• NURS 190 PA 09/16/2026
Midterm
NURS 190 PA Midterm Exam 3 | Questions and
Answers – spring 2026| 100% Correct – WCU
2026–2027 | Review & Next Gen Practice
Questions with Answers, Detailed Rationales
Gold Standard test for visualizing a torn meniscus or joint abnormalities is the:
A) CT scan
B) MRI scan
C) X-ray with special views of the affected knee
D) Lachman's maneuver - Correct Answer :B) MRI scan
P 1
, • NURS 190 PA 09/16/2026
Midterm
MRI provides good visualization of soft tissues of the body (most cancers, brain, cartilage, muscles,
inflammation, etc.) It is best used in tissues with a high water content. Patients with metal implants such as
cochlear implants and cardiac pacemakers should be carefully screened. The MRI does not use radiation, but
uses strong magnetic and radio waves to visualize body structures.
What is the best description of the Cullen's sign?
A) Onset of hyperactive bowel sound before the onset of the ileus
B) Reddish-purple discoloration that is located on the flank area
C) A bluish discoloration that is located on the umbilical area
D) The acute onset of bleeding seen during acute pancreatitis - Correct Answer :C) A bluish discoloration that is
located on the umbilical area
Cullen's sign is a sign of a severe case of pancreatitis.
Glucosamine sulfate is a natural supplement that is used for which of the following conditions?
A) RA
B) osteoarthritis
C) osteoporosis
D) Metabolic syndrome - Correct Answer :B) osteoarthritis
Glucosamine sulfate has been found to have a beneficial effect on cartilage growth and repair. It may also have
an anti-inflammatory effect. It can take up to 3 months to feels its effects. Glucosamine is a compound made up
of glucose and amino acid.
75 y/o F c/o soft lump on her abdomen that is located in the periumbilical area. She tells the NP that she does not
know how long she has had the lump or whether it has changed in size or shape. Denies abdominal pain,
problems with defecation, loss of appetite, wt loss, or trauma. When performing an abdominal assessment,
what is the best method to differentiate between an abdominal wall mass and an intra-abdominal mass?
A) Palpate the abdominal wall while the patient is relaxed
B) Instruct the patient to lift her head off of the table while tensing her abdominal muscles to visualize any
masses and then palpate the abdominal wall
P 2
, • NURS 190 PA 09/16/2026
Midterm
C) Instruct the patient to lie still for few seconds while you palpate the abdominal wall
D) Palpate the abdomen deeply, then release the palpating hand quickly - Correct Answer :B) Instruct the
patient to lift her head off of the table while tensing her abdominal muscles to visualize any masses and then
palpate the abdominal wall
An abdominal wall mass will become more prominent when the abdominal wall muscles are tense. If it is an intra-
abdominal mass, it will be pressed down by the muscle and will become less obvious or disappear. Some of the
most common abdominal wall masses are hernias (epigastric, umbilical, incisional). This patient had a
periumbilical hernia (soft lump on her abdomen that is located in the periumbilical area)
Grey-Turner's sign is highly suggestive of which of the following conditions?
A) Acute pancreatitis
B) Acute appendicitis
C) Acute diverticulitis
D) Gastric cancer - Correct Answer :A) Acute pancreatitis
Can also be found in some cases of ruptured ectopic pregnancy
During routine a physical exam on an 82 y/o, the NP palpates an irregular mass on the mid-abdomen that is not
tender and is about 2 cm om size. Which of the following is the best initial imaging test to further evaluate the
abdominal mass?
A) CT scan of the abdomen
B) KUB study
C) Abdominal U/S
D) MRI of the abdomen - Correct Answer :C) Abdominal U/S
The U/S or sonogram are used as an initial imaging test for abdominal tumors. A CT scan can be ordered at a later
time, but it is not considered an initial imaging test in the primary care area.
All of the factors are associated with a higher risk of osteopenia and osteoporosis except:
P 3
, • NURS 190 PA 09/16/2026
Midterm
A) Excessive alcohol intake and cigarette smoking
B) Asian or caucasian ancestry
C) Estrogen and progesterone deficiency
D) Older age - Correct Answer :C) Estrogen and progesterone deficiency
Bone loss is not associated with Estrogen and progesterone deficiency
A positive obturator and psoas sign is highly suggestive of which of the following?
A) Ectopic pregnancy
B) Acute appendicitis
C) Peritonitis
D) Abdominal aortic aneurysm - Correct Answer :B) Acute appendicitis
When the appendix becomes inflamed or ruptured, the blood and pus irritate the psoas and/or obturator
muscles, which are both located in the retroperitoneal area. Both muscles are hip flexors and assist with hip
movement.
All of the following are true statements about sexuality in the older adult except:
A) ED is very common
B) It may take longer to become aroused
C) Frail elderly are not interested in sexuality anymore
D) Dyspareunia is a common symptom of atrophic - Correct Answer :C) Frail elderly are not interested in
sexuality anymore
Which of the following drugs most likely to cause sexual dysfunction in males?
A) SSRIs
B) Ace inhibitors
C) Amphetamine
P 4
Midterm
NURS 190 PA Midterm Exam 3 | Questions and
Answers – spring 2026| 100% Correct – WCU
2026–2027 | Review & Next Gen Practice
Questions with Answers, Detailed Rationales
Gold Standard test for visualizing a torn meniscus or joint abnormalities is the:
A) CT scan
B) MRI scan
C) X-ray with special views of the affected knee
D) Lachman's maneuver - Correct Answer :B) MRI scan
P 1
, • NURS 190 PA 09/16/2026
Midterm
MRI provides good visualization of soft tissues of the body (most cancers, brain, cartilage, muscles,
inflammation, etc.) It is best used in tissues with a high water content. Patients with metal implants such as
cochlear implants and cardiac pacemakers should be carefully screened. The MRI does not use radiation, but
uses strong magnetic and radio waves to visualize body structures.
What is the best description of the Cullen's sign?
A) Onset of hyperactive bowel sound before the onset of the ileus
B) Reddish-purple discoloration that is located on the flank area
C) A bluish discoloration that is located on the umbilical area
D) The acute onset of bleeding seen during acute pancreatitis - Correct Answer :C) A bluish discoloration that is
located on the umbilical area
Cullen's sign is a sign of a severe case of pancreatitis.
Glucosamine sulfate is a natural supplement that is used for which of the following conditions?
A) RA
B) osteoarthritis
C) osteoporosis
D) Metabolic syndrome - Correct Answer :B) osteoarthritis
Glucosamine sulfate has been found to have a beneficial effect on cartilage growth and repair. It may also have
an anti-inflammatory effect. It can take up to 3 months to feels its effects. Glucosamine is a compound made up
of glucose and amino acid.
75 y/o F c/o soft lump on her abdomen that is located in the periumbilical area. She tells the NP that she does not
know how long she has had the lump or whether it has changed in size or shape. Denies abdominal pain,
problems with defecation, loss of appetite, wt loss, or trauma. When performing an abdominal assessment,
what is the best method to differentiate between an abdominal wall mass and an intra-abdominal mass?
A) Palpate the abdominal wall while the patient is relaxed
B) Instruct the patient to lift her head off of the table while tensing her abdominal muscles to visualize any
masses and then palpate the abdominal wall
P 2
, • NURS 190 PA 09/16/2026
Midterm
C) Instruct the patient to lie still for few seconds while you palpate the abdominal wall
D) Palpate the abdomen deeply, then release the palpating hand quickly - Correct Answer :B) Instruct the
patient to lift her head off of the table while tensing her abdominal muscles to visualize any masses and then
palpate the abdominal wall
An abdominal wall mass will become more prominent when the abdominal wall muscles are tense. If it is an intra-
abdominal mass, it will be pressed down by the muscle and will become less obvious or disappear. Some of the
most common abdominal wall masses are hernias (epigastric, umbilical, incisional). This patient had a
periumbilical hernia (soft lump on her abdomen that is located in the periumbilical area)
Grey-Turner's sign is highly suggestive of which of the following conditions?
A) Acute pancreatitis
B) Acute appendicitis
C) Acute diverticulitis
D) Gastric cancer - Correct Answer :A) Acute pancreatitis
Can also be found in some cases of ruptured ectopic pregnancy
During routine a physical exam on an 82 y/o, the NP palpates an irregular mass on the mid-abdomen that is not
tender and is about 2 cm om size. Which of the following is the best initial imaging test to further evaluate the
abdominal mass?
A) CT scan of the abdomen
B) KUB study
C) Abdominal U/S
D) MRI of the abdomen - Correct Answer :C) Abdominal U/S
The U/S or sonogram are used as an initial imaging test for abdominal tumors. A CT scan can be ordered at a later
time, but it is not considered an initial imaging test in the primary care area.
All of the factors are associated with a higher risk of osteopenia and osteoporosis except:
P 3
, • NURS 190 PA 09/16/2026
Midterm
A) Excessive alcohol intake and cigarette smoking
B) Asian or caucasian ancestry
C) Estrogen and progesterone deficiency
D) Older age - Correct Answer :C) Estrogen and progesterone deficiency
Bone loss is not associated with Estrogen and progesterone deficiency
A positive obturator and psoas sign is highly suggestive of which of the following?
A) Ectopic pregnancy
B) Acute appendicitis
C) Peritonitis
D) Abdominal aortic aneurysm - Correct Answer :B) Acute appendicitis
When the appendix becomes inflamed or ruptured, the blood and pus irritate the psoas and/or obturator
muscles, which are both located in the retroperitoneal area. Both muscles are hip flexors and assist with hip
movement.
All of the following are true statements about sexuality in the older adult except:
A) ED is very common
B) It may take longer to become aroused
C) Frail elderly are not interested in sexuality anymore
D) Dyspareunia is a common symptom of atrophic - Correct Answer :C) Frail elderly are not interested in
sexuality anymore
Which of the following drugs most likely to cause sexual dysfunction in males?
A) SSRIs
B) Ace inhibitors
C) Amphetamine
P 4
