NSG 6420 LATEST 2026 PRACTICE EXAM QUESTIONS
AND SOLUTIONS RATED A+
✔✔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: - ✔✔c) Bowel
Obstruction
✔✔The most common etiologic organism for community-acquired pneumonia is: - ✔✔a)
Streptococcus pneumoniae
✔✔What test is used to confirm the diagnosis of appendicitis? - ✔✔d) CT of abdomen
with attention to appendix
✔✔A 76-year-old patient with a 200-pack year smoking history presents with complaints
of chronic cough, dyspnea, fatigue, hemoptysis, and weight loss over the past 2
months. The physical exam reveals decreased breath sounds and dullness to
percussion over the left lower lung field. The chest X-ray demonstrates shift of the
mediastinum and trachea to the left. These are classic signs of: - ✔✔a) Lung cancer
✔✔Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain, fatigue,
palpitations, lightheadedness, and shortness of breath. The pain comes and goes and is
not associated with activity or exertion. Food does not exacerbate or relieve the pain.
The pain is usually located under the left nipple. Jeff is concerned because his father
has cardiac disease and underwent a CABG at age 65. The ANP examines Jeff and
hears a mid-systolic click at the 4th ICS mid-clavicular area. The ANP knows that this is
a hallmark sign of: - ✔✔a) Angina b) Pericarditis c) Mitral valve prolapse d) Congestive
heart failure
✔✔Which of the following is considered a "red flag" when diagnosing a patient with
pneumonia? - ✔✔a) Fever of 102
b) Infiltrates on chest X-ray
c) Pleural effusion on chest X-ray
d) Elevated white blood cell count
✔✔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
your differential diagnosis? - ✔✔a) Abdominal plain films
b) Liver function tests c) Amylase/lipase
d) Urinalysis
✔✔In addition to the complete blood count (CBC) with differential, which of the following
laboratory tests is considered to be most useful in diagnosing ACD and IDA? - ✔✔a)
Serum iron
b) Total iron binding capacity
c) Transferrin saturation
d) Serum ferritin
✔✔What is the most common valvular heart disease in the older adult? - ✔✔a) Aortic
regurgitation b) Aortic stenosis
c) Mitral regurgitation d) Mitral stenosis
✔✔Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic anemia.
This classification refers to which of the following laboratory data? - ✔✔a) Hemoglobin
and Hematocrit
b) Mean Corpuscular Volume (MCV) and Mean Corpuscular Hemoglobin (MCH)
c) Serum ferritin and Serum iron
d) Total iron binding capacity and transferrin saturation
✔✔A 22-year-old female comes to your office with complaints of right lower quadrant
abdominal pain, which has been worsening over the last 24 hours. On examination of
the abdomen, there is a palpable mass and rebound tenderness over the right lower
quadrant. The clinician should recognize the importance of: - ✔✔a) Digital rectal
examination
b) Endoscopy
c) Pelvic examination d) Urinalysis
✔✔Which of the following details are NOT considered while staging asthma? - ✔✔a)
Nighttime awakenings
b) Long-acting beta agonist usage
c) Frequency of symptoms
d) Spirometry findings
✔✔Dan G., a 65-year-old man, presents to your primary care office for the evaluation of
chest pain and left-sided shoulder pain. Pain begins after strenuous activity, including
walking. Pain is characterized as dull, aching; 8/10 during activity, otherwise 0/10.
Began a few months ago, intermittent, aggravated by exercise, and relieved by rest.
Has occasional nausea. Pain is retrosternal, radiating to left shoulder, definitely affects
quality of life by limiting activity. Pain is worse today; did not go away after he stopped
walking. BP 120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2, no
AND SOLUTIONS RATED A+
✔✔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: - ✔✔c) Bowel
Obstruction
✔✔The most common etiologic organism for community-acquired pneumonia is: - ✔✔a)
Streptococcus pneumoniae
✔✔What test is used to confirm the diagnosis of appendicitis? - ✔✔d) CT of abdomen
with attention to appendix
✔✔A 76-year-old patient with a 200-pack year smoking history presents with complaints
of chronic cough, dyspnea, fatigue, hemoptysis, and weight loss over the past 2
months. The physical exam reveals decreased breath sounds and dullness to
percussion over the left lower lung field. The chest X-ray demonstrates shift of the
mediastinum and trachea to the left. These are classic signs of: - ✔✔a) Lung cancer
✔✔Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain, fatigue,
palpitations, lightheadedness, and shortness of breath. The pain comes and goes and is
not associated with activity or exertion. Food does not exacerbate or relieve the pain.
The pain is usually located under the left nipple. Jeff is concerned because his father
has cardiac disease and underwent a CABG at age 65. The ANP examines Jeff and
hears a mid-systolic click at the 4th ICS mid-clavicular area. The ANP knows that this is
a hallmark sign of: - ✔✔a) Angina b) Pericarditis c) Mitral valve prolapse d) Congestive
heart failure
✔✔Which of the following is considered a "red flag" when diagnosing a patient with
pneumonia? - ✔✔a) Fever of 102
b) Infiltrates on chest X-ray
c) Pleural effusion on chest X-ray
d) Elevated white blood cell count
✔✔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
your differential diagnosis? - ✔✔a) Abdominal plain films
b) Liver function tests c) Amylase/lipase
d) Urinalysis
✔✔In addition to the complete blood count (CBC) with differential, which of the following
laboratory tests is considered to be most useful in diagnosing ACD and IDA? - ✔✔a)
Serum iron
b) Total iron binding capacity
c) Transferrin saturation
d) Serum ferritin
✔✔What is the most common valvular heart disease in the older adult? - ✔✔a) Aortic
regurgitation b) Aortic stenosis
c) Mitral regurgitation d) Mitral stenosis
✔✔Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic anemia.
This classification refers to which of the following laboratory data? - ✔✔a) Hemoglobin
and Hematocrit
b) Mean Corpuscular Volume (MCV) and Mean Corpuscular Hemoglobin (MCH)
c) Serum ferritin and Serum iron
d) Total iron binding capacity and transferrin saturation
✔✔A 22-year-old female comes to your office with complaints of right lower quadrant
abdominal pain, which has been worsening over the last 24 hours. On examination of
the abdomen, there is a palpable mass and rebound tenderness over the right lower
quadrant. The clinician should recognize the importance of: - ✔✔a) Digital rectal
examination
b) Endoscopy
c) Pelvic examination d) Urinalysis
✔✔Which of the following details are NOT considered while staging asthma? - ✔✔a)
Nighttime awakenings
b) Long-acting beta agonist usage
c) Frequency of symptoms
d) Spirometry findings
✔✔Dan G., a 65-year-old man, presents to your primary care office for the evaluation of
chest pain and left-sided shoulder pain. Pain begins after strenuous activity, including
walking. Pain is characterized as dull, aching; 8/10 during activity, otherwise 0/10.
Began a few months ago, intermittent, aggravated by exercise, and relieved by rest.
Has occasional nausea. Pain is retrosternal, radiating to left shoulder, definitely affects
quality of life by limiting activity. Pain is worse today; did not go away after he stopped
walking. BP 120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2, no
