MN 566 - EXAM 1 LATEST 2026/2027 | MULTIPLE-CHOICE |
40 VERIFIED Q&A | DETAILED RATIONALES | NGN-
ALIGNED | PASS GUARANTEED – A+ GRADED
SECTION 1: ADVANCED ASSESSMENT & DIAGNOSIS - Questions 1-8
Q1: Comprehensive History - Biopsychosocial Model
A nurse practitioner is conducting a comprehensive health history. Which component is essential for
understanding the whole patient?
A. Biological factors only
B. Psychological factors only
C. Social factors only
D. Biological, psychological, and social factors
Correct Answer: D
Rationale: The biopsychosocial model considers biological (genetics, medical conditions),
psychological (thoughts, emotions, behaviors), and social (family, culture, environment) factors in
understanding health and illness. This holistic approach is essential for comprehensive care. [100%
CORRECT]
Q2: Review of Systems - Systematic Approach
The NP is conducting a review of systems (ROS). Which approach is most appropriate?
A. Asking only about the chief complaint
B. Asking about each body system systematically
C. Asking only about past medical history
D. Asking only about family history
Correct Answer: B
Rationale: A comprehensive ROS involves asking about each body system systematically to identify
any symptoms the patient may not have mentioned. This helps identify potential comorbidities and
guides further workup. [100% CORRECT]
Q3: Physical Exam - General Survey
During the general survey, the NP observes that the patient is well-nourished, ambulatory, and in no
acute distress. This information is documented as:
A. General survey findings
B. Focused assessment findings
C. Review of systems findings
D. Past medical history findings
Correct Answer: A
Rationale: The general survey is the initial observation of the patient's overall appearance, including
, 2
nutritional status, mobility, and level of distress. It is documented as part of the physical exam.
[100% CORRECT]
Q4: Vital Signs - Blood Pressure Classification
A patient's blood pressure is 145/92 mmHg on two separate occasions. This is classified as:
A. Normal blood pressure
B. Elevated blood pressure
C. Stage 1 hypertension
D. Stage 2 hypertension
Correct Answer: D
Rationale: Stage 2 hypertension is defined as systolic BP ≥140 or diastolic BP ≥90. Stage 1
hypertension is 130-139/80-89. Elevated BP is 120-129/<80. Normal is <120/<80. [100% CORRECT]
Q5: Vital Signs - Heart Rate
A patient has a resting heart rate of 52 bpm. The NP should:
A. Document as normal
B. Assess for bradycardia and evaluate for symptoms
C. Start a beta-blocker
D. Refer to cardiology immediately
Correct Answer: B
Rationale: A heart rate <60 bpm is bradycardia. The NP should assess for symptoms (dizziness,
syncope, fatigue) and evaluate the patient's history. Asymptomatic bradycardia in well-conditioned
individuals may be normal. [100% CORRECT]
Q6: Vital Signs - Respiratory Rate
Normal respiratory rate for an adult is:
A. 8-10 breaths per minute
B. 12-20 breaths per minute
C. 20-28 breaths per minute
D. 28-36 breaths per minute
Correct Answer: B
Rationale: Normal respiratory rate for adults is 12-20 breaths per minute. Tachypnea is >20
breaths/min, and bradypnea is <12 breaths/min. [100% CORRECT]
Q7: Pain Assessment - PQRSTU
The NP uses the PQRSTU framework to assess pain. "R" stands for:
A. Region/Radiation
B. Relief
C. Response
D. Rate