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NU 650 – Final Exam Study Guide | Verified Questions and Correct Answers | 2026/2027 A+ Grade Edition

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This document contains the verified questions and correct answers for the NU 650 Final Exam Study Guide for the 2026/2027 academic year. It covers advanced nursing topics including advanced pathophysiology, pharmacology, patient assessment, clinical decision-making, evidence-based interventions, and care planning for complex adult patient scenarios. Designed for graduate nursing students preparing for the final exam with accurate, up-to-date material to achieve an A+ grade.

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Institution
NU 650
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Uploaded on
January 24, 2026
Number of pages
19
Written in
2025/2026
Type
Exam (elaborations)
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NU 650 Final Exam SG questions and
answers 2026\2027 A+ Grade

Order of Assessment
- correct answer Inspection, Palpation, Percussion and Auscultation. EXCEPT with abdomen



Comprehensive Health History
- correct answer chief complaint, reason for visit, ROS, past medical and surgical history, social history
and family history



Pediatric Body measurements
- correct answer length, height, weight, head circumference fro birth to 36 months



Normal/Hypertension cut off
- correct answer <130 normal 140+ hypertension



Fontanel Closure
- correct answer posterior 1-2 months, anterior 9mo-2years



otoscope
- correct answer adult-up and back, peds- down and back, using largest speculum that will fit comforably



tympanic membrane
- correct answer Cone of light R-5 l-7



EOM testing
- correct answer CN III, IV, VI

,AP diameter of chest
- correct answer 1:2 (AP less than transverse)



barrel chest
- correct answer COPD



Flat or Dull percussion
- correct answer effusion or pneumonia



normal resonant percussion
- correct answer healthy lung



Hyperressonance (percussion)
- correct answer trapped air



crackles/rales
- correct answer high pitched, discontinuous



Wheezes
- correct answer high-pitched whistling or squeaking sounds during inspiration or expiration



Rhonchi
- correct answer snoring, rumbling sounds heard upon auscultation of the chest during respiration-low
pitched



tactile fremitus
- correct answer • INCREASED FREMITUS

- Means there is liquid or solid inside the lungs (consolidation such as with pneumonia)

- Remember Liquid or solid transmits vibrations better than air



• DECREASED FREMITUS

Means air trapping such as with emphysema or bronchial obstruction.

, Bronchophony
- correct answer the spoken voice sound heard through the stethoscope, which sounds soft, muffled,
and indistinct over normal lung tissue, clearer over disease



Egophony
- correct answer abnormal change in tone of voice that is heard when auscultating the lungs EE-->AA



UE Arteries
- correct answer radial-thumb side, ulnar pinky side



Pulse grading
- correct answer 0 absent

1+ weak

2+ normal

3+ increased

4+ bounding

palpate bilaterally



PMI
- correct answer point of maximal impulse mid-clavicular and 5th ICS



S1
- correct answer normal, closure of AV, Start of systole, loudest at Apex, contraction of ventricles



S2
- correct answer normal, closure of semilunar, end of systole, loudest at base, filling of ventricles



S3
- correct answer third heart sound (normal in pregnant young adults, and children), gallop

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