NU 518 EXAM WITH OVER 400 QUESTIONS AND CORRECT
ANSWERS/ NEW NU 528 EXAM 2 PRACTICE TEST
QUESTIONS AND ANSWERS (NEW!) COVERING THE
RECENT TESTED QUESTIONS
NU 518 FOCUSES ON ADVANCED CONCEPTS IN PHARMACOLOGY,
PATHOPHYSIOLOGY, AND HEALTH ASSESSMENT, PREPARING NURSING
STUDENTS FOR CLINICAL DECISION-MAKING IN ADVANCED PRACTICE. NU 528
BUILDS ON THIS FOUNDATION WITH AN EMPHASIS ON PRIMARY CARE
DIAGNOSIS, EVIDENCE-BASED PRACTICE, AND PATIENT MANAGEMENT
STRATEGIES. BOTH EXAMS ARE ESSENTIAL FOR SUCCESS IN GRADUATE
NURSING PROGRAMS AND NP CERTIFICATION.
A 38-year-old accountant comes to your clinic for evaluation of a headache. The throbbing sensation
is located in the right temporal region and is an 8 on a scale of 1 to 10. It started a few hours ago,
and she has noted nausea with sensitivity to light; she has had headaches like this in the past, usually
less than one per week, but not as severe. She does not know of any inciting factors. There has been
no change in the frequency of her headaches. She usually takes an over the-counter analgesic, and
this results in resolution of the headache. Based on this description, what is the most likely diagnosis
of the type of headache?
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound - CORRECT ANSWER-B
A 29-year-old computer programmer comes to your office for evaluation of a headache. The
tightening sensation is located all over the head and is of moderate intensity. It used to last minutes,
but this time it has lasted for 5 days. He denies photophobia and nausea. He spends several hours
each day at a computer monitor/keyboard. He has tried over-the-counter medication; it has dulled
the pain but not taken it away. Based on this description, what is your
most likely diagnosis?
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound - CORRECT ANSWER-A
,During the cardiac auscultation, the nurse hears a sound immediately occurring after the S2 at the
second left intercostal space. To further assess this sound, what should the nurse do?
A Have the patient turn to the left side while the nurse listens with the bell of the stethoscope.
B Ask the patient to hold his or her breath while the nurse listens again.
C No further assessment is needed because the nurse knows this sound is an S3.
D Watch the patients respirations while listening for the effect on the sound. - CORRECT
ANSWER-D
Which of these findings would the nurse expect to notice during a cardiac assessment on a 4-year-
old child?
A S3 when sitting up
B Persistent tachycardia above 150 beats per minute
C Murmur at the second left intercostal space when supine
D Palpable apical impulse in the fifth left intercostal space lateral to midclavicular line - CORRECT
ANSWER-C
While auscultating heart sounds on a 7-year-old child for a routine physical examination, the nurse
hears an S3, a soft murmur at the left midsternal border, and a venous hum when the child is
standing. What would be a correct interpretation of these findings?
A S3 is indicative of heart disease in children.
B These findings can all be normal in a child.
C These findings are indicative of congenital problems.
D The venous hum most likely indicates an aneurysm. - CORRECT ANSWER-B
A 57-year-old maintenance worker comes to your office for evaluation of pain in his legs. He has
smoked two packs per day since the age of 16, but he is otherwise healthy. You are concerned that
he may have peripheral vascular disease. Which of the following is part of common or concerning
symptoms for the peripheral vascular system?
A) Intermittent claudication
B) Chest pressure with exertion
C) Shortness of breath
D) Knee pain - CORRECT ANSWER-A
,A 72-year-old teacher comes to your clinic for an annual examination. She is concerned about her
risk for peripheral vascular disease and states that there is a place in town that does tests to let her
know her if she has this or not. Which of the following disease processes is a risk factor for
peripheral vascular disease?
A) Gastroesophageal reflux disease
B) Coronary artery disease
C) Migraine headaches
D) Osteoarthritis - CORRECT ANSWER-B
A 68-year-old retired truck driver comes to your office for evaluation of swelling in his legs. He is a
smoker and has been taking medications to control his hypertension for the past 25 years. You are
concerned about his risk for peripheral vascular disease. Which of the following tests are
appropriate to order to initially evaluate for this condition?
A) Venogram
B) CT scan of the lower legs
C) Ankle-brachial index (ABI)
D) PET scan - CORRECT ANSWER-C
A 55-year-old secretary with a recent history of breast cancer, for which she underwent surgery and
radiation therapy, and a history of hypertension comes to your office for a routine checkup. Which
of the following aspects of the physical are important to note when assessing the patient for
peripheral vascular disease in the arms?
A) Femoral pulse, popliteal pulse
B) Dorsalis pedis pulse, posterior tibial pulse
C) Carotid pulse
D) Radial pulse, brachial pulse - CORRECT ANSWER-D
You are a student in the vascular surgery clinic. You are asked to perform a physical examination on
a patient with known peripheral vascular disease in the legs. Which of the following aspects is
important to note when you perform your examination?
A) Size, symmetry, and skin color
B) Muscle bulk and tone
C) Nodules in joints
, D) Lower extremity strength - CORRECT ANSWER-A
You are assessing a patient for peripheral vascular disease in the arms, secondary to a complaint of
increased weakness and a history of coronary artery disease and diabetes. You assess the brachial
and radial pulses and note that they are bounding. What does that translate to
on a scale of 0 to 3?
A) 0
B) 3+
C) 2+
D) 1+ - CORRECT ANSWER-B
You are obtaining an arterial blood gas in the radial artery on a retired cab driver who has been
hospitalized in the intensive care unit for a stroke. You are concerned about the possibility of arterial
insufficiency. You perform the Allen test. This means that you:
A) Checked for patency of the radial artery
B) Checked for patency of the brachial artery
C) Checked for patency of the ulnar artery
D) Checked for patency of the femoral artery - CORRECT ANSWER-C
You are assessing a 59-year-old gas station owner for atherosclerosis in the lower extremities. In
which of the following locations would the patient's pain make you concerned for this disease
process?
A) Thigh
B) Knee
C) Calf
D) Ankle - CORRECT ANSWER-C
You are performing a routine check-up on an 81-year-old retired cotton farmer in the vascular
surgery clinic. You note that he has a history of chronic arterial insufficiency. Which of the following
physical examination findings in the lower extremities would be expected with this disease?
A) Normal pulsation
B) Normal temperature
C) Marked edema
ANSWERS/ NEW NU 528 EXAM 2 PRACTICE TEST
QUESTIONS AND ANSWERS (NEW!) COVERING THE
RECENT TESTED QUESTIONS
NU 518 FOCUSES ON ADVANCED CONCEPTS IN PHARMACOLOGY,
PATHOPHYSIOLOGY, AND HEALTH ASSESSMENT, PREPARING NURSING
STUDENTS FOR CLINICAL DECISION-MAKING IN ADVANCED PRACTICE. NU 528
BUILDS ON THIS FOUNDATION WITH AN EMPHASIS ON PRIMARY CARE
DIAGNOSIS, EVIDENCE-BASED PRACTICE, AND PATIENT MANAGEMENT
STRATEGIES. BOTH EXAMS ARE ESSENTIAL FOR SUCCESS IN GRADUATE
NURSING PROGRAMS AND NP CERTIFICATION.
A 38-year-old accountant comes to your clinic for evaluation of a headache. The throbbing sensation
is located in the right temporal region and is an 8 on a scale of 1 to 10. It started a few hours ago,
and she has noted nausea with sensitivity to light; she has had headaches like this in the past, usually
less than one per week, but not as severe. She does not know of any inciting factors. There has been
no change in the frequency of her headaches. She usually takes an over the-counter analgesic, and
this results in resolution of the headache. Based on this description, what is the most likely diagnosis
of the type of headache?
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound - CORRECT ANSWER-B
A 29-year-old computer programmer comes to your office for evaluation of a headache. The
tightening sensation is located all over the head and is of moderate intensity. It used to last minutes,
but this time it has lasted for 5 days. He denies photophobia and nausea. He spends several hours
each day at a computer monitor/keyboard. He has tried over-the-counter medication; it has dulled
the pain but not taken it away. Based on this description, what is your
most likely diagnosis?
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound - CORRECT ANSWER-A
,During the cardiac auscultation, the nurse hears a sound immediately occurring after the S2 at the
second left intercostal space. To further assess this sound, what should the nurse do?
A Have the patient turn to the left side while the nurse listens with the bell of the stethoscope.
B Ask the patient to hold his or her breath while the nurse listens again.
C No further assessment is needed because the nurse knows this sound is an S3.
D Watch the patients respirations while listening for the effect on the sound. - CORRECT
ANSWER-D
Which of these findings would the nurse expect to notice during a cardiac assessment on a 4-year-
old child?
A S3 when sitting up
B Persistent tachycardia above 150 beats per minute
C Murmur at the second left intercostal space when supine
D Palpable apical impulse in the fifth left intercostal space lateral to midclavicular line - CORRECT
ANSWER-C
While auscultating heart sounds on a 7-year-old child for a routine physical examination, the nurse
hears an S3, a soft murmur at the left midsternal border, and a venous hum when the child is
standing. What would be a correct interpretation of these findings?
A S3 is indicative of heart disease in children.
B These findings can all be normal in a child.
C These findings are indicative of congenital problems.
D The venous hum most likely indicates an aneurysm. - CORRECT ANSWER-B
A 57-year-old maintenance worker comes to your office for evaluation of pain in his legs. He has
smoked two packs per day since the age of 16, but he is otherwise healthy. You are concerned that
he may have peripheral vascular disease. Which of the following is part of common or concerning
symptoms for the peripheral vascular system?
A) Intermittent claudication
B) Chest pressure with exertion
C) Shortness of breath
D) Knee pain - CORRECT ANSWER-A
,A 72-year-old teacher comes to your clinic for an annual examination. She is concerned about her
risk for peripheral vascular disease and states that there is a place in town that does tests to let her
know her if she has this or not. Which of the following disease processes is a risk factor for
peripheral vascular disease?
A) Gastroesophageal reflux disease
B) Coronary artery disease
C) Migraine headaches
D) Osteoarthritis - CORRECT ANSWER-B
A 68-year-old retired truck driver comes to your office for evaluation of swelling in his legs. He is a
smoker and has been taking medications to control his hypertension for the past 25 years. You are
concerned about his risk for peripheral vascular disease. Which of the following tests are
appropriate to order to initially evaluate for this condition?
A) Venogram
B) CT scan of the lower legs
C) Ankle-brachial index (ABI)
D) PET scan - CORRECT ANSWER-C
A 55-year-old secretary with a recent history of breast cancer, for which she underwent surgery and
radiation therapy, and a history of hypertension comes to your office for a routine checkup. Which
of the following aspects of the physical are important to note when assessing the patient for
peripheral vascular disease in the arms?
A) Femoral pulse, popliteal pulse
B) Dorsalis pedis pulse, posterior tibial pulse
C) Carotid pulse
D) Radial pulse, brachial pulse - CORRECT ANSWER-D
You are a student in the vascular surgery clinic. You are asked to perform a physical examination on
a patient with known peripheral vascular disease in the legs. Which of the following aspects is
important to note when you perform your examination?
A) Size, symmetry, and skin color
B) Muscle bulk and tone
C) Nodules in joints
, D) Lower extremity strength - CORRECT ANSWER-A
You are assessing a patient for peripheral vascular disease in the arms, secondary to a complaint of
increased weakness and a history of coronary artery disease and diabetes. You assess the brachial
and radial pulses and note that they are bounding. What does that translate to
on a scale of 0 to 3?
A) 0
B) 3+
C) 2+
D) 1+ - CORRECT ANSWER-B
You are obtaining an arterial blood gas in the radial artery on a retired cab driver who has been
hospitalized in the intensive care unit for a stroke. You are concerned about the possibility of arterial
insufficiency. You perform the Allen test. This means that you:
A) Checked for patency of the radial artery
B) Checked for patency of the brachial artery
C) Checked for patency of the ulnar artery
D) Checked for patency of the femoral artery - CORRECT ANSWER-C
You are assessing a 59-year-old gas station owner for atherosclerosis in the lower extremities. In
which of the following locations would the patient's pain make you concerned for this disease
process?
A) Thigh
B) Knee
C) Calf
D) Ankle - CORRECT ANSWER-C
You are performing a routine check-up on an 81-year-old retired cotton farmer in the vascular
surgery clinic. You note that he has a history of chronic arterial insufficiency. Which of the following
physical examination findings in the lower extremities would be expected with this disease?
A) Normal pulsation
B) Normal temperature
C) Marked edema
