• NURS 190 PA 09/16/2026
Midterm
NURS 190 PA Midterm Exam 2 | Questions and
Answers – spring 2026| 100% Correct – WCU
2026–2027 | Review & Next Gen Practice
Questions with Answers, Detailed Rationales
You arrive at the bedside of an elderly woman who has had a stroke, affecting her entire right side. She cannot
speak (aphasia). You are supposed to examine her. You notice that the last examiner left her socks at the
bottom of the bed, and although sensitive areas are covered by a sheet, the blanket is heaped by her feet at the
bottom of the bed. What would you do next?
A) Carry out your examination, focusing on the neurologic portion, and then cover her properly.
B) Carry out your examination and let the nurse assigned to her "put her back together."
C) Put her socks back on and cover her completely before beginning the evaluation.
D) Apologize for the last examiner but let the next examiner dress and cover her.
P 1
, • NURS 190 PA 09/16/2026
Midterm
C) Put her socks back on and cover her completely before beginning the evaluation.
Chapter: 03
Feedback: It is crucial to make an effort to make a patient comfortable. In this scenario, the patient can neither
speak nor move well. Take a moment to imagine yourself in her situation. As a matter of respect as well as
comfort, you should cover the patient appropriately and consider returning a little later to do your examination if
you feel she is cold. While it is her nurse's job to keep her comfortable, it is also your responsibility, and you
should do what you can. It is unacceptable to leave the patient in the same state in which you found her.
When you enter your patient's examination room, his wife is waiting there with him. Which of the following is
most appropriate?
A) Ask if it's okay to carry out the visit with both people in the room.
B) Carry on as you would ordinarily. The permission is implied because his wife is in the room with him.
C) Ask his wife to leave the room for reasons of confidentiality.
D) First ask his wife what she thinks is going on.
A) Ask if it's okay to carry out the visit with both people in the room.
Chapter: 03Feedback: Even in situations involving people very familiar with each other, it is important to respect
individual privacy. There is no implicit consent merely because he has allowed his wife to be in the room with
him. On the other hand, it is inappropriate to assume that his wife should leave the room. Remember, the
patient is the focus of the visit, so it would be appropriate to allow him to control who is in the room with him
and inappropriate to address his wife first. Although your duty is to the patient, you may get optimal information
by offering to speak to both people confidentially. This situation is analogous to an adolescent's visit.
A patient complains of knee pain on your arrival in the room. What should your first sentence be after greeting
the patient?
A) How much pain are you having?
B) Have you injured this knee in the past?
C) When did this first occur?
D) Could you please describe what happened?
D) Could you please describe what happened?
Chapter: 03
Feedback: When looking into a complaint, it is best to start with an invitation for the patient to tell you in his or
her own words. More specific questions should be used later in the interview to fill in any gaps.
You have just asked a patient how he feels about his emphysema. He becomes silent, folds his arms across his
chest and leans back in his chair, and then replies, "It is what it is." How should you respond?
A) "You seem bothered by this question."
B) "Next, I would like to talk with you about your smoking habit."
P 2
, • NURS 190 PA 09/16/2026
Midterm
C) "Okay, let's move on to your other problems."
D) "You have adopted a practical attitude toward your problem."
A) "You seem bothered by this question."
Chapter: 03
Feedback: You have astutely noted that the patient's body language changed at the time you asked this
question, and despite the patient's response, you suspect there is more beneath the surface. Maybe he is afraid
of being browbeaten about his smoking, maybe a relative has recently died from this disorder, or maybe a friend
told him 20 years ago that he would eventually get emphysema. Regardless, by sharing your observation and
leaving a pause, he may begin to talk about some issues which are very important to him.
A patient tells you about her experience with prolonged therapy for her breast cancer. You comment, "That
must have been a very trying time for you." What is this an example of?
A) Reassurance
B) Empathy
C) Summarization
D) Validation
D) Validation
Chapter: 03
Feedback: This is an example of validation to legitimize her emotional experience. "Now that you have had your
treatment, you should not have any further troubles" is an example of reassurance. "I understand what you
went through because I am a cancer survivor myself" is an example of empathy. "So, you have had a
lumpectomy and multiple radiation treatments" is an example of summarization as applied to this vignette.
You are performing a young woman's first pelvic examination. You make sure to tell her verbally what is coming
next and what to expect. Then you carry out each maneuver of the examination. You let her know at the outset
that if she needs a break or wants to stop, this is possible. You ask several times during the examination, "How
are you doing, Brittney?" What are you accomplishing with these techniques?
A) Increasing the patient's sense of control
B) Increasing the patient's trust in you as a caregiver
C) Decreasing her sense of vulnerability
D) All of the above
D) All of the above
Chapter: 03
Feedback: These techniques minimize the effects of transitions during an examination and empower the patient.
Especially during a sensitive examination, it is important to give the patient as much control as possible.
When using an interpreter to facilitate an interview, where should the interpreter be positioned?
P 3
, • NURS 190 PA 09/16/2026
Midterm
A) Behind you, the examiner, so that the lips of the patient and the patient's nonverbal cues can be seen
B) Next to the patient, so the examiner can maintain eye contact and observe the nonverbal cues of the patient
C) Between you and the patient so all parties can make the necessary observations
D) In a corner of the room so as to provide minimal distraction to the interview
B) Next to the patient, so the examiner can maintain eye contact and observe the nonverbal cues of the patient
Chapter: 03
Feedback: Interpreters are invaluable in encounters where the examiner and patient do not speak the same
language, including encounters with the deaf. It should be noted that deaf people from different regions of the
world use different sign languages. The priority is for you to have a good view of the patient. Remember to use
short, simple phrases while speaking directly to the patient and ask the patient to repeat back what he or she
understands.
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin check-up. She
has just returned from her annual dig site in Greece. She has fair skin and reddish-blonde hair. She has a family
history of melanoma. She has many freckles scattered across her skin. From this description, which of the
following is not a risk factor for melanoma in this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure
A) Age
Chapter: 06
Pg. 176
Feedback: The risk for melanoma is increased in people over the age of 50; our patient is 35 years old. The other
answers represent known risk factors for melanoma. Especially with a family history of melanoma, she should be
instructed to keep her skin covered when in the sun and use strong sunscreen on exposed areas.
You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABCDEs of
melanoma. Which of the following descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E = evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E = evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution
Chapter 6
P 4
Midterm
NURS 190 PA Midterm Exam 2 | Questions and
Answers – spring 2026| 100% Correct – WCU
2026–2027 | Review & Next Gen Practice
Questions with Answers, Detailed Rationales
You arrive at the bedside of an elderly woman who has had a stroke, affecting her entire right side. She cannot
speak (aphasia). You are supposed to examine her. You notice that the last examiner left her socks at the
bottom of the bed, and although sensitive areas are covered by a sheet, the blanket is heaped by her feet at the
bottom of the bed. What would you do next?
A) Carry out your examination, focusing on the neurologic portion, and then cover her properly.
B) Carry out your examination and let the nurse assigned to her "put her back together."
C) Put her socks back on and cover her completely before beginning the evaluation.
D) Apologize for the last examiner but let the next examiner dress and cover her.
P 1
, • NURS 190 PA 09/16/2026
Midterm
C) Put her socks back on and cover her completely before beginning the evaluation.
Chapter: 03
Feedback: It is crucial to make an effort to make a patient comfortable. In this scenario, the patient can neither
speak nor move well. Take a moment to imagine yourself in her situation. As a matter of respect as well as
comfort, you should cover the patient appropriately and consider returning a little later to do your examination if
you feel she is cold. While it is her nurse's job to keep her comfortable, it is also your responsibility, and you
should do what you can. It is unacceptable to leave the patient in the same state in which you found her.
When you enter your patient's examination room, his wife is waiting there with him. Which of the following is
most appropriate?
A) Ask if it's okay to carry out the visit with both people in the room.
B) Carry on as you would ordinarily. The permission is implied because his wife is in the room with him.
C) Ask his wife to leave the room for reasons of confidentiality.
D) First ask his wife what she thinks is going on.
A) Ask if it's okay to carry out the visit with both people in the room.
Chapter: 03Feedback: Even in situations involving people very familiar with each other, it is important to respect
individual privacy. There is no implicit consent merely because he has allowed his wife to be in the room with
him. On the other hand, it is inappropriate to assume that his wife should leave the room. Remember, the
patient is the focus of the visit, so it would be appropriate to allow him to control who is in the room with him
and inappropriate to address his wife first. Although your duty is to the patient, you may get optimal information
by offering to speak to both people confidentially. This situation is analogous to an adolescent's visit.
A patient complains of knee pain on your arrival in the room. What should your first sentence be after greeting
the patient?
A) How much pain are you having?
B) Have you injured this knee in the past?
C) When did this first occur?
D) Could you please describe what happened?
D) Could you please describe what happened?
Chapter: 03
Feedback: When looking into a complaint, it is best to start with an invitation for the patient to tell you in his or
her own words. More specific questions should be used later in the interview to fill in any gaps.
You have just asked a patient how he feels about his emphysema. He becomes silent, folds his arms across his
chest and leans back in his chair, and then replies, "It is what it is." How should you respond?
A) "You seem bothered by this question."
B) "Next, I would like to talk with you about your smoking habit."
P 2
, • NURS 190 PA 09/16/2026
Midterm
C) "Okay, let's move on to your other problems."
D) "You have adopted a practical attitude toward your problem."
A) "You seem bothered by this question."
Chapter: 03
Feedback: You have astutely noted that the patient's body language changed at the time you asked this
question, and despite the patient's response, you suspect there is more beneath the surface. Maybe he is afraid
of being browbeaten about his smoking, maybe a relative has recently died from this disorder, or maybe a friend
told him 20 years ago that he would eventually get emphysema. Regardless, by sharing your observation and
leaving a pause, he may begin to talk about some issues which are very important to him.
A patient tells you about her experience with prolonged therapy for her breast cancer. You comment, "That
must have been a very trying time for you." What is this an example of?
A) Reassurance
B) Empathy
C) Summarization
D) Validation
D) Validation
Chapter: 03
Feedback: This is an example of validation to legitimize her emotional experience. "Now that you have had your
treatment, you should not have any further troubles" is an example of reassurance. "I understand what you
went through because I am a cancer survivor myself" is an example of empathy. "So, you have had a
lumpectomy and multiple radiation treatments" is an example of summarization as applied to this vignette.
You are performing a young woman's first pelvic examination. You make sure to tell her verbally what is coming
next and what to expect. Then you carry out each maneuver of the examination. You let her know at the outset
that if she needs a break or wants to stop, this is possible. You ask several times during the examination, "How
are you doing, Brittney?" What are you accomplishing with these techniques?
A) Increasing the patient's sense of control
B) Increasing the patient's trust in you as a caregiver
C) Decreasing her sense of vulnerability
D) All of the above
D) All of the above
Chapter: 03
Feedback: These techniques minimize the effects of transitions during an examination and empower the patient.
Especially during a sensitive examination, it is important to give the patient as much control as possible.
When using an interpreter to facilitate an interview, where should the interpreter be positioned?
P 3
, • NURS 190 PA 09/16/2026
Midterm
A) Behind you, the examiner, so that the lips of the patient and the patient's nonverbal cues can be seen
B) Next to the patient, so the examiner can maintain eye contact and observe the nonverbal cues of the patient
C) Between you and the patient so all parties can make the necessary observations
D) In a corner of the room so as to provide minimal distraction to the interview
B) Next to the patient, so the examiner can maintain eye contact and observe the nonverbal cues of the patient
Chapter: 03
Feedback: Interpreters are invaluable in encounters where the examiner and patient do not speak the same
language, including encounters with the deaf. It should be noted that deaf people from different regions of the
world use different sign languages. The priority is for you to have a good view of the patient. Remember to use
short, simple phrases while speaking directly to the patient and ask the patient to repeat back what he or she
understands.
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin check-up. She
has just returned from her annual dig site in Greece. She has fair skin and reddish-blonde hair. She has a family
history of melanoma. She has many freckles scattered across her skin. From this description, which of the
following is not a risk factor for melanoma in this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure
A) Age
Chapter: 06
Pg. 176
Feedback: The risk for melanoma is increased in people over the age of 50; our patient is 35 years old. The other
answers represent known risk factors for melanoma. Especially with a family history of melanoma, she should be
instructed to keep her skin covered when in the sun and use strong sunscreen on exposed areas.
You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABCDEs of
melanoma. Which of the following descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E = evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E = evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution
Chapter 6
P 4
