NURS 550 MIDTERM LATEST EXAM 2025
WITH MULTIPLE CHOICE OF QUESTIONS
AND DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
ALREADY GRADED A+ AND 100%
GUARANTEE PASS (BRAND NEW!!!!!!!)
Chief Complaint - CORRECT ANSWER-• What brought the patient to
the office
• Example: Sore throat for 2 days
History of Present Illness/Injury - CORRECT ANSWER-- Onset -
When did the symptoms and/or signs begin, what was the
mechanism of injury
- Chronology - episodic, variable, constant, etc
- Quality - sharp, dull, ache, sudden, insidious
- Severity - pain rating, 0-10 pain scale, interferes with daily
activities
- Modifying factors - aggravating and alleviating factors
- Additional symptoms - unrelated or significant symptoms
- Treatment - medications, herbs, "home remedies", rest,
activity, splint, etc
,- Use "OLDCART" to assist you (Onset, Location, Duration,
Character , Aggravating factors, Relieving factors, Treatments"
History - CORRECT ANSWER-Allergies - list of allergies to food,
medication, and products with type of reaction
- Medical - past and present medical conditions (i.e. asthma,
hypertension, malaria, etc.)
- Surgical - past surgeries (i.e. appendectomy, CABG,
craniotomy, etc.)
- Family - mother, father, siblings, etc. - Social - occupation,
alcohol, drug, tobacco use, risky behavior
- Immunizations - current and past received with dates
- Screenings/Health Promotion - mammography, testicular
exams, dental, vision
- Review of Systems - systemic symptoms related to the current
problem(s) including pertinent positives and negatives
Review of Systems - CORRECT ANSWER-General - fever (subjective)
with chills and sweats, denies fatigue, weakness, weight loss, or
malaise
- Skin - denies rashes, lesions, discolorations
- HEENT - positive for generalized headache, sore throat, pain
with swallowing and rhinorrhea. Denies difficulty swallowing
saliva, earache, sinus congestion, sinus pain, visual or auditory
aura
- Neck - denies lump, pain, stiffness, or decreased range of
motion
- Cardiac - denies chest pain, pressure, tightness, palpitations
- Pulmonary - denies cough, wheeze, hemoptysis
,- GI - denies nausea, vomiting, abdominal pain
- GU - denies missed menses, urinary frequency, urgency or
hematuria
- MS - denies cramping, pain,
- Neuro - denies unilateral weakness, numbness, tingling
Review of Systems - CORRECT ANSWER-• Should elaborate on the
chief complaint and HPI • Don't ask questions that the patient
may not know
Review of Systems
Do you have a problem with your prostate? Do have anemia,
heart failure, cancer? Do you frequently urinate during the
night? Have you noticed a change in the stream of your urine?
Do you avoid drinking fluids during work? Do you feel tired
often? Are you short of breath? Have you had any weight loss
recently?
Objective - CORRECT ANSWER-In this section you document what
you observe during the examination and visit.
Physical Examination - CORRECT ANSWER-- Vital signs - Physical
examination findings - the use of "normal", "within normal
limits", "unremarkable" and other phrases are NOT acceptable.
- Diagnostic results - Measurements including height, weight,
screening tools, etc. - Mental Status
-Weight 50 Kg previously documented height 5'3" -Vital signs -
BP 118/76, HR 104, RR 16, T 38.2C, pulse Ox 99% RA -
Diagnostic results •Rapid strep test positive
, -Physical examination findings - CORRECT ANSWER-• General -Well
nourished and hydrated 28 yo female. Awake, alert and orient;
appropriately dressed for season. Pleasant and cooperative.
*Skin - hot, dry and pink. No rashes or lesions including
petechiae noted
• HEENT - normocephalic, symmetric face features. No
tenderness in scalp, face, ethmoid/maxillary/frontal sinuses.
Negative transillumination. External ears without deviations,
ear canal clear bilaterally, tympanic membranes pearly grey
with cone of light, bony landmarks visualized bilaterally. Nasal
mucosa pink and moist turbinates with no edema or erythema.
Oral mucosa pink and moist, dentition without obvious caries;
no lesions oral cavity. Pharynx with moderate erythema
tonsillar pillars ¼ bilaterally. No exudate. Uvula midline gag
reflex present.
• Neck - supple. Anterior cervical lymphadenopathy with
mobile, tender nodes bilaterally all less than 1 cm diameter. No
JVD
- Cardiac - S1 S2 with no murmurs, gallops, or clicks. PMI 5th
ICS mid-clavicular line
- Pulmonary - lungs clear to auscultation bilaterally in all fields.
Negative tactile fremitus, egophony, bronchophony, and
whispered pectoriloquy
- GI - no masses or pulsations. Bowel sounds normoactive all 4
quadrants. No organomegaly no bruits.
-GU- denies missed menses, urinary frequency, urgency or
hematuria
- MS - Strength 4/5 bilateral upper and lower extremities. Gait
steady
- Neuro - awake, alert, and oriented to name, place, date, and
surroundings. No nuchal rigidity, Kernigs or Brudzinski signs
WITH MULTIPLE CHOICE OF QUESTIONS
AND DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
ALREADY GRADED A+ AND 100%
GUARANTEE PASS (BRAND NEW!!!!!!!)
Chief Complaint - CORRECT ANSWER-• What brought the patient to
the office
• Example: Sore throat for 2 days
History of Present Illness/Injury - CORRECT ANSWER-- Onset -
When did the symptoms and/or signs begin, what was the
mechanism of injury
- Chronology - episodic, variable, constant, etc
- Quality - sharp, dull, ache, sudden, insidious
- Severity - pain rating, 0-10 pain scale, interferes with daily
activities
- Modifying factors - aggravating and alleviating factors
- Additional symptoms - unrelated or significant symptoms
- Treatment - medications, herbs, "home remedies", rest,
activity, splint, etc
,- Use "OLDCART" to assist you (Onset, Location, Duration,
Character , Aggravating factors, Relieving factors, Treatments"
History - CORRECT ANSWER-Allergies - list of allergies to food,
medication, and products with type of reaction
- Medical - past and present medical conditions (i.e. asthma,
hypertension, malaria, etc.)
- Surgical - past surgeries (i.e. appendectomy, CABG,
craniotomy, etc.)
- Family - mother, father, siblings, etc. - Social - occupation,
alcohol, drug, tobacco use, risky behavior
- Immunizations - current and past received with dates
- Screenings/Health Promotion - mammography, testicular
exams, dental, vision
- Review of Systems - systemic symptoms related to the current
problem(s) including pertinent positives and negatives
Review of Systems - CORRECT ANSWER-General - fever (subjective)
with chills and sweats, denies fatigue, weakness, weight loss, or
malaise
- Skin - denies rashes, lesions, discolorations
- HEENT - positive for generalized headache, sore throat, pain
with swallowing and rhinorrhea. Denies difficulty swallowing
saliva, earache, sinus congestion, sinus pain, visual or auditory
aura
- Neck - denies lump, pain, stiffness, or decreased range of
motion
- Cardiac - denies chest pain, pressure, tightness, palpitations
- Pulmonary - denies cough, wheeze, hemoptysis
,- GI - denies nausea, vomiting, abdominal pain
- GU - denies missed menses, urinary frequency, urgency or
hematuria
- MS - denies cramping, pain,
- Neuro - denies unilateral weakness, numbness, tingling
Review of Systems - CORRECT ANSWER-• Should elaborate on the
chief complaint and HPI • Don't ask questions that the patient
may not know
Review of Systems
Do you have a problem with your prostate? Do have anemia,
heart failure, cancer? Do you frequently urinate during the
night? Have you noticed a change in the stream of your urine?
Do you avoid drinking fluids during work? Do you feel tired
often? Are you short of breath? Have you had any weight loss
recently?
Objective - CORRECT ANSWER-In this section you document what
you observe during the examination and visit.
Physical Examination - CORRECT ANSWER-- Vital signs - Physical
examination findings - the use of "normal", "within normal
limits", "unremarkable" and other phrases are NOT acceptable.
- Diagnostic results - Measurements including height, weight,
screening tools, etc. - Mental Status
-Weight 50 Kg previously documented height 5'3" -Vital signs -
BP 118/76, HR 104, RR 16, T 38.2C, pulse Ox 99% RA -
Diagnostic results •Rapid strep test positive
, -Physical examination findings - CORRECT ANSWER-• General -Well
nourished and hydrated 28 yo female. Awake, alert and orient;
appropriately dressed for season. Pleasant and cooperative.
*Skin - hot, dry and pink. No rashes or lesions including
petechiae noted
• HEENT - normocephalic, symmetric face features. No
tenderness in scalp, face, ethmoid/maxillary/frontal sinuses.
Negative transillumination. External ears without deviations,
ear canal clear bilaterally, tympanic membranes pearly grey
with cone of light, bony landmarks visualized bilaterally. Nasal
mucosa pink and moist turbinates with no edema or erythema.
Oral mucosa pink and moist, dentition without obvious caries;
no lesions oral cavity. Pharynx with moderate erythema
tonsillar pillars ¼ bilaterally. No exudate. Uvula midline gag
reflex present.
• Neck - supple. Anterior cervical lymphadenopathy with
mobile, tender nodes bilaterally all less than 1 cm diameter. No
JVD
- Cardiac - S1 S2 with no murmurs, gallops, or clicks. PMI 5th
ICS mid-clavicular line
- Pulmonary - lungs clear to auscultation bilaterally in all fields.
Negative tactile fremitus, egophony, bronchophony, and
whispered pectoriloquy
- GI - no masses or pulsations. Bowel sounds normoactive all 4
quadrants. No organomegaly no bruits.
-GU- denies missed menses, urinary frequency, urgency or
hematuria
- MS - Strength 4/5 bilateral upper and lower extremities. Gait
steady
- Neuro - awake, alert, and oriented to name, place, date, and
surroundings. No nuchal rigidity, Kernigs or Brudzinski signs
