• NURS 5220 Exam 09/16/2026
NURS 5220 Exam 2 : NURS 5220 Exam Practice
Exam: 150 Questions & Answers:Latest Updated
A+ Guide Solution | Verified Q&A with Detailed
Rationales | Pass Guaranteed - A+ Graded
A young man comes to you with an extremely pruritic rash over his knees and elbows which has come and gone
for several years. It seems to be worse in the winter and improves with some sun exposure. On examination, you
notice scabbing and crusting with some silvery scale, and you are observant enough to notice small "pits" in his
nails. What would account for these findings?
A) Eczema
B) Pityriasis rosea
C) Psoriasis
D) Tinea infection - Correct Answer :C) Psoriasis
P 1
, • NURS 5220 Exam 09/16/2026
Psoriasis: silvery scaly papules or plaques, mainly on the extensor surfaces. Pitting: punctate depressions of the
nail plate caused by defective layering of the superficial nail plate by the proximal nail matrix. Usually associated
with psoriasis.
Suzanne, a 25 year old, comes to your clinic to establish care. You are the student preparing to go into the
examination room to interview her. Which of the following is the most logical sequence for the patient-provider
interview?
A) Establish the agenda, negotiate a plan, establish rapport, and invite the patient's story.
B) Invite the patient's story, negotiate a plan, establish the agenda, and establish rapport.
C) Greet the patient, establish rapport, invite the patient's story, establish the agenda, expand and clarify the
patient's story, and negotiate a plan.
D) Negotiate a plan, establish an agenda, invite the patient's story, and establish rapport. –
Correct Answer :C) Greet the patient, establish rapport, invite the patient's story, establish the agenda, expand
and clarify the patient's story, and negotiate a plan.
The sequence of the interview: Greeting the patient and establishing rapport. Taking notes. Establishing the
agenda for the interview. Inviting the patient's story. Expanding and clarifying the patient's story. Sharing the
treatment plan.
A young woman undergoes cranial nerve testing. On touching the soft palate, her uvula deviates to the left.
Which of the following is likely?
A) CN IX lesion on the left
B) CN X lesion on the left
C) CN IX lesion on the right
D) CN X lesion on the right - Correct Answer :D) CN X lesion on the right
In cranial nerve X paralysis, the soft palate fails to rise and the uvula deviates to the opposite side.
When performing posterior palpation of the thyroid gland, you should do all fo the following, EXCEPT:
A) Have the patient tip his or her head forward and slightly to the side.
P 2
, • NURS 5220 Exam 09/16/2026
B) Place your index fingers above the cricoid cartilage.
C) Palpate between the sternocleidomastoid muscle and the trachea for the lobes of the thyroid.
D) Move your fingers laterally to palpate for the thyroid lobes. –
Correct Answer :B) Place your index fingers above the cricoid cartilage.
Place the fingers of both hands on the patient's neck so that your index fingers are just BELOW the cricoid
cartilage.
You are interviewing an elderly woman in the ambulatory setting and trying to get more information about her
urinary symptoms. Which of the following techniques is NOT a component of guided questioning?
A) Reassuring the patient that the urinary symptoms are benign and that she doesn't need to worry about it
being a sign of cancer.
B) Offering the patient multiple choices in order to clarify the character of the urinary symptoms she is
experiencing.
C) Asking her to tell you what she means when she states that she has a urinary tract infection.
D) Directed questioning starting with the general and proceeding to the specific in a manner that does not make
the patient give a yes/no answer. –
Correct Answer :A) Reassuring the patient that the urinary symptoms are benign and that she doesn't need to
worry about it being a sign of cancer.
Bates p 59, 69-71
Mrs. T. comes for her regular visit to the clinic. She is on your schedule because her regular provider is on
vacation and she wanted to be seen. You have heard about her many times from your colleague and are aware
that she is a very talkative person. Which of the following is a helpful technique to improve the quality of the
interview for both the provider and the patient?
A) Allow the patient to speak uninterrupted for the duration of the appointment.
B) Briefly summarize what you heard from the patient in the first 5 minutes and then try to have her focus on
one aspect of what she told you.
C) Set the time limit at the beginning of the interview and stick with it, no matter what occurs in the course of
the interview.
P 3
, • NURS 5220 Exam 09/16/2026
D) Allow your impatience to show so that the patient picks up on your nonverbal cue that the appointment
needs to end. –
Correct Answer :B) Briefly summarize what you heard from the patient in the first 5 minutes and then try to
have her focus on one aspect of what she told you.
Give the patient free rein for the first 5-10 minutes, listening closely to the conversation. Focus on what seems
most important to the patient. Learn to set limits when needed. A brief summary may help you change the
subject yet validate any concerns. Do no show your impatience.
Which of the following will help to optimize success from a pediatric examination?
A) Doing the examination out of order if necessary to take advantage of quiet periods for auscultation, etc.
B) Being very orderly, so as not to miss a portion of the examination.
C) Using firmness throughout your examination, letting the child know you are in charge.
D) Making sure to place the infant on the table during the examination while Mom watches close by. –
Correct Answer :A) Doing the examination out of order if necessary to take advantage of quiet periods for
auscultation, etc.
With certain exceptions, physical examination does not require use of the examining table, or with the child in a
parent's lap. Plan the examination to start with the least distressing procedures and end with the most
distressing, usually involving the throat and ears. Patience, distraction, play flexibility in the order of the
examination, and caring but firm approach are all key to successfully examining the young child.
A patient has come in for an examination and states, "I have this spot in front of my ear lobe here on my cheek
that seems to be getting bigger and is tender. What do you think it is?" The NP notes swelling above the angle of
the jaw and suspects it could be an inflammation of his:
A) occipital node
B) thyroid gland
C) parotid gland
D) none of the above - Correct Answer :C) parotid gland
The swelling of the parotid gland is seen anterior to the ear lobes and above the angles of the jaw.
P 4
NURS 5220 Exam 2 : NURS 5220 Exam Practice
Exam: 150 Questions & Answers:Latest Updated
A+ Guide Solution | Verified Q&A with Detailed
Rationales | Pass Guaranteed - A+ Graded
A young man comes to you with an extremely pruritic rash over his knees and elbows which has come and gone
for several years. It seems to be worse in the winter and improves with some sun exposure. On examination, you
notice scabbing and crusting with some silvery scale, and you are observant enough to notice small "pits" in his
nails. What would account for these findings?
A) Eczema
B) Pityriasis rosea
C) Psoriasis
D) Tinea infection - Correct Answer :C) Psoriasis
P 1
, • NURS 5220 Exam 09/16/2026
Psoriasis: silvery scaly papules or plaques, mainly on the extensor surfaces. Pitting: punctate depressions of the
nail plate caused by defective layering of the superficial nail plate by the proximal nail matrix. Usually associated
with psoriasis.
Suzanne, a 25 year old, comes to your clinic to establish care. You are the student preparing to go into the
examination room to interview her. Which of the following is the most logical sequence for the patient-provider
interview?
A) Establish the agenda, negotiate a plan, establish rapport, and invite the patient's story.
B) Invite the patient's story, negotiate a plan, establish the agenda, and establish rapport.
C) Greet the patient, establish rapport, invite the patient's story, establish the agenda, expand and clarify the
patient's story, and negotiate a plan.
D) Negotiate a plan, establish an agenda, invite the patient's story, and establish rapport. –
Correct Answer :C) Greet the patient, establish rapport, invite the patient's story, establish the agenda, expand
and clarify the patient's story, and negotiate a plan.
The sequence of the interview: Greeting the patient and establishing rapport. Taking notes. Establishing the
agenda for the interview. Inviting the patient's story. Expanding and clarifying the patient's story. Sharing the
treatment plan.
A young woman undergoes cranial nerve testing. On touching the soft palate, her uvula deviates to the left.
Which of the following is likely?
A) CN IX lesion on the left
B) CN X lesion on the left
C) CN IX lesion on the right
D) CN X lesion on the right - Correct Answer :D) CN X lesion on the right
In cranial nerve X paralysis, the soft palate fails to rise and the uvula deviates to the opposite side.
When performing posterior palpation of the thyroid gland, you should do all fo the following, EXCEPT:
A) Have the patient tip his or her head forward and slightly to the side.
P 2
, • NURS 5220 Exam 09/16/2026
B) Place your index fingers above the cricoid cartilage.
C) Palpate between the sternocleidomastoid muscle and the trachea for the lobes of the thyroid.
D) Move your fingers laterally to palpate for the thyroid lobes. –
Correct Answer :B) Place your index fingers above the cricoid cartilage.
Place the fingers of both hands on the patient's neck so that your index fingers are just BELOW the cricoid
cartilage.
You are interviewing an elderly woman in the ambulatory setting and trying to get more information about her
urinary symptoms. Which of the following techniques is NOT a component of guided questioning?
A) Reassuring the patient that the urinary symptoms are benign and that she doesn't need to worry about it
being a sign of cancer.
B) Offering the patient multiple choices in order to clarify the character of the urinary symptoms she is
experiencing.
C) Asking her to tell you what she means when she states that she has a urinary tract infection.
D) Directed questioning starting with the general and proceeding to the specific in a manner that does not make
the patient give a yes/no answer. –
Correct Answer :A) Reassuring the patient that the urinary symptoms are benign and that she doesn't need to
worry about it being a sign of cancer.
Bates p 59, 69-71
Mrs. T. comes for her regular visit to the clinic. She is on your schedule because her regular provider is on
vacation and she wanted to be seen. You have heard about her many times from your colleague and are aware
that she is a very talkative person. Which of the following is a helpful technique to improve the quality of the
interview for both the provider and the patient?
A) Allow the patient to speak uninterrupted for the duration of the appointment.
B) Briefly summarize what you heard from the patient in the first 5 minutes and then try to have her focus on
one aspect of what she told you.
C) Set the time limit at the beginning of the interview and stick with it, no matter what occurs in the course of
the interview.
P 3
, • NURS 5220 Exam 09/16/2026
D) Allow your impatience to show so that the patient picks up on your nonverbal cue that the appointment
needs to end. –
Correct Answer :B) Briefly summarize what you heard from the patient in the first 5 minutes and then try to
have her focus on one aspect of what she told you.
Give the patient free rein for the first 5-10 minutes, listening closely to the conversation. Focus on what seems
most important to the patient. Learn to set limits when needed. A brief summary may help you change the
subject yet validate any concerns. Do no show your impatience.
Which of the following will help to optimize success from a pediatric examination?
A) Doing the examination out of order if necessary to take advantage of quiet periods for auscultation, etc.
B) Being very orderly, so as not to miss a portion of the examination.
C) Using firmness throughout your examination, letting the child know you are in charge.
D) Making sure to place the infant on the table during the examination while Mom watches close by. –
Correct Answer :A) Doing the examination out of order if necessary to take advantage of quiet periods for
auscultation, etc.
With certain exceptions, physical examination does not require use of the examining table, or with the child in a
parent's lap. Plan the examination to start with the least distressing procedures and end with the most
distressing, usually involving the throat and ears. Patience, distraction, play flexibility in the order of the
examination, and caring but firm approach are all key to successfully examining the young child.
A patient has come in for an examination and states, "I have this spot in front of my ear lobe here on my cheek
that seems to be getting bigger and is tender. What do you think it is?" The NP notes swelling above the angle of
the jaw and suspects it could be an inflammation of his:
A) occipital node
B) thyroid gland
C) parotid gland
D) none of the above - Correct Answer :C) parotid gland
The swelling of the parotid gland is seen anterior to the ear lobes and above the angles of the jaw.
P 4
