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NU 650 Advanced Health Assessment Midterm
(Regis University) 2026/2027 | Exam Questions
with Verified Answers & Rationales | Grade A.
1. During an office visit, a patient undergoes a urine pregnancy test for amenorrhea,
which returns negative. In which section of the encounter note should the nurse
practitioner document this result?
A. History of Present Illness (HPI)
B. Chief Complaint (CC)
C. Subjective Data
D. Objective Data
CORRECT ANSWER: D
Rationale: Laboratory test results are measurable, observable findings obtained by the
clinician and are therefore documented as Objective Data.
2. A new patient brings their previous medical records to an initial office visit. Where
should the nurse practitioner document a summary of this information in the encounter
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note?
A. History of Present Illness (HPI)
B. Chief Complaint (CC)
C. Subjective Data
D. Objective Data
CORRECT ANSWER: C
Rationale: A summary of medical records provided by the patient represents
information from the patient's history and perspective, making it Subjective Data.
3. What is the most effective process for the nurse practitioner to elicit the Review of
Systems (ROS)?
A. Limit the ROS to systems related to the Chief Complaint.
B. Follow the patient's 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
Rationale: Beginning with general, open-ended questions for each body system
provides a comprehensive and systematic approach to uncovering relevant symptoms.
4. The nurse practitioner can best assess a patient's higher cognitive function by asking
them to perform which task?
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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
Rationale: Explaining the meaning of a proverb requires abstract thinking and
interpretation, which are components of higher cognitive function.
5. Which question should the nurse practitioner ask a patient to screen for depression?
A. "Have you ever been annoyed by others 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
Rationale: This is a standard screening question for depression, aligning with tools like
the Patient Health Questionnaire (PHQ-2/9), which assesses anhedonia and depressed
mood.
6. In which section of the encounter note should the nurse practitioner document the
reason for the visit?
A. History of Present Illness (HPI)
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, 4|Page
B. Chief Complaint (CC)
C. Subjective Data
D. Objective Data
CORRECT ANSWER: B
Rationale: The Chief Complaint (CC) is a concise statement, usually in the patient's own
words, describing the primary reason for seeking care.
7. What percentage of outpatients can a primary care provider anticipate will have
mental health disorders?
A. 10%
B. 15%
C. 20%
D. 25%
CORRECT ANSWER: C
Rationale: Epidemiological data indicates that approximately 20% of patients in primary
care settings have a diagnosable mental health disorder.
8. Which action by the nurse practitioner demonstrates a patient-centered interviewing
technique?
A. Determine the personal context of the patient's symptoms.
B. Focus on symptoms to identify a disease or condition.
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NU 650 Advanced Health Assessment Midterm
(Regis University) 2026/2027 | Exam Questions
with Verified Answers & Rationales | Grade A.
1. During an office visit, a patient undergoes a urine pregnancy test for amenorrhea,
which returns negative. In which section of the encounter note should the nurse
practitioner document this result?
A. History of Present Illness (HPI)
B. Chief Complaint (CC)
C. Subjective Data
D. Objective Data
CORRECT ANSWER: D
Rationale: Laboratory test results are measurable, observable findings obtained by the
clinician and are therefore documented as Objective Data.
2. A new patient brings their previous medical records to an initial office visit. Where
should the nurse practitioner document a summary of this information in the encounter
1|Page
,2|Page
note?
A. History of Present Illness (HPI)
B. Chief Complaint (CC)
C. Subjective Data
D. Objective Data
CORRECT ANSWER: C
Rationale: A summary of medical records provided by the patient represents
information from the patient's history and perspective, making it Subjective Data.
3. What is the most effective process for the nurse practitioner to elicit the Review of
Systems (ROS)?
A. Limit the ROS to systems related to the Chief Complaint.
B. Follow the patient's 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
Rationale: Beginning with general, open-ended questions for each body system
provides a comprehensive and systematic approach to uncovering relevant symptoms.
4. The nurse practitioner can best assess a patient's higher cognitive function by asking
them to perform which task?
2|Page
,3|Page
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
Rationale: Explaining the meaning of a proverb requires abstract thinking and
interpretation, which are components of higher cognitive function.
5. Which question should the nurse practitioner ask a patient to screen for depression?
A. "Have you ever been annoyed by others 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
Rationale: This is a standard screening question for depression, aligning with tools like
the Patient Health Questionnaire (PHQ-2/9), which assesses anhedonia and depressed
mood.
6. In which section of the encounter note should the nurse practitioner document the
reason for the visit?
A. History of Present Illness (HPI)
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, 4|Page
B. Chief Complaint (CC)
C. Subjective Data
D. Objective Data
CORRECT ANSWER: B
Rationale: The Chief Complaint (CC) is a concise statement, usually in the patient's own
words, describing the primary reason for seeking care.
7. What percentage of outpatients can a primary care provider anticipate will have
mental health disorders?
A. 10%
B. 15%
C. 20%
D. 25%
CORRECT ANSWER: C
Rationale: Epidemiological data indicates that approximately 20% of patients in primary
care settings have a diagnosable mental health disorder.
8. Which action by the nurse practitioner demonstrates a patient-centered interviewing
technique?
A. Determine the personal context of the patient's symptoms.
B. Focus on symptoms to identify a disease or condition.
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