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Regis nu650 final
exam latest questions
and answers updated
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 - 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 - ANSWER - 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 - ANSWER - 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 - ANSWER - A. Explain the meaning of a proverb The NP will ask the patient which of the following questions to assess for depression?
B. the child's chronological age C. The expected head to toe format and order of examination techniques D. The child's birth history - ANSWER - 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 - 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 A linear arrangement along a nerve distribution is a description of which type of skin lesion? A. Annular B. Zosterifor m C. Keratitis D. Linear - ANSWER - 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 - 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 - ANSWER - D. Lichenification The NP has identified a solid, elevated, circumscribed lesion that is less than 1 cm in diameter and palpable into the dermis. This NP will correctly document this finding as a A. bulla
B.
wheal
C. 3-4-1-
D. 2-1-3-4 - ANSWER - D. 2-1-3-
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 - ANSWER - 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 - ANSWER - C. Right mid-calvicular line The NP will recognize which of the following subjective or objective findings as worrisome for an abdominal aortic aneursym? A. aortic width of 2.8 cm B. 25 pack year smoking history C. age of 60 D. Female gender - ANSWER - B. 25 pack year smoking history The NP will use which of the following examination techniques to determine muscular resistance, superficial organs and masses in the abdomen A. inspection B. light palpation C. deep palpation D. percussion - ANSWER - B. light palpation The NP will use which of the following methods to help the patient relax during the abdominal exam? A. ask the patient to hold their breath B. Palpate the abdomen after inspiration C. palpate the abdomen after expiration D. Palpate the abdomen using quick short movements - ANSWER - C. palpate the abdomen after expiration 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:
D. Sphenoid and ethmoid sinuses - ANSWER - C. Frontal and maxillary sinuses
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 - ANSWER - A. Patient denies eye pain or change in vision During a P.E 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 - ANSWER - B. Soft palate In conductive type hearing loss, you would expect: A. sound lateralizes to the good ear when the weber test is used B. sound lateralizes to the affected (bad) ear when the weber test is used C. The weber test remains unaltered with conductive type hearing loss and sound will be heard equally in both ears D. The weber test can cause discomfort in a patient with conductive type hearing loss and should not be used in this situation - ANSWER - 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 - ANSWER - 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 - ANSWER - 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
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 - ANSWER - 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 - ANSWER - 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. - ANSWER - 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? 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 - ANSWER - 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 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 - ANSWER - B. pale or bluish nasal mucosa with clear drainage 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 - ANSWER - D. All of the above are normal 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 - ANSWER - 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 - ANSWER - 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. Dacryostenos is C. Cararacts D. Retinoblastoma - ANSWER - 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
32 weeks C. 60 y.o male with hx CHF D. 45 y.o femal with BMI of 42 - ANSWER - 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 - ANSWER - 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 - ANSWER - C. intermittent and discontinuous sounds Which breath sound is normally heard over the sternal notch? A. Bronchial B. Bronchovesicul ar C. Vesicular D. Tracheal - ANSWER - 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 - ANSWER - 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 - ANSWER - C. There is a decrease of the elastic properties within lungs
