NU650 Midterm Exam Review UPDATED
Questions and CORRECT Answers
Amenorrhea - CORRECT ANSWER - Absence of menstruation.
Urine Pregnancy Test - CORRECT ANSWER - A test to determine if a patient is pregnant
based on urine samples.
HPI - CORRECT ANSWER - History of Present Illness; a section of the encounter
documenting the patient's current health issues.
CC - CORRECT ANSWER - Chief Complaint; the primary reason for the patient's visit.
Subjective Data - CORRECT ANSWER - Information reported by the patient regarding
their symptoms and feelings.
Objective Data - CORRECT ANSWER - Information obtained through observation,
examination, and testing.
ROS - CORRECT ANSWER - Review of Systems; a systematic approach to elicit a
patient's symptoms across various body systems.
Cognitive Function - CORRECT ANSWER - Mental processes such as thinking,
understanding, learning, and remembering.
Depression Assessment - CORRECT ANSWER - Evaluation of a patient's mood and
emotional state, often through specific questions.
Mental Health Disorders Prevalence - CORRECT ANSWER - Approximately 20% of
outpatients have mental health disorders.
,Patient-Centered Interviewing - CORRECT ANSWER - An approach that focuses on
understanding the patient's personal context and experiences.
Angry Patient Management - CORRECT ANSWER - Validating the patient's feelings
without agreeing with their reasons is an effective strategy.
Child Examination Variables - CORRECT ANSWER - The child's developmental level
should have the greatest effect on how the NP conducts the H & PE.
Primary Skin Lesion - CORRECT ANSWER - A lesion that is directly related to a disease
process.
Macule - CORRECT ANSWER - A flat skin lesion.
Papule - CORRECT ANSWER - A raised skin lesion.
Plaque - CORRECT ANSWER - A raised skin lesion greater than 1 cm that is not fluid-
filled.
Vesicle - CORRECT ANSWER - A raised skin lesion that is fluid-filled.
Bullae - CORRECT ANSWER - A raised skin lesion greater than 1 cm that is fluid-filled.
Zosteriform Lesion - CORRECT ANSWER - A linear arrangement of lesions along a
nerve distribution.
Wood's Lamp - CORRECT ANSWER - A diagnostic tool useful for identifying certain
skin conditions, such as tinea versicolor.
,Lichenification - CORRECT ANSWER - Thickened skin that results from continuous
scratching or irritation.
Nodule - CORRECT ANSWER - A solid, elevated, circumscribed lesion less than 1 cm in
diameter.
Skin Cancer Indicators - CORRECT ANSWER - Blurred edges to a raised lesion may alert
the NP to consider skin cancer.
Excoriation - CORRECT ANSWER - A secondary lesion resulting from self-inflicted
abrasion.
Confluent Lesions - CORRECT ANSWER - Lesions that run together.
Abdominal Examination Position - CORRECT ANSWER - The NP should stand at the
patient's right side and proceed in a systematic fashion.
Abdominal Examination Order - CORRECT ANSWER - The correct order is Inspection,
Auscultation, Palpation, Percussion.
CVA Angle - CORRECT ANSWER - Costovertebral angle; tenderness here may indicate
pyelonephritis.
Palpation of Liver Border - CORRECT ANSWER - The liver border can be palpated
normally below the costal margin at the right mid-clavicular line.
Abdominal Aortic Aneurysm Indicators - CORRECT ANSWER - A 25 pack-year
smoking history is worrisome for an abdominal aortic aneurysm.
Muscular Resistance Examination - CORRECT ANSWER - Light palpation is used to
determine muscular resistance, superficial organs, and masses in the abdomen.
, Abdominal Exam Relaxation Method - CORRECT ANSWER - Palpate abdomen after
expiration for relaxation.
Umbilical Hernia in Infants - CORRECT ANSWER - Most umbilical hernias disappear by
12 months.
Percussion Sound in Constipation - CORRECT ANSWER - Expect dull sound in left
lower quadrant.
Normal Percussion Sound - CORRECT ANSWER - Tympanic sound over normal
intestines.
Cholecystitis Differential Diagnosis - CORRECT ANSWER - Positive Murphy's sign
indicates possible cholecystitis.
Appendicitis Symptoms - CORRECT ANSWER - Severe RLQ pain with pallor and
sweating.
Sinus Examination - CORRECT ANSWER - Palpate frontal and maxillary sinuses.
Eye Irritation Findings - CORRECT ANSWER - Patient denies eye pain or vision change.
Throat Examination Response - CORRECT ANSWER - Soft palate rises when patient
says 'aah'.
Conductive Hearing Loss - CORRECT ANSWER - Weber test sound lateralizes to
affected ear.
Questions and CORRECT Answers
Amenorrhea - CORRECT ANSWER - Absence of menstruation.
Urine Pregnancy Test - CORRECT ANSWER - A test to determine if a patient is pregnant
based on urine samples.
HPI - CORRECT ANSWER - History of Present Illness; a section of the encounter
documenting the patient's current health issues.
CC - CORRECT ANSWER - Chief Complaint; the primary reason for the patient's visit.
Subjective Data - CORRECT ANSWER - Information reported by the patient regarding
their symptoms and feelings.
Objective Data - CORRECT ANSWER - Information obtained through observation,
examination, and testing.
ROS - CORRECT ANSWER - Review of Systems; a systematic approach to elicit a
patient's symptoms across various body systems.
Cognitive Function - CORRECT ANSWER - Mental processes such as thinking,
understanding, learning, and remembering.
Depression Assessment - CORRECT ANSWER - Evaluation of a patient's mood and
emotional state, often through specific questions.
Mental Health Disorders Prevalence - CORRECT ANSWER - Approximately 20% of
outpatients have mental health disorders.
,Patient-Centered Interviewing - CORRECT ANSWER - An approach that focuses on
understanding the patient's personal context and experiences.
Angry Patient Management - CORRECT ANSWER - Validating the patient's feelings
without agreeing with their reasons is an effective strategy.
Child Examination Variables - CORRECT ANSWER - The child's developmental level
should have the greatest effect on how the NP conducts the H & PE.
Primary Skin Lesion - CORRECT ANSWER - A lesion that is directly related to a disease
process.
Macule - CORRECT ANSWER - A flat skin lesion.
Papule - CORRECT ANSWER - A raised skin lesion.
Plaque - CORRECT ANSWER - A raised skin lesion greater than 1 cm that is not fluid-
filled.
Vesicle - CORRECT ANSWER - A raised skin lesion that is fluid-filled.
Bullae - CORRECT ANSWER - A raised skin lesion greater than 1 cm that is fluid-filled.
Zosteriform Lesion - CORRECT ANSWER - A linear arrangement of lesions along a
nerve distribution.
Wood's Lamp - CORRECT ANSWER - A diagnostic tool useful for identifying certain
skin conditions, such as tinea versicolor.
,Lichenification - CORRECT ANSWER - Thickened skin that results from continuous
scratching or irritation.
Nodule - CORRECT ANSWER - A solid, elevated, circumscribed lesion less than 1 cm in
diameter.
Skin Cancer Indicators - CORRECT ANSWER - Blurred edges to a raised lesion may alert
the NP to consider skin cancer.
Excoriation - CORRECT ANSWER - A secondary lesion resulting from self-inflicted
abrasion.
Confluent Lesions - CORRECT ANSWER - Lesions that run together.
Abdominal Examination Position - CORRECT ANSWER - The NP should stand at the
patient's right side and proceed in a systematic fashion.
Abdominal Examination Order - CORRECT ANSWER - The correct order is Inspection,
Auscultation, Palpation, Percussion.
CVA Angle - CORRECT ANSWER - Costovertebral angle; tenderness here may indicate
pyelonephritis.
Palpation of Liver Border - CORRECT ANSWER - The liver border can be palpated
normally below the costal margin at the right mid-clavicular line.
Abdominal Aortic Aneurysm Indicators - CORRECT ANSWER - A 25 pack-year
smoking history is worrisome for an abdominal aortic aneurysm.
Muscular Resistance Examination - CORRECT ANSWER - Light palpation is used to
determine muscular resistance, superficial organs, and masses in the abdomen.
, Abdominal Exam Relaxation Method - CORRECT ANSWER - Palpate abdomen after
expiration for relaxation.
Umbilical Hernia in Infants - CORRECT ANSWER - Most umbilical hernias disappear by
12 months.
Percussion Sound in Constipation - CORRECT ANSWER - Expect dull sound in left
lower quadrant.
Normal Percussion Sound - CORRECT ANSWER - Tympanic sound over normal
intestines.
Cholecystitis Differential Diagnosis - CORRECT ANSWER - Positive Murphy's sign
indicates possible cholecystitis.
Appendicitis Symptoms - CORRECT ANSWER - Severe RLQ pain with pallor and
sweating.
Sinus Examination - CORRECT ANSWER - Palpate frontal and maxillary sinuses.
Eye Irritation Findings - CORRECT ANSWER - Patient denies eye pain or vision change.
Throat Examination Response - CORRECT ANSWER - Soft palate rises when patient
says 'aah'.
Conductive Hearing Loss - CORRECT ANSWER - Weber test sound lateralizes to
affected ear.
