NSG 6420 MIDTERM EXAM/ Advanced NSG 6420
Midterm Exam Practice Questions with Correct
Answers/ Updated 2024/2025.
In examination of the nose, the clinician observes gray, pale mucous membranes with clear, serous
discharge. This is most likely indicative of: - ANSWER - b) Allergic rhinitis
Your patient complains of a feeling of heaviness in the lower legs daily. You note varicosities, edema, and
dusky color of both ankles and feet. Which of the following is the most likely cause for these symptoms?
- ANSWER - c) Venous insufficiency
Which of the following is the most important question to ask during cardiovascular health history? -
ANSWER - c) The sudden death of a family member
Rheumatic heart disease is a complication that can arise from which type of infection? - ANSWER - c)
Group A beta hemolytic streptococcus
[p. 515 Primary Care: Art and Science]
A cough is described as chronic if it has been present for: - ANSWER - b) 8 weeks or more
[p. 357 Primary Care]
A key symptom of ischemic heart disease is chest pain. However, angina equivalents may include
exertional dyspnea. Angina equivalents are important because - ANSWER - a) Women with ischemic
heart disease many times do not present with chest pain b) Some patients may have no symptoms or
atypical symptoms; diagnosis may only be made at the time of an actual myocardial infarction
d) A & B only [p. 453]
A woman with an X-linked dominant disorder will: - ANSWER - b) Transmit the disorder to 50% of her
offspring (male or female)
pg. 1
,A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain on heavy
exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm without ST
segment abnormalities. Your plan may include: - ANSWER - b) Exercise stress test
The aging process causes what normal physiological changes in the heart? - ANSWER - a) The heart valve
thickens and becomes rigid, secondary to fibrosis and sclerosis
It is important to not dilate the eye if ____ is suspected - ANSWER - c) Acute closed-angle glaucoma
Your patient is a 78-year-old female with a smoking history of 120-pack years. She complains of
hoarseness that has developed over the last few months. It is important to exclude the possibility of: -
ANSWER - b) Laryngeal cancer
In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds a
suspicious oral lesion. The patient has been referred for a biopsy to be sent for pathology. Which is the
most common oral precancerous lesion? - ANSWER - d) Leukoplakia
A 20-year-old engineering student complains of episodes of abdominal discomfort, bloating, and
episodes of diarrhea. The symptoms usually occur after eating, and pain is frequently relieved with
bowel movement. She is on a "celiac diet" and the episodic symptoms persist. Physical examination and
diagnostic tests are negative. Colonoscopy is negative for any abnormalities. This is a history and physical
consistent with: - ANSWER - b) Irritable bowel syndrome
The most common cause of eye redness is - ANSWER - a) Conjunctivitis
In AR disorders, carriers have - ANSWER - D. One copy of a gene mutation but not the disease
According to the Genetic Information Nondiscrimination Act (GINA): - ANSWER - a) Nurse Practitioners
(NPs) should keep all genetic information of patients confidential
b) NPs must obtain informed consent prior to genetic testing of all patients
c) Employers cannot inquire about an employee's genetic information
d) All of the above ***
pg. 2
, Aortic regurgitation requires medical treatment for early signs of CHF with: - ANSWER - b) ACE inhibitors
Which of the following is the most common cause of heartburn-type epigastric pain? - ANSWER - d)
Peptic ulcer disease
The best way to diagnose structural heart disease/dysfunction non-invasively is: - ANSWER - c)
Echocardiogram
Essential parts of a health history include all of the following except: - ANSWER - c) Current vital signs
Men have faster and more efficient biotransformation of drugs and this is thought to be due to: -
ANSWER - b) Testosterone
The main focus of treatment of patients with ACD is - ANSWER - c) Management of the underlying
disorder
A 72-year-old woman and her husband are on a cross-country driving vacation. After a long day of
driving, they stop for dinner. Midway through the meal, the woman becomes very short of breath, with
chest pain and a feeling of panic. Which of the following problems is most likely? - ANSWER - c)
Pulmonary embolism
Your patient has been using chewing tobacco for 10 years. On physical examination, you observe a white
ulceration surrounded by erythematous base on the side of his tongue. The clinician should recognize
that very often this is - ANSWER - b) Squamous cell carcinoma
The first assessment to complete related to the eyes is: - ANSWER - b) Visual acuity
A 66-year-old patient presents to the clinic complaining of dyspnea and wheezing. The patient reports a
smoking history of 2 packs of cigarettes per day since age 16. This would be recorded in the chart as -
ANSWER - d) 100-pack history
pg. 3
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