NUR 634 MIDTERM EXAMINATION 2026/2027 UPDATE | QUESTIONS AND ANSWERS (LATEST VERSION): GRAND CANYON UNIVERSITY

NUR 634 MIDTERM EXAMINATION 2026/2027 UPDATE |
QUESTIONS AND ANSWERS (LATEST VERSION): GRAND
CANYON UNIVERSITY




Question 1
A 68-year-old male presents for an annual physical with no specific
complaints. Which type of SOAP note is most appropriate for this
encounter?
A) Problem-focused SOAP note
B) Follow-up SOAP note
C) Comprehensive SOAP note
D) Brief SOAP note
Correct Answer: C) Comprehensive SOAP note
Rationale: A comprehensive SOAP note is used for annual or routine
physical examinations when the patient has no specific complaints and
a full head-to-toe assessment is indicated.


Question 2
When documenting a SOAP note, which component should include the
patient's direct quotes?
A) Objective
B) Assessment
C) Plan

,D) Subjective
Correct Answer: D) Subjective
Rationale: The subjective portion records the patient's own words,
including the chief complaint and history of present illness.


Question 3
Which of the following statements best describes the "chief
complaint"?
A) Nurse's impression of the problem
B) The patient's main reason for seeking care, in quotes
C) The provider's diagnosis
D) Objective data collected during assessment
Correct Answer: B) The patient's main reason for seeking care, in
quotes
Rationale: The chief complaint is the patient's primary reason for
seeking care, documented in their own words.


Question 4
When assessing a 45-year-old woman with fatigue, which question best
explores the symptom?
A) "Are you tired?"
B) "Tell me what you mean by fatigue and when it occurs."
C) "Do you feel tired all the time?"
D) "Is your fatigue worse in the morning?"
Correct Answer: B) "Tell me what you mean by fatigue and when it
occurs."

,Rationale: Open-ended, clarifying questions yield accurate symptom
description and allow the patient to elaborate.


Question 5
The best position for examining the posterior thorax is:
A) Supine
B) Prone
C) Sitting upright
D) Lateral decubitus
Correct Answer: C) Sitting upright
Rationale: The sitting upright position allows for optimal access to the
posterior thorax for inspection, palpation, percussion, and auscultation.


Question 6
Which sequence represents the correct order of physical examination
techniques (except for the abdomen)?
A) Inspection, palpation, percussion, auscultation
B) Auscultation, inspection, palpation, percussion
C) Palpation, percussion, inspection, auscultation
D) Inspection, auscultation, palpation, percussion
Correct Answer: A) Inspection, palpation, percussion, auscultation
Rationale: The standard order for physical examination (except the
abdomen) is inspection, palpation, percussion, then auscultation.


Question 7
A patient says, "Nothing ever goes right for me; life is just miserable."

, The most likely mood disorder is:
A) Dysthymic disorder
B) Major Depressive Disorder
C) Bipolar Disorder
D) Generalized Anxiety Disorder
Correct Answer: B) Major Depressive Disorder
Rationale: Persistent negative statements about life and hopelessness
are hallmark symptoms of major depressive disorder.


Question 8
In arterial insufficiency, the skin is typically:
A) Cool, pale, and hairless
B) Warm, erythematous, and edematous
C) Dry, scaly, and pruritic
D) Shiny, taut, and hyperpigmented
Correct Answer: A) Cool, pale, and hairless
Rationale: Arterial insufficiency leads to decreased blood flow, resulting
in cool, pale skin with hair loss due to poor perfusion.


Question 9
A difference of >20 mm Hg in arm blood pressures may indicate:
A) Subclavian steal or aortic dissection
B) Hypertension
C) Peripheral artery disease
D) Carotid stenosis
Correct Answer: A) Subclavian steal or aortic dissection