NSG 6020 3P /APPROVED NSG 6020 3P EXAM TEST
BANK 2026/2027 COMPREHENSIVE PRACTICE
QUESTIONS AND STUDY GUIDE ACCURATE EXAM
COMPLETE REAL QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (RELIABLE SOLUTIONS)
CURRENTLY UPDATED VERSION 2026 EDITION
A 62-year-old male presents with leg pain that
worsens with ambulation and improves with lumbar
flexion. Which diagnosis is most likely?
A) Peripheral artery disease
B) Spinal stenosis
C) Bursitis
D) Ankylosing spondylitis
Answer: B) Spinal stenosis
Rationale: Spinal stenosis presents with neurogenic
claudication—pain worsened by walking and
relieved by leaning forward or sitting (lumbar
flexion), which increases spinal canal diameter and
reduces nerve compression. This differentiates it
from vascular claudication (peripheral artery
1|Page
,disease), which worsens with elevation and
improves with dependency .
Question 2
During a migraine headache, what
pathophysiological change occurs in the cerebral
arteries?
A) Dilation and vasodilation
B) Constriction and vasospasm
C) No significant change
D) Alternating constriction and dilation
Answer: B) Constriction and vasospasm
Rationale: Cerebral arteries typically constrict
during the aura phase of a migraine. This
vasoconstriction is followed by reactive vasodilation
and neurogenic inflammation, contributing to the
headache phase. Understanding this mechanism is
crucial for appropriate pharmacologic intervention .
Question 3
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,A 15-year-old patient presents with impulsive
behavior, inappropriate blurting of answers in class,
and mood lability. Which condition should the
clinician suspect?
A) Attention deficit hyperactivity disorder
B) Bipolar disorder
C) Oppositional defiant disorder
D) Generalized anxiety disorder
Answer: B) Bipolar disorder
Rationale: In adolescents, bipolar disorder may
present with impulsivity, inappropriate responses,
mood instability, and disruptive behavior. Blurting
out answers inappropriately can indicate pressured
speech or impaired impulse control associated with
manic or hypomanic episodes .
Question 4
Which finding is NOT associated with increased
breast cancer risk?
3|Page
, A) Family history of breast cancer
B) Early menarche
C) Low socioeconomic status
D) Nulliparity
Answer: C) Low socioeconomic status
Rationale: Low socioeconomic status is not
independently associated with breast cancer risk.
Established risk factors include family history, early
menarche, late menopause, nulliparity, BRCA gene
mutations, and hormone replacement therapy use .
Question 5
A 26-year-old woman with bulimia nervosa is most
likely to present with which weight status?
A) Significantly underweight
B) Normal weight or slightly overweight
C) Severely obese
D) Extremely underweight
Answer: B) Normal weight or slightly overweight
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BANK 2026/2027 COMPREHENSIVE PRACTICE
QUESTIONS AND STUDY GUIDE ACCURATE EXAM
COMPLETE REAL QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (RELIABLE SOLUTIONS)
CURRENTLY UPDATED VERSION 2026 EDITION
A 62-year-old male presents with leg pain that
worsens with ambulation and improves with lumbar
flexion. Which diagnosis is most likely?
A) Peripheral artery disease
B) Spinal stenosis
C) Bursitis
D) Ankylosing spondylitis
Answer: B) Spinal stenosis
Rationale: Spinal stenosis presents with neurogenic
claudication—pain worsened by walking and
relieved by leaning forward or sitting (lumbar
flexion), which increases spinal canal diameter and
reduces nerve compression. This differentiates it
from vascular claudication (peripheral artery
1|Page
,disease), which worsens with elevation and
improves with dependency .
Question 2
During a migraine headache, what
pathophysiological change occurs in the cerebral
arteries?
A) Dilation and vasodilation
B) Constriction and vasospasm
C) No significant change
D) Alternating constriction and dilation
Answer: B) Constriction and vasospasm
Rationale: Cerebral arteries typically constrict
during the aura phase of a migraine. This
vasoconstriction is followed by reactive vasodilation
and neurogenic inflammation, contributing to the
headache phase. Understanding this mechanism is
crucial for appropriate pharmacologic intervention .
Question 3
2|Page
,A 15-year-old patient presents with impulsive
behavior, inappropriate blurting of answers in class,
and mood lability. Which condition should the
clinician suspect?
A) Attention deficit hyperactivity disorder
B) Bipolar disorder
C) Oppositional defiant disorder
D) Generalized anxiety disorder
Answer: B) Bipolar disorder
Rationale: In adolescents, bipolar disorder may
present with impulsivity, inappropriate responses,
mood instability, and disruptive behavior. Blurting
out answers inappropriately can indicate pressured
speech or impaired impulse control associated with
manic or hypomanic episodes .
Question 4
Which finding is NOT associated with increased
breast cancer risk?
3|Page
, A) Family history of breast cancer
B) Early menarche
C) Low socioeconomic status
D) Nulliparity
Answer: C) Low socioeconomic status
Rationale: Low socioeconomic status is not
independently associated with breast cancer risk.
Established risk factors include family history, early
menarche, late menopause, nulliparity, BRCA gene
mutations, and hormone replacement therapy use .
Question 5
A 26-year-old woman with bulimia nervosa is most
likely to present with which weight status?
A) Significantly underweight
B) Normal weight or slightly overweight
C) Severely obese
D) Extremely underweight
Answer: B) Normal weight or slightly overweight
4|Page
