NU 650 EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GRADED A+ 2025
1) A 36 year old female patient is seen in the clinic for a reported fever and back pain. She complained
of pain when the NP percussed over the left CVA angle. This finding supports which of the following
differential diagnosis?
A. Pyelonephritis
B. Left lower lobe pneumonia
C. Splenomegaly
D. Cholesystitis
Answer- A. Pyelonephritis
2) The liver border can be palpated normally below the costal margin at the:
A. Left mid-clavicular line
B. Right mid-axillary line
C. Right mid-calvicular line
D. Left mid-axillary line
Answer- C. Right mid-calvicular line
3) The NP will recognize which of the following subjective or objective findings as worrisome for an
abdominal aortic aneursym?
A. aortic width of 2.8 cm
B. 25 pack year smoking history
C. age of 60
D. Female gender
Answer- B. 25 pack year smoking history
,4) The NP will use which of the following examination techniques to determine muscular resistance,
superficial organs and masses in the abdomen
A. inspection
B. light palpation
C. deep palpation
D. percussion
Answer- B. light palpation
5) The NP will use which of the following methods to help the patient relax during the abdominal
exam?
A. ask the patient to hold their breath
B. Palpate the abdomen after inspiration
C. palpate the abdomen after expiration
D. Palpate the abdomen using quick short movements
Answer- C. palpate the abdomen after expiration
6) The parents of a 4 month old infant share concern about their child's umbilical hernia at a well-child
visit. The NP will correctly inform them that:
A. Most umbilical hernias disappear by 12 months of age
B. The hernia can be surgically repaired before the child reaches adolescence
C. This finding indicates that their child is at high risk for other hernias
D. There is a strong familial history for umbilical hernias
Answer- A. Most umbilical hernias disappear by 12 months of age
7) When percussing the abdomen in a patient with constipation, which of the following sounds would
you expect to find in the LLQ?
A. Tympanic
B. Dull
C. Resonant
D. Hyperresonant
, Answer- B. Dull
8) When percussing the abdomen, you would document the normal finding of percussion over the
intestines as:
A. Tympanic
B. Dull
C. Resonant
D. Hyperresonant
Answer- A. Tympanic
9) Which of the following abdominal exam findings would prompt the NP to consider cholecystitis as a
differential diagnosis?
A. Positive psoas sign
B. Positive Rovsing's sign
C. Positive Obturator sign
D. Positive murphy's sign
Answer- D. Positive murphy's sign
10) Which of the following symptoms would you expect from a young adolescent in the early phase of
appendicitis?
A. Abdominal pain two hours after eating
B. CVA tenderness
C. Severe RLQ pain with pallor and sweating
D. Constipation
Answer- C. Severe RLQ pain with pallor and sweating
11) A 40 year old male patient presents with sinus pain, pressure and yellow nasal discharge. Your exam
would include palpation of:
A. Ethmoid and frontal sinuses
B. Maxillary and sphenoid sinuses
C. Frontal and maxillary sinuses
SOLUTIONS GRADED A+ 2025
1) A 36 year old female patient is seen in the clinic for a reported fever and back pain. She complained
of pain when the NP percussed over the left CVA angle. This finding supports which of the following
differential diagnosis?
A. Pyelonephritis
B. Left lower lobe pneumonia
C. Splenomegaly
D. Cholesystitis
Answer- A. Pyelonephritis
2) The liver border can be palpated normally below the costal margin at the:
A. Left mid-clavicular line
B. Right mid-axillary line
C. Right mid-calvicular line
D. Left mid-axillary line
Answer- C. Right mid-calvicular line
3) The NP will recognize which of the following subjective or objective findings as worrisome for an
abdominal aortic aneursym?
A. aortic width of 2.8 cm
B. 25 pack year smoking history
C. age of 60
D. Female gender
Answer- B. 25 pack year smoking history
,4) The NP will use which of the following examination techniques to determine muscular resistance,
superficial organs and masses in the abdomen
A. inspection
B. light palpation
C. deep palpation
D. percussion
Answer- B. light palpation
5) The NP will use which of the following methods to help the patient relax during the abdominal
exam?
A. ask the patient to hold their breath
B. Palpate the abdomen after inspiration
C. palpate the abdomen after expiration
D. Palpate the abdomen using quick short movements
Answer- C. palpate the abdomen after expiration
6) The parents of a 4 month old infant share concern about their child's umbilical hernia at a well-child
visit. The NP will correctly inform them that:
A. Most umbilical hernias disappear by 12 months of age
B. The hernia can be surgically repaired before the child reaches adolescence
C. This finding indicates that their child is at high risk for other hernias
D. There is a strong familial history for umbilical hernias
Answer- A. Most umbilical hernias disappear by 12 months of age
7) When percussing the abdomen in a patient with constipation, which of the following sounds would
you expect to find in the LLQ?
A. Tympanic
B. Dull
C. Resonant
D. Hyperresonant
, Answer- B. Dull
8) When percussing the abdomen, you would document the normal finding of percussion over the
intestines as:
A. Tympanic
B. Dull
C. Resonant
D. Hyperresonant
Answer- A. Tympanic
9) Which of the following abdominal exam findings would prompt the NP to consider cholecystitis as a
differential diagnosis?
A. Positive psoas sign
B. Positive Rovsing's sign
C. Positive Obturator sign
D. Positive murphy's sign
Answer- D. Positive murphy's sign
10) Which of the following symptoms would you expect from a young adolescent in the early phase of
appendicitis?
A. Abdominal pain two hours after eating
B. CVA tenderness
C. Severe RLQ pain with pallor and sweating
D. Constipation
Answer- C. Severe RLQ pain with pallor and sweating
11) A 40 year old male patient presents with sinus pain, pressure and yellow nasal discharge. Your exam
would include palpation of:
A. Ethmoid and frontal sinuses
B. Maxillary and sphenoid sinuses
C. Frontal and maxillary sinuses
