NSG 6020 3P EXAM ACTUAL TEST 2026
QUESTIONS WITH VERIFIED ANSWERS
◉ You are beginning the examination of the skin on a 25-year-old
teacher. You have previously elicited that she came to the office for
evaluation of fatigue, weight gain, and hair loss. You strongly suspect
that she has hypothyroidism. What is the expected moisture and
texture of the skin of the patient with hypothyroidism Answer: dry
and rough
◉ You are assessing a patient with joint pain and are trying to decide
whether it is inflammatory or noninflammatory in nature. Which
one of the following symptoms is consistent with an inflammatory
process? Answer: tenderness
◉ A 68-year-old retired farmer comes to your office for evaluation of
a skin lesion. On the right temporal area of the forehead, you see a
flattened papule the same color as his skin, covered by a dry scale
that is round and feels hard. He has several more of these scattered
on the forehead, arms and legs. Based on this description, what is
your most likely diagnosis? Answer: actinic keratosis
◉ A 28-year-old graduate student comes to your clinic for evaluation
of pain "all over." With further questioning, she is able to relate that
the pain is worse in the neck, shoulders, hands, low back and knees.
,She denies swelling in her joints. She states that the pain is worse in
the morning. There is no limitation in her range of motion. On
physical examination, she has several points on the muscles of the
neck, shoulders and back that are tender to palpation. Muscle
strength and range of motion are normal. Which one of the following
is likely the cause of her pain? Answer: fibromyalgia
◉ A new patient is complaining of severe pruritus that is worse at
night. Several family members also have the same symptoms. Upon
examination, areas of excoriated papules are noted on some of the
interdigital webs of both hands and on the axillae. This finding is
most consistent with: Answer: Scabies
◉ An obese 55-year-old woman went through menarche at age 16
and menopause 2 years ago. She is concerned because an aunt had
severe osteoporosis. Which one of the following is a risk factor for
osteoporosis? Answer: Delayed menarche
◉ Ms. Whiting is a 68-year-old female who comes in for her usual
follow-up visit. You notice a few flat red and purple lesions, about 6
centimeters in diameter, on the ulnar aspect of her forearms but
nowhere else. She doesn't mention them. They are tender when you
examine them. What should you do? Answer: Ask how she acquired
them.
◉ A 58-year-old man comes to your office complaining of bilateral
back pain that now awakens him at night. This has been steadily
, increasing for the past 2 months. Which one of the following is the
most reassuring in this patient with back pain? Answer: Pain that is
bilateral
◉ The Phalen's test is used to evaluate: Answer: inflammation of the
median nerve
◉ Which of the following would lead you to suspect a hydrocele
versus other causes of scrotal swelling? Answer: A positive
transillumination test
◉ You are examining a newborn and note that the right testicle is
not in the scrotum. What should you do next? Answer: Attempt to
bring down the testis from the inguinal canal
◉ A 50-year-old truck driver comes to your clinic for a work
physical. He has had no upper respiratory, cardiac, pulmonary,
gastrointestinal, urinary, or musculoskeletal system complaints. His
past medical history is significant for mild arthritis and prior knee
surgery in college. He is married and just changed jobs, working for
a different trucking company. He smokes one pack of cigarettes a
day, drinks less than six beers a week, and denies using any illegal
drugs. His mother has high blood pressure and arthritis and his
father died of lung cancer in his sixties. On examination, his blood
pressure is 130/80 and his pulse is 80. His cardiac, lung, and
abdominal examinations are normal. He has no inguinal hernia, but
on his digital rectal examination you palpate a soft, smooth, and
QUESTIONS WITH VERIFIED ANSWERS
◉ You are beginning the examination of the skin on a 25-year-old
teacher. You have previously elicited that she came to the office for
evaluation of fatigue, weight gain, and hair loss. You strongly suspect
that she has hypothyroidism. What is the expected moisture and
texture of the skin of the patient with hypothyroidism Answer: dry
and rough
◉ You are assessing a patient with joint pain and are trying to decide
whether it is inflammatory or noninflammatory in nature. Which
one of the following symptoms is consistent with an inflammatory
process? Answer: tenderness
◉ A 68-year-old retired farmer comes to your office for evaluation of
a skin lesion. On the right temporal area of the forehead, you see a
flattened papule the same color as his skin, covered by a dry scale
that is round and feels hard. He has several more of these scattered
on the forehead, arms and legs. Based on this description, what is
your most likely diagnosis? Answer: actinic keratosis
◉ A 28-year-old graduate student comes to your clinic for evaluation
of pain "all over." With further questioning, she is able to relate that
the pain is worse in the neck, shoulders, hands, low back and knees.
,She denies swelling in her joints. She states that the pain is worse in
the morning. There is no limitation in her range of motion. On
physical examination, she has several points on the muscles of the
neck, shoulders and back that are tender to palpation. Muscle
strength and range of motion are normal. Which one of the following
is likely the cause of her pain? Answer: fibromyalgia
◉ A new patient is complaining of severe pruritus that is worse at
night. Several family members also have the same symptoms. Upon
examination, areas of excoriated papules are noted on some of the
interdigital webs of both hands and on the axillae. This finding is
most consistent with: Answer: Scabies
◉ An obese 55-year-old woman went through menarche at age 16
and menopause 2 years ago. She is concerned because an aunt had
severe osteoporosis. Which one of the following is a risk factor for
osteoporosis? Answer: Delayed menarche
◉ Ms. Whiting is a 68-year-old female who comes in for her usual
follow-up visit. You notice a few flat red and purple lesions, about 6
centimeters in diameter, on the ulnar aspect of her forearms but
nowhere else. She doesn't mention them. They are tender when you
examine them. What should you do? Answer: Ask how she acquired
them.
◉ A 58-year-old man comes to your office complaining of bilateral
back pain that now awakens him at night. This has been steadily
, increasing for the past 2 months. Which one of the following is the
most reassuring in this patient with back pain? Answer: Pain that is
bilateral
◉ The Phalen's test is used to evaluate: Answer: inflammation of the
median nerve
◉ Which of the following would lead you to suspect a hydrocele
versus other causes of scrotal swelling? Answer: A positive
transillumination test
◉ You are examining a newborn and note that the right testicle is
not in the scrotum. What should you do next? Answer: Attempt to
bring down the testis from the inguinal canal
◉ A 50-year-old truck driver comes to your clinic for a work
physical. He has had no upper respiratory, cardiac, pulmonary,
gastrointestinal, urinary, or musculoskeletal system complaints. His
past medical history is significant for mild arthritis and prior knee
surgery in college. He is married and just changed jobs, working for
a different trucking company. He smokes one pack of cigarettes a
day, drinks less than six beers a week, and denies using any illegal
drugs. His mother has high blood pressure and arthritis and his
father died of lung cancer in his sixties. On examination, his blood
pressure is 130/80 and his pulse is 80. His cardiac, lung, and
abdominal examinations are normal. He has no inguinal hernia, but
on his digital rectal examination you palpate a soft, smooth, and
