NSG555 / NSG 555 Exam 1 (Latest 2025 /
2026 Update): Nurse Practitioners in
Primary Care I | Complete Guide with
Questions and Verified Answers | All Modules
Covered | 100% Correct | Grade A - Wilkes
Questions 1–50: NSG555 Nurse Practitioners in Primary
Care I Exam 1
Advanced Health Assessment
1. What is the purpose of a comprehensive health history in primary care?
A. To prescribe medications immediately
B. To establish a baseline for patient health and identify risk factors
C. To perform a quick physical exam
D. To order diagnostic tests only
Answer: To establish a baseline for patient health and identify risk factors
Rationale: A comprehensive health history establishes a baseline, identifies risk factors,
and guides diagnostic and therapeutic decisions. It is not solely for prescribing, physical
exams, or ordering tests.
2. Which component of the health history includes past medical procedures?
A. Social history
B. Family history
C. Past medical history
D. Review of systems
Answer: Past medical history
Rationale: Past medical history includes previous diagnoses, surgeries, and procedures.
Social history covers lifestyle, family history covers genetic risks, and review of systems
assesses symptoms.
3. What finding during lung auscultation indicates consolidation?
A. Vesicular breath sounds
B. Bronchophony
C. Fine crackles
D. Wheezes
, Answer: Bronchophony
Rationale: Bronchophony (clear, loud spoken sounds) indicates lung consolidation, as
seen in pneumonia. Vesicular sounds are normal, crackles suggest fluid, and wheezes
indicate airway obstruction.
4. What is a key consideration when assessing an older adult’s musculoskeletal
system?
A. Ignore age-related changes
B. Assess for joint stiffness and reduced range of motion
C. Focus only on muscle strength
D. Avoid physical examination
Answer: Assess for joint stiffness and reduced range of motion
Rationale: Older adults often experience joint stiffness and reduced range of motion due
to age-related changes like osteoarthritis. Comprehensive assessment is essential.
5. Which finding during a cardiovascular exam suggests left ventricular hypertrophy?
A. Thrill over the left sternal border
B. Soft S1 sound
C. Diastolic murmur
D. Normal apical pulse
Answer: Thrill over the left sternal border
Rationale: A thrill over the left sternal border indicates increased cardiac workload, as
seen in left ventricular hypertrophy. Diastolic murmurs suggest valve issues, and normal
findings are unremarkable.
Diagnostic Reasoning
6. What diagnostic test confirms type 2 diabetes mellitus?
A. Fasting plasma glucose ≥126 mg/dL
B. Random glucose <100 mg/dL
C. Hemoglobin A1c <5.7%
D. Oral glucose tolerance test <140 mg/dL
Answer: Fasting plasma glucose ≥126 mg/dL
Rationale: Fasting plasma glucose ≥126 mg/dL on two occasions confirms type 2
diabetes. Hemoglobin A1c ≥6.5% is also diagnostic, but <5.7% is normal.
7. A 58-year-old female presents with shortness of breath and palpitations. What is a
differential diagnosis?
A. Osteoarthritis
B. Atrial fibrillation
C. Peptic ulcer disease
D. Cellulitis
2026 Update): Nurse Practitioners in
Primary Care I | Complete Guide with
Questions and Verified Answers | All Modules
Covered | 100% Correct | Grade A - Wilkes
Questions 1–50: NSG555 Nurse Practitioners in Primary
Care I Exam 1
Advanced Health Assessment
1. What is the purpose of a comprehensive health history in primary care?
A. To prescribe medications immediately
B. To establish a baseline for patient health and identify risk factors
C. To perform a quick physical exam
D. To order diagnostic tests only
Answer: To establish a baseline for patient health and identify risk factors
Rationale: A comprehensive health history establishes a baseline, identifies risk factors,
and guides diagnostic and therapeutic decisions. It is not solely for prescribing, physical
exams, or ordering tests.
2. Which component of the health history includes past medical procedures?
A. Social history
B. Family history
C. Past medical history
D. Review of systems
Answer: Past medical history
Rationale: Past medical history includes previous diagnoses, surgeries, and procedures.
Social history covers lifestyle, family history covers genetic risks, and review of systems
assesses symptoms.
3. What finding during lung auscultation indicates consolidation?
A. Vesicular breath sounds
B. Bronchophony
C. Fine crackles
D. Wheezes
, Answer: Bronchophony
Rationale: Bronchophony (clear, loud spoken sounds) indicates lung consolidation, as
seen in pneumonia. Vesicular sounds are normal, crackles suggest fluid, and wheezes
indicate airway obstruction.
4. What is a key consideration when assessing an older adult’s musculoskeletal
system?
A. Ignore age-related changes
B. Assess for joint stiffness and reduced range of motion
C. Focus only on muscle strength
D. Avoid physical examination
Answer: Assess for joint stiffness and reduced range of motion
Rationale: Older adults often experience joint stiffness and reduced range of motion due
to age-related changes like osteoarthritis. Comprehensive assessment is essential.
5. Which finding during a cardiovascular exam suggests left ventricular hypertrophy?
A. Thrill over the left sternal border
B. Soft S1 sound
C. Diastolic murmur
D. Normal apical pulse
Answer: Thrill over the left sternal border
Rationale: A thrill over the left sternal border indicates increased cardiac workload, as
seen in left ventricular hypertrophy. Diastolic murmurs suggest valve issues, and normal
findings are unremarkable.
Diagnostic Reasoning
6. What diagnostic test confirms type 2 diabetes mellitus?
A. Fasting plasma glucose ≥126 mg/dL
B. Random glucose <100 mg/dL
C. Hemoglobin A1c <5.7%
D. Oral glucose tolerance test <140 mg/dL
Answer: Fasting plasma glucose ≥126 mg/dL
Rationale: Fasting plasma glucose ≥126 mg/dL on two occasions confirms type 2
diabetes. Hemoglobin A1c ≥6.5% is also diagnostic, but <5.7% is normal.
7. A 58-year-old female presents with shortness of breath and palpitations. What is a
differential diagnosis?
A. Osteoarthritis
B. Atrial fibrillation
C. Peptic ulcer disease
D. Cellulitis
