South university
NSG6420: Practicum I Family Health: Adults and Gerontology
NSG 6420 Midterm Exam 2025 latest – 100 Correctly
Answered Questions | Graded A | South University FNP
The first step in the genomic assessment of a patient is obtaining information regarding
family history
Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain, fatigue,
palpitations, lightheadedness, and shortness of breath. The pain comes and goes and is
not associated with activity or exertion. Food does not exacerbate or relieve the pain.
The pain is usually located under the left nipple. Jeff is concerned because his father has
cardiac disease and underwent a CABG at age 65. The ANP examines Jeff and hears a
mid-systolic click at the 4th ICS mid-clavicular area. The ANP knows that this is a
hallmark sign of:
mitral valve prolapse
Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic anemia. This
classification refers to which of the following laboratory data?
mean corpuscular volume (MCV) and mean corpuscular hemoglobin (MCH)
What is the most common valvular heart disease in the older adult?
aortic stenosis
Your patient has been using chewing tobacco for 10 years. On physical examination, you
observe a white ulceration surrounded by erythematous base on the side of his tongue.
The clinician should recognize that very often this is:
squamous cell carcinoma
A 59-year-old patient with history of alcohol abuse comes to your office because of
'throwing up blood". On physical examination, you note ascites and caput medusa. A
likely cause for the hematemesis is:
esophageal varices
,South university
NSG6420: Practicum I Family Health: Adults and Gerontology
Your 35-year-old female patient complains of feeling palpitations on occasion. The
clinician should recognize that palpitations are often a sign of:
all of the above
In AR disorders, carriers have:
one copy of a gene mutation but not the disease
Functional abilities are best assessed by:
Observed assessment of function
During auscultation of the chest, your exam reveals a loud grating sound at the lower
anterolateral lung fields, at full inspiration and early expiration. This finding is consistent
with:
pneumonia
During physical examination of a patient, you note resonance on percussion in the
upper lung fields. This is consistent with:
a normal finding
A 26-year-old, non-smoker, male presented to your clinic with SOB with exertion. This
could be due to:
alpha-1 deficiency
A 24-year-old patient presents to the emergency department after sustaining multiple
traumatic injuries after a motorcycle accident. Upon examination, you note tachypnea,
use of intercostal muscles to breathe, asymmetric chest expansion, and no breath
sounds over the left lower lobe. It is most important to suspect:
pheumothorax
, South university
NSG6420: Practicum I Family Health: Adults and Gerontology
If it has been determined a patient has esophageal reflux, you should tell them:
smoking, alcohol, and caffeine can aggravate their problem
The following criterion is considered a positive finding when determining whether a
patient with asthma can be safely monitored and treated at home:
tachypnea greater than 30 breaths/minute
In examination of the nose, the clinician observes gray, pale mucous membranes with
clear, serous discharge. This is most likely indicative of:
allergic rhinitis
Symptoms in the initial human immunodeficiency virus (HIV) infection include all of the
following except:
weight loss
Essential parts of a health history include all of the following except:
current vital signs
When palpating the posterior chest, the clinician notes increased tactile fremitus over
the left lower lobe. This can be indicative of pneumonia. Areas of increased fremitus
should raise the suspicion of conditions resulting in increased solidity or consolidation in
the underlying lung tissue, such as in pneumonia, tumor, or pulmonary fibrosis. In the
instance of an extensive bronchial obstruction:
No palpable vibration is felt
A nurse practitioner reports that your patient's abdominal X-ray demonstrates multiple
air-fluid levels in the bowel. This is a diagnostic finding found in:
bowel obstruction
NSG6420: Practicum I Family Health: Adults and Gerontology
NSG 6420 Midterm Exam 2025 latest – 100 Correctly
Answered Questions | Graded A | South University FNP
The first step in the genomic assessment of a patient is obtaining information regarding
family history
Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain, fatigue,
palpitations, lightheadedness, and shortness of breath. The pain comes and goes and is
not associated with activity or exertion. Food does not exacerbate or relieve the pain.
The pain is usually located under the left nipple. Jeff is concerned because his father has
cardiac disease and underwent a CABG at age 65. The ANP examines Jeff and hears a
mid-systolic click at the 4th ICS mid-clavicular area. The ANP knows that this is a
hallmark sign of:
mitral valve prolapse
Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic anemia. This
classification refers to which of the following laboratory data?
mean corpuscular volume (MCV) and mean corpuscular hemoglobin (MCH)
What is the most common valvular heart disease in the older adult?
aortic stenosis
Your patient has been using chewing tobacco for 10 years. On physical examination, you
observe a white ulceration surrounded by erythematous base on the side of his tongue.
The clinician should recognize that very often this is:
squamous cell carcinoma
A 59-year-old patient with history of alcohol abuse comes to your office because of
'throwing up blood". On physical examination, you note ascites and caput medusa. A
likely cause for the hematemesis is:
esophageal varices
,South university
NSG6420: Practicum I Family Health: Adults and Gerontology
Your 35-year-old female patient complains of feeling palpitations on occasion. The
clinician should recognize that palpitations are often a sign of:
all of the above
In AR disorders, carriers have:
one copy of a gene mutation but not the disease
Functional abilities are best assessed by:
Observed assessment of function
During auscultation of the chest, your exam reveals a loud grating sound at the lower
anterolateral lung fields, at full inspiration and early expiration. This finding is consistent
with:
pneumonia
During physical examination of a patient, you note resonance on percussion in the
upper lung fields. This is consistent with:
a normal finding
A 26-year-old, non-smoker, male presented to your clinic with SOB with exertion. This
could be due to:
alpha-1 deficiency
A 24-year-old patient presents to the emergency department after sustaining multiple
traumatic injuries after a motorcycle accident. Upon examination, you note tachypnea,
use of intercostal muscles to breathe, asymmetric chest expansion, and no breath
sounds over the left lower lobe. It is most important to suspect:
pheumothorax
, South university
NSG6420: Practicum I Family Health: Adults and Gerontology
If it has been determined a patient has esophageal reflux, you should tell them:
smoking, alcohol, and caffeine can aggravate their problem
The following criterion is considered a positive finding when determining whether a
patient with asthma can be safely monitored and treated at home:
tachypnea greater than 30 breaths/minute
In examination of the nose, the clinician observes gray, pale mucous membranes with
clear, serous discharge. This is most likely indicative of:
allergic rhinitis
Symptoms in the initial human immunodeficiency virus (HIV) infection include all of the
following except:
weight loss
Essential parts of a health history include all of the following except:
current vital signs
When palpating the posterior chest, the clinician notes increased tactile fremitus over
the left lower lobe. This can be indicative of pneumonia. Areas of increased fremitus
should raise the suspicion of conditions resulting in increased solidity or consolidation in
the underlying lung tissue, such as in pneumonia, tumor, or pulmonary fibrosis. In the
instance of an extensive bronchial obstruction:
No palpable vibration is felt
A nurse practitioner reports that your patient's abdominal X-ray demonstrates multiple
air-fluid levels in the bowel. This is a diagnostic finding found in:
bowel obstruction
