NSG6420 MIDTERM EXAM 2026-2027
QUESTIONS AND CORRECT ANSWERS |
A+ GRADE
A 26-year-old, non-smoker, male presented to your clinic
with SOB with exertion. This could be due to: - Correct
Answer alpha-1 deficiency
A 24-year-old patient presents to the emergency
department after sustaining multiple traumatic injuries after
a motorcycle accident. Upon examination, you note
tachypnea, use of intercostal muscles to breathe,
asymmetric chest expansion, and no breath sounds over
the left lower lobe. It is most important to suspect: -
Correct Answer pheumothorax
If it has been determined a patient has esophageal reflux,
you should tell them: - Correct Answer smoking, alcohol,
and caffeine can aggravate their problem
The following criterion is considered a positive finding
when determining whether a patient with asthma can be
safely monitored and treated at home: - Correct Answer
tachypnea greater than 30 breaths/minute
In examination of the nose, the clinician observes gray,
pale mucous membranes with clear, serous discharge.
This is most likely indicative of: - Correct Answer allergic
rhinitis
,Symptoms in the initial human immunodeficiency virus
(HIV) infection include all of the following except: - Correct
Answer weight loss
Essential parts of a health history include all of the
following except: - Correct Answer current vital signs
When palpating the posterior chest, the clinician notes
increased tactile fremitus over the left lower lobe. This can
be indicative of pneumonia. Areas of increased fremitus
should raise the suspicion of conditions resulting in
increased solidity or consolidation in the underlying lung
tissue, such as in pneumonia, tumor, or pulmonary
fibrosis. In the instance of an extensive bronchial
obstruction: - Correct Answer No palpable vibration is felt
A nurse practitioner reports that your patient's abdominal
X-ray demonstrates multiple air-fluid levels in the bowel.
This is a diagnostic finding found in: - Correct Answer
bowel obstruction
Which of the following findings should trigger an urgent
referral to a cardiologist or neurologist? - Correct Answer
history of transient and painless monocular loss of vision
(*There are multiple questions on this exam related to this
scenario. Be sure to read the whole way through to the
question.) Mr. Keenan is a 42-year-old man with a mild
history of GERD and a remote history of an
appendectomy, presenting with an acute onset of
, significant right upper-quadrant abdominal pain and
vomiting. His pain began after a large meal, was
unrelieved by a proton-pump inhibitor, was unlike his
previous episodes of heartburn, but upon questioning,
reports milder, prodromal episodes of similar post-prandial
pain. His pain seems to radiate to his back. Despite a
family history of cardiac disease, he reports no classic
anginal signs or chest pain. He furthermore denies
respiratory or pleuritic signs and denies fever, night
sweats, and unintended weight loss. Finally, there are no
dermatologic signs, nor genitourinary symptoms. Of the
following lab studies, which would provide little help in
determining - Correct Answer urinalysis
Which of the following is considered a "red flag" when
diagnosing a patient with pneumonia? - Correct Answer
Pleural effusion on chest x-ray
A specific exam used to evaluate the gall bladder is: -
Correct Answer Murphy's sign
The best way to diagnose structural heart
disease/dysfunction non-invasively is: - Correct Answer
echocardiogram
An older patient reports burning pain after ingestion of
many foods and large meals. What assessment would
assist the nurse practitioner in making a diagnosis of
GERD? - Correct Answer midepigastric pain that is not
reproducible with palpation
QUESTIONS AND CORRECT ANSWERS |
A+ GRADE
A 26-year-old, non-smoker, male presented to your clinic
with SOB with exertion. This could be due to: - Correct
Answer alpha-1 deficiency
A 24-year-old patient presents to the emergency
department after sustaining multiple traumatic injuries after
a motorcycle accident. Upon examination, you note
tachypnea, use of intercostal muscles to breathe,
asymmetric chest expansion, and no breath sounds over
the left lower lobe. It is most important to suspect: -
Correct Answer pheumothorax
If it has been determined a patient has esophageal reflux,
you should tell them: - Correct Answer smoking, alcohol,
and caffeine can aggravate their problem
The following criterion is considered a positive finding
when determining whether a patient with asthma can be
safely monitored and treated at home: - Correct Answer
tachypnea greater than 30 breaths/minute
In examination of the nose, the clinician observes gray,
pale mucous membranes with clear, serous discharge.
This is most likely indicative of: - Correct Answer allergic
rhinitis
,Symptoms in the initial human immunodeficiency virus
(HIV) infection include all of the following except: - Correct
Answer weight loss
Essential parts of a health history include all of the
following except: - Correct Answer current vital signs
When palpating the posterior chest, the clinician notes
increased tactile fremitus over the left lower lobe. This can
be indicative of pneumonia. Areas of increased fremitus
should raise the suspicion of conditions resulting in
increased solidity or consolidation in the underlying lung
tissue, such as in pneumonia, tumor, or pulmonary
fibrosis. In the instance of an extensive bronchial
obstruction: - Correct Answer No palpable vibration is felt
A nurse practitioner reports that your patient's abdominal
X-ray demonstrates multiple air-fluid levels in the bowel.
This is a diagnostic finding found in: - Correct Answer
bowel obstruction
Which of the following findings should trigger an urgent
referral to a cardiologist or neurologist? - Correct Answer
history of transient and painless monocular loss of vision
(*There are multiple questions on this exam related to this
scenario. Be sure to read the whole way through to the
question.) Mr. Keenan is a 42-year-old man with a mild
history of GERD and a remote history of an
appendectomy, presenting with an acute onset of
, significant right upper-quadrant abdominal pain and
vomiting. His pain began after a large meal, was
unrelieved by a proton-pump inhibitor, was unlike his
previous episodes of heartburn, but upon questioning,
reports milder, prodromal episodes of similar post-prandial
pain. His pain seems to radiate to his back. Despite a
family history of cardiac disease, he reports no classic
anginal signs or chest pain. He furthermore denies
respiratory or pleuritic signs and denies fever, night
sweats, and unintended weight loss. Finally, there are no
dermatologic signs, nor genitourinary symptoms. Of the
following lab studies, which would provide little help in
determining - Correct Answer urinalysis
Which of the following is considered a "red flag" when
diagnosing a patient with pneumonia? - Correct Answer
Pleural effusion on chest x-ray
A specific exam used to evaluate the gall bladder is: -
Correct Answer Murphy's sign
The best way to diagnose structural heart
disease/dysfunction non-invasively is: - Correct Answer
echocardiogram
An older patient reports burning pain after ingestion of
many foods and large meals. What assessment would
assist the nurse practitioner in making a diagnosis of
GERD? - Correct Answer midepigastric pain that is not
reproducible with palpation
