NU 673 Assessment Midterm Exam Questions
with Correct Answers 2025/2026 Rated A+
A patient is suspected to have COPD. The APRN instructs the patient to take a deep breath in,
and then with his mouth open, breathe out as fast and completely as he can. For what is the
APRN checking?
A. Whispered pectoriloquy
B. Forced expiratory time
C. Egophony
D. Tactile fremitus - CORRECT ANSWER -B. Forced expiratory time
A pt presents to the clinic with severe right sided abdominal pain for 12 hours. He began having
a "stomach ache" yesterday, with decreased appetite, but today the pain seems to be just on
the lower right side. He has had some nausea & vomiting, but no constipation or diarrhea. His
last BM was last night and was normal. He has had no fever or chills. He denies any recent
illness or injuries. His PMH is unremarkable. He denies any tobacco or drug use and drinks 4-6
beers/week. on exam, he appears ill and is lying on his right side. His temp is 100.4 F and HR is
110. His bowel sounds are decreased and he has rebound pain and guarding one third of the
way between anterior superior iliac spine and the umbilicus in the right lower quadrant. What is
the most likely cause of his pain?
A. Acute appendicitis
B. Mesenteric ischemia
C. Acute mechanical intestinal obstruction
D. Acute cholecystitis - CORRECT ANSWER -A. Acute appendicitis
An APRN notes a 12 mm Hg difference in systolic BP during inspiration. How should the APRN
document this finding?
, A. Acute stenosis
B. Carotid arterial disease
C. Paradoxical pulse
D. Pulsus alternans - CORRECT ANSWER -C. Paradoxical pulse
Which of the following percussion notes is obtained over a gastric bubble?
A. Flatness
B. Hyperresonance
C. Tympany
D. Resonance - CORRECT ANSWER -C. Tympany
The APRN is performing a cardiac exam on a pt with SOB and palpitations. She listens to the
heart with the pt sitting upright, then has the pt change to a supine position, and finally she has
the pt turn onto the left side in the left lateral decubitus position. Which of the following
valvular defects is best heard in this position?
A. Mitral
B. Aortic
C. Tricuspid
D. Pulmonic - CORRECT ANSWER -A. Mitral
A 20 year old male has a history of leukemia and an enlarged spleen. Today he presents with a
fairly significant left upper quadrant pain. On exam of the area a rough grating noise is heard.
What is this sound known as?
with Correct Answers 2025/2026 Rated A+
A patient is suspected to have COPD. The APRN instructs the patient to take a deep breath in,
and then with his mouth open, breathe out as fast and completely as he can. For what is the
APRN checking?
A. Whispered pectoriloquy
B. Forced expiratory time
C. Egophony
D. Tactile fremitus - CORRECT ANSWER -B. Forced expiratory time
A pt presents to the clinic with severe right sided abdominal pain for 12 hours. He began having
a "stomach ache" yesterday, with decreased appetite, but today the pain seems to be just on
the lower right side. He has had some nausea & vomiting, but no constipation or diarrhea. His
last BM was last night and was normal. He has had no fever or chills. He denies any recent
illness or injuries. His PMH is unremarkable. He denies any tobacco or drug use and drinks 4-6
beers/week. on exam, he appears ill and is lying on his right side. His temp is 100.4 F and HR is
110. His bowel sounds are decreased and he has rebound pain and guarding one third of the
way between anterior superior iliac spine and the umbilicus in the right lower quadrant. What is
the most likely cause of his pain?
A. Acute appendicitis
B. Mesenteric ischemia
C. Acute mechanical intestinal obstruction
D. Acute cholecystitis - CORRECT ANSWER -A. Acute appendicitis
An APRN notes a 12 mm Hg difference in systolic BP during inspiration. How should the APRN
document this finding?
, A. Acute stenosis
B. Carotid arterial disease
C. Paradoxical pulse
D. Pulsus alternans - CORRECT ANSWER -C. Paradoxical pulse
Which of the following percussion notes is obtained over a gastric bubble?
A. Flatness
B. Hyperresonance
C. Tympany
D. Resonance - CORRECT ANSWER -C. Tympany
The APRN is performing a cardiac exam on a pt with SOB and palpitations. She listens to the
heart with the pt sitting upright, then has the pt change to a supine position, and finally she has
the pt turn onto the left side in the left lateral decubitus position. Which of the following
valvular defects is best heard in this position?
A. Mitral
B. Aortic
C. Tricuspid
D. Pulmonic - CORRECT ANSWER -A. Mitral
A 20 year old male has a history of leukemia and an enlarged spleen. Today he presents with a
fairly significant left upper quadrant pain. On exam of the area a rough grating noise is heard.
What is this sound known as?
