Page 1 of 193
,Page 2 of 193
Nsg6020 3p Exam / Nsg 6020 3p Exam
South University, Questions And Correct
Answers (Verified Answers) ||Complete A+
Guide
1. A 72-year-old male presents for an annual physical. He
reports feeling “tired” but otherwise well. Which question is
most important to ask next?
A. “Do you have any chest pain?”
B. “Have you had any recent falls?”
C. “How is your appetite?”
D. “Are you sleeping well at night?”
Correct Answer: B
Rationale: Falls in the elderly are a major safety concern and
may indicate underlying neuropathy, orthostatic hypotension,
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or medication side effects. Asking about falls should be
prioritized in the geriatric assessment.
2. A patient’s blood pressure is 148/92 mm Hg on two
separate visits. According to JNC-8 guidelines, what is the
initial treatment recommendation?
A. Lifestyle modification only
B. Start a thiazide diuretic
C. Start a beta-blocker
D. Lifestyle modification + pharmacotherapy
Correct Answer: D
Rationale: For patients over 60 with BP ≥150/90, JNC-8
recommends pharmacotherapy plus lifestyle changes. For those
under 60, treatment begins at ≥140/90.
3. A 35-year-old woman reports fatigue, weight gain, and
cold intolerance. Her vital signs are normal. What is the best
initial screening test?
A. Free T4
, Page 4 of 193
B. TSH
C. Thyroid ultrasound
D. Antithyroid antibodies
Correct Answer: B
Rationale: TSH is the most sensitive initial test for thyroid
dysfunction. Low TSH suggests hyperthyroidism; high TSH
suggests hypothyroidism.
4. Which of the following is a red flag symptom requiring
immediate evaluation?
A. Intermittent headache for 3 months
B. Unintentional weight loss of 10 lbs over 6 months
C. New-onset seizure in a 50-year-old
D. Heartburn after spicy meals
Correct Answer: C
Rationale: New-onset seizure in an adult may indicate brain
tumor, stroke, or infection. Requires urgent neuroimaging.
,Page 2 of 193
Nsg6020 3p Exam / Nsg 6020 3p Exam
South University, Questions And Correct
Answers (Verified Answers) ||Complete A+
Guide
1. A 72-year-old male presents for an annual physical. He
reports feeling “tired” but otherwise well. Which question is
most important to ask next?
A. “Do you have any chest pain?”
B. “Have you had any recent falls?”
C. “How is your appetite?”
D. “Are you sleeping well at night?”
Correct Answer: B
Rationale: Falls in the elderly are a major safety concern and
may indicate underlying neuropathy, orthostatic hypotension,
,Page 3 of 193
or medication side effects. Asking about falls should be
prioritized in the geriatric assessment.
2. A patient’s blood pressure is 148/92 mm Hg on two
separate visits. According to JNC-8 guidelines, what is the
initial treatment recommendation?
A. Lifestyle modification only
B. Start a thiazide diuretic
C. Start a beta-blocker
D. Lifestyle modification + pharmacotherapy
Correct Answer: D
Rationale: For patients over 60 with BP ≥150/90, JNC-8
recommends pharmacotherapy plus lifestyle changes. For those
under 60, treatment begins at ≥140/90.
3. A 35-year-old woman reports fatigue, weight gain, and
cold intolerance. Her vital signs are normal. What is the best
initial screening test?
A. Free T4
, Page 4 of 193
B. TSH
C. Thyroid ultrasound
D. Antithyroid antibodies
Correct Answer: B
Rationale: TSH is the most sensitive initial test for thyroid
dysfunction. Low TSH suggests hyperthyroidism; high TSH
suggests hypothyroidism.
4. Which of the following is a red flag symptom requiring
immediate evaluation?
A. Intermittent headache for 3 months
B. Unintentional weight loss of 10 lbs over 6 months
C. New-onset seizure in a 50-year-old
D. Heartburn after spicy meals
Correct Answer: C
Rationale: New-onset seizure in an adult may indicate brain
tumor, stroke, or infection. Requires urgent neuroimaging.
