NSG 6998 ACTUAL EXAM QUESTIONS
AND COMPLETE STUDY GUIDE 2026
▶ During a routine physical exam of an elderly woman, a triangular
thickening of the bulbar conjunctiva on the temporal side is noted to be
encroaching on the cornea. She denies any eye pain or visual changes.
Which of the following is most likely?
A) Corneal arcus
B) Pterygium
C) Pinguecula
D) Chalazion. Answer: B) Pterygium
Pterygium is a triangular growth on the white part of the eye that also
extends onto the cornea. Corneal arcus is a ring around the edge of the
cornea. Chalazion is a stye in the eye that may cause pain and swelling.
Pinguecula is a benign growth on the conjuctiva caused by the
degeneration of its collagen fibers. Thick, yellow fibers may be seen.
▶ Mr. Jones, who has been on pravastatin (Pravachol) 20 mg at bedtime
for the past few months, complains of lately feeling extremely fatigued. The
patient also noticed that his urine has been a darker color during the past 2
weeks. Which of the following is the best treatment plan to follow?
A) Discontinue his pravastatin and order a liver function profile
B) Continue the pravastatin but on half the dose
C) Schedule him for a complete physical exam
D) Schedule him for a liver function profile. Answer: A) Discontinue his
pravastatin and order a liver function profile
Side effects of statin drugs include myalgia, fatigue, and elevated liver
enzymes. Routine labs should include liver enzymes to assess the effects
on the liver.
,▶ Jane, a young primigravida, reports to you that she is starting to feel the
baby's movements in her uterus. This is considered to be which of the
following?
A) Presumptive sign
B) Probable sign
C) Positive sign
D) Possible sign. Answer: B) Probable sign
Probable signs of pregnancy are symptoms of pregnancy that are felt by
the woman.
▶ A 14-year-old teen is worried that she has not started to menstruate like
most of her friends. During the gynecological examination, the nurse
practitioner tells the mother, who is in the room with the patient, that her
daughter is starting Tanner Stage II. What are the physical exam findings
during this stage?
A) Breast buds and some straight pubic hair
B) Fully developed breasts and curly pubic hair
C) Breast tissue with the areola on a separate mound with curly pubic hair
D) No breast tissue and no pubic hair. Answer: A) Breast buds and some
straight pubic hair
Tanner Stage II in females includes breast buds and few straight, fine pubic
hairs.
▶ The Phalen test is used to evaluate:
A) Inflammation of the median nerve
B) Rheumatoid arthritis
C) Degenerative joint changes
D) Chronic tenosynovitis. Answer: A) Inflammation of the median nerve
The Phalen test is used to identify inflammation of the median nerve seen
with carpal tunnel syndrome. Phalen's test is performed by examining the
wrist with full flexion of the wrist for 60 seconds. Positive findings are
reproduction of the symptoms such as numbness and tin- gling of the
thumb, index finger, and middle finger areas.
,▶ Physiologic anemia of pregnancy is due to:
A) An increase in the cardiac output at the end of the second trimester
B) A physiologic decrease in the production of RBCs in pregnant women
C) An increase of up to 50% of the plasma volume in pregnant women
D) An increase in the need for dietary iron in pregnancy. Answer: C)An
increase of up to 50% of the plasma volume in pregnant women
Physiologic anemia of pregnancy is caused by the increased volume of
plasma during pregnancy when compared to the production of RBCs.
▶ All of the following are implicated in causing chronic cough except:
A) Chronic bronchitis
B) Allergic rhinitis
C) Acute viral upper respiratory infection
D) Gastroesophageal reflux disease. Answer: C) Acute viral upper
respiratory infection
Chronic cough can be caused by chronic bronchitis, allergic rhinitis, and
GERD.
▶ Which of the following is a true statement regarding the effect of aspirin
on platelet function?
A) The effect on platelets is reversible
B) The effect on platelets is reversible and lasts only 1 week
C) It has a minimal effect on platelet function
D) The effect on platelet function is irreversible and lasts 15 to 20 days.
Answer: D) The effect on platelet function is irreversible and lasts 15 to 20
days
The use of aspirin affects the platelet function, is irreversible, and can last
up to 15-20 days
▶ All of the following agents are used to control the inflammatory changes
seen in the lungs of asthmatics except:
A) Albuterol inhaler (Proventil)
B) Triamcinolone (Azmacort)
, C) Montelukast (Singulair)
D) Cromolyn sodium inhaler (Intal). Answer: A) Albuterol inhaler (Proventil)
Proventil inhaler is a short-acting bronchodilator and is used for immediate
relief of shortness of breath. It acts quickly to dilate the tubes in the lungs.
Medications that have steroids and leukotrienes help the inflamed channels
to remain open and clear but take longer to get into the system to work.
▶ Rovsing's sign is associated with which of the following?
A) An acute abdomen, such as during a ruptured appendix
B) Knee instability
C) Damage to the meniscus of the knee
D) Acute cholelithiasis. Answer: A) An acute abdomen, such as during a
ruptured appendix
Rovsing's sign identifies an acute abdomen, such as acute appendicitis.
Rovsing's maneuver is per- formed with the patient in the supine position,
palpating deep into the left lower quadrant of the abdomen and having
referred pain to the right lower quadrant.
▶ Which of the following is contraindicated in the care of pregnant women
with placenta previa?
A) Echocardiogram
B) Intravaginal ultrasound
C) Abdominal ultrasound
D) Pelvic ultrasound. Answer: B) Intravaginal ultrasound
No type of vaginal exam should be performed in patients diagnosed with
placenta previa. Intravaginal ultrasound and pelvic exams are
contraindicated
▶ A patient is positive for anti-HCV (hepatitis C virus antibody). What is the
next step to further evaluate this patient?
A) Refer the patient to a gastroenterologist
B) Order a hepatitis C PCR (polymerase chain reaction) test
C) Order a hepatitis B comprehensive panel
AND COMPLETE STUDY GUIDE 2026
▶ During a routine physical exam of an elderly woman, a triangular
thickening of the bulbar conjunctiva on the temporal side is noted to be
encroaching on the cornea. She denies any eye pain or visual changes.
Which of the following is most likely?
A) Corneal arcus
B) Pterygium
C) Pinguecula
D) Chalazion. Answer: B) Pterygium
Pterygium is a triangular growth on the white part of the eye that also
extends onto the cornea. Corneal arcus is a ring around the edge of the
cornea. Chalazion is a stye in the eye that may cause pain and swelling.
Pinguecula is a benign growth on the conjuctiva caused by the
degeneration of its collagen fibers. Thick, yellow fibers may be seen.
▶ Mr. Jones, who has been on pravastatin (Pravachol) 20 mg at bedtime
for the past few months, complains of lately feeling extremely fatigued. The
patient also noticed that his urine has been a darker color during the past 2
weeks. Which of the following is the best treatment plan to follow?
A) Discontinue his pravastatin and order a liver function profile
B) Continue the pravastatin but on half the dose
C) Schedule him for a complete physical exam
D) Schedule him for a liver function profile. Answer: A) Discontinue his
pravastatin and order a liver function profile
Side effects of statin drugs include myalgia, fatigue, and elevated liver
enzymes. Routine labs should include liver enzymes to assess the effects
on the liver.
,▶ Jane, a young primigravida, reports to you that she is starting to feel the
baby's movements in her uterus. This is considered to be which of the
following?
A) Presumptive sign
B) Probable sign
C) Positive sign
D) Possible sign. Answer: B) Probable sign
Probable signs of pregnancy are symptoms of pregnancy that are felt by
the woman.
▶ A 14-year-old teen is worried that she has not started to menstruate like
most of her friends. During the gynecological examination, the nurse
practitioner tells the mother, who is in the room with the patient, that her
daughter is starting Tanner Stage II. What are the physical exam findings
during this stage?
A) Breast buds and some straight pubic hair
B) Fully developed breasts and curly pubic hair
C) Breast tissue with the areola on a separate mound with curly pubic hair
D) No breast tissue and no pubic hair. Answer: A) Breast buds and some
straight pubic hair
Tanner Stage II in females includes breast buds and few straight, fine pubic
hairs.
▶ The Phalen test is used to evaluate:
A) Inflammation of the median nerve
B) Rheumatoid arthritis
C) Degenerative joint changes
D) Chronic tenosynovitis. Answer: A) Inflammation of the median nerve
The Phalen test is used to identify inflammation of the median nerve seen
with carpal tunnel syndrome. Phalen's test is performed by examining the
wrist with full flexion of the wrist for 60 seconds. Positive findings are
reproduction of the symptoms such as numbness and tin- gling of the
thumb, index finger, and middle finger areas.
,▶ Physiologic anemia of pregnancy is due to:
A) An increase in the cardiac output at the end of the second trimester
B) A physiologic decrease in the production of RBCs in pregnant women
C) An increase of up to 50% of the plasma volume in pregnant women
D) An increase in the need for dietary iron in pregnancy. Answer: C)An
increase of up to 50% of the plasma volume in pregnant women
Physiologic anemia of pregnancy is caused by the increased volume of
plasma during pregnancy when compared to the production of RBCs.
▶ All of the following are implicated in causing chronic cough except:
A) Chronic bronchitis
B) Allergic rhinitis
C) Acute viral upper respiratory infection
D) Gastroesophageal reflux disease. Answer: C) Acute viral upper
respiratory infection
Chronic cough can be caused by chronic bronchitis, allergic rhinitis, and
GERD.
▶ Which of the following is a true statement regarding the effect of aspirin
on platelet function?
A) The effect on platelets is reversible
B) The effect on platelets is reversible and lasts only 1 week
C) It has a minimal effect on platelet function
D) The effect on platelet function is irreversible and lasts 15 to 20 days.
Answer: D) The effect on platelet function is irreversible and lasts 15 to 20
days
The use of aspirin affects the platelet function, is irreversible, and can last
up to 15-20 days
▶ All of the following agents are used to control the inflammatory changes
seen in the lungs of asthmatics except:
A) Albuterol inhaler (Proventil)
B) Triamcinolone (Azmacort)
, C) Montelukast (Singulair)
D) Cromolyn sodium inhaler (Intal). Answer: A) Albuterol inhaler (Proventil)
Proventil inhaler is a short-acting bronchodilator and is used for immediate
relief of shortness of breath. It acts quickly to dilate the tubes in the lungs.
Medications that have steroids and leukotrienes help the inflamed channels
to remain open and clear but take longer to get into the system to work.
▶ Rovsing's sign is associated with which of the following?
A) An acute abdomen, such as during a ruptured appendix
B) Knee instability
C) Damage to the meniscus of the knee
D) Acute cholelithiasis. Answer: A) An acute abdomen, such as during a
ruptured appendix
Rovsing's sign identifies an acute abdomen, such as acute appendicitis.
Rovsing's maneuver is per- formed with the patient in the supine position,
palpating deep into the left lower quadrant of the abdomen and having
referred pain to the right lower quadrant.
▶ Which of the following is contraindicated in the care of pregnant women
with placenta previa?
A) Echocardiogram
B) Intravaginal ultrasound
C) Abdominal ultrasound
D) Pelvic ultrasound. Answer: B) Intravaginal ultrasound
No type of vaginal exam should be performed in patients diagnosed with
placenta previa. Intravaginal ultrasound and pelvic exams are
contraindicated
▶ A patient is positive for anti-HCV (hepatitis C virus antibody). What is the
next step to further evaluate this patient?
A) Refer the patient to a gastroenterologist
B) Order a hepatitis C PCR (polymerase chain reaction) test
C) Order a hepatitis B comprehensive panel
