NU 650 ADVANCED HEALTH ASSESSMENT MIDTERM EXAM 2025
NU 650 MIDTERM EXAM 2025|ACTUAL 220
QUESTIONS AND ANSWERS|GRADED A+|NEW 2026
An 85 y.o. woman is brought to the urgent care center for possible aspiration
pneumonia. The NP understands that, based on normal anatomy adventitious
lung sounds will most likely be heard in which of the following areas?
A. left upper lobe
B. left middle & lower lobes
C. right upper lobe
D. Right middle and lower lobes
D
Barrel chest is an abnormal chest configuration that may occur in which of the
following disorders?
A. COPD
B. Pneumonia
C. Pneumothorax
D. TBA
A
Bronchovesticular sounds are heard normally at which location?
A. second intercostal space anteriorly bilaterally
B. base of lungs bilaterally, posteriorly
C. laterally at the midaxillary line, bilaterally
,NU 650 ADVANCED HEALTH ASSESSMENT MIDTERM EXAM 2025
D. Bilaterally at the mid-clabicular line, 5th intercostal space
A
Normally when the lung fields are percussed the resulting sound is described
as _______:
A. hyperresonant
B. resonant
C. tympanic
D. Dull
B
The clinic has extended hours to provide flu vaccines and preventative
teaching for the community. Based on current CDC influenza vaccine
recommendations, the NP understands which of the following patients has a
contraindication and cannot receive the vaccine?
A. healthy 2 month baby girl
B. primagravida at 32 weeks
C. 60 y.o male with hx CHF
D. 45 y.o female with BMI of 42
A
The NP will nose a history of chronic cough based on the patients report of
symptoms lasting for:
A. 1 week
,NU 650 ADVANCED HEALTH ASSESSMENT MIDTERM EXAM 2025
B. 4 weeks
C. 6 weeks
D. 10 weeks
D
When compared to wheezes and rhonchi, the NP notes that on auscultation,
crackles are:
A. musical in quality
B. prolonged sounds, typically persisting throughout the respiratory cycle
C. intermittent and discontinuous sounds
D. Relatively low-pitched with a snoring quality
C
Which breath sound is normally heard over the sternal notch?
A. Bronchial
B. Bronchovesicular
C. Vesicular
D. Tracheal
A
Which of the following findings will alert the NP to include pneumonia as a
differential diagnosis?
A. decreased tactile fremitus
B. symmetrical chest expansion/lung excursion
, NU 650 ADVANCED HEALTH ASSESSMENT MIDTERM EXAM 2025
C. hyperresonance with percussion
D. positive bronchophony
D
Which of the following is an expected change of aging?
A. supraclavicular retractions with inspiration
B. Kyphosis
C. There is a decrease of the elastic properties within lungs
D. Pectus excavatum
C
Cultural Humility:
A process that requires humility as individuals continually engage in self-
reflection and self-critique as lifelong learners and reflective practitioners.
3 Dimensions of cultural humility
1) Self-awareness: learn about your own biases; we all have them.
2) Respectful communication: work to eliminate assumptions about what is
"normal". Learn directly from your patients; they are the experts on their
culture and illness.
3) Collaborative partnerships: build your patient relationships on respect and
mutually acceptable plans.
NU 650 MIDTERM EXAM 2025|ACTUAL 220
QUESTIONS AND ANSWERS|GRADED A+|NEW 2026
An 85 y.o. woman is brought to the urgent care center for possible aspiration
pneumonia. The NP understands that, based on normal anatomy adventitious
lung sounds will most likely be heard in which of the following areas?
A. left upper lobe
B. left middle & lower lobes
C. right upper lobe
D. Right middle and lower lobes
D
Barrel chest is an abnormal chest configuration that may occur in which of the
following disorders?
A. COPD
B. Pneumonia
C. Pneumothorax
D. TBA
A
Bronchovesticular sounds are heard normally at which location?
A. second intercostal space anteriorly bilaterally
B. base of lungs bilaterally, posteriorly
C. laterally at the midaxillary line, bilaterally
,NU 650 ADVANCED HEALTH ASSESSMENT MIDTERM EXAM 2025
D. Bilaterally at the mid-clabicular line, 5th intercostal space
A
Normally when the lung fields are percussed the resulting sound is described
as _______:
A. hyperresonant
B. resonant
C. tympanic
D. Dull
B
The clinic has extended hours to provide flu vaccines and preventative
teaching for the community. Based on current CDC influenza vaccine
recommendations, the NP understands which of the following patients has a
contraindication and cannot receive the vaccine?
A. healthy 2 month baby girl
B. primagravida at 32 weeks
C. 60 y.o male with hx CHF
D. 45 y.o female with BMI of 42
A
The NP will nose a history of chronic cough based on the patients report of
symptoms lasting for:
A. 1 week
,NU 650 ADVANCED HEALTH ASSESSMENT MIDTERM EXAM 2025
B. 4 weeks
C. 6 weeks
D. 10 weeks
D
When compared to wheezes and rhonchi, the NP notes that on auscultation,
crackles are:
A. musical in quality
B. prolonged sounds, typically persisting throughout the respiratory cycle
C. intermittent and discontinuous sounds
D. Relatively low-pitched with a snoring quality
C
Which breath sound is normally heard over the sternal notch?
A. Bronchial
B. Bronchovesicular
C. Vesicular
D. Tracheal
A
Which of the following findings will alert the NP to include pneumonia as a
differential diagnosis?
A. decreased tactile fremitus
B. symmetrical chest expansion/lung excursion
, NU 650 ADVANCED HEALTH ASSESSMENT MIDTERM EXAM 2025
C. hyperresonance with percussion
D. positive bronchophony
D
Which of the following is an expected change of aging?
A. supraclavicular retractions with inspiration
B. Kyphosis
C. There is a decrease of the elastic properties within lungs
D. Pectus excavatum
C
Cultural Humility:
A process that requires humility as individuals continually engage in self-
reflection and self-critique as lifelong learners and reflective practitioners.
3 Dimensions of cultural humility
1) Self-awareness: learn about your own biases; we all have them.
2) Respectful communication: work to eliminate assumptions about what is
"normal". Learn directly from your patients; they are the experts on their
culture and illness.
3) Collaborative partnerships: build your patient relationships on respect and
mutually acceptable plans.
