Escrito por estudiantes que aprobaron Inmediatamente disponible después del pago Leer en línea o como PDF ¿Documento equivocado? Cámbialo gratis 4,6 TrustPilot
logo-home
Document preview thumbnail
Vista previa 4 fuera de 49 páginas
Examen

NU650 / NU 650 Midterm Exam 2026/2027 | Advanced Health Assessment | Regis College | Actual Exam Questions with Verified Answers & Detailed Rationales | Grade A | APRN Health Assessment & Certification Prep | Downloadable PDF

Document preview thumbnail
Vista previa 4 fuera de 49 páginas

INSTANT PDF DOWNLOAD — This is the comprehensive Midterm Exam preparation guide for NU650 / NU 650 - Advanced Health Assessment (2026/2027) at Regis College, featuring actual exam questions with verified answers and detailed rationales. Designed for advanced practice nursing students (NP, CNS, CNM, CRNA), this resource consolidates the critical advanced health assessment concepts required to master the NU650 Midterm Exam and achieve a Grade A. The guide is meticulously aligned with Regis College curriculum, APRN consensus model competencies, and current evidence-based advanced health assessment standards. This verified resource provides comprehensive coverage of key NU650 Advanced Health Assessment Midterm Exam topics, including: Advanced Health History Taking (comprehensive vs focused history, chief concern (patient's own words, duration, severity), history of present illness (HPI)—OLDCARTS (Onset (when did it start, sudden vs gradual), Location (where exactly, does it radiate), Duration (constant vs intermittent, how long does each episode last), Characteristics (sharp, dull, burning, stabbing, throbbing, pressure, crushing, tearing, squeezing, aching, gnawing, cramping, colicky, electric shock, pins/needles, tingling), Aggravating factors (what makes it worse—movement, position, activity, eating, breathing, palpation, stress), Relieving factors (what makes it better—rest, medication, position, heat, ice, distraction), Timing (time of day, relationship to meals, sleep, activity, menstrual cycle), Severity (0-10 scale, mild/moderate/severe, impact on function, acceptable level for patient), Associated symptoms (other symptoms that occur with or around the same time), Pertinent positives and negatives (symptoms present that support differential diagnosis, symptoms absent that would be expected if a specific condition were present), past medical history (childhood illnesses, adult illnesses (chronic diseases—hypertension, diabetes, heart disease, stroke, COPD, asthma, kidney disease, liver disease, thyroid disease, autoimmune disorders, cancer), psychiatric history (depression, anxiety, bipolar, PTSD, schizophrenia, eating disorders, substance use disorders, suicide attempts, self-harm, hospitalizations, outpatient treatment), surgeries (dates, indications, complications, anesthesia complications), hospitalizations (dates, reasons, outcomes), injuries (dates, mechanisms, sequelae), transfusions (dates, products, reactions), immunizations (status for age: influenza, Tdap/Td, MMR, varicella, hepatitis B, HPV, pneumococcal (PCV13, PPSV23), meningococcal, zoster (shingles), COVID-19, RSV (older adults, pregnant), rotavirus (children), Hib (children), polio (children)), pregnancy history (gravida/para (GTPAL): Gravida (number of pregnancies), Term (number of term deliveries ≥37 weeks), Preterm (number of preterm deliveries 20-36 6/7 weeks), Abortions (spontaneous or induced abortions 20 weeks), Living (number of living children), menstrual history (menarche age, last menstrual period (LMP), cycle length and regularity, duration of flow, amount, dysmenorrhea, intermenstrual bleeding, postmenopausal bleeding, date of menopause, menopausal symptoms), contraceptive history, sexual history (sexually active, number of partners, condom use, other contraception, STI history, sexual function (desire, arousal, orgasm, pain—dyspareunia), sexual orientation, gender identity, intimate partner violence screening), family history (first-degree relatives (parents, siblings, children) and second-degree relatives (grandparents, aunts, uncles), age and health status, age and cause of death, specific conditions (hypertension, heart disease (early onset 55 male, 65 female), stroke, diabetes, cancer (type, age of onset—breast, ovarian, colon, prostate, pancreatic, melanoma, lung, leukemia/lymphoma), hyperlipidemia, thyroid disease, autoimmune disorders (lupus, RA, MS), kidney disease, dementia/Alzheimer's, seizure disorder, psychiatric disorders, substance use disorders, genetic disorders (cystic fibrosis, Huntington's, sickle cell, hemophilia, Marfan, Ehlers-Danlos, polycystic kidney disease), sudden cardiac death 50 years, clotting disorders (DVT/PE, Factor V Leiden, prothrombin mutation), consanguinity), social history (occupation (exposures—chemicals, toxins, radiation, asbestos, silica, coal dust, pesticides, heavy metals, solvents, noise, vibration, repetitive motion, lifting, prolonged standing/sitting, shift work, stress, job satisfaction), living situation (housing type, homeless, unsafe housing, environmental exposures (mold, lead, radon, asbestos, secondhand smoke, poor air quality, contaminated water), household members (ages, health conditions, smokers), marital status, partner/spouse, children, dependents, support system (family, friends, community, church, support groups), education level (highest grade completed, literacy, health literacy), financial status (employment, income, insurance, food security, medication affordability, transportation access, ability to afford copays/deductibles, medical debt), military history (branch, years of service, deployments, combat exposure, exposures (Agent Orange, burn pits, depleted uranium, Gulf War illness, blast injury, TBI), VA benefits, service-connected disability), spiritual/religious beliefs (importance in healthcare, practices, dietary restrictions, blood transfusion beliefs, organ donation, advance care planning, end-of-life wishes, chaplain access), advance directives (living will, durable power of attorney for healthcare, DNR/POLST, organ donor status, discussion with family, copy in medical record), functional assessment (ADLs (Activities of Daily Living)—bathing, dressing, toileting, transferring, continence, feeding; IADLs (Instrumental ADLs)—meal preparation, shopping, housekeeping, laundry, managing finances, managing medications, using telephone/technology, transportation; physical function (gait, balance, mobility, falls history, use of assistive devices (cane, walker, wheelchair, scooter), ability to climb stairs, ability to perform job/household duties, exercise (type, frequency, duration, intensity), limitations due to pain, weakness, shortness of breath, fatigue, dizziness), driving status (valid license, driving at night, accidents, near misses, tickets, medical conditions affecting driving (seizure disorder, syncope, dementia, vision impairment, stroke with hemiparesis, sleep apnea with excessive daytime somnolence, uncontrolled diabetes with hypoglycemia unawareness, heart failure with dyspnea at rest, arrhythmias, recent MI, pacemaker/ICD—state laws vary on reporting requirements), safety (falls risk, home hazards (loose rugs, poor lighting, no handrails, cluttered pathways, pets underfoot, electrical cords, uneven surfaces, slippery floors, wet floors, lack of grab bars, high bed, bed without brakes, no call light within reach, clutter on bedside table, IV poles, oxygen tubing, furniture with wheels, low chairs, no armrests, unstable furniture), elder abuse (physical, emotional, sexual, neglect, financial exploitation), domestic violence, intimate partner violence (IPV) screening (routine screening of all women of childbearing age, ask in private, validated tools (HITS, STaT, AAS), resources (hotline ), mandatory reporting laws vary by state for IPV), substance use (alcohol—CAGE questionnaire (Cut down, Annoyed, Guilty, Eye-opener), AUDIT-C (3 questions), quantity/frequency (number of drinks per day/week, heavy drinking (7 drinks/week women, 14 men, 4 per occasion women, 5 men), binge drinking (4+ women, 5+ men within 2 hours), withdrawal symptoms, previous treatment, detox, rehab, AA/NA attendance, current sobriety date; tobacco (cigarettes (pack-years: packs per day × years smoked, 20 pack-years significant for lung cancer screening)

Vista previa del contenido

1|Page




NU 650 Midterm Exam 2026/2027 Regis Advanced

Health Assessment Actual Exam Questions Verified

Answers Study Guide Grade A


1. 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

Rationale: Laboratory test results are objective data, as they are measurable and

observable findings. Subjective data includes information reported by the patient;

objective data includes findings from examination, tests, and observation.

,2|Page


2. A patient you are seeing for the first time in your office brings their previous

medical records for review. You would document a summary 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

Rationale: Past medical history, including review of previous records, is documented in

the subjective data section of the encounter note as it provides historical information

reported from previous providers.



3. 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 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. Start with general questions on each of the different body

systems

,3|Page


Rationale: The most effective approach to the Review of Systems (ROS) is to start with

general questions about each body system, allowing the patient to report any symptoms

before asking specific questions.



4. 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. Explain the meaning of a proverb

Rationale: Abstract thinking, tested by explaining proverbs or similarities, assesses

higher cognitive function. Orientation (B), memory (C), and attention (D) assess other

cognitive domains.



5. The NP will ask the patient which of the following questions to assess 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?

, 4|Page


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. Over the past two weeks have you felt little interest or pleasure

in doing things?

Rationale: The PHQ-2 screening question is "Over the past two weeks, have you felt

little interest or pleasure in doing things?" This is a validated, evidence-based

depression screening tool.



6. 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. CC

Rationale: The chief complaint (CC) is the reason for the visit, documented in the

patient's own words. It is distinct from the History of Present Illness (HPI), which

elaborates on the chief complaint.

Información del documento

Subido en
8 de abril de 2026
Número de páginas
49
Escrito en
2025/2026
Tipo
Examen
Contiene
Preguntas y respuestas
$12.49

¿Documento equivocado? Cámbialo gratis Dentro de los 14 días posteriores a la compra y antes de descargarlo, puedes elegir otro documento. Puedes gastar el importe de nuevo.
Escrito por estudiantes que aprobaron
Inmediatamente disponible después del pago
Leer en línea o como PDF

Seller avatar
Los indicadores de reputación están sujetos a la cantidad de artículos vendidos por una tarifa y las reseñas que ha recibido por esos documentos. Hay tres niveles: Bronce, Plata y Oro. Cuanto mayor reputación, más podrás confiar en la calidad del trabajo del vendedor.
DoctorKen
3.8
(151)
Vendido
838
Seguidores
116
Artículos
6604
Última venta
1 hora hace



Por qué los estudiantes eligen Stuvia

Creado por compañeros estudiantes, verificado por reseñas

Calidad en la que puedes confiar: escrito por estudiantes que aprobaron y evaluado por otros que han usado estos resúmenes.

¿No estás satisfecho? Elige otro documento

¡No te preocupes! Puedes elegir directamente otro documento que se ajuste mejor a lo que buscas.

Paga como quieras, empieza a estudiar al instante

Sin suscripción, sin compromisos. Paga como estés acostumbrado con tarjeta de crédito y descarga tu documento PDF inmediatamente.

Student with book image

“Comprado, descargado y aprobado. Así de fácil puede ser.”

Alisha Student

Preguntas frecuentes