NSG6001 TEST PAPER 2026 EXAM QUESTIONS AND
SOLUTIONS RATED A+
✔✔A 64-year-old woman presents with a 3-month history of upper abdominal pain. She
describes the discomfort as an intermittent, centrally located "burning" feeling in the
upper abdomen, most often with meals and often accompanied by mild nausea. Use of
an over-the-counter H2RA affords partial symptom relief. She also uses diclofenac on a
regular basis for the control of osteoarthritis pain. Her clinical presentation is most
consistent with:
A. acute gastroenteritis.
B. gastric ulcer.
C. duodenal ulcer.
D. chronic cholecystitis. - ✔✔gastric ulcer
✔✔A 26-year-old man presents with acute abdominal pain. As part of the evaluation for
acute appendicitis, you order a white blood cell (WBC) count with differential and
anticipate the following results:
A. total WBCs, 4500/mm3; neutrophils, 35%; bands, 2%; lymphocytes, 45%.
B. total WBCs, 14,000/mm3; neutrophils, 55%; bands, 3%; lymphocytes, 38%.
C. total WBCs, 16,500/mm3; neutrophils, 66%; bands, 8%; lymphocytes, 22%.
D. total WBCs, 18,100/mm3; neutrophils, 55%; bands, 3%; lymphocytes, 28%. - ✔✔C.
total WBCs, 16,500/mm3; neutrophils, 66%; bands, 8%; lymphocytes, 22%.
✔✔Lower GI hemorrhage associated with diverticular disease usually manifests as:
A. a painless event.
B. a condition noted to be found with a marked febrile response.
C. a condition accompanied by severe cramp-like abdominal pain.
D. a common chronic condition. - ✔✔a painless event
✔✔The obturator sign can be best described as abdominal pain elicited by:
A. passive extension of the hip.
B. passive flexion and internal rotation of the hip.
C. deep palpation.
D. asking the patient to cough. - ✔✔B. passive flexion and internal rotation of the hip.
✔✔Commonly encountered diagnoses other than acute appendicitis can include which
of the following in a 28-year-old with a 2-day history of lower abdominal pain and with
right-sided pain slightly worse than left? (Select all that apply.)
A. constipation
B. pelvic inflammatory disease
, C. ectopic pregnancy
D. splenic infarct - ✔✔A. constipation
B. pelvic inflammatory disease
C. ectopic pregnancy
✔✔Which of the following is most consistent with the presentation of a patient with
acute colonic diverticulitis?
A. cramping, diarrhea, and leukocytosis
B. constipation and fever
C. right-sided abdominal pain
D. frank blood in the stool with reduced stool caliber - ✔✔A. cramping, diarrhea, and
leukocytosis
✔✔Murphy's sign can be best described as abdominal pain elicited by:
A. right upper quadrant abdominal palpation.
B. asking the patient to stand on tiptoes and then letting body weight fall quickly onto
the heels.
C. asking the patient to cough.
D. percussion. - ✔✔A. right upper quadrant abdominal palpation.
✔✔In caring for a patient with symptomatic gastroesophageal reflux, you prescribe a
PPI to:
A. enhance motility.
B. increase the pH of the stomach.
C. reduce lower esophageal pressure.
D. help limit H. pylori growth. - ✔✔B. increase the pH of the stomach.
✔✔Which of the following is most likely to be found in a 40-year-old woman with new-
onset reflux esophagitis?
A. recent initiation of estrogen-progestin hormonal therapy
B. recent weight loss
C. report of melena
D. evidence of H. pylori infection - ✔✔A. recent initiation of estrogen-progestin hormonal
therapy
✔✔ More than half of all cardiac arrhythmias involve the atria. - ✔✔true
✔✔What are the most common symptoms caused by tachyarrhythmias? -
✔✔palpitations
SOLUTIONS RATED A+
✔✔A 64-year-old woman presents with a 3-month history of upper abdominal pain. She
describes the discomfort as an intermittent, centrally located "burning" feeling in the
upper abdomen, most often with meals and often accompanied by mild nausea. Use of
an over-the-counter H2RA affords partial symptom relief. She also uses diclofenac on a
regular basis for the control of osteoarthritis pain. Her clinical presentation is most
consistent with:
A. acute gastroenteritis.
B. gastric ulcer.
C. duodenal ulcer.
D. chronic cholecystitis. - ✔✔gastric ulcer
✔✔A 26-year-old man presents with acute abdominal pain. As part of the evaluation for
acute appendicitis, you order a white blood cell (WBC) count with differential and
anticipate the following results:
A. total WBCs, 4500/mm3; neutrophils, 35%; bands, 2%; lymphocytes, 45%.
B. total WBCs, 14,000/mm3; neutrophils, 55%; bands, 3%; lymphocytes, 38%.
C. total WBCs, 16,500/mm3; neutrophils, 66%; bands, 8%; lymphocytes, 22%.
D. total WBCs, 18,100/mm3; neutrophils, 55%; bands, 3%; lymphocytes, 28%. - ✔✔C.
total WBCs, 16,500/mm3; neutrophils, 66%; bands, 8%; lymphocytes, 22%.
✔✔Lower GI hemorrhage associated with diverticular disease usually manifests as:
A. a painless event.
B. a condition noted to be found with a marked febrile response.
C. a condition accompanied by severe cramp-like abdominal pain.
D. a common chronic condition. - ✔✔a painless event
✔✔The obturator sign can be best described as abdominal pain elicited by:
A. passive extension of the hip.
B. passive flexion and internal rotation of the hip.
C. deep palpation.
D. asking the patient to cough. - ✔✔B. passive flexion and internal rotation of the hip.
✔✔Commonly encountered diagnoses other than acute appendicitis can include which
of the following in a 28-year-old with a 2-day history of lower abdominal pain and with
right-sided pain slightly worse than left? (Select all that apply.)
A. constipation
B. pelvic inflammatory disease
, C. ectopic pregnancy
D. splenic infarct - ✔✔A. constipation
B. pelvic inflammatory disease
C. ectopic pregnancy
✔✔Which of the following is most consistent with the presentation of a patient with
acute colonic diverticulitis?
A. cramping, diarrhea, and leukocytosis
B. constipation and fever
C. right-sided abdominal pain
D. frank blood in the stool with reduced stool caliber - ✔✔A. cramping, diarrhea, and
leukocytosis
✔✔Murphy's sign can be best described as abdominal pain elicited by:
A. right upper quadrant abdominal palpation.
B. asking the patient to stand on tiptoes and then letting body weight fall quickly onto
the heels.
C. asking the patient to cough.
D. percussion. - ✔✔A. right upper quadrant abdominal palpation.
✔✔In caring for a patient with symptomatic gastroesophageal reflux, you prescribe a
PPI to:
A. enhance motility.
B. increase the pH of the stomach.
C. reduce lower esophageal pressure.
D. help limit H. pylori growth. - ✔✔B. increase the pH of the stomach.
✔✔Which of the following is most likely to be found in a 40-year-old woman with new-
onset reflux esophagitis?
A. recent initiation of estrogen-progestin hormonal therapy
B. recent weight loss
C. report of melena
D. evidence of H. pylori infection - ✔✔A. recent initiation of estrogen-progestin hormonal
therapy
✔✔ More than half of all cardiac arrhythmias involve the atria. - ✔✔true
✔✔What are the most common symptoms caused by tachyarrhythmias? -
✔✔palpitations
