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NU 650/ NU650 Midterm Exam V1 | Health
Assessment (Latest 2025/ 2026 Update) |
Questions and Answers | Verified Solutions |
GRADED A | 100% Correct – Regis.
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 ecounter? A. HPI B. CC C. Subjective Data D. Objective Data 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 C. Subjective Data The most effective process to elicit the ROS is for the NP to:
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 D. start with general question on each of the different body systems 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 backword A. Explain the meaning of a proverb 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? B. Over the past two weeks have you felt little interest or pleasure in doing things?
Which of the following strategies is most effective when dealing with an angry or disruptive patient? 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. D. Validate the patients feelings without agreeing with their reasons. 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 A. The child's developmental level 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 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 A linear arrangement along a nerve distribution is a description of which type of skin lesion? A. Annular B. Zosteriform C. Keratitis D. Linear B. Zosteriform A wood's lamp is especially useful in diagnosing __________ A. tine versicolor B. herpes zoster C. contact dermatitis D. All of the above 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. Atrophy A. Excoriation You have just read in the patients chart that she has a lesion that is confluent in nature. On exam you would expect to find: A. lesions that run together B. Angular lesions that have grown togeher C. Lesions arranged in a line along a nerve route D. Lesions that are grouped or clustered togther A. Lesions that run together. Which of the following represents the proper position for the NP to assess the patients abdomen? A. Stand at the patients left side and proceed in a systematic fashion. B. Stand at the patients left side and assess any problem areas first C. Stand at the patients right side and process in a systemic fashion D. Stand at the patients right side and assess any problem areas first C. Stand at the patients right side and process in a systemic fashion The NP will demonstrate the correct order of examination for the abdomen by using examination techniques that follows:
- Auscultation
- Inspection
- Palpation
- Percussion A. 1- 2 - 3 - 4 B. 2- 3 - 4 - 1 C. 3- 4 - 1 - 2 D. 2- 1 - 3 - 4 D. 2- 1 - 3 - 4 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. Cholesystitis A. Pyelonephritis 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 C. Right mid-calvicular line
The parents of a 4 month old infant share concern about their child's umbilical hernia at a well- child visit. The NP will correctly inform them that: A. Most umbilical hernias disappear by 12 months of age B. The hernia can be surgically repaired before the child reaches adolescence C. This finding indicates that their child is at high risk for other hernias D. There is a strong familial history for umbilical hernias A. Most umbilical hernias disappear by 12 months of age When percussing the abdomen in a patient with constipation, which of the following sounds would you expect to find in the LLQ? A. Tympanic B. Dull C. Resonant D. Hyperresonant B. Dull When percussing the abdomen, you would document the normal finding of percussion over the intestines as: A. Tympanic B. Dull C. Resonant D. Hyperresonant A. Tympanic
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 D. Positive murphy's sign 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 C. Severe RLQ pain with pallor and sweating D. Constipation C. Severe RLQ pain with pallor and sweating 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
D. The weber test can cause discomfort in a patient with conductive type hearing loss and should not be used in this situation B. sound lateralizes to the affected (bad) ear when the weber test is used On exam of the poterior pharynx, you are able to visualize the tonsils bilaterally extending just past the anterior and posterior pillars. According to the Friedman Scale, how would you document this finding in your note? A. tonsils noted to be normal B. Tonsils visualized grade 3 C. Tonsils visualized grade 1 D. Tonsils visualized grade 2 C. Tonsils visualized grade 1 The NP will assess visual acuity using which of the following tests? A. Snellen test B. Cover test C. Accomodation test D. Confrontation test A. Snellen test 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 C. Enlarged supraclavicular nodes 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 B. Bright light reflection of arteries 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. B. Neck, lungs, heart, mouth, nose, left ear, right ear Which of the following describes the proper technique for examination of the ear canal and drum for a 5 year old?
Which of the following techniques identifies the correct way to use an ophthalmascope to inspect the optic disc and retina in the patients left eye? The NP will hold the ophthalmoscope: A. in their left hand and examine the patients left eye with his or hear left eye B. in the right hand and examine the patients left eye with her or her right eye. C. In their dominant hand and examine both of the patients eyes with his/her dominant eye D. According to personal preference and experience A. in their left hand and examine the patients left eye with his or hear left eye Yoi are examining a 4 y.o boy who presents to the office with his mother who complains that he gets bloody noses frequently. You know that the most common cause of epitaxis in the age group is: A. Chronic rhinitis B. Foreign body C. picking their nose D. Allergic rhinitis C. picking their nose You are examining a 9 month old in your office and do not see a red reflex on the fundoscopic exam. This finding would cause concern as it can be indicative of which of the following? A. Glaucoma B. Dacryostenosis C. Cararacts D. Retinoblastoma D. Retinoblastoma
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 C. retractions, nasal flaring, tachypnea, grunting 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 D. Right middle and lower lobes Barrel chest is an abnormal chest configuration that may occur in which of the following disorders? A. COPD B. Pneumonia C. Pneumothorax
D. 45 y.o femal with BMI of 42 A. healthy 2 month baby girl The NP will nose a history of chronic cough based on the patients report of symptoms lasting for: A. 1 week B. 4 weeks C. 6 weeks D. 10 weeks D. 10 weeks When compared to wheezes and rhonchi, the NP notes that on asucultation, crackles are: A. musical in quality B. prolonged sounds, typically persisting throughout the respiratory cycle C. intermittent and discontinuous sounds D. Relatively low-pitched with a snoring quality C. intermittent and discontinuous sounds Which breath sound is normally heard over the sternal notch? A. Bronchial B. Bronchovesicular C. Vesicular D. Tracheal
A. Bronchial Which of the following findings will alert the NP to include pneumonia as a differential diagnosis? A. decreased tactile fremitus B. symmetrical chest expanision/lung excusion C. hyperresonance with percussion D. positive bronchophony D. positive bronchophony 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 C. There is a decrease of the elastic properties within lungs
