NU 650 Midterm UPDATED ACTUAL
Questions and CORRECT Answers
A patient is seen in the office for amenorrhea, for which you obtain a urine pregnancy test in the
office that returns negative. You would document this finding in which of the following sections
of the encounter?
A. HPI
B. CC
C. Subjective Data
D. Objective Data - CORRECT ANSWER - D: Objective data
A patient you are seeing for the first time in your office, brings their previous medical records for
the review. you would document a summer of the previous medical records in which of the
following sections of the encounter note?
A. HPI
B. CC
C. Subjective Data
D. Objective Data - CORRECT ANSWER - C: Subjective data
The most effective process to elicit the ROS is for the NP to:
A. Limit the ROS to systems related to the CC
B. Follow the patients lead regarding the order of symptoms
C. incorporate the ROS during the physical exam, stopping to make notes as necessary
D. Start with general questions on each of the different body systems - CORRECT
ANSWER -D
The NP can determine higher cognitive function by asking the patient to perform which of the
following tasks?
A. Explain the meaning of a proverb
B. Identify the day of the week, month, season, date and year
,C. Recall details of historical events
D. Spell a five-letter word such as WORLD backward - CORRECT ANSWER -A
The NP will ask the patient which of the following questions to assess for depression?
A. have you ever been annoyed by other criticizing your alcohol use?
B. Over the past two weeks have you felt little interest or pleasure in doing things?
C. Over the past two weeks have you been unable to stop or control worrying?
D. How often do you have contact with those that you care about or care about you? -
CORRECT ANSWER -B
The NP will document the reason for visit in which of the following sections of the encounter?
A. HPI
B. CC
C. Subjective Data
D. Objective Data - CORRECT ANSWER -B
The primary care provider will anticipate that what percent of outpatients have mental health
disorders?
A. 10%
B. 15 %
C. 20%
D. 25% - CORRECT ANSWER -C
Which of the following actions by the NP demonstrations patient-centered interviewing
techniques?
A. Determine the personal context of the patients symptoms
B. Focus on symptoms to identify a disease or condition
C. Offer his or her perspective to lead the patients response
D. Solicit information from the patients significant others - CORRECT ANSWER -A
,Which of the following strategies is most effective when dealing with an angry or disruptive
patient?
A. Allow the patient to disrupt the setting as needed to alleviate their anger
B. Ask the patient to lower their voice and remain calm throughout the interview
C. Reinforce the patients criticisms of other clinicians or the facility
D. Validate the patients feelings without agreeing with their reasons. - CORRECT
ANSWER -D
Which of the following variables should have the greatest affect as to how the NP will conduct
the H & PE of a child?
A. The child's developmental level
B. the child's chronological age
C. The expected head to toe format and order of examination techniques
D. The child's birth history - CORRECT ANSWER -A
Match the primary skin lesion to the description
A. Macule 1. Lesion is raised
B. Papule 2. Lesion is raised > 1 cm & fluid filled
C. Plaque 3. Lesion is flat
D. Vesicle 4. Lesion is raised, > 1cm but not fluid filled
E. Bullae 5. Lesion is raised - CORRECT ANSWER - Macule --> Lesion is Flat
Papule --> lesion is raised
Plaque --> lesion is raised, > 1 cm but not fluid filled
Vesicle --> lesion is raised
Bullae --> lesion is raised, > 1 cm and fluid filled
A linear arrangement along a nerve distribution is a description of which type of skin lesion?
A. Annular
, B. Zosteriform
C. Keratitis
D. Linear - CORRECT ANSWER -B
A wood's lamp is especially useful in diagnosing __________
A. tine versicolor
B. herpes zoster
C. contact dermatitis
D. All of the above - CORRECT ANSWER - A. tine versicolor (woods lamp helps
diagnosis yeast infections)
Mr. P. has had a "terrible itch" for several months that he has been scratching continuously.
Upon examination, the nurse might expect to find:
A. a keloid
B. a fissue
C. keratosis
D. Lichenification - CORRECT ANSWER -D
The NP has identified a solid, elevated, circumscribed lesion that is less than 1 cm in diameter
and palpable into the dermis. This NP will correctly document this finding as a _________
A. bulla
B. wheal
C. nodule
D. papule - CORRECT ANSWER -D
Which of the following objective findings would alert the NP to consider skin cancer in the list
of differential diagnoses?
A. Annular and symmetrical lesions
B. Blurred edges to a raised lesion
Questions and CORRECT Answers
A patient is seen in the office for amenorrhea, for which you obtain a urine pregnancy test in the
office that returns negative. You would document this finding in which of the following sections
of the encounter?
A. HPI
B. CC
C. Subjective Data
D. Objective Data - CORRECT ANSWER - D: Objective data
A patient you are seeing for the first time in your office, brings their previous medical records for
the review. you would document a summer of the previous medical records in which of the
following sections of the encounter note?
A. HPI
B. CC
C. Subjective Data
D. Objective Data - CORRECT ANSWER - C: Subjective data
The most effective process to elicit the ROS is for the NP to:
A. Limit the ROS to systems related to the CC
B. Follow the patients lead regarding the order of symptoms
C. incorporate the ROS during the physical exam, stopping to make notes as necessary
D. Start with general questions on each of the different body systems - CORRECT
ANSWER -D
The NP can determine higher cognitive function by asking the patient to perform which of the
following tasks?
A. Explain the meaning of a proverb
B. Identify the day of the week, month, season, date and year
,C. Recall details of historical events
D. Spell a five-letter word such as WORLD backward - CORRECT ANSWER -A
The NP will ask the patient which of the following questions to assess for depression?
A. have you ever been annoyed by other criticizing your alcohol use?
B. Over the past two weeks have you felt little interest or pleasure in doing things?
C. Over the past two weeks have you been unable to stop or control worrying?
D. How often do you have contact with those that you care about or care about you? -
CORRECT ANSWER -B
The NP will document the reason for visit in which of the following sections of the encounter?
A. HPI
B. CC
C. Subjective Data
D. Objective Data - CORRECT ANSWER -B
The primary care provider will anticipate that what percent of outpatients have mental health
disorders?
A. 10%
B. 15 %
C. 20%
D. 25% - CORRECT ANSWER -C
Which of the following actions by the NP demonstrations patient-centered interviewing
techniques?
A. Determine the personal context of the patients symptoms
B. Focus on symptoms to identify a disease or condition
C. Offer his or her perspective to lead the patients response
D. Solicit information from the patients significant others - CORRECT ANSWER -A
,Which of the following strategies is most effective when dealing with an angry or disruptive
patient?
A. Allow the patient to disrupt the setting as needed to alleviate their anger
B. Ask the patient to lower their voice and remain calm throughout the interview
C. Reinforce the patients criticisms of other clinicians or the facility
D. Validate the patients feelings without agreeing with their reasons. - CORRECT
ANSWER -D
Which of the following variables should have the greatest affect as to how the NP will conduct
the H & PE of a child?
A. The child's developmental level
B. the child's chronological age
C. The expected head to toe format and order of examination techniques
D. The child's birth history - CORRECT ANSWER -A
Match the primary skin lesion to the description
A. Macule 1. Lesion is raised
B. Papule 2. Lesion is raised > 1 cm & fluid filled
C. Plaque 3. Lesion is flat
D. Vesicle 4. Lesion is raised, > 1cm but not fluid filled
E. Bullae 5. Lesion is raised - CORRECT ANSWER - Macule --> Lesion is Flat
Papule --> lesion is raised
Plaque --> lesion is raised, > 1 cm but not fluid filled
Vesicle --> lesion is raised
Bullae --> lesion is raised, > 1 cm and fluid filled
A linear arrangement along a nerve distribution is a description of which type of skin lesion?
A. Annular
, B. Zosteriform
C. Keratitis
D. Linear - CORRECT ANSWER -B
A wood's lamp is especially useful in diagnosing __________
A. tine versicolor
B. herpes zoster
C. contact dermatitis
D. All of the above - CORRECT ANSWER - A. tine versicolor (woods lamp helps
diagnosis yeast infections)
Mr. P. has had a "terrible itch" for several months that he has been scratching continuously.
Upon examination, the nurse might expect to find:
A. a keloid
B. a fissue
C. keratosis
D. Lichenification - CORRECT ANSWER -D
The NP has identified a solid, elevated, circumscribed lesion that is less than 1 cm in diameter
and palpable into the dermis. This NP will correctly document this finding as a _________
A. bulla
B. wheal
C. nodule
D. papule - CORRECT ANSWER -D
Which of the following objective findings would alert the NP to consider skin cancer in the list
of differential diagnoses?
A. Annular and symmetrical lesions
B. Blurred edges to a raised lesion
