NSG554 Exam 1 /NSG 554 Primary Care Exam 1
NSG554 EXAM 1 /NSG 554 PRIMARY CARE EXAM 1 NEWEST
2025/2026 WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+||BRAND NEW VERSION!
1. What is the initial sign of puberty in the adolescent male?
a. Deepening of the voice
b. Elongation of the penis
c. Nocturnal emissions
d. Testicular enlargement - ANSWER-ANS: D
Testicular enlargement is the initial sign of puberty in adolescent males. Penile
growth and nocturnal emissions occur later as does deepening of the voice.
2. What is the focus of the Minority Stress Theory?
a. Clarifying the various terms used to describe the LGBTQ community
b. Understanding the health needs of select members of the sexual minority
community
c. Helping health care providers eliminate biases in the care they provide to the
members of the LGBTQ community
d. Facilitating the management of stress related to the lifestyle choices made by
members of sexual minority populations. - ANSWER-ANS: B
1|Page
, NSG554 Exam 1 /NSG 554 Primary Care Exam 1
The focus of the Minority Stress Theory is to provide a framework to the
understanding of the health disparities in the sexual and gender minority (SGM)
communities. The theory may help achieve some aspect of the other options, but
that is not its focus.
3. What is the medical diagnostic term used to identify transgender patients?
a. Gender dysphoria
b. Gender expression disorder
c. Gender identity disorder
d. Gender role unconformity - ANSWER-ANS: A
Gender dysphoria is the term used to identify transgender patients in order to
justify the medical necessity of treatments for transgender patients. It replaces
the previous "gender identity disorder" designation.
4. A woman who is currently pregnant reports that she has had three previous
pregnancies: twins delivered at 35-weeks gestation (both living), one at 38-weeks
gestation (living), and one miscarriage at 16-weeks gestation. How will this be
recorded as her G/TPAL in her electronic medical record?
a. G4P:1113
b. G4P:1213
c. G5P:1113
d. G5P:1213 - ANSWER-ANS: A
2|Page
, NSG554 Exam 1 /NSG 554 Primary Care Exam 1
Using the notation G (number of pregnancies), T (term deliveries), P (preterm
deliveries), A (abortions—elective or spontaneous), and L (living children), this
patient is G4P:1113. She is in her fourth pregnancy, so is G4. She has had one
delivery at 38 weeks or more, one delivery (of twins) at less than 36 weeks
gestation, one spontaneous abortion, and has three living children.
5. A pregnant woman who is overweight has no previous history of hypertension
(HTN) or diabetes mellitus (DM). Her initial screening exam reveals a blood
pressure of 140/90 and a fasting blood glucose of 128 mg/dL. What will the
practitioner do?
a. Initiate insulin therapy.
b. Monitor blood pressure and fasting blood glucose closely.
c. Prescribe an antihypertensive medication.
d. Refer the patient to a high-risk pregnancy specialist. - ANSWER-ANS: B
This woman, although she has no previous history of HTN or DM, is at elevated
risk because of obesity. Her initial screening lab values are at the high end of
normal, indicating potential development of gestational HTN and gestational DM.
The initial response of the practitioner
should be to monitor the patient closely and consider treatment at the first signs
of development of these complications. Referral is warranted when these
conditions become severe.
3|Page
, NSG554 Exam 1 /NSG 554 Primary Care Exam 1
6. The mother of a 3-day-old newborn reports that her infant health care
providers every 4 hours during the day and sleeps 6 hours at night. What will the
provider recommend?
a. Awakening the baby every 3 hours to health care provider
b. Continuing this schedule until the infant is 6 months old
c. Ensuring that her infant health care providers for 15 to 20 minutes each time d.
Pumping her breasts to maintain her milk supply - ANSWER-ANS: A
Newborn infants should health care provider 8 to 12 times daily and mothers
should be encouraged to awaken a sleepy baby to health care provider every 2 to
3 hours or more often. The feedings will gradually space out as the infant is older.
7. An infant who has just begun nursing develops hyperbilirubinemia. What will
the provider tell the mother?
a. To decrease the frequency of breastfeeding
b. To supplement feedings with extra water
c. To switch to formula until the bilirubin level drops
d. To use a breast pump to increase her milk supply - ANSWER-ANS: D
Infants with suboptimal breastfeeding can have starvation jaundice and mothers
should be encouraged to increase the frequency of breastfeeding and should be
offered a breast pump to increase milk supply. It is not recommended to
supplement with water or sugar water or to switch to formula.
4|Page
NSG554 EXAM 1 /NSG 554 PRIMARY CARE EXAM 1 NEWEST
2025/2026 WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+||BRAND NEW VERSION!
1. What is the initial sign of puberty in the adolescent male?
a. Deepening of the voice
b. Elongation of the penis
c. Nocturnal emissions
d. Testicular enlargement - ANSWER-ANS: D
Testicular enlargement is the initial sign of puberty in adolescent males. Penile
growth and nocturnal emissions occur later as does deepening of the voice.
2. What is the focus of the Minority Stress Theory?
a. Clarifying the various terms used to describe the LGBTQ community
b. Understanding the health needs of select members of the sexual minority
community
c. Helping health care providers eliminate biases in the care they provide to the
members of the LGBTQ community
d. Facilitating the management of stress related to the lifestyle choices made by
members of sexual minority populations. - ANSWER-ANS: B
1|Page
, NSG554 Exam 1 /NSG 554 Primary Care Exam 1
The focus of the Minority Stress Theory is to provide a framework to the
understanding of the health disparities in the sexual and gender minority (SGM)
communities. The theory may help achieve some aspect of the other options, but
that is not its focus.
3. What is the medical diagnostic term used to identify transgender patients?
a. Gender dysphoria
b. Gender expression disorder
c. Gender identity disorder
d. Gender role unconformity - ANSWER-ANS: A
Gender dysphoria is the term used to identify transgender patients in order to
justify the medical necessity of treatments for transgender patients. It replaces
the previous "gender identity disorder" designation.
4. A woman who is currently pregnant reports that she has had three previous
pregnancies: twins delivered at 35-weeks gestation (both living), one at 38-weeks
gestation (living), and one miscarriage at 16-weeks gestation. How will this be
recorded as her G/TPAL in her electronic medical record?
a. G4P:1113
b. G4P:1213
c. G5P:1113
d. G5P:1213 - ANSWER-ANS: A
2|Page
, NSG554 Exam 1 /NSG 554 Primary Care Exam 1
Using the notation G (number of pregnancies), T (term deliveries), P (preterm
deliveries), A (abortions—elective or spontaneous), and L (living children), this
patient is G4P:1113. She is in her fourth pregnancy, so is G4. She has had one
delivery at 38 weeks or more, one delivery (of twins) at less than 36 weeks
gestation, one spontaneous abortion, and has three living children.
5. A pregnant woman who is overweight has no previous history of hypertension
(HTN) or diabetes mellitus (DM). Her initial screening exam reveals a blood
pressure of 140/90 and a fasting blood glucose of 128 mg/dL. What will the
practitioner do?
a. Initiate insulin therapy.
b. Monitor blood pressure and fasting blood glucose closely.
c. Prescribe an antihypertensive medication.
d. Refer the patient to a high-risk pregnancy specialist. - ANSWER-ANS: B
This woman, although she has no previous history of HTN or DM, is at elevated
risk because of obesity. Her initial screening lab values are at the high end of
normal, indicating potential development of gestational HTN and gestational DM.
The initial response of the practitioner
should be to monitor the patient closely and consider treatment at the first signs
of development of these complications. Referral is warranted when these
conditions become severe.
3|Page
, NSG554 Exam 1 /NSG 554 Primary Care Exam 1
6. The mother of a 3-day-old newborn reports that her infant health care
providers every 4 hours during the day and sleeps 6 hours at night. What will the
provider recommend?
a. Awakening the baby every 3 hours to health care provider
b. Continuing this schedule until the infant is 6 months old
c. Ensuring that her infant health care providers for 15 to 20 minutes each time d.
Pumping her breasts to maintain her milk supply - ANSWER-ANS: A
Newborn infants should health care provider 8 to 12 times daily and mothers
should be encouraged to awaken a sleepy baby to health care provider every 2 to
3 hours or more often. The feedings will gradually space out as the infant is older.
7. An infant who has just begun nursing develops hyperbilirubinemia. What will
the provider tell the mother?
a. To decrease the frequency of breastfeeding
b. To supplement feedings with extra water
c. To switch to formula until the bilirubin level drops
d. To use a breast pump to increase her milk supply - ANSWER-ANS: D
Infants with suboptimal breastfeeding can have starvation jaundice and mothers
should be encouraged to increase the frequency of breastfeeding and should be
offered a breast pump to increase milk supply. It is not recommended to
supplement with water or sugar water or to switch to formula.
4|Page
