NU650 Final Exam Practice Questions With Complete
Solutions
The nurse practitioner discovers decreased skin turgor and
knows that this is an expected finding in which of the following
conditions?
a. Severe dehydration
b. Severe obesity
c. Connective tissue disorders such as lupus
d. Growth spurts during childhood
a. Severe dehydration
The NP is making morning rounds at the long-term care facility
and performs an abdominal examination on a bedridden patient.
The NP notes a dull sound to percussion below the umbilical
region. This most likely represents:
a. Normal bowel
b. Constipation
c. A full bladder
d. A urinary tract infection
c. A full bladder
The NP will interpret which of the following subjective reports
by a 71-year-old male patient as most worrisome for
malignancy:
a. Slow, weakened urinary stream with dribbling of urine
b. Nocturia × 2
,c. Painless hematuria
d. Decreased erectile function
c. Painless hematuria
The NP notes that hyperresonance on percussion of the chest
most likely occurs with which of the following diagnoses:
a. Emphysema
b. Pneumonia
c. Pleural effusion
d. Lung tumor
a. Emphysema
An 18-month-old boy is seen in the clinic for a regular visit. The
NP will recall that the normal respiratory rate for this patient
should be between:
a. 58 - 75 breaths per minute
b. 30 - 40 breaths per minute
c. 23 - 42 breaths per minute
d. 19 - 36 breaths per minute
c. 23 - 42 breaths per minute
Physical exam findings associated with a consolidation in the
lung may include:
a. Decreased tactile fremitus over the area of consolidation
b. Hyperresonant to percussion over the area of consolidation
c. Resonant to percussion over the area of consolidation
d. Clearly comprehensible whispered pectoriloquy
d. Clearly comprehensible whispered pectoriloquy
, With which voice sound technique will the NP normally hear
muffled or indistinct sounds through the stethoscope on
auscultating the chest when the patient says 'ninety-nine'?
a. Bronchophony
b. Egophony
c. Whispered pectoriloquy
d. Tonometry
a. Bronchophony
The NP will recognize equal inspiratory and expiratory rates as
normal with which breath sounds?
a. Bronchial
b. Bronchovesicular
c. Vesicular
d. Tracheal
d. Tracheal
Physical exam findings associated with a consolidation in the
lung may include:
a. Decreased tactile fremitus over the area of consolidation
b. Dull to percussion over the area of consolidation
c. Resonant to percussion over the area of consolidation
d. Muffled whispered pectoriloquy
b. Dull to percussion over the area of consolidation
How will the NP assess cranial nerve XI?
a. Ask the patient to say 'ah'
b. Have the patient shrug his or her shoulders while you resist
the movement
Solutions
The nurse practitioner discovers decreased skin turgor and
knows that this is an expected finding in which of the following
conditions?
a. Severe dehydration
b. Severe obesity
c. Connective tissue disorders such as lupus
d. Growth spurts during childhood
a. Severe dehydration
The NP is making morning rounds at the long-term care facility
and performs an abdominal examination on a bedridden patient.
The NP notes a dull sound to percussion below the umbilical
region. This most likely represents:
a. Normal bowel
b. Constipation
c. A full bladder
d. A urinary tract infection
c. A full bladder
The NP will interpret which of the following subjective reports
by a 71-year-old male patient as most worrisome for
malignancy:
a. Slow, weakened urinary stream with dribbling of urine
b. Nocturia × 2
,c. Painless hematuria
d. Decreased erectile function
c. Painless hematuria
The NP notes that hyperresonance on percussion of the chest
most likely occurs with which of the following diagnoses:
a. Emphysema
b. Pneumonia
c. Pleural effusion
d. Lung tumor
a. Emphysema
An 18-month-old boy is seen in the clinic for a regular visit. The
NP will recall that the normal respiratory rate for this patient
should be between:
a. 58 - 75 breaths per minute
b. 30 - 40 breaths per minute
c. 23 - 42 breaths per minute
d. 19 - 36 breaths per minute
c. 23 - 42 breaths per minute
Physical exam findings associated with a consolidation in the
lung may include:
a. Decreased tactile fremitus over the area of consolidation
b. Hyperresonant to percussion over the area of consolidation
c. Resonant to percussion over the area of consolidation
d. Clearly comprehensible whispered pectoriloquy
d. Clearly comprehensible whispered pectoriloquy
, With which voice sound technique will the NP normally hear
muffled or indistinct sounds through the stethoscope on
auscultating the chest when the patient says 'ninety-nine'?
a. Bronchophony
b. Egophony
c. Whispered pectoriloquy
d. Tonometry
a. Bronchophony
The NP will recognize equal inspiratory and expiratory rates as
normal with which breath sounds?
a. Bronchial
b. Bronchovesicular
c. Vesicular
d. Tracheal
d. Tracheal
Physical exam findings associated with a consolidation in the
lung may include:
a. Decreased tactile fremitus over the area of consolidation
b. Dull to percussion over the area of consolidation
c. Resonant to percussion over the area of consolidation
d. Muffled whispered pectoriloquy
b. Dull to percussion over the area of consolidation
How will the NP assess cranial nerve XI?
a. Ask the patient to say 'ah'
b. Have the patient shrug his or her shoulders while you resist
the movement
