ULTIMATE NU 650 EXAM GUIDE
COMPREHENSIVE QUESTION SET
WITH CORRECT ANSWERS AND
DETAILED RATIONALES FOR TOP
GRADES
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 ecounter?
A. HPI
B. CC
C. Subjective Data
D. Objective Data - ANSWER>>D. Objective Data
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. Subjective Data
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. start with general question on each of the different body systems
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 backword - ANSWER>>A. Explain the
meaning of a proverb
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. Over the past two weeks have you felt little interest or
pleasure in doing things?
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. CC
, 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. 20%
Which of the following actions by the NP demonstrations patient-centered
interviewing techniques?
A. Determine the personal context of the patients symptoms
B. Focus on symptoms to identify a disease or condition
C. Offer his or her perspective to lead the patients response
D. Solicit information from the patients significant others - ANSWER>>A. A.
Determine the personal context of the patients symptoms
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 and remain calm throughout the interview
C. Reinforce the patients criticisms of other clinicians or the facility
D. Validate the patients feelings without agreeing with their reasons. -
ANSWER>>D. Validate the patients feelings without agreeing with their reasons.
Which of the following variables should have the greatest affect as to how the NP
will conduct the H & PE of a child?
COMPREHENSIVE QUESTION SET
WITH CORRECT ANSWERS AND
DETAILED RATIONALES FOR TOP
GRADES
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 ecounter?
A. HPI
B. CC
C. Subjective Data
D. Objective Data - ANSWER>>D. Objective Data
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. Subjective Data
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. start with general question on each of the different body systems
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 backword - ANSWER>>A. Explain the
meaning of a proverb
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. Over the past two weeks have you felt little interest or
pleasure in doing things?
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. CC
, 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. 20%
Which of the following actions by the NP demonstrations patient-centered
interviewing techniques?
A. Determine the personal context of the patients symptoms
B. Focus on symptoms to identify a disease or condition
C. Offer his or her perspective to lead the patients response
D. Solicit information from the patients significant others - ANSWER>>A. A.
Determine the personal context of the patients symptoms
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 and remain calm throughout the interview
C. Reinforce the patients criticisms of other clinicians or the facility
D. Validate the patients feelings without agreeing with their reasons. -
ANSWER>>D. Validate the patients feelings without agreeing with their reasons.
Which of the following variables should have the greatest affect as to how the NP
will conduct the H & PE of a child?
