NSG 5544 Final Question and Answers
A+ Guaranteed/ Update 2026
1. When considering how to phrase your documentation all of the following are examples
of acceptable phrasing EXCEPT - ANSWER lungs auscultated
2. Jane is an NP who observes a raised rash on the backs of her patient's knees covering an
area greater than 1 cm. She charts these solid bumps as - ANSWER papules
3. A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a
regular skin check-up. She has just returned from her annual dig site in Greece. She has
fair skin and reddish-blonde hair. She has a family history of melanoma. She has many
freckles scattered across her skin. From this description, which of the following is not a
risk factor for melanoma in this patient? - ANSWER female
4. A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in
the hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to be
on the ventilator for 3 weeks. You are completing your initial assessment and are
evaluating her skin condition. On her sacrum there is full-thickness skin loss that is 5 cm
in diameter, with damage to the subcutaneous tissue. The underlying muscle is not
affected. You diagnose this as a pressure ulcer. What is the stage of this ulcer? -
ANSWER stage 3
5. A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper
chest. The lesion appears to be stuck on, and is oval, brown, and slightly elevated with a
flat surface. It has a rough, wartlike (verrucous) texture on palpation. What type of skin
lesion does this description most likely resemble? - ANSWER Seborrheic keratosis
6. Rhonda is seeing a patient that just came back from the beach for spring break and has
a rash on her thighs. Started after the last day while she was laying in the sun. A cursory
1
, exam of her thigh and the rash looks like a hand print. All of the following are important
questions to ask, EXCEPT: - ANSWER Did you see any sand fleas?
7. You are examining an unconscious patient from another region and notice Beau's lines,
a transverse groove across all of her nails, about 1 cm from the proximal nail fold. What
would you do next? - ANSWER Look for information from family and records regarding
any problems which occurred 3 months ago.
8. Mrs. Anderson presents with an itchy raised, rash which is also anular and appears in
various locations. Each lesion lasts for many minutes. What most likely accounts for this
rash? - ANSWER Urticaria, or hives
9. When documenting the physical examination findings of a skin lesion, what is the best
answer for capturing the appropriate characteristics (using specific terminology in the
description): - ANSWER The number, size, color, shape, texture, primary lesion, location
and configuration
10. In assessing a 70-year-old man, the nurse finds the following: blood pressure 140/100
mm Hg; heart rate 104 and slightly irregular; split S2. Which of these findings can be
explained by expected hemodynamic changes related to age? - ANSWER Increase in
systolic blood pressure
11. A 25-year-old woman in her fifth month of pregnancy has a blood pressure of 100/70
mm Hg. In reviewing her previous exam, the nurse notes that her blood pressure in her
second month was 124/80 mm Hg. In evaluating this change, what does the nurse know
to be true? - ANSWER This is the result of peripheral vasodilatation and is an expected
change.
12. The findings from an assessment of a 70-year-old patient with swelling in his ankles
include jugular venous pulsations 5 cm above the sternal angle when the head of his bed
is elevated 45 degrees. The nurse knows that this finding indicates: - ANSWER elevated
pressure related to heart failure.
2
, 13. A 70-year-old patient with a history of hypertension has a blood pressure of 180/100
mm Hg and a heart rate of 90 beats per minute. The nurse hears an extra heart sound at
the apex immediately before S1. The sound is heard only with the bell while the patient
is in the left lateral position. With these findings and the patient's history, the nurse
knows that this extra heart sound is most likely a(n): - ANSWER atrial gallop.
14. In assessing for an S4 heart sound with a stethoscope, the nurse would listen with the: -
ANSWER bell at the apex with the patient in the left lateral position.
15. During an assessment of a 68-year-old man with a recent onset of right-sided weakness,
the nurse hears a blowing, swishing sound with the bell of the stethoscope over the left
carotid artery. This finding would indicate: - ANSWER blood flow turbulence.
16. When assessing a newborn infant who is 5 minutes old, the nurse knows that which of
these statements would be true? - ANSWER There is an opening in the atrial septum
where blood can flow into the left side of the heart.
17. The mother of a 3-month-old infant states that her baby has not been gaining weight.
With further questioning, the nurse finds that the infant falls asleep after nursing and
wakes up after a short amount of time, hungry again. What other information would the
nurse want to have? - ANSWER Presence of dyspnea or diaphoresis when sucking
18. Which of these findings would the nurse expect to notice during a cardiac assessment on
a 4-year-old child? - ANSWER Murmur at second left intercostal space when supine
19. When listening to heart sounds, the nurse knows that S1: - ANSWER coincides with the
carotid artery pulse.
20. You are obtaining an arterial blood gas in the radial artery on a retired cab driver who
has been hospitalized in the intensive care unit for a stroke. You are concerned about the
3
, possibility of arterial insufficiency. You perform the Allen test. This means that you: -
ANSWER Checked for patency of the ulnar artery
21. A 72-year-old teacher comes to your clinic for an annual examination. She is concerned
about her risk for peripheral vascular disease and states that there is a place in town
that does tests to let her know her if she has this or not. Which of the following disease
processes is a risk factor for peripheral vascular disease? - ANSWER Coronary artery
disease
22. A 77-year-old retired nurse has an ulcer on a lower extremity that you are asked to
evaluate when you do your weekly rounds at a local long-term care facility. All of the
following are responsible for causing ulcers in the lower extremities except for which
condition? - ANSWER Hypertension
23. amenorrhea - ANSWER Primary -Failure to menstruate by age 16. Secondary-absence of
menstruation for three or more consecutive months in females who have achieved
menarche
24. endometriosis - ANSWER Painful, chronic disease. Management.-no cure, NSAIDs, oral,
contraceptive, pills, hormonal therapy, laparoscopy
25. Leiomyomas (uterine fibroids) - ANSWER Benign, small, a symptomatic tumors that arise
from smooth muscle cells in the myometrium. Risk factors.-not a parody, age between
30 and 50, obesity, and sedentary lifestyle.
26. Pre-cancerous lesions, and cancer of the cervix - ANSWER HPV supports the development
of pre-malignant cervical lesions. Risk factors.-early intercourse, early child bearing,
history of multiple sex partners.
4
A+ Guaranteed/ Update 2026
1. When considering how to phrase your documentation all of the following are examples
of acceptable phrasing EXCEPT - ANSWER lungs auscultated
2. Jane is an NP who observes a raised rash on the backs of her patient's knees covering an
area greater than 1 cm. She charts these solid bumps as - ANSWER papules
3. A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a
regular skin check-up. She has just returned from her annual dig site in Greece. She has
fair skin and reddish-blonde hair. She has a family history of melanoma. She has many
freckles scattered across her skin. From this description, which of the following is not a
risk factor for melanoma in this patient? - ANSWER female
4. A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in
the hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to be
on the ventilator for 3 weeks. You are completing your initial assessment and are
evaluating her skin condition. On her sacrum there is full-thickness skin loss that is 5 cm
in diameter, with damage to the subcutaneous tissue. The underlying muscle is not
affected. You diagnose this as a pressure ulcer. What is the stage of this ulcer? -
ANSWER stage 3
5. A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper
chest. The lesion appears to be stuck on, and is oval, brown, and slightly elevated with a
flat surface. It has a rough, wartlike (verrucous) texture on palpation. What type of skin
lesion does this description most likely resemble? - ANSWER Seborrheic keratosis
6. Rhonda is seeing a patient that just came back from the beach for spring break and has
a rash on her thighs. Started after the last day while she was laying in the sun. A cursory
1
, exam of her thigh and the rash looks like a hand print. All of the following are important
questions to ask, EXCEPT: - ANSWER Did you see any sand fleas?
7. You are examining an unconscious patient from another region and notice Beau's lines,
a transverse groove across all of her nails, about 1 cm from the proximal nail fold. What
would you do next? - ANSWER Look for information from family and records regarding
any problems which occurred 3 months ago.
8. Mrs. Anderson presents with an itchy raised, rash which is also anular and appears in
various locations. Each lesion lasts for many minutes. What most likely accounts for this
rash? - ANSWER Urticaria, or hives
9. When documenting the physical examination findings of a skin lesion, what is the best
answer for capturing the appropriate characteristics (using specific terminology in the
description): - ANSWER The number, size, color, shape, texture, primary lesion, location
and configuration
10. In assessing a 70-year-old man, the nurse finds the following: blood pressure 140/100
mm Hg; heart rate 104 and slightly irregular; split S2. Which of these findings can be
explained by expected hemodynamic changes related to age? - ANSWER Increase in
systolic blood pressure
11. A 25-year-old woman in her fifth month of pregnancy has a blood pressure of 100/70
mm Hg. In reviewing her previous exam, the nurse notes that her blood pressure in her
second month was 124/80 mm Hg. In evaluating this change, what does the nurse know
to be true? - ANSWER This is the result of peripheral vasodilatation and is an expected
change.
12. The findings from an assessment of a 70-year-old patient with swelling in his ankles
include jugular venous pulsations 5 cm above the sternal angle when the head of his bed
is elevated 45 degrees. The nurse knows that this finding indicates: - ANSWER elevated
pressure related to heart failure.
2
, 13. A 70-year-old patient with a history of hypertension has a blood pressure of 180/100
mm Hg and a heart rate of 90 beats per minute. The nurse hears an extra heart sound at
the apex immediately before S1. The sound is heard only with the bell while the patient
is in the left lateral position. With these findings and the patient's history, the nurse
knows that this extra heart sound is most likely a(n): - ANSWER atrial gallop.
14. In assessing for an S4 heart sound with a stethoscope, the nurse would listen with the: -
ANSWER bell at the apex with the patient in the left lateral position.
15. During an assessment of a 68-year-old man with a recent onset of right-sided weakness,
the nurse hears a blowing, swishing sound with the bell of the stethoscope over the left
carotid artery. This finding would indicate: - ANSWER blood flow turbulence.
16. When assessing a newborn infant who is 5 minutes old, the nurse knows that which of
these statements would be true? - ANSWER There is an opening in the atrial septum
where blood can flow into the left side of the heart.
17. The mother of a 3-month-old infant states that her baby has not been gaining weight.
With further questioning, the nurse finds that the infant falls asleep after nursing and
wakes up after a short amount of time, hungry again. What other information would the
nurse want to have? - ANSWER Presence of dyspnea or diaphoresis when sucking
18. Which of these findings would the nurse expect to notice during a cardiac assessment on
a 4-year-old child? - ANSWER Murmur at second left intercostal space when supine
19. When listening to heart sounds, the nurse knows that S1: - ANSWER coincides with the
carotid artery pulse.
20. You are obtaining an arterial blood gas in the radial artery on a retired cab driver who
has been hospitalized in the intensive care unit for a stroke. You are concerned about the
3
, possibility of arterial insufficiency. You perform the Allen test. This means that you: -
ANSWER Checked for patency of the ulnar artery
21. A 72-year-old teacher comes to your clinic for an annual examination. She is concerned
about her risk for peripheral vascular disease and states that there is a place in town
that does tests to let her know her if she has this or not. Which of the following disease
processes is a risk factor for peripheral vascular disease? - ANSWER Coronary artery
disease
22. A 77-year-old retired nurse has an ulcer on a lower extremity that you are asked to
evaluate when you do your weekly rounds at a local long-term care facility. All of the
following are responsible for causing ulcers in the lower extremities except for which
condition? - ANSWER Hypertension
23. amenorrhea - ANSWER Primary -Failure to menstruate by age 16. Secondary-absence of
menstruation for three or more consecutive months in females who have achieved
menarche
24. endometriosis - ANSWER Painful, chronic disease. Management.-no cure, NSAIDs, oral,
contraceptive, pills, hormonal therapy, laparoscopy
25. Leiomyomas (uterine fibroids) - ANSWER Benign, small, a symptomatic tumors that arise
from smooth muscle cells in the myometrium. Risk factors.-not a parody, age between
30 and 50, obesity, and sedentary lifestyle.
26. Pre-cancerous lesions, and cancer of the cervix - ANSWER HPV supports the development
of pre-malignant cervical lesions. Risk factors.-early intercourse, early child bearing,
history of multiple sex partners.
4
