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NSG 6440 Final Exam 2023: Primary Care for Family (Study Guide & Tips)

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Prepare for your NSG 6440 final exam with this 2023 resource. Covers primary care assessment, diagnosis, and management of patients across the lifespan, from pediatrics to geriatrics. Essential for Family Nurse Practitioner (FNP) students mastering clinical decision-making.

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NSG 6440 Final Exam 2023/2024




Which of the following is an example of secondary
prevention in a 50-year-old woman? - .....ANSWER
...✔✔ ***A. Yearly mammogram
THINK SECONDARY="S" AND "S" =SCREENING
B. Low animal-fat diet
C. Use of seat belt
D. Daily application of sunscreen


Which of the following is an example of tertiary
prevention in a patient with chronic renal
failure? - .....ANSWER ...✔✔ A. Fluid restriction
***B. Hemodialysis 4 days a week
THINK "T" AND "T"= TREATMENT
C. High-protein diet
D. Maintenance of blood pressure at 120/80


Which statement about confusion is true? - .....ANSWER
...✔✔ A. Confusion is a disease process.

,2|Page



B. Confusion is always temporary.
C. Age is a reliable predictor of confusion.
***D. Polypharmacy is a major contributor to confusion
in older adults


Which of the following indicates a diagnosis of
dementia? - .....ANSWER ...✔✔ A. Onset after an
infection
B. Abrupt onset over a week
C. Difficulty with long-term memory
***D. Hard time finding words


The hallmark of an absence seizure is: - .....ANSWER
...✔✔ A. No activity at all
***B. A blank stare
C. Urine is usually voided involuntarily
D. The attack usually lasts several minutes


Over the course of 3 years, a patient has had two MS
flares. The patient's primary
complaints during the episodes are bilateral tingling and
pain in their legs, depression, and

,3|Page



numbness in their right hand with complete recovery in
between occurrences. Which MS
classification fits their disease process? - .....ANSWER
...✔✔ A. Clinically isolated syndrome
***B. Relapsing-remitting
C. Primary progressive
D. Secondary progressive


Which of the following is a risk factor for developing
Alzheimer's disease? - .....ANSWER ...✔✔ A. Having a
master's or doctoral degree
B. Patient is a physician
***C. Patient has Down's syndrome **This said "Family
history of Alzheimers" on my exam, not down's**
D. History of neurological disease


Which drug for Alzheimer's disease should be
administered beginning at the time of
diagnosis? - .....ANSWER ...✔✔ ***A. Cholinesterase
inhibitors
B. Anxiolytics
C. Antidepressants
D. Atypical antipsychotics

, 4|Page




The health-care provider is treating a patient who was
hit in the head with a frying pan.
Which of the following should the provider suspect? -
.....ANSWER ...✔✔ A. Intraparenchymal hemorrhage
***B. Subdural hematoma
C. Epidural hematoma
D. Subarachnoid hematoma


Which hematoma occurs along the temporal cranial wall
and results from tears in the
middle meningeal artery? - .....ANSWER ...✔✔ ***A.
Epidural hematoma
B. Subdural hematoma
C. Subarachnoid hematoma
D. Intraparenchymal hemorrhage


Which of the following must be completed prior to
administering TPA (tissue
plasminogen activator)? - .....ANSWER ...✔✔ A. Full-
body MRI
B. Head x-ray
***C. Head CT

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