NSG 6420 LATEST 2026 EXAM QUESTIONS AND
SOLUTIONS RATED A+
✔✔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? -
✔✔serum ferritin
✔✔You have a patient complaining of vertigo and want to know what could be the
cause. Knowing there are many causes for vertigo, you question the length of time the
sensation lasts. She tells you several hours to days and is accompanied by tinnitus and
hearing loss. You suspect which of the following conditions? - ✔✔Meniere's disease
✔✔When interpreting laboratory data, you would expect to see the following in a patient
with Anemia of Chronic Disease (ACD): - ✔✔hemoglobin >8 g/dl, MCV decreased,
MCH decreased
✔✔A 74-year-old obese female presents complaining of persistent right upper quadrant
pain. She reports that she has not had any prior abdominal surgeries. Which of the
following laboratory studies would be most indicative of acute cholecystitis? - ✔✔serum
amylase level of 145 U/L
✔✔A 20-year-old engineering student complains of episodes of abdominal discomfort,
bloating, and episodes of diarrhea. The symptoms usually occur after eating, and pain is
frequently relieved with bowel movement. She is on a "celiac diet" and the episodic
symptoms persist. Physical examination and diagnostic tests are negative. Colonoscopy
is negative for any abnormalities. This is a history and physical consistent with: -
✔✔irritable bowel syndrome
✔✔Your patient has been treated for glaucoma for 5 years. Which of the following will
provide indication of the level of progression during the funduscopic examination for this
patient? - ✔✔estimating cup-to-disk ratio
✔✔Which of the following is not a contributing factor to the development of esophagitis
in older adults? - ✔✔increased gastric emptying time
✔✔Which symptom is more characteristic of Non-Cardiac chest pain? - ✔✔pain tends
to occur with movement, stretching or palpation
✔✔In autosomal recessive (AR) disorders, individuals need: - ✔✔two mutated genes to
acquire the disease
✔✔Which of the following is the most important question to ask during cardiovascular
health history? - ✔✔sudden death of a family member
, ✔✔Which test is the clinical standard for the assessment of aortic stenosis? -
✔✔echocardiography
✔✔In examining the mouth of an older adult with a history of smoking, the nurse
practitioner finds a suspicious oral lesion. The patient has been referred for a biopsy to
be sent for pathology. Which is the most common oral precancerous lesion? -
✔✔leukoplakia
✔✔Your patient complains of a feeling of heaviness in the lower legs daily. You note
varicosities, edema, and dusky color of both ankles and feet. Which of the following is
the most likely cause for these symptoms? - ✔✔venous insufficiency
✔✔Your patient is a 78-year-old female with a smoking history of 120-pack years. She
complains of hoarseness that has developed over the last few months. It is important to
exclude the possibility of: - ✔✔laryngeal cancer
✔✔Which of the following clinical reasoning tools is defined as evidence-based
resource based on mathematical modeling to express the likelihood of a condition in
select situations, settings, and/or patients? - ✔✔clinical decision rule
✔✔Men have faster and more efficient biotransformation of drugs and this is thought to
be due to: - ✔✔more testosterone than women
✔✔A 75-year-old patient with community-acquired pneumonia presents with chills,
productive cough, temperature of 102.1, pulse 100, respiration 18, BP 90/52, WBC
12,000, and blood urea nitrogen (BUN) 22 mg/dl. He has a history of mild dementia and
his mental status is unchanged from his last visit. These findings indicate that the
patient: - ✔✔requires hospitalization for treatment
✔✔A woman with an X-linked dominant disorder will: - ✔✔transmit the disorder to 50%
of her offspring (male or female)
✔✔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
SOLUTIONS RATED A+
✔✔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? -
✔✔serum ferritin
✔✔You have a patient complaining of vertigo and want to know what could be the
cause. Knowing there are many causes for vertigo, you question the length of time the
sensation lasts. She tells you several hours to days and is accompanied by tinnitus and
hearing loss. You suspect which of the following conditions? - ✔✔Meniere's disease
✔✔When interpreting laboratory data, you would expect to see the following in a patient
with Anemia of Chronic Disease (ACD): - ✔✔hemoglobin >8 g/dl, MCV decreased,
MCH decreased
✔✔A 74-year-old obese female presents complaining of persistent right upper quadrant
pain. She reports that she has not had any prior abdominal surgeries. Which of the
following laboratory studies would be most indicative of acute cholecystitis? - ✔✔serum
amylase level of 145 U/L
✔✔A 20-year-old engineering student complains of episodes of abdominal discomfort,
bloating, and episodes of diarrhea. The symptoms usually occur after eating, and pain is
frequently relieved with bowel movement. She is on a "celiac diet" and the episodic
symptoms persist. Physical examination and diagnostic tests are negative. Colonoscopy
is negative for any abnormalities. This is a history and physical consistent with: -
✔✔irritable bowel syndrome
✔✔Your patient has been treated for glaucoma for 5 years. Which of the following will
provide indication of the level of progression during the funduscopic examination for this
patient? - ✔✔estimating cup-to-disk ratio
✔✔Which of the following is not a contributing factor to the development of esophagitis
in older adults? - ✔✔increased gastric emptying time
✔✔Which symptom is more characteristic of Non-Cardiac chest pain? - ✔✔pain tends
to occur with movement, stretching or palpation
✔✔In autosomal recessive (AR) disorders, individuals need: - ✔✔two mutated genes to
acquire the disease
✔✔Which of the following is the most important question to ask during cardiovascular
health history? - ✔✔sudden death of a family member
, ✔✔Which test is the clinical standard for the assessment of aortic stenosis? -
✔✔echocardiography
✔✔In examining the mouth of an older adult with a history of smoking, the nurse
practitioner finds a suspicious oral lesion. The patient has been referred for a biopsy to
be sent for pathology. Which is the most common oral precancerous lesion? -
✔✔leukoplakia
✔✔Your patient complains of a feeling of heaviness in the lower legs daily. You note
varicosities, edema, and dusky color of both ankles and feet. Which of the following is
the most likely cause for these symptoms? - ✔✔venous insufficiency
✔✔Your patient is a 78-year-old female with a smoking history of 120-pack years. She
complains of hoarseness that has developed over the last few months. It is important to
exclude the possibility of: - ✔✔laryngeal cancer
✔✔Which of the following clinical reasoning tools is defined as evidence-based
resource based on mathematical modeling to express the likelihood of a condition in
select situations, settings, and/or patients? - ✔✔clinical decision rule
✔✔Men have faster and more efficient biotransformation of drugs and this is thought to
be due to: - ✔✔more testosterone than women
✔✔A 75-year-old patient with community-acquired pneumonia presents with chills,
productive cough, temperature of 102.1, pulse 100, respiration 18, BP 90/52, WBC
12,000, and blood urea nitrogen (BUN) 22 mg/dl. He has a history of mild dementia and
his mental status is unchanged from his last visit. These findings indicate that the
patient: - ✔✔requires hospitalization for treatment
✔✔A woman with an X-linked dominant disorder will: - ✔✔transmit the disorder to 50%
of her offspring (male or female)
✔✔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
