NSG6440 / NSG 6440 Final Exam (Latest
2025/2026 Update): Practicum IV Family
Health - Primary Care | 80 Questions and
Verified Answers | 100% Correct | Grade
A - South University
Section 1: Health Assessment and Diagnosis (Questions 1–
20)
1. A 14-year-old female presents for an annual exam. Her mother reports declining
grades and concerns about her peer group. What are components of an adolescent
annual exam? (Select all that apply)
A. HEENT physical examination
B. Psychosocial assessment (HEADSS)
C. Immunization status review
D. Mandatory parental presence
E. Vision and hearing screening
Answer: HEENT physical examination, Psychosocial assessment (HEADSS),
Immunization status review, Vision and hearing screening
Rationale: An adolescent annual exam includes HEENT, psychosocial assessment
(HEADSS: Home, Education, Activities, Drugs, Sexuality, Suicide), immunizations, and
sensory screenings. Parental presence is not mandatory for adolescents.
2. Is the mother required to be present during the exam of a 14-year-old patient?
A. Yes, for legal consent
B. No, unless the patient requests it
C. Yes, for all adolescent exams
D. No, but she must sign consent forms
Answer: No, unless the patient requests it
Rationale: Adolescents have the right to privacy during exams unless they request
parental presence or specific consent is required for procedures.
3. What health promotion idea should be discussed with a 14-year-old patient?
A. Smoking cessation strategies
B. Importance of peer group influence
, C. Safe sexual practices
D. Advanced directives
Answer: Safe sexual practices
Rationale: Discussing safe sexual practices is age-appropriate for middle adolescence to
promote healthy behaviors.
4. A 15-year-old female presents with shortness of breath and a nonproductive
nocturnal cough. What is the most likely diagnosis?
A. Pneumonia
B. Asthma
C. Allergic rhinitis
D. Chronic bronchitis
Answer: Asthma
Rationale: Nocturnal cough and shortness of breath in an adolescent suggest asthma, a
common condition triggered by allergens or exercise.
5. Which of the following is a primary prevention measure for a 76-year-old man
newly diagnosed with testosterone deficiency?
A. Hormone replacement therapy
B. Regular prostate screening
C. Weight-bearing exercise
D. Annual DEXA scan
Answer: Weight-bearing exercise
Rationale: Primary prevention promotes health before disease onset; weight-bearing
exercise prevents bone loss associated with low testosterone.
6. Which is an example of secondary prevention in a 50-year-old woman?
A. Mammography screening
B. Daily low-dose aspirin
C. Smoking cessation counseling
D. Flu vaccination
Answer: Mammography screening
Rationale: Secondary prevention involves early detection; mammography screens for
breast cancer.
7. What is an example of tertiary prevention in a patient with chronic renal failure?
A. Low-sodium diet
B. Dialysis
C. Blood pressure monitoring
D. Fluid restriction
, Answer: Dialysis
Rationale: Tertiary prevention manages existing disease to prevent complications;
dialysis treats renal failure.
8. Otitis media, hypothyroidism, deviated nasal septum, and chronic sinusitis are
differential diagnoses for which condition?
A. Mumps
B. Rhinitis
C. Dental abscess
D. Viral influenza
Answer: Rhinitis
Rationale: These conditions can mimic or contribute to rhinitis symptoms like nasal
congestion.
9. Which would NOT be included in a focused SOAP note for allergic rhinitis?
A. HEENT physical examination
B. Health promotion discussion
C. Vital signs
D. Referral for allergy testing
Answer: Referral for allergy testing
Rationale: A focused SOAP note includes assessment and management but not always
referrals unless indicated.
10. Which counseling is NOT appropriate for a patient with bacterial conjunctivitis?
A. Discard contact lenses
B. Clean linens thoroughly
C. Return to work after initial antibiotic dose
D. Replace eye makeup
Answer: Return to work after initial antibiotic dose
Rationale: Patients should avoid work until symptoms resolve to prevent spreading
infection.
11. What is the incubation period for Group A beta-hemolytic streptococcus?
A. 1–3 days
B. 2–5 days
C. 7–10 days
D. 10–14 days
Answer: 2–5 days
Rationale: Group A streptococcus has an incubation period of 2–5 days before
symptoms like sore throat appear.
2025/2026 Update): Practicum IV Family
Health - Primary Care | 80 Questions and
Verified Answers | 100% Correct | Grade
A - South University
Section 1: Health Assessment and Diagnosis (Questions 1–
20)
1. A 14-year-old female presents for an annual exam. Her mother reports declining
grades and concerns about her peer group. What are components of an adolescent
annual exam? (Select all that apply)
A. HEENT physical examination
B. Psychosocial assessment (HEADSS)
C. Immunization status review
D. Mandatory parental presence
E. Vision and hearing screening
Answer: HEENT physical examination, Psychosocial assessment (HEADSS),
Immunization status review, Vision and hearing screening
Rationale: An adolescent annual exam includes HEENT, psychosocial assessment
(HEADSS: Home, Education, Activities, Drugs, Sexuality, Suicide), immunizations, and
sensory screenings. Parental presence is not mandatory for adolescents.
2. Is the mother required to be present during the exam of a 14-year-old patient?
A. Yes, for legal consent
B. No, unless the patient requests it
C. Yes, for all adolescent exams
D. No, but she must sign consent forms
Answer: No, unless the patient requests it
Rationale: Adolescents have the right to privacy during exams unless they request
parental presence or specific consent is required for procedures.
3. What health promotion idea should be discussed with a 14-year-old patient?
A. Smoking cessation strategies
B. Importance of peer group influence
, C. Safe sexual practices
D. Advanced directives
Answer: Safe sexual practices
Rationale: Discussing safe sexual practices is age-appropriate for middle adolescence to
promote healthy behaviors.
4. A 15-year-old female presents with shortness of breath and a nonproductive
nocturnal cough. What is the most likely diagnosis?
A. Pneumonia
B. Asthma
C. Allergic rhinitis
D. Chronic bronchitis
Answer: Asthma
Rationale: Nocturnal cough and shortness of breath in an adolescent suggest asthma, a
common condition triggered by allergens or exercise.
5. Which of the following is a primary prevention measure for a 76-year-old man
newly diagnosed with testosterone deficiency?
A. Hormone replacement therapy
B. Regular prostate screening
C. Weight-bearing exercise
D. Annual DEXA scan
Answer: Weight-bearing exercise
Rationale: Primary prevention promotes health before disease onset; weight-bearing
exercise prevents bone loss associated with low testosterone.
6. Which is an example of secondary prevention in a 50-year-old woman?
A. Mammography screening
B. Daily low-dose aspirin
C. Smoking cessation counseling
D. Flu vaccination
Answer: Mammography screening
Rationale: Secondary prevention involves early detection; mammography screens for
breast cancer.
7. What is an example of tertiary prevention in a patient with chronic renal failure?
A. Low-sodium diet
B. Dialysis
C. Blood pressure monitoring
D. Fluid restriction
, Answer: Dialysis
Rationale: Tertiary prevention manages existing disease to prevent complications;
dialysis treats renal failure.
8. Otitis media, hypothyroidism, deviated nasal septum, and chronic sinusitis are
differential diagnoses for which condition?
A. Mumps
B. Rhinitis
C. Dental abscess
D. Viral influenza
Answer: Rhinitis
Rationale: These conditions can mimic or contribute to rhinitis symptoms like nasal
congestion.
9. Which would NOT be included in a focused SOAP note for allergic rhinitis?
A. HEENT physical examination
B. Health promotion discussion
C. Vital signs
D. Referral for allergy testing
Answer: Referral for allergy testing
Rationale: A focused SOAP note includes assessment and management but not always
referrals unless indicated.
10. Which counseling is NOT appropriate for a patient with bacterial conjunctivitis?
A. Discard contact lenses
B. Clean linens thoroughly
C. Return to work after initial antibiotic dose
D. Replace eye makeup
Answer: Return to work after initial antibiotic dose
Rationale: Patients should avoid work until symptoms resolve to prevent spreading
infection.
11. What is the incubation period for Group A beta-hemolytic streptococcus?
A. 1–3 days
B. 2–5 days
C. 7–10 days
D. 10–14 days
Answer: 2–5 days
Rationale: Group A streptococcus has an incubation period of 2–5 days before
symptoms like sore throat appear.
