NU 673 Midterm Exam | 2025/2026 Latest Edition |
Complete 100 Questions and Verified Correct Answers |
Graded A+
The NU 673 Midterm Exam (2025/2026 Edition) provides a fully updated and complete set of
verified exam questions with correct answers. Already graded A+, this resource ensures
accuracy, reliability, and exam readiness for advanced nursing learners.
Exam Coverage Includes:
✔ Advanced clinical assessment and diagnostic reasoning
✔ Evidence-based practice and application in nursing care
✔ Pathophysiology and pharmacological principles in clinical decision-making
✔ Patient-centered care planning and interdisciplinary collaboration
✔ Ethical, legal, and professional issues in advanced practice nursing
✔ Culturally competent and holistic approaches to care delivery
Answer Format
All correct answers are highlighted in bold green, with rationales provided to strengthen
understanding, support critical thinking, and reinforce exam mastery. Rated A+ for accuracy
and comprehensive coverage.
NU 673 Midterm Exam Questions
1. A 45-year-old patient presents with chest pain and shortness of breath.
Which initial assessment tool is most appropriate for evaluating potential
acute coronary syndrome?
a) Glasgow Coma Scale
b) 12-lead ECG
c) Mini-Mental State Examination
d) Braden Scale
b) 12-lead ECG
Rationale: A 12-lead ECG is the gold standard for initial evaluation of acute coronary
syndrome, identifying ischemic changes or arrhythmias.
2. Which evidence-based practice model emphasizes integrating clinical
expertise, patient values, and research evidence?
a) Iowa Model
b) Johns Hopkins Nursing EBP Model
c) PDSA Cycle
d) Donabedian Model
b) Johns Hopkins Nursing EBP Model
, Rationale: The Johns Hopkins model integrates clinical expertise, patient preferences,
and the best available evidence to guide practice.
3. What is the primary pathophysiological mechanism of type 2 diabetes
mellitus?
a) Autoimmune destruction of beta cells
b) Insulin resistance and relative insulin deficiency
c) Excessive insulin production
d) Impaired glucagon secretion
b) Insulin resistance and relative insulin deficiency
Rationale: Type 2 diabetes is characterized by insulin resistance in peripheral tissues
and inadequate insulin secretion by pancreatic beta cells.
4. Which medication is the first-line treatment for hypertension in a
55-year-old African American patient with no comorbidities?
a) Lisinopril
b) Amlodipine
c) Metoprolol
d) Losartan
b) Amlodipine
Rationale: JNC 8 guidelines recommend calcium channel blockers (e.g., amlodipine) or
thiazide diuretics as first-line therapy for African American patients with hypertension.
5. What is the primary goal of patient-centered care planning?
a) Reduce healthcare costs
b) Align care with patient preferences and values
c) Increase provider efficiency
d) Standardize treatment protocols
b) Align care with patient preferences and values
Rationale: Patient-centered care prioritizes individual patient needs, preferences, and
values to improve outcomes.
6. Which ethical principle guides informed consent in advanced practice
nursing?
a) Beneficence
b) Autonomy
c) Nonmaleficence
d) Justice
b) Autonomy
Rationale: Autonomy ensures patients have the right to make informed decisions about
their care.
7. A patient with COPD presents with increased dyspnea and sputum
production. What is the most likely diagnosis?
a) Pneumonia
, b) Acute exacerbation of COPD
c) Pulmonary embolism
d) Heart failure
b) Acute exacerbation of COPD
Rationale: Increased dyspnea and sputum production are hallmark symptoms of a
COPD exacerbation.
8. Which interdisciplinary team member is best suited to address a patient’s
nutritional needs in a care plan?
a) Physical therapist
b) Registered dietitian
c) Social worker
d) Pharmacist
b) Registered dietitian
Rationale: A registered dietitian specializes in assessing and addressing nutritional
needs.
9. What is the primary purpose of culturally competent care in nursing?
a) Reduce healthcare costs
b) Improve patient trust and outcomes
c) Standardize care delivery
d) Increase provider efficiency
b) Improve patient trust and outcomes
Rationale: Culturally competent care enhances patient trust and engagement, leading to
better health outcomes.
10.Which diagnostic test is most specific for confirming acute myocardial
infarction?
a) Troponin levels
b) Creatine kinase-MB
c) Myoglobin levels
d) C-reactive protein
a) Troponin levels
Rationale: Troponin is the most specific and sensitive biomarker for myocardial
infarction.
11.What is the primary mechanism of action of metformin in type 2 diabetes?
a) Stimulates insulin release
b) Inhibits hepatic glucose production
c) Increases peripheral glucose uptake
d) Blocks glucagon receptors
b) Inhibits hepatic glucose production
Rationale: Metformin primarily reduces hepatic gluconeogenesis, lowering blood
glucose levels.
Complete 100 Questions and Verified Correct Answers |
Graded A+
The NU 673 Midterm Exam (2025/2026 Edition) provides a fully updated and complete set of
verified exam questions with correct answers. Already graded A+, this resource ensures
accuracy, reliability, and exam readiness for advanced nursing learners.
Exam Coverage Includes:
✔ Advanced clinical assessment and diagnostic reasoning
✔ Evidence-based practice and application in nursing care
✔ Pathophysiology and pharmacological principles in clinical decision-making
✔ Patient-centered care planning and interdisciplinary collaboration
✔ Ethical, legal, and professional issues in advanced practice nursing
✔ Culturally competent and holistic approaches to care delivery
Answer Format
All correct answers are highlighted in bold green, with rationales provided to strengthen
understanding, support critical thinking, and reinforce exam mastery. Rated A+ for accuracy
and comprehensive coverage.
NU 673 Midterm Exam Questions
1. A 45-year-old patient presents with chest pain and shortness of breath.
Which initial assessment tool is most appropriate for evaluating potential
acute coronary syndrome?
a) Glasgow Coma Scale
b) 12-lead ECG
c) Mini-Mental State Examination
d) Braden Scale
b) 12-lead ECG
Rationale: A 12-lead ECG is the gold standard for initial evaluation of acute coronary
syndrome, identifying ischemic changes or arrhythmias.
2. Which evidence-based practice model emphasizes integrating clinical
expertise, patient values, and research evidence?
a) Iowa Model
b) Johns Hopkins Nursing EBP Model
c) PDSA Cycle
d) Donabedian Model
b) Johns Hopkins Nursing EBP Model
, Rationale: The Johns Hopkins model integrates clinical expertise, patient preferences,
and the best available evidence to guide practice.
3. What is the primary pathophysiological mechanism of type 2 diabetes
mellitus?
a) Autoimmune destruction of beta cells
b) Insulin resistance and relative insulin deficiency
c) Excessive insulin production
d) Impaired glucagon secretion
b) Insulin resistance and relative insulin deficiency
Rationale: Type 2 diabetes is characterized by insulin resistance in peripheral tissues
and inadequate insulin secretion by pancreatic beta cells.
4. Which medication is the first-line treatment for hypertension in a
55-year-old African American patient with no comorbidities?
a) Lisinopril
b) Amlodipine
c) Metoprolol
d) Losartan
b) Amlodipine
Rationale: JNC 8 guidelines recommend calcium channel blockers (e.g., amlodipine) or
thiazide diuretics as first-line therapy for African American patients with hypertension.
5. What is the primary goal of patient-centered care planning?
a) Reduce healthcare costs
b) Align care with patient preferences and values
c) Increase provider efficiency
d) Standardize treatment protocols
b) Align care with patient preferences and values
Rationale: Patient-centered care prioritizes individual patient needs, preferences, and
values to improve outcomes.
6. Which ethical principle guides informed consent in advanced practice
nursing?
a) Beneficence
b) Autonomy
c) Nonmaleficence
d) Justice
b) Autonomy
Rationale: Autonomy ensures patients have the right to make informed decisions about
their care.
7. A patient with COPD presents with increased dyspnea and sputum
production. What is the most likely diagnosis?
a) Pneumonia
, b) Acute exacerbation of COPD
c) Pulmonary embolism
d) Heart failure
b) Acute exacerbation of COPD
Rationale: Increased dyspnea and sputum production are hallmark symptoms of a
COPD exacerbation.
8. Which interdisciplinary team member is best suited to address a patient’s
nutritional needs in a care plan?
a) Physical therapist
b) Registered dietitian
c) Social worker
d) Pharmacist
b) Registered dietitian
Rationale: A registered dietitian specializes in assessing and addressing nutritional
needs.
9. What is the primary purpose of culturally competent care in nursing?
a) Reduce healthcare costs
b) Improve patient trust and outcomes
c) Standardize care delivery
d) Increase provider efficiency
b) Improve patient trust and outcomes
Rationale: Culturally competent care enhances patient trust and engagement, leading to
better health outcomes.
10.Which diagnostic test is most specific for confirming acute myocardial
infarction?
a) Troponin levels
b) Creatine kinase-MB
c) Myoglobin levels
d) C-reactive protein
a) Troponin levels
Rationale: Troponin is the most specific and sensitive biomarker for myocardial
infarction.
11.What is the primary mechanism of action of metformin in type 2 diabetes?
a) Stimulates insulin release
b) Inhibits hepatic glucose production
c) Increases peripheral glucose uptake
d) Blocks glucagon receptors
b) Inhibits hepatic glucose production
Rationale: Metformin primarily reduces hepatic gluconeogenesis, lowering blood
glucose levels.
