A+ 2025/2026
The NP will document the reason for visit in which of the following sections
of the encounter?
A. HPI
B. CC
C. Subjective Data
D. Objective Data - B
The primary care provider will anticipate that what percent of outpatients
have mental health disorders?
A. 10%
B. 15 %
C. 20%
D. 25% - C
Which of the following actions by the NP demonstrations patient-centered
interviewing techniques?
A. Determine the personal context of the patients symptoms
B. Focus on symptoms to identify a disease or condition
C. Offer his or her perspective to lead the patients response
D. Solicit information from the patients significant others - 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-clavicular 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