NU 673 Midterm Exam | Complete Questions
and Answers | 2025/2026 Latest Updated
Verified Content | 100% Correct | Already Graded A+
Introduction
This fully updated NU 673 Midterm Exam resource contains 50 verified multiple-choice
and select-all-that-apply questions with correct answers aligned with the 2025/2026
curriculum. Designed for nursing and advanced practice students, it reflects the latest testing
standards and supports success in clinical decision-making and advanced care practices.
Answer Format
Correct answers are highlighted in bold and green for quick and accurate reference.
Question 1: What is the first step in performing a comprehensive health assessment?
A) Order diagnostic tests
B) Obtain a patient history
C) Perform a physical exam
D) Prescribe medications
Rationale: A thorough patient history guides the assessment and identifies key health
concerns.
Question 2: Which cranial nerve is tested by assessing pupil response to light?
A) Cranial nerve VII
B) Cranial nerve II
C) Cranial nerve III
D) Cranial nerve V
Rationale: Cranial nerve II (optic) is responsible for pupil response to light.
Question 3: What is the primary cause of type 2 diabetes mellitus?
A) Autoimmune destruction of beta cells
B) Insulin resistance
C) Pancreatic enzyme deficiency
D) Genetic absence of insulin
Rationale: Type 2 diabetes is primarily caused by insulin resistance in peripheral tissues.
Question 4: Which medication class is first-line for managing hypertension in a patient with
no comorbidities?
A) Beta-blockers
B) Thiazide diuretics
C) Calcium channel blockers
D) ARBs
Rationale: Thiazide diuretics are recommended first-line for uncomplicated hypertension per
JNC 8 guidelines.
Question 5: What is a hallmark symptom of heart failure?
A) Dry cough
B) Dyspnea on exertion
, C) Chest pain radiating to the arm
D) Syncope
Rationale: Dyspnea on exertion is a classic symptom of heart failure due to pulmonary
congestion.
Question 6 (Select all that apply): Which of the following are clinical features of acute
kidney injury?
A) Elevated creatinine
B) Decreased urine output
C) Normal BUN
D) Electrolyte imbalances
Rationale: Elevated creatinine, decreased urine output, and electrolyte imbalances are
common in AKI; BUN may or may not be normal.
Question 7: What is the primary purpose of a SOAP note in clinical practice?
A) Billing documentation
B) Organize patient care information
C) Patient education
D) Legal defense only
Rationale: SOAP notes structure subjective, objective, assessment, and plan data for patient
care.
Question 8: Which antibiotic is preferred for community-acquired pneumonia in a healthy
adult?
A) Vancomycin
B) Azithromycin
C) Clindamycin
D) Ceftriaxone
Rationale: Azithromycin is first-line for outpatient treatment of community-acquired
pneumonia.
Question 9: What is a key clinical feature of rheumatoid arthritis?
A) Asymmetric joint pain
B) Morning stiffness lasting over 30 minutes
C) Pain relieved by activity
D) Bone spurs on X-ray
Rationale: Morning stiffness is a hallmark of rheumatoid arthritis.
Question 10: What is the mechanism of action of metformin?
A) Stimulates insulin release
B) Decreases hepatic glucose production
C) Blocks glucose absorption
D) Increases glucagon secretion
Rationale: Metformin reduces gluconeogenesis in the liver.
Question 11 (Select all that apply): Which organisms are common causes of bacterial
meningitis in adults?
A) Streptococcus pneumoniae
B) Escherichia coli
C) Neisseria meningitidis
and Answers | 2025/2026 Latest Updated
Verified Content | 100% Correct | Already Graded A+
Introduction
This fully updated NU 673 Midterm Exam resource contains 50 verified multiple-choice
and select-all-that-apply questions with correct answers aligned with the 2025/2026
curriculum. Designed for nursing and advanced practice students, it reflects the latest testing
standards and supports success in clinical decision-making and advanced care practices.
Answer Format
Correct answers are highlighted in bold and green for quick and accurate reference.
Question 1: What is the first step in performing a comprehensive health assessment?
A) Order diagnostic tests
B) Obtain a patient history
C) Perform a physical exam
D) Prescribe medications
Rationale: A thorough patient history guides the assessment and identifies key health
concerns.
Question 2: Which cranial nerve is tested by assessing pupil response to light?
A) Cranial nerve VII
B) Cranial nerve II
C) Cranial nerve III
D) Cranial nerve V
Rationale: Cranial nerve II (optic) is responsible for pupil response to light.
Question 3: What is the primary cause of type 2 diabetes mellitus?
A) Autoimmune destruction of beta cells
B) Insulin resistance
C) Pancreatic enzyme deficiency
D) Genetic absence of insulin
Rationale: Type 2 diabetes is primarily caused by insulin resistance in peripheral tissues.
Question 4: Which medication class is first-line for managing hypertension in a patient with
no comorbidities?
A) Beta-blockers
B) Thiazide diuretics
C) Calcium channel blockers
D) ARBs
Rationale: Thiazide diuretics are recommended first-line for uncomplicated hypertension per
JNC 8 guidelines.
Question 5: What is a hallmark symptom of heart failure?
A) Dry cough
B) Dyspnea on exertion
, C) Chest pain radiating to the arm
D) Syncope
Rationale: Dyspnea on exertion is a classic symptom of heart failure due to pulmonary
congestion.
Question 6 (Select all that apply): Which of the following are clinical features of acute
kidney injury?
A) Elevated creatinine
B) Decreased urine output
C) Normal BUN
D) Electrolyte imbalances
Rationale: Elevated creatinine, decreased urine output, and electrolyte imbalances are
common in AKI; BUN may or may not be normal.
Question 7: What is the primary purpose of a SOAP note in clinical practice?
A) Billing documentation
B) Organize patient care information
C) Patient education
D) Legal defense only
Rationale: SOAP notes structure subjective, objective, assessment, and plan data for patient
care.
Question 8: Which antibiotic is preferred for community-acquired pneumonia in a healthy
adult?
A) Vancomycin
B) Azithromycin
C) Clindamycin
D) Ceftriaxone
Rationale: Azithromycin is first-line for outpatient treatment of community-acquired
pneumonia.
Question 9: What is a key clinical feature of rheumatoid arthritis?
A) Asymmetric joint pain
B) Morning stiffness lasting over 30 minutes
C) Pain relieved by activity
D) Bone spurs on X-ray
Rationale: Morning stiffness is a hallmark of rheumatoid arthritis.
Question 10: What is the mechanism of action of metformin?
A) Stimulates insulin release
B) Decreases hepatic glucose production
C) Blocks glucose absorption
D) Increases glucagon secretion
Rationale: Metformin reduces gluconeogenesis in the liver.
Question 11 (Select all that apply): Which organisms are common causes of bacterial
meningitis in adults?
A) Streptococcus pneumoniae
B) Escherichia coli
C) Neisseria meningitidis
