South university
NSG6440: Practicum IV Family Health: Primary Care
NSG 6440 Final Exam 2025 (Summer) – 150 Practice
Questions & Answers | Graded A | Nurse Practitioner
Review
The most cost-effective screening test for determining HIV status is which of the
following?
Western blot
Enzyme-linked immunosorbent assay
Venereal Disease Research Laboratory test Viral load
Enzyme-linked immunosorbent assay
Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of an inflammatory process?
Erythrocyte sedimentation rate
White blood cell count Polymorphonuclear cells
C-reactive protein (CRP)
C-reactive protein (CRP)
Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter?
GABA
Acetylcholine
Dopamine
Serotonin
Dopamine
Mrs. Thomas was seen in the office complaining of pain and
,South university
NSG6440: Practicum IV Family Health: Primary Care
point tenderness in the area of her elbow. The pain has increased following a day of
gardening one week ago. A physical finding that differentiates the diagnosis and is most
consistent with lateral epicondylitis (tennis elbow) is:
Ecchymosis, edema, and erythema over the lateral epicondyle
Pain at the elbow with resisted movements at the wrist and forearm
Inability to supinate and pronate the arm
Inability to flex or extend the elbow against resistance
Pain at the elbow with resisted movements at the wrist and forearm
Which of the following statements concerning the
musculoskeletal examination is true?
The uninvolved side should be examined initially and then compared to the involved
side.
The part of the body that is causing the patient pain should be examined first.
When possible, the patient should not be asked to perform active range-of-motion
(ROM) exercises to avoid causing pain.
Radiographs should always be obtained prior to examination so as not to cause further
injury to the patient.
The uninvolved side should be examined initially and then compared to the involved
side.
Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
,South university
NSG6440: Practicum IV Family Health: Primary Care
Decreased C-reactive protein
Hyperalbuminemia
Morning stiffness
Weight gain
Morning stiffness
Which causes the greatest percentage of mammalian bites?
Dogs
Cats
Humans
Rodents
Dogs
A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she can no longer exercise.
Pelvic exam reveals a single, very large mass. Which of the following diagnostic tests
should the clinician order first?
Transvaginal ultrasound
Endometrial biopsy MRI
Abdominal computed tomography scan
Transvaginal ultrasound
A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which of the following responses
would be most appropriate?
"Control of glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a routine."
, South university
NSG6440: Practicum IV Family Health: Primary Care
"Monitoring glucose will promote a sense of control."
All of the above
All of the above
A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain,
and constipation for the past 3 months. On physical examination, the clinician notices a
sinus bradycardia; muscular stiffness; coarse, dry hair; and a delay in relaxation in deep
tendon reflexes. Which of the following tests should be ordered next?
Serum calcium
TSH
Electrolytes
Urine specific gravity
TSH
Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy?
Insulin
Metformin
Glucotrol
Precose
Glucotrol
During a DRE on a 75-year-old man, the clinician suspects
the patient has prostate cancer. What physical finding should make the clinician
suspicious?
An enlarged rubbery gland
A hard irregular gland
A tender gland
A boggy gland
NSG6440: Practicum IV Family Health: Primary Care
NSG 6440 Final Exam 2025 (Summer) – 150 Practice
Questions & Answers | Graded A | Nurse Practitioner
Review
The most cost-effective screening test for determining HIV status is which of the
following?
Western blot
Enzyme-linked immunosorbent assay
Venereal Disease Research Laboratory test Viral load
Enzyme-linked immunosorbent assay
Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of an inflammatory process?
Erythrocyte sedimentation rate
White blood cell count Polymorphonuclear cells
C-reactive protein (CRP)
C-reactive protein (CRP)
Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter?
GABA
Acetylcholine
Dopamine
Serotonin
Dopamine
Mrs. Thomas was seen in the office complaining of pain and
,South university
NSG6440: Practicum IV Family Health: Primary Care
point tenderness in the area of her elbow. The pain has increased following a day of
gardening one week ago. A physical finding that differentiates the diagnosis and is most
consistent with lateral epicondylitis (tennis elbow) is:
Ecchymosis, edema, and erythema over the lateral epicondyle
Pain at the elbow with resisted movements at the wrist and forearm
Inability to supinate and pronate the arm
Inability to flex or extend the elbow against resistance
Pain at the elbow with resisted movements at the wrist and forearm
Which of the following statements concerning the
musculoskeletal examination is true?
The uninvolved side should be examined initially and then compared to the involved
side.
The part of the body that is causing the patient pain should be examined first.
When possible, the patient should not be asked to perform active range-of-motion
(ROM) exercises to avoid causing pain.
Radiographs should always be obtained prior to examination so as not to cause further
injury to the patient.
The uninvolved side should be examined initially and then compared to the involved
side.
Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
,South university
NSG6440: Practicum IV Family Health: Primary Care
Decreased C-reactive protein
Hyperalbuminemia
Morning stiffness
Weight gain
Morning stiffness
Which causes the greatest percentage of mammalian bites?
Dogs
Cats
Humans
Rodents
Dogs
A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she can no longer exercise.
Pelvic exam reveals a single, very large mass. Which of the following diagnostic tests
should the clinician order first?
Transvaginal ultrasound
Endometrial biopsy MRI
Abdominal computed tomography scan
Transvaginal ultrasound
A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which of the following responses
would be most appropriate?
"Control of glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a routine."
, South university
NSG6440: Practicum IV Family Health: Primary Care
"Monitoring glucose will promote a sense of control."
All of the above
All of the above
A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain,
and constipation for the past 3 months. On physical examination, the clinician notices a
sinus bradycardia; muscular stiffness; coarse, dry hair; and a delay in relaxation in deep
tendon reflexes. Which of the following tests should be ordered next?
Serum calcium
TSH
Electrolytes
Urine specific gravity
TSH
Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy?
Insulin
Metformin
Glucotrol
Precose
Glucotrol
During a DRE on a 75-year-old man, the clinician suspects
the patient has prostate cancer. What physical finding should make the clinician
suspicious?
An enlarged rubbery gland
A hard irregular gland
A tender gland
A boggy gland
