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NSG 555 Exam 1 (2026) – 300+ Questions on Geriatrics, Palliative Care, Pulmonary, GI & Renal Disorders

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This NSG 555 Exam 1 (2026) study guide contains over 300 detailed exam questions and verified answers covering advanced nurse practitioner risk management, geriatric principles, palliative care, pulmonary disorders, gastrointestinal conditions, hepatic diseases, and chronic kidney disease. The material begins with NP scope of practice risks, documentation standards, adverse event reporting, advanced care planning, and the 5Ms of geriatric care (Mind, Mobility, Medications, Multicomplexity, What Matters Most), including Beers Criteria medication safety principles and opioid prescribing guidelines aligned with CDC recommendations (pages 1–8). Pulmonary content provides in-depth coverage of asthma (GINA stepwise therapy, ICS-formoterol algorithms, oral corticosteroid dosing), COPD (GOLD grades, exacerbation management, LABA/LAMA/ICS therapy, roflumilast use), pulmonary hypertension (mean PA pressure ≥25 mmHg, right heart catheterization), sarcoidosis, idiopathic pulmonary fibrosis, and chronic cough evaluation including pertussis testing and ACE inhibitor considerations. Ophthalmologic and sensory disorders include cataracts, age-related macular degeneration (dry vs wet), presbycusis, Weber and Rinne testing interpretation, and inflammatory ocular surface disease. Gastrointestinal and hepatic modules cover anal fissures, perianal abscess and fistula management, hemorrhoids, chronic constipation treatment algorithms, Barrett’s esophagus screening and complications, portal vein thrombosis, noncirrhotic portal hypertension, hepatitis A–E diagnosis and management, hepatic encephalopathy (lactulose dosing, rifaximin, asterixis), hereditary hemochromatosis (hepcidin deficiency, phlebotomy), and MASLD evaluation including biopsy indications. Renal content includes proteinuria types, metabolic acidosis with increased anion gap (lactic acidosis, ketoacidosis), alcoholic ketoacidosis treatment, and KDIGO 2024 guidance for chronic kidney disease evaluation and renin-angiotensin inhibition. This document may concern: – Family Nurse Practitioner (FNP) students – Adult-Gerontology Primary Care NP students – Advanced Practice Registered Nurse (APRN) students – Graduate nursing students enrolled in NSG 555 – NP board preparation candidates reviewing multi-system management – Students preparing for advanced primary care and chronic disease exams Keywords: NSG 555 exam 1 2026 geriatric 5Ms framework Beers Criteria medication safety advanced care planning directives opioid CDC prescribing guidelines GINA asthma step therapy ICS formoterol algorithm COPD GOLD classification LABA LAMA ICS triple therapy pulmonary arterial hypertension diagnosis right heart catheterization chronic cough evaluation algorithm Barrett esophagus screening guidelines portal vein thrombosis Doppler ultrasound hepatitis A B C D E management hepatic encephalopathy lactulose dosing hereditary hemochromatosis phlebotomy MASLD diagnosis biopsy metabolic acidosis increased anion gap KDIGO 2024 chronic kidney disease

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Institution
NSG 555
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NSG 555

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NSG 555 Exam 1 2026 Exam
Questions and Answers | A+
Score Assured


How can knowledge of medications be applied across different diseases? -

🧠 ANSWER ✔✔Medications learned for one disease may be relevant in

managing another, allowing for cumulative learning.

What are the areas of risk for Nurse Practitioners (NPs)? - 🧠 ANSWER

✔✔Areas of specialty include aging services, neonatal and pediatric

specialties, NP office practice, and behavioral/psych facilities.

,What practices can reduce risk for Nurse Practitioners? - 🧠 ANSWER

✔✔Practice within the nurse practice act, comply with organizational

policies, maintain competencies, document care thoroughly, and use a risk

management team.


What are the 5Ms in geriatric care? - 🧠 ANSWER ✔✔Mind (Dementia,

delirium, depression), Mobility (falls, gait disorders), Medications,

Multicomplexity (geriatric assessment), What matters most (patient values

and goals).


What is the purpose of the Beers Criteria? - 🧠 ANSWER ✔✔To guide

clinicians in avoiding potentially harmful medications for geriatric patients.


What categories are included in the Beers Criteria? - 🧠 ANSWER ✔✔1.

Potentially inappropriate medications, 2. Medications inappropriate for

certain diseases, 3. Medications to use with caution, 4. Potentially

inappropriate drug-drug interactions, 5. Medications needing dosage

adjustments based on renal function.


What is advanced care planning? - 🧠 ANSWER ✔✔It allows patients to

share their personal values, life goals, and preferences regarding future

medical care.

,What are advance directives? - 🧠 ANSWER ✔✔Written or oral statements

made by patients to guide care when they are incompetent.


What is the focus of palliative care? - 🧠 ANSWER ✔✔To improve the

quality of life for patients with serious illnesses by managing symptoms like

dyspnea.

What should be addressed due to opioid use in palliative care? - 🧠

ANSWER ✔✔Constipation, which can be managed with medications like

Senna or bisacodyl.

What are common reversible causes of terminal restlessness? - 🧠

ANSWER ✔✔Urinary retention, constipation, pain, anticholinergic effects,

and sleep disruption.

What is the significance of thorough documentation in NP practice? - 🧠

ANSWER ✔✔It ensures objective, timely, and complete records of patient

care assessments and actions.

What should be done if an adverse event occurs in NP practice? - 🧠

ANSWER ✔✔Report it to a clinical supervisor or risk manager and

complete an incident report.



COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, Why is it important for NPs to maintain up-to-date education? - 🧠 ANSWER

✔✔To ensure compliance with evidence-based practices and maintain

clinical competencies.

What is the role of effective communication in risk management for NPs? -

🧠 ANSWER ✔✔It is essential for addressing patient care concerns and

ensuring safety.

How should NPs handle claims and adverse medical events? - 🧠 ANSWER

✔✔They should disclose errors and manage issues according to

established policies.

What is the importance of a comprehensive geriatric assessment? - 🧠

ANSWER ✔✔It helps manage multiple chronic conditions and geriatric

syndromes in concert.


What does 'multicomplexity' refer to in geriatric care? - 🧠 ANSWER ✔✔The

need for a comprehensive assessment to address multiple health issues in

elderly patients.

What is the significance of understanding atypical disease presentations in

geriatrics? - 🧠 ANSWER ✔✔Many disorders present atypically or with

nonspecific symptoms, requiring careful evaluation.

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Uploaded on
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