NU673 MIDTERM PMHNP
COMPREHENSIVE EXAM STUDY GUIDE
2026 SOLVED QUESTIONS AND VERIFIED
ANSWERS GRADED A+
⩥ A pt presents to the clinic with severe right sided abdominal pain for
12 hours. He began having a "stomach ache" yesterday, with decreased
appetite, but today the pain seems to be just on the lower right side. He
has had some nausea & vomiting, but no constipation or diarrhea. His
last BM was last night and was normal. He has had no fever or chills. He
denies any recent illness or injuries. His PMH is unremarkable. He
denies any tobacco or drug use and drinks 4-6 beers/week. on exam, he
appears ill and is lying on his right side. His temp is 100.4 F and HR is
110. His bowel sounds are decreased and he has rebound pain and
guarding one third of the way between anterior superior iliac spine and
the umbilicus in the right lower quadrant. What is the most likely cause
of his pain?
A. Acute appendicitis
B. Mesenteric ischemia
C. Acute mechanical intestinal obstruction
D. Acute cholecystitis. Answer: A. Acute appendicitis
⩥ An APRN notes a 12 mm Hg difference in systolic BP during
inspiration. How should the APRN document this finding?
, A. Acute stenosis
B. Carotid arterial disease
C. Paradoxical pulse
D. Pulsus alternans. Answer: C. Paradoxical pulse
⩥ Which of the following percussion notes is obtained over a gastric
bubble?
A. Flatness
B. Hyperresonance
C. Tympany
D. Resonance. Answer: C. Tympany
⩥ The APRN is performing a cardiac exam on a pt with SOB and
palpitations. She listens to the heart with the pt sitting upright, then has
the pt change to a supine position, and finally she has the pt turn onto the
left side in the left lateral decubitus position. Which of the following
valvular defects is best heard in this position?
A. Mitral
B. Aortic
C. Tricuspid
COMPREHENSIVE EXAM STUDY GUIDE
2026 SOLVED QUESTIONS AND VERIFIED
ANSWERS GRADED A+
⩥ A pt presents to the clinic with severe right sided abdominal pain for
12 hours. He began having a "stomach ache" yesterday, with decreased
appetite, but today the pain seems to be just on the lower right side. He
has had some nausea & vomiting, but no constipation or diarrhea. His
last BM was last night and was normal. He has had no fever or chills. He
denies any recent illness or injuries. His PMH is unremarkable. He
denies any tobacco or drug use and drinks 4-6 beers/week. on exam, he
appears ill and is lying on his right side. His temp is 100.4 F and HR is
110. His bowel sounds are decreased and he has rebound pain and
guarding one third of the way between anterior superior iliac spine and
the umbilicus in the right lower quadrant. What is the most likely cause
of his pain?
A. Acute appendicitis
B. Mesenteric ischemia
C. Acute mechanical intestinal obstruction
D. Acute cholecystitis. Answer: A. Acute appendicitis
⩥ An APRN notes a 12 mm Hg difference in systolic BP during
inspiration. How should the APRN document this finding?
, A. Acute stenosis
B. Carotid arterial disease
C. Paradoxical pulse
D. Pulsus alternans. Answer: C. Paradoxical pulse
⩥ Which of the following percussion notes is obtained over a gastric
bubble?
A. Flatness
B. Hyperresonance
C. Tympany
D. Resonance. Answer: C. Tympany
⩥ The APRN is performing a cardiac exam on a pt with SOB and
palpitations. She listens to the heart with the pt sitting upright, then has
the pt change to a supine position, and finally she has the pt turn onto the
left side in the left lateral decubitus position. Which of the following
valvular defects is best heard in this position?
A. Mitral
B. Aortic
C. Tricuspid
