NU 673 Assessment Midterm Questions
With Complete Solutions A+ PASS.
A-patient-is-suspected-to-have-COPD.-The-APRN-instructs-the-patient-to-
take-a-deep-breath-in,-and-then-with-his-mouth-open,-breathe-out-as-fast-
and-completely-as-he-can.-For-what-is-the-APRN-checking?
A.-Whispered-pectoriloquy
B.-Forced-expiratory-time
C.-Egophony
D.-Tactile-fremitus-.....Correct-Answer-~B.-Forced-expiratory-time
A-pt-presents-to-the-clinic-with-severe-right-sided-abdominal-pain-for-12-
hours.-He-began-having-a-"stomach-ache"-yesterday,-with-decreased-
appetite,-but-today-the-pain-seems-to-be-just-on-the-lower-right-side.-He-
has-had-some-nausea-&-vomiting,-but-no-constipation-or-diarrhea.-His-
last-BM-was-last-night-and-was-normal.-He-has-had-no-fever-or-chills.-He-
denies-any-recent-illness-or-injuries.-His-PMH-is-unremarkable.-He-
denies-any-tobacco-or-drug-use-and-drinks-4-6-beers/week.-on-exam,-he-
appears-ill-and-is-lying-on-his-right-side.-His-temp-is-100.4-F-and-HR-is-
110.-His-bowel-sounds-are-decreased-and-he-has-rebound-pain-and-
guarding-one-third-of-the-way-between-anterior-superior-iliac-spine-and-
the-umbilicus-in-the-right-lower-quadrant.-What-is-the-most-likely-cause-
of-his-pain?-
A.-Acute-appendicitis
B.-Mesenteric-ischemia
C.-Acute-mechanical-intestinal-obstruction
D.-Acute-cholecystitis-.....Correct-Answer-~A.-Acute-appendicitis
, An-APRN-notes-a-12-mm-Hg-difference-in-systolic-BP-during-inspiration.-
How-should-the-APRN-document-this-finding?
A.-Acute-stenosis
B.-Carotid-arterial-disease
C.-Paradoxical-pulse
D.-Pulsus-alternans-.....Correct-Answer-~C.-Paradoxical-pulse
Which-of-the-following-percussion-notes-is-obtained-over-a-gastric-bubble?
A.-Flatness
B.-Hyperresonance
C.-Tympany
D.-Resonance-.....Correct-Answer-~C.-Tympany
The-APRN-is-performing-a-cardiac-exam-on-a-pt-with-SOB-and-
palpitations.-She-listens-to-the-heart-with-the-pt-sitting-upright,-then-has-
the-pt-change-to-a-supine-position,-and-finally-she-has-the-pt-turn-onto-the-
left-side-in-the-left-lateral-decubitus-position.-Which-of-the-following-
valvular-defects-is-best-heard-in-this-position?-
A.-Mitral
B.-Aortic
C.-Tricuspid
D.-Pulmonic-.....Correct-Answer-~A.-Mitral
With Complete Solutions A+ PASS.
A-patient-is-suspected-to-have-COPD.-The-APRN-instructs-the-patient-to-
take-a-deep-breath-in,-and-then-with-his-mouth-open,-breathe-out-as-fast-
and-completely-as-he-can.-For-what-is-the-APRN-checking?
A.-Whispered-pectoriloquy
B.-Forced-expiratory-time
C.-Egophony
D.-Tactile-fremitus-.....Correct-Answer-~B.-Forced-expiratory-time
A-pt-presents-to-the-clinic-with-severe-right-sided-abdominal-pain-for-12-
hours.-He-began-having-a-"stomach-ache"-yesterday,-with-decreased-
appetite,-but-today-the-pain-seems-to-be-just-on-the-lower-right-side.-He-
has-had-some-nausea-&-vomiting,-but-no-constipation-or-diarrhea.-His-
last-BM-was-last-night-and-was-normal.-He-has-had-no-fever-or-chills.-He-
denies-any-recent-illness-or-injuries.-His-PMH-is-unremarkable.-He-
denies-any-tobacco-or-drug-use-and-drinks-4-6-beers/week.-on-exam,-he-
appears-ill-and-is-lying-on-his-right-side.-His-temp-is-100.4-F-and-HR-is-
110.-His-bowel-sounds-are-decreased-and-he-has-rebound-pain-and-
guarding-one-third-of-the-way-between-anterior-superior-iliac-spine-and-
the-umbilicus-in-the-right-lower-quadrant.-What-is-the-most-likely-cause-
of-his-pain?-
A.-Acute-appendicitis
B.-Mesenteric-ischemia
C.-Acute-mechanical-intestinal-obstruction
D.-Acute-cholecystitis-.....Correct-Answer-~A.-Acute-appendicitis
, An-APRN-notes-a-12-mm-Hg-difference-in-systolic-BP-during-inspiration.-
How-should-the-APRN-document-this-finding?
A.-Acute-stenosis
B.-Carotid-arterial-disease
C.-Paradoxical-pulse
D.-Pulsus-alternans-.....Correct-Answer-~C.-Paradoxical-pulse
Which-of-the-following-percussion-notes-is-obtained-over-a-gastric-bubble?
A.-Flatness
B.-Hyperresonance
C.-Tympany
D.-Resonance-.....Correct-Answer-~C.-Tympany
The-APRN-is-performing-a-cardiac-exam-on-a-pt-with-SOB-and-
palpitations.-She-listens-to-the-heart-with-the-pt-sitting-upright,-then-has-
the-pt-change-to-a-supine-position,-and-finally-she-has-the-pt-turn-onto-the-
left-side-in-the-left-lateral-decubitus-position.-Which-of-the-following-
valvular-defects-is-best-heard-in-this-position?-
A.-Mitral
B.-Aortic
C.-Tricuspid
D.-Pulmonic-.....Correct-Answer-~A.-Mitral
