NU 650 MIDTERM ELITE REVIEW AND
STRATEGY GUIDE WITH COMPLETE
QUIZZES AND SOLUTIONS 2026
⩥ A patient you are seeing for the first time in your office, brings their
previous medical records for the review. you would document a summer
of the previous medical records in which of the following sections of the
encounter note?
A. HPI
B. CC
C. Subjective Data
D. Objective Data. Answer: C: Subjective data
⩥ The most effective process to elicit the ROS is for the NP to:
A. Limit the ROS to systems related to the CC
B. Follow the patients lead regarding the order of symptoms
C. incorporate the ROS during the physical exam, stopping to make
notes as necessary
D. Start with general questions on each of the different body systems.
Answer: D
⩥ The NP can determine higher cognitive function by asking the patient
to perform which of the following tasks?
,A. Explain the meaning of a proverb
B. Identify the day of the week, month, season, date and year
C. Recall details of historical events
D. Spell a five-letter word such as WORLD backward. Answer: A
⩥ The NP will ask the patient which of the following questions to assess
for depression?
A. have you ever been annoyed by other criticizing your alcohol use?
B. Over the past two weeks have you felt little interest or pleasure in
doing things?
C. Over the past two weeks have you been unable to stop or control
worrying?
D. How often do you have contact with those that you care about or care
about you?. Answer: B
⩥ 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. Answer: B
⩥ The primary care provider will anticipate that what percent of
outpatients have mental health disorders?
,A. 10%
B. 15 %
C. 20%
D. 25%. Answer: 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. Answer: 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..
Answer: 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. Answer: 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. Answer: 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. Answer: B
STRATEGY GUIDE WITH COMPLETE
QUIZZES AND SOLUTIONS 2026
⩥ A patient you are seeing for the first time in your office, brings their
previous medical records for the review. you would document a summer
of the previous medical records in which of the following sections of the
encounter note?
A. HPI
B. CC
C. Subjective Data
D. Objective Data. Answer: C: Subjective data
⩥ The most effective process to elicit the ROS is for the NP to:
A. Limit the ROS to systems related to the CC
B. Follow the patients lead regarding the order of symptoms
C. incorporate the ROS during the physical exam, stopping to make
notes as necessary
D. Start with general questions on each of the different body systems.
Answer: D
⩥ The NP can determine higher cognitive function by asking the patient
to perform which of the following tasks?
,A. Explain the meaning of a proverb
B. Identify the day of the week, month, season, date and year
C. Recall details of historical events
D. Spell a five-letter word such as WORLD backward. Answer: A
⩥ The NP will ask the patient which of the following questions to assess
for depression?
A. have you ever been annoyed by other criticizing your alcohol use?
B. Over the past two weeks have you felt little interest or pleasure in
doing things?
C. Over the past two weeks have you been unable to stop or control
worrying?
D. How often do you have contact with those that you care about or care
about you?. Answer: B
⩥ 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. Answer: B
⩥ The primary care provider will anticipate that what percent of
outpatients have mental health disorders?
,A. 10%
B. 15 %
C. 20%
D. 25%. Answer: 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. Answer: 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..
Answer: 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. Answer: 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. Answer: 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. Answer: B
