NSG 6020: Advanced Health
Assessment for Nurse Practitioners
Final Examination – 2026/2027 Update
Official Exam Questions & Accurate
Answer
Graded A+.
QUESTION 1
A 65-year-old patient remarks that she just can't believe that her breasts sag
so much. She states it must be from lack of exercise. What explanation should
the nurse offer her?
ANSWER: After menopause, the glandular and fat tissue atrophies, causing
breast size and elasticity to diminish, resulting in breasts that sag.
QUESTION 2
The mother of a 10-year-old boy asks the nurse to discuss the recognition of
puberty. The nurse should reply by saying:
ANSWER: "The first sign of puberty is enlargement of the testes."
QUESTION 3
A patient has bilateral pitting edema of the feet. While assessing the
peripheral vascular system, the nurse's primary focus should be:
ANSWER: Venous function of the lower extremities
,QUESTION 4
During an examination, the nurse notes severe nystagmus in both eyes of a
patient. Which of the following conclusions is correct?
ANSWER: This may indicate disease of the cerebellum or brainstem.
QUESTION 5
A 43-year-old woman is at the clinic for a routine examination. She reports
that she has had a breast lump in her right breast for years. Recently, it has
begun to change in consistency and is becoming harder. She reports that 5
years ago her physician evaluated the lump and determined that it "was
nothing to worry about." The examination validates the presence of a mass in
the right upper outer quadrant at 1 o'clock, approximately 5 cm from the
nipple. It is firm, mobile, nontender, with borders that are not well defined.
The nurse's recommendation to her is:
ANSWER: "Because of the change in consistency of the lump, it should be
further evaluated by a physician."
QUESTION 6
The nurse practitioner is examining a 3-month-old infant. While holding the
thumbs on the infant's inner-mid-thighs and the fingers outside on the hips,
touching the greater trochanter, the nurse practitioner adducts the legs until
the nurse practitioner's thumbs touch and then abducts the legs until the
infant's knees touch the table. The nurse practitioner does not note any
"clunking" sounds and is confident to record a:
ANSWER: Negative Ortolani's sign.
QUESTION 7
, A patient's mother has noticed that her son, who has been to a new
babysitter, has some blisters and scabs on his face and buttocks. On
examination, the nurse notices moist, thin-roofed vesicles with a thin
erythematous base and suspects:
ANSWER: Impetigo
QUESTION 8
The nurse is testing superficial reflexes on an adult patient. When stroking up
the lateral side of the sole and across the ball of the foot, the nurse notices
the plantar flexion of the toes. How would the nurse document this finding?
ANSWER: Plantar reflex present. (The normal response is plantar flexion of the
toes and sometimes of the whole foot.)
QUESTION 9
A woman is in the family planning clinic seeking birth control information.
She states that her breasts "change all month long" and that she is worried
that this is unusual. What is the nurse's best response?
ANSWER: Tell her that, because of the changing hormones during the monthly
menstrual cycle, cyclic breast changes are common.
QUESTION 10
A patient states during the interview that she noticed a new breast lump in
the shower a few days ago. It was on her left breast near her axilla. The RN
should plan to:
ANSWER: palpate the unaffected breast first
QUESTION 11
Assessment for Nurse Practitioners
Final Examination – 2026/2027 Update
Official Exam Questions & Accurate
Answer
Graded A+.
QUESTION 1
A 65-year-old patient remarks that she just can't believe that her breasts sag
so much. She states it must be from lack of exercise. What explanation should
the nurse offer her?
ANSWER: After menopause, the glandular and fat tissue atrophies, causing
breast size and elasticity to diminish, resulting in breasts that sag.
QUESTION 2
The mother of a 10-year-old boy asks the nurse to discuss the recognition of
puberty. The nurse should reply by saying:
ANSWER: "The first sign of puberty is enlargement of the testes."
QUESTION 3
A patient has bilateral pitting edema of the feet. While assessing the
peripheral vascular system, the nurse's primary focus should be:
ANSWER: Venous function of the lower extremities
,QUESTION 4
During an examination, the nurse notes severe nystagmus in both eyes of a
patient. Which of the following conclusions is correct?
ANSWER: This may indicate disease of the cerebellum or brainstem.
QUESTION 5
A 43-year-old woman is at the clinic for a routine examination. She reports
that she has had a breast lump in her right breast for years. Recently, it has
begun to change in consistency and is becoming harder. She reports that 5
years ago her physician evaluated the lump and determined that it "was
nothing to worry about." The examination validates the presence of a mass in
the right upper outer quadrant at 1 o'clock, approximately 5 cm from the
nipple. It is firm, mobile, nontender, with borders that are not well defined.
The nurse's recommendation to her is:
ANSWER: "Because of the change in consistency of the lump, it should be
further evaluated by a physician."
QUESTION 6
The nurse practitioner is examining a 3-month-old infant. While holding the
thumbs on the infant's inner-mid-thighs and the fingers outside on the hips,
touching the greater trochanter, the nurse practitioner adducts the legs until
the nurse practitioner's thumbs touch and then abducts the legs until the
infant's knees touch the table. The nurse practitioner does not note any
"clunking" sounds and is confident to record a:
ANSWER: Negative Ortolani's sign.
QUESTION 7
, A patient's mother has noticed that her son, who has been to a new
babysitter, has some blisters and scabs on his face and buttocks. On
examination, the nurse notices moist, thin-roofed vesicles with a thin
erythematous base and suspects:
ANSWER: Impetigo
QUESTION 8
The nurse is testing superficial reflexes on an adult patient. When stroking up
the lateral side of the sole and across the ball of the foot, the nurse notices
the plantar flexion of the toes. How would the nurse document this finding?
ANSWER: Plantar reflex present. (The normal response is plantar flexion of the
toes and sometimes of the whole foot.)
QUESTION 9
A woman is in the family planning clinic seeking birth control information.
She states that her breasts "change all month long" and that she is worried
that this is unusual. What is the nurse's best response?
ANSWER: Tell her that, because of the changing hormones during the monthly
menstrual cycle, cyclic breast changes are common.
QUESTION 10
A patient states during the interview that she noticed a new breast lump in
the shower a few days ago. It was on her left breast near her axilla. The RN
should plan to:
ANSWER: palpate the unaffected breast first
QUESTION 11
