NSG 6020 3P Exam – 2026/2027 Edition –
Actual Questions & Verified Correct
Answers
Questions with Step-by-Step Answers | 100% Verified | A+ Graded Review
OVERVIEW :
NSG 6020 3P Exam – 2026/2027 comprehensive review covers primary care across
lifespan. Topics include neurologic red flags, migraine pathophysiology, bipolar
vs ADHD, breast cancer risks, eating disorders, asthma rescue, geriatric adverse
drug effects, hyperandrogenism, synovial joints, digoxin interactions, sinusitis,
peripheral artery disease, heart failure, hepatitis B immunization, tinea capitis,
pernicious anemia, spinal stenosis, HIV progression, pregnancy hemodynamics,
STIs, pharmacology, pediatrics, urology, and preventive care, emphasizing clinical
reasoning, differential diagnosis, safe prescribing, and health promotion for
advanced practice.
Answers are in bold Green, with rationales after.
Question 1: Which headache sign does not warrant an immediate
investigation?
A. aggravated or relieved by change of position
B. precipitated by Valsalva maneuver
C. new onset after age 50
D. relieved with use of common analgesics ✓
Rationale: Pain relieved by common analgesics is typical of benign
primary headache. Red flags requiring workup are positional change,
, Valsalva precipitation, and new onset >50 y/o suggesting secondary
cause.
Question 2: During a migraine, what happens to the cerebral arteries?
A. they constrict
B. they vibrate
C. they pulsate
D. they dilate ✓
Rationale: Migraine headache phase is associated with vasodilation of
cerebral and meningeal vessels with pulsatile pain; initial aura may
have brief vasoconstriction, but the painful phase is dilation.
Question 3: You are evaluating a 15 year old patient for bipolar disorder.
His parents tell you that he has severe mood swings, is easily distracted,
and constantly corrects his teachers. You would have a high suspicion for
bipolar if which symptom was present?
A. he is forgetful
B. he does not complete tasks
C. he blurts out answers in class inappropriately
D. he sleeps less than 4 hours nightly ✓
Rationale: Decreased need for sleep without fatigue is hallmark of
mania/hypomania. Distractibility and impulsivity overlap with ADHD,
but severe mood swings + reduced sleep need points to bipolar.
Question 4: Which risk factor is not associated with breast cancer?
A. use of hormone replacement therapy
B. personal or family history of breast cancer
C. postmenopausal obesity
D. low socioeconomic status ✓
, Rationale: HRT, family history, and postmenopausal obesity increase
estrogen exposure/risk. Low SES is not a risk; higher
SES/nulliparity/late first birth are associated.
Question 5: A 26 year old woman with bulimia is likely to be:
A. not concerned with weight
B. very underweight
C. very overweight
D. of average weight ✓
Rationale: Bulimia nervosa patients are typically normal weight to
slightly overweight due to binge-purge cycle, unlike anorexia with
very low weight, but have intense weight concern.
Question 6: What medication is used to relieve acute wheezing in a
patient with asthma?
A. oral corticosteroid
B. long acting beta agonist
C. inhaled corticosteroid
D. short acting beta agonist ✓
Rationale: SABA (albuterol) provides rapid bronchodilation for acute
bronchospasm. Inhaled/oral steroids and LABA are controllers, not
rescue.
Question 7: You are evaluating an 80 year old patient for recent episodes
of incontinence and confusion. His family states that this is unusual for
him and he has become increasingly forgetful over the past two weeks.
Which medication might be responsible for this?
A. Coumadin (warfarin)
B. Vitamin B-12
C. Altace (ramipril)
D. Tagamet (cimetidine) ✓
Actual Questions & Verified Correct
Answers
Questions with Step-by-Step Answers | 100% Verified | A+ Graded Review
OVERVIEW :
NSG 6020 3P Exam – 2026/2027 comprehensive review covers primary care across
lifespan. Topics include neurologic red flags, migraine pathophysiology, bipolar
vs ADHD, breast cancer risks, eating disorders, asthma rescue, geriatric adverse
drug effects, hyperandrogenism, synovial joints, digoxin interactions, sinusitis,
peripheral artery disease, heart failure, hepatitis B immunization, tinea capitis,
pernicious anemia, spinal stenosis, HIV progression, pregnancy hemodynamics,
STIs, pharmacology, pediatrics, urology, and preventive care, emphasizing clinical
reasoning, differential diagnosis, safe prescribing, and health promotion for
advanced practice.
Answers are in bold Green, with rationales after.
Question 1: Which headache sign does not warrant an immediate
investigation?
A. aggravated or relieved by change of position
B. precipitated by Valsalva maneuver
C. new onset after age 50
D. relieved with use of common analgesics ✓
Rationale: Pain relieved by common analgesics is typical of benign
primary headache. Red flags requiring workup are positional change,
, Valsalva precipitation, and new onset >50 y/o suggesting secondary
cause.
Question 2: During a migraine, what happens to the cerebral arteries?
A. they constrict
B. they vibrate
C. they pulsate
D. they dilate ✓
Rationale: Migraine headache phase is associated with vasodilation of
cerebral and meningeal vessels with pulsatile pain; initial aura may
have brief vasoconstriction, but the painful phase is dilation.
Question 3: You are evaluating a 15 year old patient for bipolar disorder.
His parents tell you that he has severe mood swings, is easily distracted,
and constantly corrects his teachers. You would have a high suspicion for
bipolar if which symptom was present?
A. he is forgetful
B. he does not complete tasks
C. he blurts out answers in class inappropriately
D. he sleeps less than 4 hours nightly ✓
Rationale: Decreased need for sleep without fatigue is hallmark of
mania/hypomania. Distractibility and impulsivity overlap with ADHD,
but severe mood swings + reduced sleep need points to bipolar.
Question 4: Which risk factor is not associated with breast cancer?
A. use of hormone replacement therapy
B. personal or family history of breast cancer
C. postmenopausal obesity
D. low socioeconomic status ✓
, Rationale: HRT, family history, and postmenopausal obesity increase
estrogen exposure/risk. Low SES is not a risk; higher
SES/nulliparity/late first birth are associated.
Question 5: A 26 year old woman with bulimia is likely to be:
A. not concerned with weight
B. very underweight
C. very overweight
D. of average weight ✓
Rationale: Bulimia nervosa patients are typically normal weight to
slightly overweight due to binge-purge cycle, unlike anorexia with
very low weight, but have intense weight concern.
Question 6: What medication is used to relieve acute wheezing in a
patient with asthma?
A. oral corticosteroid
B. long acting beta agonist
C. inhaled corticosteroid
D. short acting beta agonist ✓
Rationale: SABA (albuterol) provides rapid bronchodilation for acute
bronchospasm. Inhaled/oral steroids and LABA are controllers, not
rescue.
Question 7: You are evaluating an 80 year old patient for recent episodes
of incontinence and confusion. His family states that this is unusual for
him and he has become increasingly forgetful over the past two weeks.
Which medication might be responsible for this?
A. Coumadin (warfarin)
B. Vitamin B-12
C. Altace (ramipril)
D. Tagamet (cimetidine) ✓
