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NU 650 FINAL EXAM 2025|ACTUAL 150 QUESTIONS
AND ANSWERS|GRADED A+|ACCURATE SUMMER
QTR 2025 - 2026
You are examining a nine-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? Retinoblastoma Which of the following represents the proper position for the NP to assess the patients abdomen? 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 Inspection, auscultation, percussion, palpation
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? Pyelonephritis The liver border can be palpated normally below the costal margin at the: Right mid-clavicular line The NP will recognize which of the following subjective or objective findings as worrisome for an abdominal aortic aneurysm? 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 light palpation The NP will use which of the following methods to help the patient relax during the abdominal exam? palpate the abdomen after expiration
A linear arrangement along a nerve distribution is a description of which type of skin lesion? Zosteriform A wood's lamp is especially useful in diagnosing __________ Tinea versicolor (wood lamp helps diagnose 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: 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 ________ papule Which of the following objective findings would alert the NP to consider skin cancer in the list of differential diagnoses? Blurred edges to a raised lesion
Which of the following secondary lesions is usually the result of a self-inflicted abrasion? excoriation You have just read in the patient's chart that she has a lesion that is confluent in nature. Upon examination, you would expect to find: lesions that run together Macule: Lesion is flat <1 cm Papule: Lesion is raised <1 cm Plaque: Lesion is raised > 1 cm not fluid filled Vesicle: Lesion is raised <1 cm
A patient you are seeing for the first time in your office, brings their previous medical records for your review. You would document a summary of the previous medical records in which of the following sections of the encounter note? Subjective data The most effective process to elicit the review of systems is for the NP to: Start with general questions 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? Explain the meaning of a proverb or correctly draw a clock as 2 pm The NP will ask the patient which of the following questions to assess for depression? Over the past two weeks have you felt little interest or pleasure? The NP will document the reason of visit in which of the following sections of the encounter? Chief Complaint
The primary care provider will anticipate that what percent of outpatients have mental health disorders? 20% Which of the following actions by the NP demonstrate patient-centered interviewing techniques? Determine the personal context of the patients symptoms Which of the following strategies is most effective when dealing with an angry or disruptive patient? 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? Child's development level 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? D. Objective Data
Which of the following variables should have the greatest affect as to how the NP will conduct the H & PE of a child? 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 wood's lamp is especially useful in diagnosing __________ tine versicolor (woods lamp helps diagnosis yeast infections)
An 80-year-old female is seen for evaluation of a possible joint replacement. The NP performs a complete musculoskeletal examination. The NP asks the patient to move her forearms so that the palms of her hands are facing up. The NP will then document the patient's ability for: Supination Of the 33 vertebrae in the spinal column, there are: 5 lumbar An 80-year-old female is seen for evaluation of a possible joint replacement. The NP performs a complete musculoskeletal examination. If the NP determines that the patient's musculoskeletal problems are related to trauma, which of the following will be helpful in leading to a differential diagnosis? mechanism of injury The NP performs musculoskeletal maneuvers on a newborn and notes palpable movement of the femoral head back into place. The NP will document this as a: Positive Ortolani sign Which of the following diagnoses is associated with contracture of one of the sternocleidomastoid muscles? Torticollis
When you ask a 68 year old patient to stand with his feet together and arms at his sides with eyes closed, he starts to sway and moves his feet further apart and stumbles. You would document this as Positive Romberg's sign Which of the following responses would the NP recognize as worrisome? Dorsiflexion of the great toe when eliciting a plantar response The NP examines a 6 month old infant girl for a well child visit. The presence of which of the following reflexes will be noted as normal? Landau reflex or parachute reflex are both correct The NP uses the get up and go (TUG) test to evaluate mobility of a 75 year old male patient. The expectation is that the patient should be able to complete this in 10 seconds A patient reports problems with balance. On physical exam you notice an unsteady gait. This most likely represents a disturbance in Cerebellum function
The NP demonstrates and had the patient demonstrate rapid alternating movements to assess Coordination Biceps reflex response Flexion at the elbow Brachioradialis reflex response Flexion at the forearm Achilles reflex response Plantar flexion at the ankle Triceps reflex response Extension at the elbow Quadriceps/Patellar reflex response Extension at the knee
When performing a rectal exam, you note a firm, irregularly shaped mass. What would be an appropriate response Report finding and refer the patient to a GI specialist for further evaluation Cervical motion tenderness is associated with what condition Pelvic inflammatory disease How to ask about a patient's gender Incorporate open ended, neutral questions into the sexual history Which of the following would be consistent with a normal testicular exam Testes that feel ovoid and mobile, and slight sensation is felt by the patient upon compression Which of the following is appropriate in the preparation of the female patient for a pelvic exam or Pap smear Assure the woman that she can stop the exam at any point if she feels discomfort Which of the following is/are associated with an increased breast cancer risk
Heavy alcohol use, first degree relative with breast cancer, and advancing age Which of the following objective findings is/are consistent with a normal prostate It is heart shaped with a palpable groove, it's surface is smooth, it has an elastic rubbery consistency When performing an exam on a 47 year old man you notice swelling around the inguinal ring alongside the pubic hair that is not painful and reduces without difficulty in the supine position. This finding is most consistent with which of the following diagnoses A direct inguinal hernia Which of the following findings on palpation of the breast is most suggestive of cancer Firm, nontender lump that is fixed to underlying tissue The NP will assist a 6 year old female patient to which of the following positions to examine her genitalia Supine, frog leg position
During the genitalia exam of the newborn male infant, the NP recognizes which of the following findings as normal Nonretractable or only minimally retractable foreskin Menopause is defined as Absence of menses for 12 consecutive months Cone shaped breast tissue that projects up into the axilla tail of spence The NP is performing a sports physical on an adolescent male and notes coarse curly pubic hair spread sparsely over the pubic symphysis. This will be documented as tanner stage 3 Match the anatomical structure to the correct description-Bursae Fluid filled sac
Match the anatomical structure to the correct description-Ligament Bone to bone elastic tissue Match the anatomical structure to the correct description-Tendon Muscle to bone elastic tissue A 16 year-old male patient presents for an acute contusion to his left lower extremity sustained while playing soccer. The NP will anticipate the following signs of inflammation to be present: All of the above An 80-year-old female is seen for evaluation of a possible joint replacement. The NP performs a complete musculoskeletal examination. The NP asks the patient to move her right arm out to the side and away from her body. If performed correctly, the NP will document the patient was able to demonstrate which of the following movements? Abduction An 80 - year-old female is seen for evaluation of a possible joint replacement. The NP performs a complete musculoskeletal examination. The NP asks the patient to move her head forward to touch her chin to her chest to check her range of motion. The movement she is performing is described as: Flexion
