NSG 6020 Final Exam New 2025 Version Best
Studying Material with All Questions from
Actual Past Exam and Correct Answer
The most common cause of cancer deaths in males is: ---------- Correct Answer --------------
Colon cancer
When doing the history on a patient with a seizure disorder, the nurse assesses whether the
patient has an aura. Which of the following would be the best question for obtaining this
information? ---------- Correct Answer ----------- Do you have any warning sign before your
seizure starts
The nurse practitioner is assessing a 1-week-old infant and testing his muscle strength. The nurse
practitioner lifts the infant with hands under the axillae and notes that the infant starts to "slip"
between the hands. The nurse practitioner should: ---------- Correct Answer ----------- Suspect
that the infant may have weakness of the shoulder muscles
In examining a 70-year-old male patient, the nurse notices that he has bilateral gynecomastia.
Which of the following describes the nurse's best course of action? ---------- Correct Answer -----
------ Explain that this condition may be the result of hormonal changes and recommend that he
see his physician.
Important techniques in performing the rectal examination include which of the following? -------
--- Correct Answer -------------- All of the above
You are participating in a health fair and performing cholesterol screens. One person has a
cholesterol level of 225. She is concerned about her risk for developing heart disease. Which of
the following factors is used to estimate the 10-year risk of developing coronary heart disease? --
-------- Correct Answer -------------- Gender
You are concerned that a patient has an aortic regurgitation murmur. Which is the best position
to accentuate the murmur? ---------- Correct Answer -------------- Upright, but leaning forward
You are screening people at the mall as part of a health fair. The first person who comes for
screening has a blood pressure of 132/85. How would you categorize this? ---------- Correct
Answer -------------- Prehypertension
Jim is a 47-year-old man who is having difficulties with sexual function. He is recently separated
from his wife of 20 years. He notes that he has early morning erections but otherwise cannot
function. Which of the following is a likely cause for his problem? ---------- Correct Answer -----
--------- Psychological issues
Which of the following is true of human papilloma virus (HPV) infection? ---------- Correct
,Answer -------------- It commonly resolves spontaneously in one to two years.
Which of the following is the most effective pattern of palpation for breast cancer? ----------
Correct Answer -------------- Beginning at the nipple, make an ever-enlarging spiral.
A 14-year-old junior high school student is brought in by his mother and father because he seems
to be developing breasts. The mother is upset because she read on the Internet that smoking
marijuana leads to breast enlargement in males. The young man adamantly denies using any
tobacco, alcohol, or drugs. He has recently noticed changes in his penis, testicles, and pubic hair
pattern. Otherwise, his past medical history is unremarkable. His parents are both in good health.
He has two older brothers who never had this problem. On examination, you see a mildly
overweight teenager with enlarged breast tissue that is slightly tender on both sides. Otherwise,
his examination is normal. He is agreeable to taking a drug test. What is the most likely cause of
his gynecomastia? ---------- Correct Answer -------------- Imbalance of hormones of puberty
Which of the following represents metrorrhagia? ---------- Correct Answer -------------- Bleeding
between periods
What does a KOH (potassium hydroxide) prep help the nurse practitioner diagnose? ----------
Correct Answer -------------- Yeast infections
Abby is a newly married woman who is unable to have intercourse because of vaginismus.
Which of the following is true? ---------- Correct Answer -------------- Psychosocial reasons may
cause this condition.
A 30-year-old man notices a firm, 2-cm mass under his areola. He has no other symptoms and no
diagnosis of breast cancer in his first-degree relatives. What is the most likely diagnosis? ---------
- Correct Answer -------------- Breast tissue
Which of the following is true regarding breast self-examination? ---------- Correct Answer -------
------- A high proportion of breast masses are detected by breast self-examination.
A 23-year-old computer programmer comes to your office for an annual examination. She has
recently become sexually active and wants to be placed on birth control. Her only complaint is
that the skin in her armpits has become darker. She states it looks like dirt, and she scrubs her
skin nightly with soap and water but the color stays. Her past medical symptoms consist of acne
and mild obesity. Her periods have been irregular for 3 years. Her mother has type 2 diabetes,
and her father has high blood pressure. The patient denies using tobacco but has four to five
drinks on Friday and Saturday nights. She denies any illegal drug use. On examination, you see a
mildly obese female who is breathing comfortably. Her vital signs are unremarkable. Looking
under her axilla, you see dark, velvet-like skin. Her annual examination is otherwise
unremarkable. What disorder of the breast or axilla is she most likely to have? ---------- Correct
Answer -------------- Acanthosis nigricans
Which of the following is true of women who have had a unilateral mastectomy? ----------
Correct Answer -------------- They should be examined carefully along the surgical scar for
, masses.
A 76-year-old retired farmer comes to your office complaining of abdominal pain, constipation,
and a low-grade fever for about three days. He denies any nausea, vomiting, or diarrhea. The
only unusual thing he remembers eating is two bags of popcorn at the movies with his grandson,
three days before his symptoms began. He denies any other recent illnesses. His past medical
history is significant for coronary artery disease and high blood pressure. He has been married
for over fifty years. He denies any tobacco, alcohol, or drug use. His mother died of colon cancer
and his father had a stroke. On examination, he appears his stated age and is in no acute distress.
His temperature is 100.9 degrees and his other vital signs are unremarkable. His head, cardiac,
and pulmonary examinations are normal. He has normal bowel sounds and is tender over the left
lower quadrant. He has no rebound or guarding. His rectal examination ---------- Correct Answer
-------------- Acute diverticulitis
Jim is a 60-year-old man who presents with vomiting. He denies seeing any blood with emesis,
which has been occurring for two days. He does note a dark, granular substance resembling the
coffee left in the filter after brewing. What do you suspect? ---------- Correct Answer --------------
Bleeding from a peptic ulcer
A 26-year-old sports store manager comes to your clinic, complaining of severe right-sided
abdominal pain for twelve hours. He began having a stomachache yesterday, with a decreased
appetite, but today the pain seems to be just on the lower right side. He has had some nausea and
vomiting but no constipation or diarrhea. His last bowel movement was the night before and was
normal. He has had no fever or chills. He denies any recent illnesses or injuries. His past medical
history is unremarkable. He is engaged. He denies any tobacco or drug use and drinks four to six
beers per week. His mother has breast cancer and his father has coronary artery disease. On
examination, he appears ill and is lying on his right side. His temperature is 100.4 degrees and
his heart rate is 110. His bowel sounds are decreased and he has rebound and involuntary
guarding, one-third of the way between the anterior superior iliac spine and the ---------- Correct
Answer -------------- Acute appendicitis
Josh is a 14-year-old boy who presents with a sore throat. On examination, you notice dullness in
the last intercostal space in the anterior axillary line on his left side with a deep breath. What
does this indicate? ---------- Correct Answer -------------- His spleen is possibly enlarged and
close attention should be paid to further examination.
Diminished radial pulses may be seen in patients with which of the following? ---------- Correct
Answer -------------- Arterial emboli
A 42-year-old florist comes to your office, complaining of chronic constipation for the last six
months. She has had no nausea, vomiting, or diarrhea, and no abdominal pain or cramping. She
denies any recent illnesses or injuries. She denies any changes to her diet or exercise program.
She is on no new medications. During the review of systems (ROS), you note that she has felt
fatigued, had some weight gain, has irregular periods, and has cold intolerance. Her past medical
history is significant for one vaginal delivery and two cesarean sections. She is married, has three
children, and owns a flower shop. She denies tobacco, alcohol, or drug use. Her mother has type
