ASSESSMENT FINAL EXAM PREP 2025/2026
COMPLETE QUESTIONS AND VERIFIED
CORRECT SOLUTIONS WITH RATIONALES ||
100% GUARANTEED PASS <LATEST VERSION>
REGIS COLLEGE
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 - ANSWER ✔ D: Objective data
2. 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 - ANSWER ✔ C: Subjective data
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 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 -
ANSWER ✔ D
,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 - ANSWER ✔ A
5. You are at your family reunion playing football when your uncle takes a hit
to his right lateral thorax and is in pain. He asks you if you think he has a rib
fracture. You are in a very remote area. What would your next step be?
A) Call a medevac helicopter
B) Drive him to the city (4 hours away)
C) Press on his sternum and spine simultaneously
D) Examine him for tenderness over the injured area - ANSWER
✔C
6. A 38-year-old accountant comes to your clinic for evaluation of a headache.
The throbbing sensation is located in the right temporal region and is an 8 on
a scale of 1 to 10. It started a few hours ago, and she has noted nausea with
sensitivity to light; she has had headaches like this in the past, < 1/wk, but
not as severe. She does not know of any inciting factors. There has been no
change in the frequency of her headaches. She usually takes an over-the
counter analgesic and this results in resolution of the headache. Based on
this description, what is the most likely diagnosis of the type of headache?
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound - ANSWER ✔ B
7. A 29-year-old computer programmer comes to your office for evaluation of
a headache. The tightening sensation is located all over the head and is of
moderate intensity. It used to last minutes, but this time it has lasted for 5
days. He denies photophobia and nausea. He spends several hours each day
at a computer monitor/keyboard. He has tried over-the-counter medication;
it has dulled the pain but not taken it away. Based on this description, what
is your most likely diagnosis?
A) Tension
B) Migraine
C) Cluster
, D) Analgesic rebound - ANSWER ✔ A
8. What to test on the EYES? - ANSWER ✔ 1. inspect: eyelids, lashes,
lacrimal apparatus, conjunctiva
2. pupillary response to light - direct and consensual
3. pupillary response to accommodation
4. extraocular movements (make an H and then an X)
5. ophthalmic exam - red reflex, optic disc, ect
9. How to test for pupillary response to accommodation? - ANSWER ✔ move
index finger towards patient's nose; if accommodating, pupils will constrict
as you move inward.
10.How to test for extraocular movements? - ANSWER ✔ make a large H and
a large X, have the patient follow your finger
11.What to test for in the EARS? - ANSWER ✔ 1. inspect: auricles and tissue,
ear canals
2. otoscope exam
3. whisper test
12.Macule - ANSWER ✔ flat, colored spot on the skin less than 1 cm
(freckle, mole, rubella, measles)
13.Patch - ANSWER ✔ a flat, discolored area on the skin larger than 1 cm
(freckle, mole, rubella, measles)
14.Papule - ANSWER ✔ small, solid skin elevation less than 1 cm
(nevi, wart, insect bite, acne, skin cancers)
15.Plaque - ANSWER ✔ a solid mass greater than 1 cm in diameter and limited
to the surface of the skin
, (psoriasis, granuloma)
16.Nodule - ANSWER ✔ solid, round or oval elevated lesion 1 cm or more in
diameter
(cyst, lipoma, fibroma)
17.Pustule - ANSWER ✔ elevation of skin containing pus
18.Vesicle - ANSWER ✔ small elevation of the epidermis containing liquid
less than 1 cm
(herpes, allergic contact dermatitis, blistering)
19.Bulla - ANSWER ✔ a large blister that is usually more than 0.5 cm in
diameter
(pemphigus vulgaris)
20.Wheal - ANSWER ✔ small, round, raised area on the skin that may be
accompanied by itching; usually seen in allergic reactions
21.Annular arrangement - ANSWER ✔ elements are arranged as circular rings
with a common center
(ringworm)
22.Nummular or discoid - ANSWER ✔ Coin shaped with no central clearing
23.Target or bull's-eye lesions - ANSWER ✔ rings with central duskiness
24.Serpiginous - ANSWER ✔ twisted or snakelike pattern
25.Questions for HPI skin concerns - ANSWER ✔ any new lesions, sores,
growths?
any new meds?
sexual hx
exposure to allergens
fever? SOB? does the rash involve mucous membranes?
26.How long? evolution? itching? painful? other associated sx? exposures?