NSG 6998 Pre-Predictor Exam Questions with
Correct Answers 2025/2026
PrescriptiveBauthority:B-BCORRECTBANSWERB-
mayBbeBexercisedBbyBgivingBaBverbalBmedicationBorderBtoBaBpharmacist.
AnBexampleBofBexercisingBprescriptiveBauthorityBisBgivingBaBverbalBorderBtoBaBpharmacistBorBwritin
gBanBorderBforBaBprescriptionBmedication.BPrescriptiveBauthorityBrulesBandBregulationsBvaryBfromBs
tateBtoBstate.BPrescriptiveBauthorityBisBgrantedBonlyBtoBthoseBAPRNsBwhoBmeetBtheBrequirementsB
ofBtheBgoverningBbodyBforBtheBstateBinBwhichBtheBAPRNBpractices.
WhenBexaminingBaBpregnantBpatient,BwhereBshouldBtheBfundalBheightBbeBatB22Bweeks?B-
BCORRECTBANSWERB-AboveBtheBumbilicus
BetweenB18BandB32Bweeks,BthereBisBgoodBcorrelationBbetweenBfundalBheightBandBgestationalBageB
ofBtheBfetus.BTheBexpectedBheightsBare:B10-
12Bweeks:BfundusBslightlyBaboveBtheBsymphysisBpubisB16Bweeks:BfundusBmidwayBbetweenBtheBsy
mphysisBpubisBandBumbilicusB20Bweeks:BfundusBatBtheBlevelBofBumbilicusB28Bweeks:BfundusB3Bfing
erbreadthsBaboveBtheBumbilicusB36Bweeks:BfundusBjustBbelowBtheBxiphoidBprocess
WhatBinterventionBdoesBtheBAmericanBCollegeBofBRheumatologyBrecommendBasBfirst-
lineBtherapyBforBosteoarthritis?B-BCORRECTBANSWERB-ExerciseBandBweightBloss
Exercise,BweightBloss,BandBrestBareBrecommendedBbyBtheBAmericanBCollegeBofBRheumatologyBguid
elinesBforBtheBinitialBmanagementBofBosteoarthritisB(OA).BGivenBtheBadverseBeffectsBofBmedication
sBusedBtoBtreatBOA,BitBisBbestBtoBminimizeBdosageBandBdelayBuseBasBlongBasBpossible.BAnBextensiveB
diagnosticBworkupBisBnotBrecommendedBunlessBtheBpresentationBisBinBquestion.BPatientsBwhoBhav
eBsevereBdegenerativeBjointBdiseaseB(DJD),BjointBfusion,BorBwhoseBpainBseverityBisBnotBrelievedBbyB
moreBconservativeBtherapiesBmayBbeBcandidatesBforBjointBreplacement.BAcetaminophenBisBrecom
mendedBasBaBfirst-lineBmedication.
,AB63-year-
oldBmaleBretiredBaccountantBcomplainsBofBpainBandBstiffnessBinBhisBfeetBandBhandsBofBseveralByear
sBduration.BHeBreportsBthatBtheBpainBandBstiffnessBbecomeBworseBwithBactivity.BOnBexamination,Bh
eBisBnotedBtoBhaveBHeberden'sBnodesBbutBnoBotherBbonyBdeformities.BWhichBofBtheBfollowingBisBth
eBmostBprobableBdiagnosis?B-BCORRECTBANSWERB-OsteoarthritisB(OA)
AlthoughBhisBvocationBinvolvedBsedentaryBactivity,BthisBpatientBisBnotBatBgreatBriskBforBosteoarthrit
is.BRheumatoidBarthritisBisBcharacterizedBbyBseveralBjointBdeformities,BusuallyBbilaterallyBsymmetri
cal.BRABisBcharacterizedBbyBinflammatoryBprocesses,BwhileBOABisBnot.BRABandBOABareBchronicBcondi
tions.BGoutBisBcharacterizedBbyBacuteBexacerbationsBrelatedBtoBaBdefectBinBpurineBmetabolism,Binc
reasedBuricBacidBproduction,BorBdecreasedBuricBacidBexcretion.
TheBfamilyBofBaB78-year-
oldBmanBmovedBhimBintoBanBassistedBlivingBcenterBbecauseBheBcanBnoBlongerBbeBleftBatBhomeBalon
e.BHeBisBunableBtoBtoiletBwhenBaskedBtoBdoBsoBandBheBhasBhadBseveralBepisodesBofBincontinence.BH
eBhasBwalkedBoutBofBtheBfacilityBtwiceBandBbeenBunableBtoBfindBhisBwayBbackBfromB3BblocksBaway.B
OnBexamination,BheBisBpleasantBbutBmildlyBconfused.BWhichBofBhisBmedicationsBisBLEASTBlikelyBcon
tributingBtoBhisBbehavior?B-BCORRECTBANSWERB-ramiprilB(Altace®)
TricyclicBantidepressants,BlikeBamitriptyline,BhaveBanticholinergicBsideBeffectsBwhichBareBespecially
BproblematicBinBtheBelderlyBbecauseBtheyBcontributeBtoBurinaryBretention.BHydrochlorothiazideBisB
aBdiureticBandBmayBcontributeBtoBhisBincontinence.BCimetidineBisBwellBknownBtoBproduceBadverseB
reactionsBsuchBasBconfusionBinBelders.BRamipril,BanBACEBinhibitor,BisBunlikelyBtoBcontributeBtoBthisB
patient'sBincontinenceBorBconfusion.BToiletingBmayBbeBaBcomplicatedBbyBtheBanticholinergicBmedic
ationBand/orBtheBdiureticBcausingBdiuresis,BurgeBincontinence,BandBinabilityBtoBvoidBatBwill.
ABpatientBwithBnoBsignificantBmedicalBhistoryBhasBvaricoseBveins.BSheBcomplainsBofB"achingBlegs".B
TheBinterventionBthatBwillBprovideBtheBgreatestBreliefBforBherBcomplaintBisBto:B-
BCORRECTBANSWERB-elevateBherBlegsBperiodically.
TheBinterventionBthatBwillBprovideBtheBgreatestBreliefBforBthisBpatientBisBelevatingBherBlegsBperiodic
ally.BThisBwillBfacilitateBvenousBreturn.BUseBofBsupportBstockingsBwillBprolongBtheBlengthBofBtimeBsh
,eBisBableBtoBstandBinBplace,BbutBwillBnotBprovideBreliefBafterBherBlegsBbeginBaching.BSupportBstockin
gsBshouldBbeBappliedBpriorBtoBgettingBoutBofBbed.
StressBurinaryBincontinenceBis:B-BCORRECTBANSWERB-mayBbeBaggravatedBbyBcaffeineBorBalcohol.
StressBurinaryBincontinenceBisBnotBexpectedBasBaBresultBofBtheBnormalBagingBprocess.BTheBprimaryB
problemBisBsphincterBincompetence.BTheBingestionBofBcaffeineBorBalcoholBdecreasesBsphincterBcon
trol.BAnticholinergicBandBantidepressantBmedicationsBareBcausativeBfactorsBrelatedBtoBoverflowBin
continence.BDetrusorBmuscleBinstabilityBisBtheBprimaryBunderlyingBproblemBcausingBurgeBincontin
ence.
WhichBcommonlyBusedBherbalBremedyBisBNOTBassociatedBwithBanxietyBand/orBdepressiveBsympto
mBrelief?B-BCORRECTBANSWERB-GinkgoBbiloba
GinkgoBbilobaBisBaBcommonBherbalBremedyBassociatedBwithBenhancementBofBvascularBandBcerebr
alBperfusionBandBmemory.BTheBnurseBpractitionerBshouldBbeBawareBwhenBtheBpatientBisBtakingBany
BherbalBsupplementBtoBavoidBriskBofBdrugBinteractions.
UponBophthalmoscopicBexaminationBofBaB78-year-
oldBpatient,BtheBnurseBpractitionerBobservesBdarkBspotsBagainstBaBredBretina.BWhatBdiagnosisBisBthi
sBfindingBmostBconsistentBwith?B-BCORRECTBANSWERB-Cataract
ABcataractBopacityBisBseenBasBaBdarkBdisruptionBofBtheBredBreflexBonBophthalmoscopicBexam.
AB72ByearBoldBfemaleBpatientBreportsBaB6BmonthBhistoryBofBprogressivelyBmoreBswollenBandBpainfu
lBdistalBinterphalangealB(DIP)BjointsBofBoneBhand.BThereBareBnoBsystemicBsymptomsBbutBtheBerythr
ocyteBsedimentationBrateB(ESR),BantinuclearBantibodyB(ANA),BandBrheumatoidBfactorB(RF)BareBallB
minimallyBelevated.BWhatBisBtheBmostBlikelyBdiagnosis?B-BCORRECTBANSWERB-Osteoarthritis
, WhenBosteoarthritisBaffectsBtheBhands,BtheBdistalBinterphalangealB(DIP)BjointsBareBusuallyBinvolve
d.BRheumatoidBarthritisBisBusuallyBsymmetrical,BandBtheBproximalBinterphalangealB(PIP)BjointsBareB
moreBoftenBaffected.BInflammationBoftenBdevelopsBquickly,BnotBgradually.BThisBpatientBisBelderly;Bt
herefore,BitBisBexpectedBthatBtheBESR,BANA,BandBRFBwillBbeBonlyBsomewhatBelevated.BOver-
interpretationBofBlaboratoryBtestsBwithoutBevidenceBofBsystemicBinflammationBcanBleadBtoBmisdia
gnosis.
TheBnurseBpractitionerBisBevaluatingBaB35-year-
oldBfemaleBnurse.BSheBhasBaBhistoryBofBhospitalizationBforBhepatitisBBBinfectionB2ByearsBago.BHerBla
boratoryBtestsBdemonstrateBpositiveBHBsAg.BTheBnurseBpractitionerBwouldBmostBlikelyBdiagnose:B-
BCORRECTBANSWERB-chronicBhepatitisBBBinfection.
PresenceBofBhepatitisBBBsurfaceBantigenBatBthisBtimeBindicatesBchronicBinfectionBwithBhepatitisBB.BL
abBstudiesBindicatingBaBpositiveBsurfaceBantigenBonB2BseparateBoccasionsBatBleastB6BmonthsBapartBi
ndicateBchronicBinfection.BImmunizationBproducesBpositiveBhepatitisBBBantibodiesBinBmostBinstanc
es.BHepatitisBBBsurfaceBantigenBwouldBnotBbeBpresentBinBaBpersonBwhoBhasBrecoveredBfromBhepati
tisBBBinfection.BThisBcaseBwouldBnotBbeBanBacuteBepisodeBbecauseBofBtheBhistoryBofBhepatitisBBBinfe
ctionB2ByearsBprior.
OneBexceptionBtoBtheBrecommendationBtoBlimitBdietaryBfatBintakeBis:B-BCORRECTBANSWERB-
childrenBunderB2Byears-of-age.
InBorderBforBmyelinizationBofBtheBnervousBsystemBtoBoccur,BchildrenBunderB2Byears-of-
ageBrequireB>B30%BdailyBdietaryBfat.
TheBmostBeffectiveBprimaryBpreventionBofBskinBcancerBisBtoBeducateBtheBpublicBabout:B-
BCORRECTBANSWERB-limitingBexposureBtoBnaturalBsolarBradiation.
PrimaryBpreventionBofBskinBcancerBincludesBlimitingBsunBexposure,BavoidingBtanningBfacilities,Band
BapplyingBsunscreen.BExaminingBtheBskinBandBrecognizingBmelanomaBareBbothBsecondaryBpreventi
onBmeasures.
Correct Answers 2025/2026
PrescriptiveBauthority:B-BCORRECTBANSWERB-
mayBbeBexercisedBbyBgivingBaBverbalBmedicationBorderBtoBaBpharmacist.
AnBexampleBofBexercisingBprescriptiveBauthorityBisBgivingBaBverbalBorderBtoBaBpharmacistBorBwritin
gBanBorderBforBaBprescriptionBmedication.BPrescriptiveBauthorityBrulesBandBregulationsBvaryBfromBs
tateBtoBstate.BPrescriptiveBauthorityBisBgrantedBonlyBtoBthoseBAPRNsBwhoBmeetBtheBrequirementsB
ofBtheBgoverningBbodyBforBtheBstateBinBwhichBtheBAPRNBpractices.
WhenBexaminingBaBpregnantBpatient,BwhereBshouldBtheBfundalBheightBbeBatB22Bweeks?B-
BCORRECTBANSWERB-AboveBtheBumbilicus
BetweenB18BandB32Bweeks,BthereBisBgoodBcorrelationBbetweenBfundalBheightBandBgestationalBageB
ofBtheBfetus.BTheBexpectedBheightsBare:B10-
12Bweeks:BfundusBslightlyBaboveBtheBsymphysisBpubisB16Bweeks:BfundusBmidwayBbetweenBtheBsy
mphysisBpubisBandBumbilicusB20Bweeks:BfundusBatBtheBlevelBofBumbilicusB28Bweeks:BfundusB3Bfing
erbreadthsBaboveBtheBumbilicusB36Bweeks:BfundusBjustBbelowBtheBxiphoidBprocess
WhatBinterventionBdoesBtheBAmericanBCollegeBofBRheumatologyBrecommendBasBfirst-
lineBtherapyBforBosteoarthritis?B-BCORRECTBANSWERB-ExerciseBandBweightBloss
Exercise,BweightBloss,BandBrestBareBrecommendedBbyBtheBAmericanBCollegeBofBRheumatologyBguid
elinesBforBtheBinitialBmanagementBofBosteoarthritisB(OA).BGivenBtheBadverseBeffectsBofBmedication
sBusedBtoBtreatBOA,BitBisBbestBtoBminimizeBdosageBandBdelayBuseBasBlongBasBpossible.BAnBextensiveB
diagnosticBworkupBisBnotBrecommendedBunlessBtheBpresentationBisBinBquestion.BPatientsBwhoBhav
eBsevereBdegenerativeBjointBdiseaseB(DJD),BjointBfusion,BorBwhoseBpainBseverityBisBnotBrelievedBbyB
moreBconservativeBtherapiesBmayBbeBcandidatesBforBjointBreplacement.BAcetaminophenBisBrecom
mendedBasBaBfirst-lineBmedication.
,AB63-year-
oldBmaleBretiredBaccountantBcomplainsBofBpainBandBstiffnessBinBhisBfeetBandBhandsBofBseveralByear
sBduration.BHeBreportsBthatBtheBpainBandBstiffnessBbecomeBworseBwithBactivity.BOnBexamination,Bh
eBisBnotedBtoBhaveBHeberden'sBnodesBbutBnoBotherBbonyBdeformities.BWhichBofBtheBfollowingBisBth
eBmostBprobableBdiagnosis?B-BCORRECTBANSWERB-OsteoarthritisB(OA)
AlthoughBhisBvocationBinvolvedBsedentaryBactivity,BthisBpatientBisBnotBatBgreatBriskBforBosteoarthrit
is.BRheumatoidBarthritisBisBcharacterizedBbyBseveralBjointBdeformities,BusuallyBbilaterallyBsymmetri
cal.BRABisBcharacterizedBbyBinflammatoryBprocesses,BwhileBOABisBnot.BRABandBOABareBchronicBcondi
tions.BGoutBisBcharacterizedBbyBacuteBexacerbationsBrelatedBtoBaBdefectBinBpurineBmetabolism,Binc
reasedBuricBacidBproduction,BorBdecreasedBuricBacidBexcretion.
TheBfamilyBofBaB78-year-
oldBmanBmovedBhimBintoBanBassistedBlivingBcenterBbecauseBheBcanBnoBlongerBbeBleftBatBhomeBalon
e.BHeBisBunableBtoBtoiletBwhenBaskedBtoBdoBsoBandBheBhasBhadBseveralBepisodesBofBincontinence.BH
eBhasBwalkedBoutBofBtheBfacilityBtwiceBandBbeenBunableBtoBfindBhisBwayBbackBfromB3BblocksBaway.B
OnBexamination,BheBisBpleasantBbutBmildlyBconfused.BWhichBofBhisBmedicationsBisBLEASTBlikelyBcon
tributingBtoBhisBbehavior?B-BCORRECTBANSWERB-ramiprilB(Altace®)
TricyclicBantidepressants,BlikeBamitriptyline,BhaveBanticholinergicBsideBeffectsBwhichBareBespecially
BproblematicBinBtheBelderlyBbecauseBtheyBcontributeBtoBurinaryBretention.BHydrochlorothiazideBisB
aBdiureticBandBmayBcontributeBtoBhisBincontinence.BCimetidineBisBwellBknownBtoBproduceBadverseB
reactionsBsuchBasBconfusionBinBelders.BRamipril,BanBACEBinhibitor,BisBunlikelyBtoBcontributeBtoBthisB
patient'sBincontinenceBorBconfusion.BToiletingBmayBbeBaBcomplicatedBbyBtheBanticholinergicBmedic
ationBand/orBtheBdiureticBcausingBdiuresis,BurgeBincontinence,BandBinabilityBtoBvoidBatBwill.
ABpatientBwithBnoBsignificantBmedicalBhistoryBhasBvaricoseBveins.BSheBcomplainsBofB"achingBlegs".B
TheBinterventionBthatBwillBprovideBtheBgreatestBreliefBforBherBcomplaintBisBto:B-
BCORRECTBANSWERB-elevateBherBlegsBperiodically.
TheBinterventionBthatBwillBprovideBtheBgreatestBreliefBforBthisBpatientBisBelevatingBherBlegsBperiodic
ally.BThisBwillBfacilitateBvenousBreturn.BUseBofBsupportBstockingsBwillBprolongBtheBlengthBofBtimeBsh
,eBisBableBtoBstandBinBplace,BbutBwillBnotBprovideBreliefBafterBherBlegsBbeginBaching.BSupportBstockin
gsBshouldBbeBappliedBpriorBtoBgettingBoutBofBbed.
StressBurinaryBincontinenceBis:B-BCORRECTBANSWERB-mayBbeBaggravatedBbyBcaffeineBorBalcohol.
StressBurinaryBincontinenceBisBnotBexpectedBasBaBresultBofBtheBnormalBagingBprocess.BTheBprimaryB
problemBisBsphincterBincompetence.BTheBingestionBofBcaffeineBorBalcoholBdecreasesBsphincterBcon
trol.BAnticholinergicBandBantidepressantBmedicationsBareBcausativeBfactorsBrelatedBtoBoverflowBin
continence.BDetrusorBmuscleBinstabilityBisBtheBprimaryBunderlyingBproblemBcausingBurgeBincontin
ence.
WhichBcommonlyBusedBherbalBremedyBisBNOTBassociatedBwithBanxietyBand/orBdepressiveBsympto
mBrelief?B-BCORRECTBANSWERB-GinkgoBbiloba
GinkgoBbilobaBisBaBcommonBherbalBremedyBassociatedBwithBenhancementBofBvascularBandBcerebr
alBperfusionBandBmemory.BTheBnurseBpractitionerBshouldBbeBawareBwhenBtheBpatientBisBtakingBany
BherbalBsupplementBtoBavoidBriskBofBdrugBinteractions.
UponBophthalmoscopicBexaminationBofBaB78-year-
oldBpatient,BtheBnurseBpractitionerBobservesBdarkBspotsBagainstBaBredBretina.BWhatBdiagnosisBisBthi
sBfindingBmostBconsistentBwith?B-BCORRECTBANSWERB-Cataract
ABcataractBopacityBisBseenBasBaBdarkBdisruptionBofBtheBredBreflexBonBophthalmoscopicBexam.
AB72ByearBoldBfemaleBpatientBreportsBaB6BmonthBhistoryBofBprogressivelyBmoreBswollenBandBpainfu
lBdistalBinterphalangealB(DIP)BjointsBofBoneBhand.BThereBareBnoBsystemicBsymptomsBbutBtheBerythr
ocyteBsedimentationBrateB(ESR),BantinuclearBantibodyB(ANA),BandBrheumatoidBfactorB(RF)BareBallB
minimallyBelevated.BWhatBisBtheBmostBlikelyBdiagnosis?B-BCORRECTBANSWERB-Osteoarthritis
, WhenBosteoarthritisBaffectsBtheBhands,BtheBdistalBinterphalangealB(DIP)BjointsBareBusuallyBinvolve
d.BRheumatoidBarthritisBisBusuallyBsymmetrical,BandBtheBproximalBinterphalangealB(PIP)BjointsBareB
moreBoftenBaffected.BInflammationBoftenBdevelopsBquickly,BnotBgradually.BThisBpatientBisBelderly;Bt
herefore,BitBisBexpectedBthatBtheBESR,BANA,BandBRFBwillBbeBonlyBsomewhatBelevated.BOver-
interpretationBofBlaboratoryBtestsBwithoutBevidenceBofBsystemicBinflammationBcanBleadBtoBmisdia
gnosis.
TheBnurseBpractitionerBisBevaluatingBaB35-year-
oldBfemaleBnurse.BSheBhasBaBhistoryBofBhospitalizationBforBhepatitisBBBinfectionB2ByearsBago.BHerBla
boratoryBtestsBdemonstrateBpositiveBHBsAg.BTheBnurseBpractitionerBwouldBmostBlikelyBdiagnose:B-
BCORRECTBANSWERB-chronicBhepatitisBBBinfection.
PresenceBofBhepatitisBBBsurfaceBantigenBatBthisBtimeBindicatesBchronicBinfectionBwithBhepatitisBB.BL
abBstudiesBindicatingBaBpositiveBsurfaceBantigenBonB2BseparateBoccasionsBatBleastB6BmonthsBapartBi
ndicateBchronicBinfection.BImmunizationBproducesBpositiveBhepatitisBBBantibodiesBinBmostBinstanc
es.BHepatitisBBBsurfaceBantigenBwouldBnotBbeBpresentBinBaBpersonBwhoBhasBrecoveredBfromBhepati
tisBBBinfection.BThisBcaseBwouldBnotBbeBanBacuteBepisodeBbecauseBofBtheBhistoryBofBhepatitisBBBinfe
ctionB2ByearsBprior.
OneBexceptionBtoBtheBrecommendationBtoBlimitBdietaryBfatBintakeBis:B-BCORRECTBANSWERB-
childrenBunderB2Byears-of-age.
InBorderBforBmyelinizationBofBtheBnervousBsystemBtoBoccur,BchildrenBunderB2Byears-of-
ageBrequireB>B30%BdailyBdietaryBfat.
TheBmostBeffectiveBprimaryBpreventionBofBskinBcancerBisBtoBeducateBtheBpublicBabout:B-
BCORRECTBANSWERB-limitingBexposureBtoBnaturalBsolarBradiation.
PrimaryBpreventionBofBskinBcancerBincludesBlimitingBsunBexposure,BavoidingBtanningBfacilities,Band
BapplyingBsunscreen.BExaminingBtheBskinBandBrecognizingBmelanomaBareBbothBsecondaryBpreventi
onBmeasures.
