NSG 6420 LATEST 2026 MIDTERM EXAM QUESTIONS
AND SOLUTIONS RATED A+
✔✔Susan P., a 60-year-old woman with a 30 pack year history, presents to your
primary care practice for evaluation of a persistent, daily cough with increased sputum
production, worse in the morning, occurring over the past three months. She tells you, "I
have the same thing, year after year." Which of the following choices would you
consider strongly in your critical thinking process? - ✔✔chronic bronchitis
✔✔It is important to not dilate the eye if ____ is suspected - ✔✔acute closed-angle
glaucoma
✔✔A patient presents with eye redness, scant discharge, and a gritty sensation. Your
examination reveals the palpable preauricular nodes, which are most likely with: -
✔✔viral conjunctivitis
✔✔Your 2-year-old patient shows facial features, such as epicanthal folds, up-slanted
palpebral fissures, single transverse palmar crease, and a low nasal bridge. These are
referred to as: - ✔✔dysmorphic features related to genetic disease
✔✔(*There are multiple questions on this exam related to the following 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. The chosen imaging study reveals: "GB normal in size without wall-t -
✔✔HIDA scan
✔✔Which of the following is the most common cause of heartburn-type epigastric pain?
- ✔✔peptic ulcer disease
✔✔A cough is described as chronic if it has been present for: - ✔✔8 weeks or more
✔✔The most common etiologic organism for community-acquired pneumonia is: -
✔✔streptococcus pneumoniae
✔✔Which of the following symptoms is common with acute otitis media? - ✔✔bulging
tympanic membrane
, ✔✔85 (*There are multiple questions on this exam related to the following 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. When all lab work is returned within normal limits, what is the -
✔✔abdominal ultrasound
✔✔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 - ✔✔lung cancer
✔✔Presbycusis is the hearing impairment that is associated with: - ✔✔physiologic aging
✔✔In order to provide a comprehensive genetic history of a patient, the NP should: -
✔✔all of the above
✔✔When counseling clients regarding the use of antidiarrheal drugs such as Imodium
anti-diarrheal and Kaopectate, the nurse practitioner advises patients to: - ✔✔do not
use for possible infectious diarrhea
✔✔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: - ✔✔pelvic examination
✔✔Which of the following statements is true concerning anti-arrhythmic drugs? -
✔✔most anti-arrhythmic have a low toxic/therapeutic ratio and some are exceedingly
toxic
✔✔Which of the following would be considered a "red flag" that requires more
investigation in a patient assessment? - ✔✔Myocardial infarction in family member at
age 35
✔✔Patients that have atopic disorders are mediated by the production of
Immunoglobulin E (IgE) will have histamine stimulated as an immediate phase
AND SOLUTIONS RATED A+
✔✔Susan P., a 60-year-old woman with a 30 pack year history, presents to your
primary care practice for evaluation of a persistent, daily cough with increased sputum
production, worse in the morning, occurring over the past three months. She tells you, "I
have the same thing, year after year." Which of the following choices would you
consider strongly in your critical thinking process? - ✔✔chronic bronchitis
✔✔It is important to not dilate the eye if ____ is suspected - ✔✔acute closed-angle
glaucoma
✔✔A patient presents with eye redness, scant discharge, and a gritty sensation. Your
examination reveals the palpable preauricular nodes, which are most likely with: -
✔✔viral conjunctivitis
✔✔Your 2-year-old patient shows facial features, such as epicanthal folds, up-slanted
palpebral fissures, single transverse palmar crease, and a low nasal bridge. These are
referred to as: - ✔✔dysmorphic features related to genetic disease
✔✔(*There are multiple questions on this exam related to the following 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. The chosen imaging study reveals: "GB normal in size without wall-t -
✔✔HIDA scan
✔✔Which of the following is the most common cause of heartburn-type epigastric pain?
- ✔✔peptic ulcer disease
✔✔A cough is described as chronic if it has been present for: - ✔✔8 weeks or more
✔✔The most common etiologic organism for community-acquired pneumonia is: -
✔✔streptococcus pneumoniae
✔✔Which of the following symptoms is common with acute otitis media? - ✔✔bulging
tympanic membrane
, ✔✔85 (*There are multiple questions on this exam related to the following 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. When all lab work is returned within normal limits, what is the -
✔✔abdominal ultrasound
✔✔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 - ✔✔lung cancer
✔✔Presbycusis is the hearing impairment that is associated with: - ✔✔physiologic aging
✔✔In order to provide a comprehensive genetic history of a patient, the NP should: -
✔✔all of the above
✔✔When counseling clients regarding the use of antidiarrheal drugs such as Imodium
anti-diarrheal and Kaopectate, the nurse practitioner advises patients to: - ✔✔do not
use for possible infectious diarrhea
✔✔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: - ✔✔pelvic examination
✔✔Which of the following statements is true concerning anti-arrhythmic drugs? -
✔✔most anti-arrhythmic have a low toxic/therapeutic ratio and some are exceedingly
toxic
✔✔Which of the following would be considered a "red flag" that requires more
investigation in a patient assessment? - ✔✔Myocardial infarction in family member at
age 35
✔✔Patients that have atopic disorders are mediated by the production of
Immunoglobulin E (IgE) will have histamine stimulated as an immediate phase
