NU623 Midterm Exam Questions with Correct
Answers
A 25-year old male presents for his annual exam. His BMI is 22.0, but he is concerned
about his weight. What is the most appropriate response?
A. Reassure the patient his weight is normal.
B. Refer the patient to a nutritionist because he is anorexic.
C. Provide the patient with information about weight loss because he is overweight.
D. Refer the patient to a nutritionist because he is obese.
A. Reassure the patient his weight is normal.
Normal BMI range 18.5-24.5.
In manual BP, which if the following provides the best estimate of the true diastolic BP?
A. Disappearance of Korotkoff sounds following initial muffling.
B. Average between highest and lowest points of auscultatory gap.
C. Point at which Korotkoff sounds first muffle after systolic BP is discerned
D. Recommencement of Korotkoff sounds following lower point of auscultatory gap.
A. Disappearance of Korotkoff sounds following initial muffling
In evaluating patients who are overweight, which of the following best defines obesity?
A. Patient consuming >1.5x recommended caloric intake
B. Patient with BMI less than 24
,C. Patient with BMI greater than or equal to 30
D. Patient with waist-to-hip (WHR) ratio >1.75
C. Patient with BMI greater than or equal to 30
20-24 normal, 25-29 overweight, over 30 obese
Which of the following is a normal finding when performing an exam with the
otoscope?
A. Macula
B. Cone of light
C. Optic disc
D. Red reflex
B. Cone of light
Other options are findings with an ophthalmoscope.
The APRN is reviewing a chart on a patient they are about to see. THe previous
provider noted the patient had otorrhea. The APRN knows this to mean the patient
had:
A. ringing in ears
B. ear drainage
C. earache
D. inflammation of ear
B. Ear drainage
, The APRN is examining a patient and feels a 1cm x 0.5cm non-tender mass in the
supraclavicular area. It is mobile in both the up-down and side-to-side directions.
Which of the following is most likely?
A. Cancer
B. Lymph node
C. Deep scar
D. Muscle
B. Lymph node
Lymph nodes move in ALL directions.
A patient presents to the ER for evaluation of "blood in the left eye". The patient denies
trauma or injury, but has been coughing forcefully with a recent cold. The patient
denies visual disturbances, eye pain, or discharge from the eye. On exam, the APRN
notes PERRLA, with visual acuity of 20/20 in both eyes. There is a homogenous, sharply
demarcated red area at the lateral aspect of the base of the left eye. The cornea is clear.
The most likely diagnosis is:
A. conjunctivitis
B. acute iritis
C. corneal abrasion
D. subconjunctival hemorrhage
D. Subconjunctival hemorrhage
Answers
A 25-year old male presents for his annual exam. His BMI is 22.0, but he is concerned
about his weight. What is the most appropriate response?
A. Reassure the patient his weight is normal.
B. Refer the patient to a nutritionist because he is anorexic.
C. Provide the patient with information about weight loss because he is overweight.
D. Refer the patient to a nutritionist because he is obese.
A. Reassure the patient his weight is normal.
Normal BMI range 18.5-24.5.
In manual BP, which if the following provides the best estimate of the true diastolic BP?
A. Disappearance of Korotkoff sounds following initial muffling.
B. Average between highest and lowest points of auscultatory gap.
C. Point at which Korotkoff sounds first muffle after systolic BP is discerned
D. Recommencement of Korotkoff sounds following lower point of auscultatory gap.
A. Disappearance of Korotkoff sounds following initial muffling
In evaluating patients who are overweight, which of the following best defines obesity?
A. Patient consuming >1.5x recommended caloric intake
B. Patient with BMI less than 24
,C. Patient with BMI greater than or equal to 30
D. Patient with waist-to-hip (WHR) ratio >1.75
C. Patient with BMI greater than or equal to 30
20-24 normal, 25-29 overweight, over 30 obese
Which of the following is a normal finding when performing an exam with the
otoscope?
A. Macula
B. Cone of light
C. Optic disc
D. Red reflex
B. Cone of light
Other options are findings with an ophthalmoscope.
The APRN is reviewing a chart on a patient they are about to see. THe previous
provider noted the patient had otorrhea. The APRN knows this to mean the patient
had:
A. ringing in ears
B. ear drainage
C. earache
D. inflammation of ear
B. Ear drainage
, The APRN is examining a patient and feels a 1cm x 0.5cm non-tender mass in the
supraclavicular area. It is mobile in both the up-down and side-to-side directions.
Which of the following is most likely?
A. Cancer
B. Lymph node
C. Deep scar
D. Muscle
B. Lymph node
Lymph nodes move in ALL directions.
A patient presents to the ER for evaluation of "blood in the left eye". The patient denies
trauma or injury, but has been coughing forcefully with a recent cold. The patient
denies visual disturbances, eye pain, or discharge from the eye. On exam, the APRN
notes PERRLA, with visual acuity of 20/20 in both eyes. There is a homogenous, sharply
demarcated red area at the lateral aspect of the base of the left eye. The cornea is clear.
The most likely diagnosis is:
A. conjunctivitis
B. acute iritis
C. corneal abrasion
D. subconjunctival hemorrhage
D. Subconjunctival hemorrhage
