NSG 6020 MIDTERM EXAM SOUTH UNIVERSITY NEWEST 2025
EXAM COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Alexandra is a 28-year-old editor who presents to the clinic with abdominal pain. The pain is a
dull ache, located in the right upper quadrant, that she rates as a 3 at the least and an 8 at the
worst. The pain started a few weeks ago, it lasts for 2 to 3 hours at a time, it comes and goes,
and it seems to be worse a couple of hours after eating. She has noticed that it starts after
eating greasy foods, so she has cut down on these as much as she can. Initially it occurred once
a week, but now it is occurring every other day. Nothing makes it better. From this description,
which of the seven attributes of a symptom has been omitted? - ANSWER-Associated
manifestations
A 23-year-old graduate student comes to your clinic for evaluation of a urethral discharge. As
the provider, you need to get a sexual history. Which one of the following questions is
inappropriate for eliciting the information? - ANSWER-Are you sexually active?
On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes for her usual visit for
her blood pressure. She is on a low-dose diuretic chronically and denies any side effects. Her
blood pressure is 118/78 today, which is well-controlled. As you are writing her script, she
mentions that it is hard not having her husband Bill around anymore. What would you do next?
- ANSWER-Ask why Bill is not there.
When you enter your patient's examination room, his wife is waiting there with him. Which of
the following is most appropriate? - ANSWER-Ask if it's okay to carry out the visit with both
people in the room.
You are performing a young woman's first pelvic examination. You make sure to tell her verbally
what is coming next and what to expect. Then you carry out each maneuver of the examination.
You let her know at the outset that if she needs a break or wants to stop, this is possible. You
ask several times during the examination, "How are you doing, Brittney?" What are you
accomplishing with these techniques? - ANSWER-All of the above
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, NSG 6020 Midterm Exam South University
A 15-year-old high school sophomore and her mother come to your clinic because the mother is
concerned about her daughter's weight. You measure her daughter's height and weight and
obtain a BMI of 19.5 kg/m2. Based on this information, which of the following is appropriate? -
ANSWER-Reassure the mother that this is a normal body weight.
A 25-year-old radio announcer comes to the clinic for an annual examination. His BMI is 26.0
kg/m2. He is concerned about his weight. Based on this information, what is appropriate
counsel for the patient during the visit? - ANSWER-Give the patient information about reduction
of fat, cholesterol, and calories because he is overweight
Common or concerning symptoms to inquire about in the General Survey and vital signs include
all of the following except: - ANSWER-cough
You are beginning the examination of a patient. All of the following areas are important to
observe as part of the General Survey except: - ANSWER-blood pressure
Mrs. Lenzo weighs herself every day with a very accurate balance-type scale. She has noticed
that over the past 2 days she has gained 4 pounds. How would you best explain this? - ANSWER-
Attribute this to body fluid.
You are seeing an older patient who has not had medical care for many years. Her vital signs
taken by your office staff are: T 37.2, HR 78, BP 118/92, and RR 14, and she denies pain. You
notice that she has some hypertensive changes in her retinas and you find mild proteinuria on a
urine test in your office. You expected the BP to be higher. She is not on any medications. What
do you think is causing this BP reading, which doesn't correlate with the other findings? -
ANSWER-It is caused by an "auscultatory gap."
Mr. Garcia comes to your office for a rash on his chest associated with a burning pain. Even a
light touch causes this burning sensation to worsen. On examination, you note a rash with small
blisters (vesicles) on a background of reddened skin. The rash overlies an entire rib on his right
side. What type of pain is this? - ANSWER-Neuropathic pain
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, NSG 6020 Midterm Exam South University
A mother brings her 11 month old to you because her mother-in-law and others have told her
that her baby is jaundiced. She is eating and growing well and performing the developmental
milestones she should for her age. On examination you indeed notice a yellow tone to her skin
from head to toe. Her sclerae are white. To which area should your next questions be related? -
ANSWER-diet
You are examining an unconscious patient from another region and notice Beau's lines, a
transverse groove across all of her nails, about 1 cm from the proximal nail fold. What would
you do next? - ANSWER-look for information from family and records regarding any problems
which occurred 3 months ago
Which of the following is a symptom involving the eye? - ANSWER-scotomas
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On observation,
the right eyeball appears to be protruding forward. Based on this description, what is the most
likely diagnosis? - ANSWER-exophthalmos
A 12-year-old presents to the clinic with his father for evaluation of a painful lump in the left
eye. It started this morning. He denies any trauma or injury. There is no visual disturbance.
Upon physical examination, there is a red raised area at the margin of the eyelid that is tender
to palpation; no tearing occurs with palpation of the lesion. Based on this description, what is
the most likely diagnosis? - ANSWER-hordeolum
For which of the following patients would a comprehensive health history be appropriate -
ANSWER-a new patient with the chief complaint of "I am here to establish care"
Is the following information subjective or objective? Mr. M. has shortness of breath that has
persisted for the past 10 days; it is worse with activity and relieved by rest. - ANSWER-subjective
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