔✔Grossly visible corneal defect - ✔✔In assessing the eyes, which of the following is
considered a "red flag" finding when associated with eye redness
✔✔ASA, ACE/ARB, beta-blocker, aldosterone blockade - ✔✔The best evidence rating
drugs to consider in a post myocardial infarction patient include
✔✔Allergic rhinitis - ✔✔In examination of the nose, the clinician observes gray, pale
mucous membranes with clear, serous discharge. This is most likely indicative of
✔✔History of transient and painless monocular loss of vision - ✔✔Which of the following
findings should trigger an urgent referral to a cardiologist or neurologist
✔✔Pain tends to occur with movement, stretching or palpation - ✔✔Which symptom is
more characteristic of Non-Cardiac chest pain
✔✔ACE inhibitors - ✔✔Aortic regurgitation requires medical treatment for early signs of
CHF with:
✔✔Flat plate of abdomen - ✔✔What test is used to confirm the diagnosis of appendicitis
✔✔Reduced physiological reserve
Reduced homeostatic mechanisms
Impaired immunological response
, All of the above - ✔✔The major impact of the physiological changes that occur with
aging is:
✔✔Basal cell carcinoma - ✔✔A smooth round nodule with a pearly gray border and
central induration best describes which skin lesion
✔✔Irritable bowel syndrome - ✔✔A 20-year-old engineering student complains of
episodes of abdominal discomfort, bloating, and episodes of diarrhea. The symptoms
usually occur after eating, and pain is frequently relieved with bowel movement. She is
on a "celiac diet" and the episodic symptoms persist. Physical examination and
diagnostic tests are negative. Colonoscopy is negative for any abnormalities. This is a
history and physical consistent with:
✔✔Cystocele
Overactive bladder
Uterine prolapse
All of the above - ✔✔Which of the following disorders can cause urinary incontinence
✔✔Misoprostol (Cytotec) - ✔✔Which of the following drugs would be useful for the
nurse practitioner to prescribe for an older adult to prevent gastric ulcers when a
nonsteroidal anti-inflammatory drug is used for chronic pain management
✔✔Long-acting beta agonist usage - ✔✔Which of the following details are NOT
considered while staging asthma
✔✔100-pack years - ✔✔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
✔✔Rising BUN level with normal creatinine level - ✔✔A clinical clue for suspected renal
artery stenosis would be
✔✔Aortic stenosis - ✔✔What is the most common valvular heart disease in the older
adult
✔✔Inhibited or induced by drugs - ✔✔The cytochrome p system involves enzymes that
are generally
✔✔Decreased lower esophageal sphincter tone - ✔✔Which of the following is the most
common cause of heartburn-type epigastric pain?
✔✔Bowel Obstruction - ✔✔A nurse practitioner reports that your patient's abdominal X-
ray demonstrates multiple air-fluid levels in the bowel. This is a diagnostic finding found
in
