REGIS NU 650 EXAM
QUESTIONS WITH COMPLETE SOLUTIONS
1. A patient is seen in the office for amenorrhea, for which you
obtain a urine pregnancy test in the office that returns
negative. You would document this finding in which of the
following sections of the encounter?
A. HPI
B. CC
C. Subjective Data
D. Objective Data Answer- D
2. A patient you are seeing for the first time in your office,
brings their previous medical records for the review. you
would document a summer of the previous medical records
in which of the following sections of the encounter note?
A. HPI
B. CC
C. Subjective Data
D. Objective Data Answer- C
3. The most effective process to elicit the ROS is for the NP to:
A. Limit the ROS to systems related to the CC
B. Follow the patients lead regarding the order of
symptoms
C. incorporate the ROS during the physical exam, stopping
to make notes as necessary
D. Start with general questions on each of the different
body systems Answer- D
4. The NP can determine higher cognitive function by asking
the patient to perform which of the following tasks?
A. Explain the meaning of a proverb
, B. Identify the day of the week, month, season, date and
year
C. Recall details of historical events
D. Spell a five-letter word such as WORLD backward
Answer- A
5. The NP will ask the patient which of the following questions
to assess for depression?
A. have you ever been annoyed by other criticizing your
alcohol use?
B. Over the past two weeks have you felt little interest or
pleasure in doing things?
C. Over the past two weeks have you been unable to stop
or control worrying?
D. How often do you have contact with those that you care
about or care about you? Answer- B
6. The NP will document the reason for visit in which of the
following sections of the encounter?
A. HPI
B. CC
C. Subjective Data
D. Objective Data Answer- B
7. The primary care provider will anticipate that what percent
of outpatients have mental health disorders?
A. 10%
B. 15 %
C. 20%
D. 25% Answer- C
8. Which of the following actions by the NP demonstrations
patient-centered interviewing techniques?
, A. Determine the personal context of the patient’s
symptoms
B. Focus on symptoms to identify a disease or condition
C. Offer his or her perspective to lead the patient’s
response
D. Solicit information from the patient’s significant others
Answer- A
9. Which of the following strategies is most effective when
dealing with an angry or disruptive patient?
A. Allow the patient to disrupt the setting as needed to
alleviate their anger
B. Ask the patient to lower their voice & remain calm
throughout the interview
C. Reinforce the patient’s criticisms of other clinicians or
the facility
D. Validate the patient’s feelings without agreeing with
their reasons. Answer- D
10. Which of the following variables should have the
greatest affect as to how the NP will conduct the H & PE of a
child?
A. The child's developmental level
B. the child's chronological age
C. The expected head to toe format and order of
examination techniques
D. The child's birth history Answer- A
11. Match the primary skin lesion to the description
A. Macule 1. Lesion is raised
B. Papule 2. Lesion is raised > 1 cm & fluid filled
C. Plaque 3. Lesion is flat
D. Vesicle 4. Lesion is raised, > 1 cm but not fluid filled
E. Bullae 5. Lesion is raised
, Answer-
Macule --> Lesion is Flat
Papule --> lesion is raised
Plaque --> lesion is raised, > 1 cm but not fluid filled
Vesicle --> lesion is raised
Bullae --> lesion is raised, > 1 cm and fluid filled
12. A linear arrangement along a nerve distribution is a
description of which type of skin lesion?
A. Annular
B. Zosteriform
C. Keratitis
D. Linear Answer- B
13. A wood's lamp is especially useful in diagnosing
__________
A. tine versicolor
B. herpes zoster
C. contact dermatitis
D. All of the above Answer- A. tine versicolor (woods lamp
helps diagnosis yeast infections)
14. Mr. P. has had a "terrible itch" for several months that
he has been scratching continuously. Upon examination, the
nurse might expect to find:
A. a keloid
B. a tissue
C. keratosis
D. Lichenification Answer- D
15. The NP has identified a solid, elevated, circumscribed
lesion that is less than 1 cm in diameter and palpable into
the dermis. This NP will correctly document this finding as a
_________
A. bulla
B. wheal
C. nodule
D. papule Answer- D
QUESTIONS WITH COMPLETE SOLUTIONS
1. A patient is seen in the office for amenorrhea, for which you
obtain a urine pregnancy test in the office that returns
negative. You would document this finding in which of the
following sections of the encounter?
A. HPI
B. CC
C. Subjective Data
D. Objective Data Answer- D
2. A patient you are seeing for the first time in your office,
brings their previous medical records for the review. you
would document a summer of the previous medical records
in which of the following sections of the encounter note?
A. HPI
B. CC
C. Subjective Data
D. Objective Data Answer- C
3. The most effective process to elicit the ROS is for the NP to:
A. Limit the ROS to systems related to the CC
B. Follow the patients lead regarding the order of
symptoms
C. incorporate the ROS during the physical exam, stopping
to make notes as necessary
D. Start with general questions on each of the different
body systems Answer- D
4. The NP can determine higher cognitive function by asking
the patient to perform which of the following tasks?
A. Explain the meaning of a proverb
, B. Identify the day of the week, month, season, date and
year
C. Recall details of historical events
D. Spell a five-letter word such as WORLD backward
Answer- A
5. The NP will ask the patient which of the following questions
to assess for depression?
A. have you ever been annoyed by other criticizing your
alcohol use?
B. Over the past two weeks have you felt little interest or
pleasure in doing things?
C. Over the past two weeks have you been unable to stop
or control worrying?
D. How often do you have contact with those that you care
about or care about you? Answer- B
6. The NP will document the reason for visit in which of the
following sections of the encounter?
A. HPI
B. CC
C. Subjective Data
D. Objective Data Answer- B
7. The primary care provider will anticipate that what percent
of outpatients have mental health disorders?
A. 10%
B. 15 %
C. 20%
D. 25% Answer- C
8. Which of the following actions by the NP demonstrations
patient-centered interviewing techniques?
, A. Determine the personal context of the patient’s
symptoms
B. Focus on symptoms to identify a disease or condition
C. Offer his or her perspective to lead the patient’s
response
D. Solicit information from the patient’s significant others
Answer- A
9. Which of the following strategies is most effective when
dealing with an angry or disruptive patient?
A. Allow the patient to disrupt the setting as needed to
alleviate their anger
B. Ask the patient to lower their voice & remain calm
throughout the interview
C. Reinforce the patient’s criticisms of other clinicians or
the facility
D. Validate the patient’s feelings without agreeing with
their reasons. Answer- D
10. Which of the following variables should have the
greatest affect as to how the NP will conduct the H & PE of a
child?
A. The child's developmental level
B. the child's chronological age
C. The expected head to toe format and order of
examination techniques
D. The child's birth history Answer- A
11. Match the primary skin lesion to the description
A. Macule 1. Lesion is raised
B. Papule 2. Lesion is raised > 1 cm & fluid filled
C. Plaque 3. Lesion is flat
D. Vesicle 4. Lesion is raised, > 1 cm but not fluid filled
E. Bullae 5. Lesion is raised
, Answer-
Macule --> Lesion is Flat
Papule --> lesion is raised
Plaque --> lesion is raised, > 1 cm but not fluid filled
Vesicle --> lesion is raised
Bullae --> lesion is raised, > 1 cm and fluid filled
12. A linear arrangement along a nerve distribution is a
description of which type of skin lesion?
A. Annular
B. Zosteriform
C. Keratitis
D. Linear Answer- B
13. A wood's lamp is especially useful in diagnosing
__________
A. tine versicolor
B. herpes zoster
C. contact dermatitis
D. All of the above Answer- A. tine versicolor (woods lamp
helps diagnosis yeast infections)
14. Mr. P. has had a "terrible itch" for several months that
he has been scratching continuously. Upon examination, the
nurse might expect to find:
A. a keloid
B. a tissue
C. keratosis
D. Lichenification Answer- D
15. The NP has identified a solid, elevated, circumscribed
lesion that is less than 1 cm in diameter and palpable into
the dermis. This NP will correctly document this finding as a
_________
A. bulla
B. wheal
C. nodule
D. papule Answer- D
