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NU 650 Midterm & Final EXAM WITH COMPLETE
300 QUESTIONS AND CORRECT SOLUTIONS AND
RATIONALES JUST RELEASED THIS YEAR 2026-2027
NU 650 Midterm & Final Exam - 300 Randomized Practice Questions
Questions 1-50
1. A patient presents with a chief complaint of "chest pain." The NP begins the interview by
asking, "Tell me about the pain you are having." This is an example of what type of
questioning technique?
A) Closed-ended questioning
B) Leading question
C) Open-ended questioning
D) Direct questioning
Answer: C Open-ended questions allow the patient to describe symptoms in their own words
and provide rich narrative data without being guided to a specific answer.
2. A 45-year-old male presents with a 3-day history of fever, chills, and productive cough.
Where would the NP document the patient's report of fever and chills?
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A) Objective Data
B) Assessment
C) Subjective Data
D) Plan
Answer: C Subjective data includes all information reported by the patient, including symptoms
like fever, chills, and pain, regardless of whether they are measurable.
3. During a physical exam, the NP notes a palpable liver edge 2 cm below the right costal
margin. Where would this finding be documented?
A) Subjective Data
B) Objective Data
C) Assessment
D) Plan
Answer: B Objective data includes measurable findings obtained through physical examination
techniques such as palpation, percussion, and auscultation.
4. Which of the following is the most appropriate way to document a patient's response to a
medication?
A) "Patient states medication made him feel better"
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B) "Patient reports improvement in symptoms after taking medication"
C) "Patient's symptoms improved after taking medication"
D) "Patient took medication and feels good"
Answer: B Documentation should be specific, objective, and clearly attribute statements to the
patient while maintaining professional language.
5. A 60-year-old female presents for a routine physical. The NP notes a history of
hypertension, diabetes, and osteoarthritis on the patient's problem list. This information
belongs in which section of the medical record?
A) Subjective Data
B) Objective Data
C) Past Medical History
D) Review of Systems
Answer: C Past Medical History documents all chronic conditions, hospitalizations, surgeries,
and significant illnesses the patient has experienced.
6. During a neurological exam, the NP asks the patient to interpret the proverb "People who
live in glass houses should not throw stones." This tests which cognitive function?
A) Orientation
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B) Memory
C) Abstract reasoning
D) Attention span
Answer: C Proverb interpretation assesses higher-level cognitive function including abstract
thinking, judgment, and reasoning abilities.
7. A 35-year-old patient reports feeling sad most days, has lost interest in activities, and
experiences difficulty sleeping. The NP should ask which additional screening question?
A) "Do you have a family history of depression?"
B) "Have you had thoughts of harming yourself or others?"
C) "How much alcohol do you drink?"
D) "Have you experienced any recent life changes?"
Answer: B Suicide risk assessment is critical when depression is suspected; the NP must directly
assess for suicidal ideation and intent.
8. Which of the following findings would the NP document as objective data during a skin
assessment?
A) "Patient reports itching on arms"
B) "Patient states rash appeared 2 days ago"
NU 650 Midterm & Final EXAM WITH COMPLETE
300 QUESTIONS AND CORRECT SOLUTIONS AND
RATIONALES JUST RELEASED THIS YEAR 2026-2027
NU 650 Midterm & Final Exam - 300 Randomized Practice Questions
Questions 1-50
1. A patient presents with a chief complaint of "chest pain." The NP begins the interview by
asking, "Tell me about the pain you are having." This is an example of what type of
questioning technique?
A) Closed-ended questioning
B) Leading question
C) Open-ended questioning
D) Direct questioning
Answer: C Open-ended questions allow the patient to describe symptoms in their own words
and provide rich narrative data without being guided to a specific answer.
2. A 45-year-old male presents with a 3-day history of fever, chills, and productive cough.
Where would the NP document the patient's report of fever and chills?
, Page 2 of 146
A) Objective Data
B) Assessment
C) Subjective Data
D) Plan
Answer: C Subjective data includes all information reported by the patient, including symptoms
like fever, chills, and pain, regardless of whether they are measurable.
3. During a physical exam, the NP notes a palpable liver edge 2 cm below the right costal
margin. Where would this finding be documented?
A) Subjective Data
B) Objective Data
C) Assessment
D) Plan
Answer: B Objective data includes measurable findings obtained through physical examination
techniques such as palpation, percussion, and auscultation.
4. Which of the following is the most appropriate way to document a patient's response to a
medication?
A) "Patient states medication made him feel better"
, Page 3 of 146
B) "Patient reports improvement in symptoms after taking medication"
C) "Patient's symptoms improved after taking medication"
D) "Patient took medication and feels good"
Answer: B Documentation should be specific, objective, and clearly attribute statements to the
patient while maintaining professional language.
5. A 60-year-old female presents for a routine physical. The NP notes a history of
hypertension, diabetes, and osteoarthritis on the patient's problem list. This information
belongs in which section of the medical record?
A) Subjective Data
B) Objective Data
C) Past Medical History
D) Review of Systems
Answer: C Past Medical History documents all chronic conditions, hospitalizations, surgeries,
and significant illnesses the patient has experienced.
6. During a neurological exam, the NP asks the patient to interpret the proverb "People who
live in glass houses should not throw stones." This tests which cognitive function?
A) Orientation
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B) Memory
C) Abstract reasoning
D) Attention span
Answer: C Proverb interpretation assesses higher-level cognitive function including abstract
thinking, judgment, and reasoning abilities.
7. A 35-year-old patient reports feeling sad most days, has lost interest in activities, and
experiences difficulty sleeping. The NP should ask which additional screening question?
A) "Do you have a family history of depression?"
B) "Have you had thoughts of harming yourself or others?"
C) "How much alcohol do you drink?"
D) "Have you experienced any recent life changes?"
Answer: B Suicide risk assessment is critical when depression is suspected; the NP must directly
assess for suicidal ideation and intent.
8. Which of the following findings would the NP document as objective data during a skin
assessment?
A) "Patient reports itching on arms"
B) "Patient states rash appeared 2 days ago"
