NU 650 FINAL EXAM QUESTIONS (226)WITH
COMPLETE AND VERIFIED ANSWERS GRADED A+ YR
2025
1. 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
D. Sphenoid and ethmoid sinuses
C
2. A 60 y.o presents with a 3-day history of left eye irritation. Which of the following findings should be
recorded in the ROS?
A. Patient denies eye pain or change in vision
B. Vision is 20/20 by Snellen Chary
C. Yellow crust is visible at the inner canthus of the left eye
D. all of the above
A
3. During a physical exam of the throat, which of the following structures of the mouth/throat should
rise when the patient says "aah"?
A. Hard palate
B. Soft palate
C. Lingual frenulum
,D. Buccal mucosa
B
4. In conductive type hearing loss, you would expect:
A. sound lateralizes to the good ear when the weber test is used
B. sound lateralizes to the affected (bad) ear when the weber test is used
C. The weber test remains unaltered with conductive type hearing loss and sound will be heard equally
in both ears
D. The weber test can cause discomfort in a patient with conductive type hearing loss and should not be
used in this situation
B
5. On exam of the posterior pharynx, you are able to visualize the tonsils bilaterally extending just past
the anterior and posterior pillars. According to the Friedman Scale, how would you document this
finding in your note?
A. tonsils noted to be normal
B. Tonsils visualized grade 3
C. Tonsils visualized grade 1
D. Tonsils visualized grade 2
C
6. The NP will assess visual acuity using which of the following tests?
A. Snellen test
B. Cover test
C. Accommodation test
D. Confrontation test
A
,7. The NP will recognize which of the following findings when assessing the lymph nodes in the head
and neck as worrisome, warranting further workup?
A. Tender tonsillar and submandibular nodes in the presence of a streptococcal infection
B. Any lymph node that the NP is able to roll in two directions: up and down, side to side
C. Enlarged supraclavicular nodes
D. Deep cervical chain nodes that are inaccessible to exam
C
8. When conducting an ophthalmoscopic exam, the NP will differentiate arteries from veins by noting:
A. Larger size of arteries
B. Bright light reflection of arteries
C. Dark red color of arteries
D. location of the vessel to the optic disc
B
9. When examining a 3 y.o presenting to your office with right ear pain, which would be the
appropriate order for the assessment?
A. Right ear, left ear, mouth, nose, neck, lungs, heart
B. Neck, lungs, heart, mouth, nose, left ear, right ear
C. Left ear, right ear, neck, lungs, heart and nose
D. Lungs, heart, mouth, nose, and right ear.
B
10. Which of the following describes the proper technique for examination of the ear canal and drum
for a 5 year old?
, A. Use the smallest ear speculum, position the pt. head so that you see comfortable, straighten the ear
canal by grasping the auricle firmly and pulling it upward and backward, slightly away from the head.
B. use the largest ear speculum that inserts easily in the canal, position the patients head so that you see
comfortable, straighten the ear canal by grasping the auricle firmly and pulling it downward and
backward, slightly away from the head
B
11. Which of the following findings on exam of the nasal mucosa and septum would most likely indicate
allergic rhinitis?
A. Reddened nasal mucosa with purulent drainage
B. pale or bluish nasal mucosa with clear drainage
C. fresh blood or crusting of the nasal mucosa
D. Asymmetry in appearance between the right and left sides
B
12. Which of the following is/are normal in the examination of the oral cavity?
A. a midline lingual frenulum extending from the tongue to the floor of the mouth
B. papillae covering the dorsum of the tongue
C. Pink buccal mucosa lining the cheeks
D. All of the above are normal
D
13. Which of the following techniques identifies the correct way to use an ophthalmascope to inspect
the optic disc and retina in the patients left eye? The NP will hold the ophthalmoscope:
A. in their left hand and examine the patients left eye with his or hear left eye
COMPLETE AND VERIFIED ANSWERS GRADED A+ YR
2025
1. 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
D. Sphenoid and ethmoid sinuses
C
2. A 60 y.o presents with a 3-day history of left eye irritation. Which of the following findings should be
recorded in the ROS?
A. Patient denies eye pain or change in vision
B. Vision is 20/20 by Snellen Chary
C. Yellow crust is visible at the inner canthus of the left eye
D. all of the above
A
3. During a physical exam of the throat, which of the following structures of the mouth/throat should
rise when the patient says "aah"?
A. Hard palate
B. Soft palate
C. Lingual frenulum
,D. Buccal mucosa
B
4. In conductive type hearing loss, you would expect:
A. sound lateralizes to the good ear when the weber test is used
B. sound lateralizes to the affected (bad) ear when the weber test is used
C. The weber test remains unaltered with conductive type hearing loss and sound will be heard equally
in both ears
D. The weber test can cause discomfort in a patient with conductive type hearing loss and should not be
used in this situation
B
5. On exam of the posterior pharynx, you are able to visualize the tonsils bilaterally extending just past
the anterior and posterior pillars. According to the Friedman Scale, how would you document this
finding in your note?
A. tonsils noted to be normal
B. Tonsils visualized grade 3
C. Tonsils visualized grade 1
D. Tonsils visualized grade 2
C
6. The NP will assess visual acuity using which of the following tests?
A. Snellen test
B. Cover test
C. Accommodation test
D. Confrontation test
A
,7. The NP will recognize which of the following findings when assessing the lymph nodes in the head
and neck as worrisome, warranting further workup?
A. Tender tonsillar and submandibular nodes in the presence of a streptococcal infection
B. Any lymph node that the NP is able to roll in two directions: up and down, side to side
C. Enlarged supraclavicular nodes
D. Deep cervical chain nodes that are inaccessible to exam
C
8. When conducting an ophthalmoscopic exam, the NP will differentiate arteries from veins by noting:
A. Larger size of arteries
B. Bright light reflection of arteries
C. Dark red color of arteries
D. location of the vessel to the optic disc
B
9. When examining a 3 y.o presenting to your office with right ear pain, which would be the
appropriate order for the assessment?
A. Right ear, left ear, mouth, nose, neck, lungs, heart
B. Neck, lungs, heart, mouth, nose, left ear, right ear
C. Left ear, right ear, neck, lungs, heart and nose
D. Lungs, heart, mouth, nose, and right ear.
B
10. Which of the following describes the proper technique for examination of the ear canal and drum
for a 5 year old?
, A. Use the smallest ear speculum, position the pt. head so that you see comfortable, straighten the ear
canal by grasping the auricle firmly and pulling it upward and backward, slightly away from the head.
B. use the largest ear speculum that inserts easily in the canal, position the patients head so that you see
comfortable, straighten the ear canal by grasping the auricle firmly and pulling it downward and
backward, slightly away from the head
B
11. Which of the following findings on exam of the nasal mucosa and septum would most likely indicate
allergic rhinitis?
A. Reddened nasal mucosa with purulent drainage
B. pale or bluish nasal mucosa with clear drainage
C. fresh blood or crusting of the nasal mucosa
D. Asymmetry in appearance between the right and left sides
B
12. Which of the following is/are normal in the examination of the oral cavity?
A. a midline lingual frenulum extending from the tongue to the floor of the mouth
B. papillae covering the dorsum of the tongue
C. Pink buccal mucosa lining the cheeks
D. All of the above are normal
D
13. Which of the following techniques identifies the correct way to use an ophthalmascope to inspect
the optic disc and retina in the patients left eye? The NP will hold the ophthalmoscope:
A. in their left hand and examine the patients left eye with his or hear left eye
