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NU 650 THROUGH MIDTERM EXAM 2025) BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QUESTIONS AND CORRECT SOLUTIONS/| GUARANTEED VALUE PACK| ACE YOUR GRADES. A patient is seen in the office for amenorrhea, for which you obtain a urine pregnancy test in the office that returns negative. You would document this finding in which of the following sections of the encounter? A. HPI B. CC C. Subjective Data D. Objective Data - Correct Answer-D: Objective data A patient you are seeing for the first time in your office, brings their previous medical records for the review. you would document a summer of the previous medical records in which of the following sections of the encounter note? A. HPI B. CC C. Subjective Data D. Objective Data - Correct Answer-C: Subjective data The most effective process to elicit the ROS is for the NP to: 1|Page A. Limit the ROS to systems related to the CC B. Follow the patients lead regarding the order of symptoms C. incorporate the ROS during the physical exam, stopping to make notes as necessary D. Start with general questions on each of the different body systems - Correct Answer-D The NP can determine higher cognitive function by asking the patient to perform which of the following tasks? A. Explain the meaning of a proverb B. Identify the day of the week, month, season, date and year C. Recall details of historical events D. Spell a five-letter word such as WORLD backward - Correct Answer-A The NP will ask the patient which of the following questions to assess for depression? A. have you ever been annoyed by other criticizing your alcohol use? B. Over the past two weeks have you felt little interest or pleasure in doing things? C. Over the past two weeks have you been unable to stop or control worrying? D. How often do you have contact with those that you care about or care about you? - Correct Answer-B 2|Page A. Allow the patient to disrupt the setting as needed to alleviate their anger B. Ask the patient to lower their voice and remain calm throughout the interview C. Reinforce the patients criticisms of other clinicians or the facility D. Validate the patients feelings without agreeing with their reasons. - Correct Answer-D Which of the following variables should have the greatest affect as to how the NP will conduct the H & PE of a child? A. The child's developmental level B. the child's chronological age C. The expected head to toe format and order of examination techniques D. The child's birth history - Correct Answer-A Match the primary skin lesion to the description A. Macule 1. Lesion is raised B. Papule 2. Lesion is raised > 1 cm & fluid filled C. Plaque 3. Lesion is flat D. Vesicle 4. Lesion is raised, > 1cm but not fluid filled E. Bullae 5. Lesion is raised - Correct Answer-Macule --> Lesion is Flat Papule --> lesion is raised Plaque --> lesion is raised, > 1 cm but not fluid filled Vesicle --> lesion is raised Bullae --> lesion is raised, > 1 cm and fluid filled 4|Page A linear arrangement along a nerve distribution is a description of which type of skin lesion? A. Annular B. Zosteriform C. Keratitis D. Linear - Correct Answer-B A wood's lamp is especially useful in diagnosing A. tine versicolor B. herpes zoster C. contact dermatitis D. All of the above - Correct Answer-A. tine versicolor (woods lamp helps diagnosis yeast infections) Mr. P. has had a "terrible itch" for several months that he has been scratching continuously. Upon examination, the nurse might expect to find: A. a keloid B. a fissue C. keratosis D. Lichenification - Correct Answer-D 5|Page A. lesions that run together B. Angular lesions that have grown together C. Lesions arranged in a line along a nerve route D. Lesions that are grouped or clustered together - Correct Answer-A Which of the following represents the proper position for the NP to assess the patient's abdomen? A. Stand at the patient's left side and proceed in a systematic fashion. B. Stand at the patient's left side and assess any problem areas first C. Stand at the patient's right side and process in a systemic fashion D. Stand at the patient's right side and assess any problem areas first - Correct Answer-C The NP will demonstrate the correct order of examination for the abdomen by using examination techniques that follows: 1. Auscultation 2. Inspection 3. Palpation 4. Percussion A. 1-2-3-4 B. 2-3-4-1 C. 3-4-1-2 D. 2-1-3-4 - Correct Answer-D 7|Page A 36-year-old female patient is seen in the clinic for a reported fever and back pain. She complained of pain when the NP percussed over the left CVA angle. This finding supports which of the following differential diagnosis? A. Pyelonephritis B. Left lower lobe pneumonia C. Splenomegaly D. Cholecystitis - Correct Answer-A The liver border can be palpated normally below the costal margin at the: A. Left mid-clavicular line B. Right mid-axillary line C. Right mid-calvicular line D. Left mid-axillary line - Correct Answer-C The NP will recognize which of the following subjective or objective findings as worrisome for an abdominal aortic aneurysm? A. aortic width of 2.8 cm B. 25 pack-year smoking history C. age of 60 D. Female gender - Correct Answer-B 8|Page A. Tympanic B. Dull C. Resonant D. Hyperresonant - Correct Answer-B When percussing the abdomen, you would document the normal finding of percussion over the intestines as: A. Tympanic B. Dull C. Resonant D. Hyperresonant - Correct Answer-A Which of the following abdominal exam findings would prompt the NP to consider cholecystitis as a differential diagnosis? A. Positive psoas sign B. Positive Rovsing's sign C. Positive Obturator sign D. Positive murphy's sign - Correct Answer-D Which of the following symptoms would you expect from a young adolescent in the early phase of appendicitis? A. Abdominal pain two hours after eating B. CVA tenderness 10|Page C. Severe RLQ pain with pallor and sweating D. Constipation - Correct Answer-C A 40 year old male patient presents with sinus pain, pressure and yellow nasal discharge. Your exam would include palpation of: A. Ethmoid and frontal sinuses B. Maxillary and sphenoid sinuses C. Frontal and maxillary sinuses D. Sphenoid and ethmoid sinuses - Correct Answer-C A 60 y.o presents with a 3-day history of left eye irritation. Which of the following findings should be recorded in the ROS? A. Patient denies eye pain or change in vision B. Vision is 20/20 by Snellen Chary C. Yellow crust is visible at the inner canthus of the left eye D. all of the above - Correct Answer-A During a physical exam of the throat, which of the following structures of the mouth/throat should rise when the patient says "aah"? A. Hard palate B. Soft palate C. Lingual frenulum D. Buccal mucosa - Correct Answer-B 11|Page The NP will recognize which of the following findings when assessing the lymph nodes in the head and neck as worrisome, warranting further workup? A. Tender tonsillar and submandibular nodes in the presence of a streptococcal infection B. Any lymph node that the NP is able to roll in two directions: up and down, side to side C. Enlarged supraclavicular nodes D. Deep cervical chain nodes that are inaccessible to exam - Correct Answer-C When conducting an ophthalmoscopic exam, the NP will differentiate arteries from veins by noting: A. Larger size of arteries B. Bright light reflection of arteries C. Dark red color of arteries D. location of the vessel to the optic disc - Correct Answer-B When examining a 3 y.o presenting to your office with right ear pain, which would be the appropriate order for the assessment? A. Right ear, left ear, mouth, nose, neck, lungs, heart B. Neck, lungs, heart, mouth, nose, left ear, right ear C. Left ear, right ear, neck, lungs, heart and nose D. Lungs, heart, mouth, nose, and right ear. - Correct Answer-B 13|Page Which of the following describes the proper technique for examination of the ear canal and drum for a 5 year old? A. Use the smallest ear speculum, position the pt. head so that you see comfortable, straighten the ear canal by grasping the auricle firmly and pulling it upward and backward, slightly away from the head. B. use the largest ear speculum that inserts easily in the canal, position the patients head so that you see comfortable, straighten the ear canal by grasping the auricle firmly and pulling it downward and backward, slightly away from the head - Correct Answer-B Which of the following findings on exam of the nasal mucosa and septum would most likely indicate allergic rhinitis? A. Reddened nasal mucosa with purulent drainage B. pale or bluish nasal mucosa with clear drainage C. fresh blood or crusting of the nasal mucosa D. Asymmetry in appearance between the right and left sides - Correct Answer-B Which of the following is/are normal in the examination of the oral cavity? A. a midline lingual frenulum extending from the tongue to the floor of the mouth B. papillae covering the dorsum of the tongue C. Pink buccal mucosa lining the cheeks D. All of the above are normal - Correct Answer-D 14|Page C. Cararacts D. Retinoblastoma - Correct Answer-D A newborn is in the office with cold symptoms. you go into the room to see a distressed mom who is very concerned about her baby. She expresses to you that something is wrong. Your initial thought that comes to mind is that this could be RSV. You must look for signs of respiratory distress. Those signs include A. Vomiting and diarrhea B. coughing, pulling legs up C. retractions, nasal flaring, tachypnea, grunting D. fever of 100.4 or higher, tachypnea, vomiting - Correct Answer-C An 85 y.o. woman is brought to the urgent care center for possible aspiration pneumonia. The NP understands that, based on normal anatomy adventitious lung sounds will most likely be heard in which of the following areas? A. left upper lobe B. left middle & lower lobes C. right upper lobe D. Right middle and lower lobes - Correct Answer-D Barrel chest is an abnormal chest configuration that may occur in which of the following disorders? A. COPD 16|Page B. Pneumonia C. Pneumothorax D. TBA - Correct Answer-A Bronchovesticular sounds are heard normally at which location? A. second intercostal space anteriorly bilaterally B. base of lungs bilaterally, posteriorly C. laterally at the midaxillary line, bilaterally D. Bilaterally at the mid-clabicular line, 5th intercostal space - Correct Answer-A Normally when the lung fields are percussed the resulting sound is described as A. hyperresonant B. resonant C. tympanic D. Dull - Correct Answer-B The clinic has extended hours to provide flu vaccines and preventative teaching for the community. Based on current CDC influenza vaccine recommendations, the NP understands which of the following patients has a contraindication and cannot receive the vaccine? A. healthy 2 month baby girl B. primagravida at 32 weeks 17|Page Which of the following findings will alert the NP to include pneumonia as a differential diagnosis? A. decreased tactile fremitus B. symmetrical chest expansion/lung excursion C. hyperresonance with percussion D. positive bronchophony - Correct Answer-D Which of the following is an expected change of aging? A. supraclavicular retractions with inspiration B. Kyphosis C. There is a decrease of the elastic properties within lungs D. Pectus excavatum - Correct Answer-C Cultural Humility: - Correct Answer-A process that requires humility as individuals continually engage in self-reflection and self-critique as lifelong learners and reflective practitioners. 3 Dimensions of cultural humility - Correct Answer-1) Self-awareness: learn about your own biases; we all have them. 2) Respectful communication: work to eliminate assumptions about what is "normal". Learn directly from your patients; they are the experts on their culture and illness. 3) Collaborative partnerships: build your patient relationships on respect and mutually acceptable plans. 19|Page True or False: The beginning NP should focus on interpreting the findings of the physical examination. - Correct Answer-False Which of the following statements represents a general goal for the comprehensive or focused physical examination? a. Avoid unnecessary changes in position b. Maximize patient comfort c. Enhance clinical efficiency d. all of the above - Correct Answer-D Chronic pain definition - Correct Answer-Pain that persists one month beyond the course of an acute injury Crackles auscultated sound description: - Correct Answer-Discontinuous Non-musical Like dots in time Wheezes auscultated sound description: - Correct Answer-High pitched with hissing or shrill quality Continuous 20|Page 
