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NU 673 HEALTH ASSESSMENT MIDTERM
EXAM 2025-2026 QUESTIONS AND ANSWERS
GRADED A+
A retired farmer is evaluated by the APRN for a skin lesion. On the right temporal area of the forehead, the APRN observes a flattened papule that is skin-colored by a dry scale. The APRN notices several more of these lesions scattered on the forehead, arms and legs. What is the most likely diagnosis?
Actinic keratosis
A patient presents with a pruritic rash over the knees and elbows which has come and gone for several years. It seems to be worse in the winter and improves with sun exposure. On exam, the APRN notes erythematous well-circumscribed plaques with some silvery scale. What skin condition does the APRN suspect?
Psoriasis
P. 192
A patient presents to the office for evaluation of a new lesion on the upper chest. The lesion appears to be "stuck on" and is oval, brown, and slightly elevated with a flat surface. It has a rough, wart-like texture on palpation. What is the most likely diagnosis?
Seborrheic keratosis
A middle-aged man comes in because he noticed a small, fiery-red lesion on his anterior chest. It is not painful and he has not noticed any bleeding or bruising. On exam, there is a 1 cm red, slightly-raised lesion with a central body and radiating legs. What is the most likely diagnosis?
Spider angioma
P. 205
A 68-year-old male presents to the office for evaluation of swelling in his legs. He is a smoker and is on anti-hypertensive medication. The APRN is concerned about his risk for peripheral vascular disease. Which test would be appropriate to order for INITIAL evaluation for this condition?
Ankle-brachial index
P. 519-
What are the ABCDEs of screening for melanoma?
Asymmetry, Border irregularity, Color variation, Diameter > 6mm, Evolution
P. 178-
A 45-year-old female presents with respiratory distress, and the APRN intends to draw an ABG. Prior to drawing the ABG, the APRN will perform which test to ensure the patency of the ulnar artery prior to puncturing the radial artery?
Allen test
Alzheimer's dementia in the elderly is an example of which type of disability?
A. Developmental
B. Cognitive
C. Sensory
D. Intellectual
B. Cognitive
What are 2 examples of acquired disabilities?
A. Down syndrome
B. CVA
C. Muscular dystrophy
D. Multiple sclerosis
B and D
AD
An 80-year-old presents for an evaluation of weakness. The patient is diagnosed with hyperthyroidism. Based on the patient's age, which atypical symptoms of hyperthyroidism may be seen? Select 3.
A. Fatigue
B. Weight loss
C. Cold intolerance
D. Tachycardia
A, B, D
P. 966
Which 3 terms are acceptable to describe an individual's functional limitations? Select 3.
A. Cognitive disability
B. Developmental disability
C. Mental retardation
D. Intellectual disability
E. Handicapped
A, B, D
The APRN is teaching an 87-year-old patient about home safety. Which of the following would the APRN include in the education?
A. Avoid wearing shoes at home
B. Install bright lighting and lightweight curtains
C. Place throw rugs around home
D. Keep meds on counter for easy access
B. Install bright lighting and lightweight curtains
P. 979
P. 603
A 30-year-old woman comes to the clinic with reports of a bad-smelling vaginal discharge with some mild itching. On palpation, there is no lymphadenopathy. On speculum exam, a thin gray-white discharge is seen in the vault, the pH of the discharge is 4.5 and there is a fishy odor when KOH is applied to the vaginal secretions on the slide ("whiff test"). Wet prep shows epithelial cells with stippled borders (clue cells). What type of vaginitis best describes these findings?
A. Trichomonas
B. Candida
C. Bacterial
D. Atrophic
C. Bacterial (BV)
P. 598, Table 14-
Which of the following conditions involves inflammation of both the glans and the prepuce?
A. Phimosis
B. Paraphimosis
C. Balanitis
D. Balanoposthitis
D. Balanoposthitis
A - foreskin which cannot be retracted
B - tight prepuce which, once retracted, cannot be returned
C - inflammation of glans
A 24-year-old woman presents with reporting pain and swelling in her vulvar area. She states that 2 days earlier she could feel a small, tender spot on the left side of her vagina but it is now larger and extremely tender. Her last period was 1 year ago. She cannot sit down without excruciating pain. On visualization of her perineum, a large, red, tense swelling is seen to the left of her introitus. Palpation of the mass causes a great deal of pain. What disorder of the vulva is most likely causing her problems?
Bartholin's gland infection
A 28-year-old female presents for her annual exam. Her only complaint is bleeding after intercourse. Speculum exam reveals a red mass at the os. While obtaining a Pap smear, the mass bleeds easily. Bimanual exam reveals no cervical motion tenderness and both ovaries are palpated and non-tender. What is the most likely diagnosis?
Cervical polyp
AD
An 18-year-old male reports "growths" on his penile shaft. He does not use condoms. On inspection, the APRN sees several moist papules along all sides of the penile shaft and two on the corona. The APRN suspects:
Condylomata acuminatum aka genital warts (HPV)
*DIFFERENT THAN GENITAL HERPES
A 23-year-old woman presents for an annual exam. She wants to be placed on birth control. Her only complaint is that the skin in her armpits has become darker. PMH includes acne and mild obesity. Periods have been irregular for 3 years. Family history of DM and HTN. On exam, inspection of axillae reveals dark, velvet-like skin. What disorder of the breast or axilla is most likely?
Acanthosis nigricans
During the comprehensive physical exam on a patient who reports fever and chills, the APRN notes a tender, purulent, reddened rectal mass. This finding suggests:
Anal abscess
P. 617
The following note is recorded in the chart for a 45-year-old male patient: "No perirectal lesions or fissures. External sphincter tone intact. Rectal vault without masses. Prostate smooth and nontender with palpable median sulcus. Stool brown; no fecal blood." The APRN interprets this as:
Normal anorectal prostate exam; no further testing
P. 619
The APRN is conducting the initial assessment on a newborn delivered just minutes ago. The Apgar score was part of the assessment and is performed at:
1 minute and 5 minutes of life
P. 805
The APRN is assessing the Apgar score of a newborn. At 1 minute, the infant is pink all over, grimaces, flexes his arms and legs occasionally, and is breathing well with HR 110. At 5 minutes, the infant is still pink but is now crying vigorously with active movement and the respiratory effort is good with HR 130. The APRN should record the newborn's Apgar score as:
8, 10
P. 805
Which of the following lymph node groups is most commonly involved in breast cancer?
Central lymph node group
P. 421
AD
Which of the following is most likely benign on breast exam?
A. Dimpling resembling an orange
B. One breast larger than other
C. One nipple inverted
D. One breast with dimple when patient leans forward
B. One breast larger than other
P. 444-
