NU 650 FINAL EXAM 2026/2027 QUESTIONS AND
SOLUTIONS RATED A+
✔✔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
✔✔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
✔✔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
✔✔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. Lichenification - ✔✔D
✔✔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. nodule
D. papule - ✔✔D
✔✔Which of the following objective findings would alert the NP to consider skin cancer
in the list of differential diagnoses?
A. Annular and symmetrical lesions
B. Blurred edges to a raised lesion
C. solid red raised lesion
D. Diameter of 5 mm - ✔✔B
✔✔Which of the following secondary lesions is usually the result of a self-inflicted
abrasion?
A. Excoriation
B. Scale
C. Lichenification
D. Atrophy - ✔✔A
✔✔You have just read in the patient's 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 together
C. Lesions arranged in a line along a nerve route
D. Lesions that are grouped or clustered together - ✔✔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 - ✔✔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 - ✔✔D
✔✔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 - ✔✔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 - ✔✔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 - ✔✔B
✔✔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 - ✔✔B
✔✔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 - ✔✔C
✔✔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
✔✔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
✔✔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
✔✔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
✔✔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
✔✔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 - ✔✔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 - ✔✔A
SOLUTIONS RATED A+
✔✔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
✔✔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
✔✔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
✔✔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. Lichenification - ✔✔D
✔✔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. nodule
D. papule - ✔✔D
✔✔Which of the following objective findings would alert the NP to consider skin cancer
in the list of differential diagnoses?
A. Annular and symmetrical lesions
B. Blurred edges to a raised lesion
C. solid red raised lesion
D. Diameter of 5 mm - ✔✔B
✔✔Which of the following secondary lesions is usually the result of a self-inflicted
abrasion?
A. Excoriation
B. Scale
C. Lichenification
D. Atrophy - ✔✔A
✔✔You have just read in the patient's 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 together
C. Lesions arranged in a line along a nerve route
D. Lesions that are grouped or clustered together - ✔✔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 - ✔✔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 - ✔✔D
✔✔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 - ✔✔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 - ✔✔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 - ✔✔B
✔✔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 - ✔✔B
✔✔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 - ✔✔C
✔✔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
✔✔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
✔✔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
✔✔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
✔✔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
✔✔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 - ✔✔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 - ✔✔A
