NSG 6440 Practice Test with Complete
Solution 2025
The ,most ,cost-effective ,screening ,test ,for ,determining ,HIV ,status ,is ,which ,of
,the ,following?
Western ,blot
Enzyme-linked ,immunosorbent ,assay ,
Venereal ,Disease ,Research ,Laboratory ,test ,Viral ,load ,- ,CORRECT ,ANSWER-
Enzyme-linked ,immunosorbent ,assay
Which ,blood ,test ,is ,a ,nonspecific ,method ,and ,most ,helpful
for ,evaluating ,the ,severity ,and ,course ,of ,an ,inflammatory ,process?
Erythrocyte ,sedimentation ,rate
White ,blood ,cell ,count ,Polymorphonuclear ,cells
C-reactive ,protein ,(CRP) ,- ,CORRECT ,ANSWER-C-reactive ,protein ,(CRP)
Cocaine ,acts ,as ,a ,stimulant ,by ,blocking ,the ,reuptake ,of
which ,neurotransmitter?
GABA ,
Acetylcholine ,
Dopamine ,
Serotonin ,- ,CORRECT ,ANSWER-Dopamine
Mrs. ,Thomas ,was ,seen ,in ,the ,office ,complaining ,of ,pain ,and
point ,tenderness ,in ,the ,area ,of ,her ,elbow. ,The ,pain ,has ,increased ,following ,a
,day ,of ,gardening ,one ,week ,ago. ,A ,physical ,finding ,that ,differentiates ,the
,diagnosis ,and ,is ,most ,consistent ,with ,lateral ,epicondylitis ,(tennis ,elbow) ,is:
,Ecchymosis, ,edema, ,and ,erythema ,over ,the ,lateral ,epicondyle
,Pain ,at ,the ,elbow ,with ,resisted ,movements ,at ,the ,wrist ,and ,forearm
Inability ,to ,supinate ,and ,pronate ,the ,arm
,Inability ,to ,flex ,or ,extend ,the ,elbow ,against ,resistance ,- ,CORRECT ,ANSWER-
Pain ,at ,the ,elbow ,with ,resisted ,movements ,at ,the ,wrist ,and ,forearm
Which ,of ,the ,following ,statements ,concerning ,the
musculoskeletal ,examination ,is ,true?
,The ,uninvolved ,side ,should ,be ,examined ,initially ,and ,then ,compared ,to ,the
,involved ,side.
,The ,part ,of ,the ,body ,that ,is ,causing ,the ,patient ,pain ,should ,be ,examined ,first.
,When ,possible, ,the ,patient ,should ,not ,be ,asked ,to ,perform ,active ,range-of-
motion ,(ROM) ,exercises ,to ,avoid ,causing ,pain.
,Radiographs ,should ,always ,be ,obtained ,prior ,to ,examination ,so ,as ,not ,to
,cause ,further ,injury ,to ,the ,patient. ,- ,CORRECT ,ANSWER-The ,uninvolved ,side
,should ,be ,examined ,initially ,and ,then ,compared ,to ,the ,involved ,side.
Which ,of ,the ,following ,signs ,or ,symptoms ,indicate ,an
,
inflammatory ,etiology ,to ,musculoskeletal ,pain?
Decreased ,C-reactive ,protein
Hyperalbuminemia ,
Morning ,stiffness ,
Weight ,gain ,- ,CORRECT ,ANSWER-Morning ,stiffness
Which ,causes ,the ,greatest ,percentage ,of ,mammalian ,bites?
,Dogs ,
Cats
Humans ,
Rodents ,- ,CORRECT ,ANSWER-Dogs
A ,48-year-old ,woman ,is ,seen ,in ,the ,clinic ,with ,complaints ,of
prolonged ,heavy ,menstrual ,periods. ,She ,is ,pale ,and ,states ,she ,can ,no ,longer
,exercise. ,Pelvic ,exam ,reveals ,a ,single, ,very ,large ,mass. ,Which ,of ,the ,following
,diagnostic ,tests ,should ,the ,clinician ,order ,first?
Transvaginal ,ultrasound
Endometrial ,biopsy ,MRI
Abdominal ,computed ,tomography ,scan ,- ,CORRECT ,ANSWER-Transvaginal
,ultrasound
A ,diabetic ,patient ,asks ,the ,clinician ,why ,he ,needs ,to ,check
his ,blood ,sugar ,at ,home ,even ,when ,he ,feels ,good. ,Which ,of ,the ,following
,responses ,would ,be ,most ,appropriate?
,,"Control ,of ,glucose ,will ,help ,postpone ,or ,delay
complications."
,"Regularly ,checking ,blood ,sugar ,will ,help ,establish ,a ,routine."
"Monitoring ,glucose ,will ,promote ,a ,sense ,of ,control." ,
All ,of ,the ,above ,- ,CORRECT ,ANSWER-All ,of ,the ,above
,"Control ,of ,glucose ,will ,help ,postpone ,or ,delay
complications."
,"Regularly ,checking ,blood ,sugar ,will ,help ,establish ,a ,routine."
"Monitoring ,glucose ,will ,promote ,a ,sense ,of ,control."
A ,25-year-old ,patient ,presents ,to ,the ,clinic ,with ,fatigue, ,cold
,
intolerance, ,weight ,gain, ,and ,constipation ,for ,the ,past ,3 ,months. ,On ,physical
,examination, ,the ,clinician ,notices ,a ,sinus ,bradycardia; ,muscular ,stiffness;
,coarse, ,dry ,hair; ,and ,a ,delay ,in ,relaxation ,in ,deep ,tendon ,reflexes. ,Which ,of
,the ,following ,tests ,should ,be ,ordered ,next?
Serum ,calcium ,
TSH
Electrolytes
Urine ,specific ,gravity ,- ,CORRECT ,ANSWER-TSH
Which ,of ,the ,following ,medications ,for ,type ,2 ,diabetes
mellitus ,should ,not ,be ,prescribed ,during ,pregnancy?
Insulin ,
Metformin ,
Glucotrol
Precose ,- ,CORRECT ,ANSWER-Glucotrol
During ,a ,DRE ,on ,a ,75-year-old ,man, ,the ,clinician ,suspects
the ,patient ,has ,prostate ,cancer. ,What ,physical ,finding ,should ,make ,the
,clinician ,suspicious?
An ,enlarged ,rubbery ,gland
A ,hard ,irregular ,gland ,
A ,tender ,gland
A ,boggy ,gland ,- ,CORRECT ,ANSWER-An ,enlarged ,rubbery ,gland
Eddie, ,age ,4, ,presents ,to ,the ,ED ,with ,a ,live ,insect ,trapped ,in
, his ,ear ,canal ,causing ,a ,lot ,of ,distress. ,What ,should ,be ,your ,first ,step?
Remove ,the ,insect ,with ,tweezers.
Immobilize ,the ,insect ,with ,2% ,lidocaine. ,
Sedate ,Eddie ,with ,diazepam.
Shine ,a ,light ,in ,the ,ear ,for ,the ,insect ,to ,"find ,its ,way ,out." ,- ,CORRECT
,ANSWER-Immobilize ,the ,insect ,with ,2% ,lidocaine.
What ,is ,the ,most ,common ,cause ,of ,microcytic ,anemia?
Anemia ,of ,chronic ,disease
Sideroblastic ,anemia ,
Iron-deficiency ,anemia ,Thalassemia ,- ,CORRECT ,ANSWER-Iron-deficiency
,anemia
An ,82-year-old ,man ,is ,seen ,in ,the ,primary ,care ,office ,with
complaints ,of ,dribbling ,urine ,and ,difficulty ,starting ,his ,stream. ,Which ,of ,the
,following ,should ,be ,included ,in ,the ,list ,of ,differential ,diagnoses?
Benign ,prostatic ,hyperplasia ,(BPH)
Parkinson's ,disease ,Prostate ,cancer
All ,of ,the ,above ,- ,CORRECT ,ANSWER-All ,of ,the ,above
Early ,rheumatoid ,disease ,is ,characterized ,by:
Pain ,and ,swelling ,in ,both ,small ,and ,large ,peripheral ,joints
Rigid ,joints ,with ,diminished ,range ,of ,motion ,
Joint ,swelling ,and ,immobility ,on ,rising
A ,cardiac ,rub ,or ,pulmonary ,friction ,rub ,- ,CORRECT ,ANSWER-Joint ,swelling
,and ,immobility ,on ,rising
A ,70-year-old ,female ,has ,fallen ,2 ,weeks ,ago ,and ,developed
immediate ,pain ,in ,her ,left ,wrist. ,She ,thought ,she ,just ,bruised ,it ,but ,is ,worried
,because ,it ,has ,not ,improved. ,She ,has ,used ,Tylenol® ,and ,ice ,at ,home, ,and ,that
,has ,helped ,slightly. ,You ,examine ,her ,and ,find ,she ,has ,moderate ,swelling ,and
,ecchymosis ,but ,no ,overtly ,obvious ,deformity. ,Her ,ROM ,is ,uncomfortable ,and
,severely ,diminished ,due ,to ,the ,pain. ,No ,crepitus ,is ,heard ,or ,felt. ,Her ,fingers
,are ,warm; ,her ,pulse ,is ,strong; ,and ,capillary ,refill ,is ,less ,than ,2 ,seconds. ,What
,should ,you ,do?
Solution 2025
The ,most ,cost-effective ,screening ,test ,for ,determining ,HIV ,status ,is ,which ,of
,the ,following?
Western ,blot
Enzyme-linked ,immunosorbent ,assay ,
Venereal ,Disease ,Research ,Laboratory ,test ,Viral ,load ,- ,CORRECT ,ANSWER-
Enzyme-linked ,immunosorbent ,assay
Which ,blood ,test ,is ,a ,nonspecific ,method ,and ,most ,helpful
for ,evaluating ,the ,severity ,and ,course ,of ,an ,inflammatory ,process?
Erythrocyte ,sedimentation ,rate
White ,blood ,cell ,count ,Polymorphonuclear ,cells
C-reactive ,protein ,(CRP) ,- ,CORRECT ,ANSWER-C-reactive ,protein ,(CRP)
Cocaine ,acts ,as ,a ,stimulant ,by ,blocking ,the ,reuptake ,of
which ,neurotransmitter?
GABA ,
Acetylcholine ,
Dopamine ,
Serotonin ,- ,CORRECT ,ANSWER-Dopamine
Mrs. ,Thomas ,was ,seen ,in ,the ,office ,complaining ,of ,pain ,and
point ,tenderness ,in ,the ,area ,of ,her ,elbow. ,The ,pain ,has ,increased ,following ,a
,day ,of ,gardening ,one ,week ,ago. ,A ,physical ,finding ,that ,differentiates ,the
,diagnosis ,and ,is ,most ,consistent ,with ,lateral ,epicondylitis ,(tennis ,elbow) ,is:
,Ecchymosis, ,edema, ,and ,erythema ,over ,the ,lateral ,epicondyle
,Pain ,at ,the ,elbow ,with ,resisted ,movements ,at ,the ,wrist ,and ,forearm
Inability ,to ,supinate ,and ,pronate ,the ,arm
,Inability ,to ,flex ,or ,extend ,the ,elbow ,against ,resistance ,- ,CORRECT ,ANSWER-
Pain ,at ,the ,elbow ,with ,resisted ,movements ,at ,the ,wrist ,and ,forearm
Which ,of ,the ,following ,statements ,concerning ,the
musculoskeletal ,examination ,is ,true?
,The ,uninvolved ,side ,should ,be ,examined ,initially ,and ,then ,compared ,to ,the
,involved ,side.
,The ,part ,of ,the ,body ,that ,is ,causing ,the ,patient ,pain ,should ,be ,examined ,first.
,When ,possible, ,the ,patient ,should ,not ,be ,asked ,to ,perform ,active ,range-of-
motion ,(ROM) ,exercises ,to ,avoid ,causing ,pain.
,Radiographs ,should ,always ,be ,obtained ,prior ,to ,examination ,so ,as ,not ,to
,cause ,further ,injury ,to ,the ,patient. ,- ,CORRECT ,ANSWER-The ,uninvolved ,side
,should ,be ,examined ,initially ,and ,then ,compared ,to ,the ,involved ,side.
Which ,of ,the ,following ,signs ,or ,symptoms ,indicate ,an
,
inflammatory ,etiology ,to ,musculoskeletal ,pain?
Decreased ,C-reactive ,protein
Hyperalbuminemia ,
Morning ,stiffness ,
Weight ,gain ,- ,CORRECT ,ANSWER-Morning ,stiffness
Which ,causes ,the ,greatest ,percentage ,of ,mammalian ,bites?
,Dogs ,
Cats
Humans ,
Rodents ,- ,CORRECT ,ANSWER-Dogs
A ,48-year-old ,woman ,is ,seen ,in ,the ,clinic ,with ,complaints ,of
prolonged ,heavy ,menstrual ,periods. ,She ,is ,pale ,and ,states ,she ,can ,no ,longer
,exercise. ,Pelvic ,exam ,reveals ,a ,single, ,very ,large ,mass. ,Which ,of ,the ,following
,diagnostic ,tests ,should ,the ,clinician ,order ,first?
Transvaginal ,ultrasound
Endometrial ,biopsy ,MRI
Abdominal ,computed ,tomography ,scan ,- ,CORRECT ,ANSWER-Transvaginal
,ultrasound
A ,diabetic ,patient ,asks ,the ,clinician ,why ,he ,needs ,to ,check
his ,blood ,sugar ,at ,home ,even ,when ,he ,feels ,good. ,Which ,of ,the ,following
,responses ,would ,be ,most ,appropriate?
,,"Control ,of ,glucose ,will ,help ,postpone ,or ,delay
complications."
,"Regularly ,checking ,blood ,sugar ,will ,help ,establish ,a ,routine."
"Monitoring ,glucose ,will ,promote ,a ,sense ,of ,control." ,
All ,of ,the ,above ,- ,CORRECT ,ANSWER-All ,of ,the ,above
,"Control ,of ,glucose ,will ,help ,postpone ,or ,delay
complications."
,"Regularly ,checking ,blood ,sugar ,will ,help ,establish ,a ,routine."
"Monitoring ,glucose ,will ,promote ,a ,sense ,of ,control."
A ,25-year-old ,patient ,presents ,to ,the ,clinic ,with ,fatigue, ,cold
,
intolerance, ,weight ,gain, ,and ,constipation ,for ,the ,past ,3 ,months. ,On ,physical
,examination, ,the ,clinician ,notices ,a ,sinus ,bradycardia; ,muscular ,stiffness;
,coarse, ,dry ,hair; ,and ,a ,delay ,in ,relaxation ,in ,deep ,tendon ,reflexes. ,Which ,of
,the ,following ,tests ,should ,be ,ordered ,next?
Serum ,calcium ,
TSH
Electrolytes
Urine ,specific ,gravity ,- ,CORRECT ,ANSWER-TSH
Which ,of ,the ,following ,medications ,for ,type ,2 ,diabetes
mellitus ,should ,not ,be ,prescribed ,during ,pregnancy?
Insulin ,
Metformin ,
Glucotrol
Precose ,- ,CORRECT ,ANSWER-Glucotrol
During ,a ,DRE ,on ,a ,75-year-old ,man, ,the ,clinician ,suspects
the ,patient ,has ,prostate ,cancer. ,What ,physical ,finding ,should ,make ,the
,clinician ,suspicious?
An ,enlarged ,rubbery ,gland
A ,hard ,irregular ,gland ,
A ,tender ,gland
A ,boggy ,gland ,- ,CORRECT ,ANSWER-An ,enlarged ,rubbery ,gland
Eddie, ,age ,4, ,presents ,to ,the ,ED ,with ,a ,live ,insect ,trapped ,in
, his ,ear ,canal ,causing ,a ,lot ,of ,distress. ,What ,should ,be ,your ,first ,step?
Remove ,the ,insect ,with ,tweezers.
Immobilize ,the ,insect ,with ,2% ,lidocaine. ,
Sedate ,Eddie ,with ,diazepam.
Shine ,a ,light ,in ,the ,ear ,for ,the ,insect ,to ,"find ,its ,way ,out." ,- ,CORRECT
,ANSWER-Immobilize ,the ,insect ,with ,2% ,lidocaine.
What ,is ,the ,most ,common ,cause ,of ,microcytic ,anemia?
Anemia ,of ,chronic ,disease
Sideroblastic ,anemia ,
Iron-deficiency ,anemia ,Thalassemia ,- ,CORRECT ,ANSWER-Iron-deficiency
,anemia
An ,82-year-old ,man ,is ,seen ,in ,the ,primary ,care ,office ,with
complaints ,of ,dribbling ,urine ,and ,difficulty ,starting ,his ,stream. ,Which ,of ,the
,following ,should ,be ,included ,in ,the ,list ,of ,differential ,diagnoses?
Benign ,prostatic ,hyperplasia ,(BPH)
Parkinson's ,disease ,Prostate ,cancer
All ,of ,the ,above ,- ,CORRECT ,ANSWER-All ,of ,the ,above
Early ,rheumatoid ,disease ,is ,characterized ,by:
Pain ,and ,swelling ,in ,both ,small ,and ,large ,peripheral ,joints
Rigid ,joints ,with ,diminished ,range ,of ,motion ,
Joint ,swelling ,and ,immobility ,on ,rising
A ,cardiac ,rub ,or ,pulmonary ,friction ,rub ,- ,CORRECT ,ANSWER-Joint ,swelling
,and ,immobility ,on ,rising
A ,70-year-old ,female ,has ,fallen ,2 ,weeks ,ago ,and ,developed
immediate ,pain ,in ,her ,left ,wrist. ,She ,thought ,she ,just ,bruised ,it ,but ,is ,worried
,because ,it ,has ,not ,improved. ,She ,has ,used ,Tylenol® ,and ,ice ,at ,home, ,and ,that
,has ,helped ,slightly. ,You ,examine ,her ,and ,find ,she ,has ,moderate ,swelling ,and
,ecchymosis ,but ,no ,overtly ,obvious ,deformity. ,Her ,ROM ,is ,uncomfortable ,and
,severely ,diminished ,due ,to ,the ,pain. ,No ,crepitus ,is ,heard ,or ,felt. ,Her ,fingers
,are ,warm; ,her ,pulse ,is ,strong; ,and ,capillary ,refill ,is ,less ,than ,2 ,seconds. ,What
,should ,you ,do?
