ASSESSMENT FINAL EXAM PREP 2025/2026
COMPLETE QUESTIONS AND VERIFIED
CORRECT SOLUTIONS WITH RATIONALES ||
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REGIS COLLEGE
1. Order of Assessment - ANSWER ✔ Inspection, Palpation, Percussion and
Auscultation. EXCEPT with abdomen
2. Comprehensive Health History - ANSWER ✔ chief complaint, reason for
visit, ROS, past medical and surgical history, social history and family
history
3. Pediatric Body measurements - ANSWER ✔ length, height, weight, head
circumference fro birth to 36 months
4. Normal/Hypertension cut off - ANSWER ✔ <130 normal 140+ hypertension
5. Fontanel Closure - ANSWER ✔ posterior 1-2 months, anterior 9mo-2years
6. Otoscope - ANSWER ✔ adult-up and back, peds- down and back, using
largest speculum that will fit comforably
7. Tympanic membrane - ANSWER ✔ Cone of light R-5 l-7
8. EOM testing - ANSWER ✔ CN III, IV, VI
9. AP diameter of chest - ANSWER ✔ 1:2 (AP less than transverse)
10.barrel chest - ANSWER ✔ COPD
11.Flat or Dull percussion - ANSWER ✔ effusion or pneumonia
,12.normal resonant percussion - ANSWER ✔ healthy lung
13.Hyperressonance (percussion) - ANSWER ✔ trapped air
14.Crackles/rales - ANSWER ✔ high pitched, discontinuous
15.Wheezes - ANSWER ✔ high-pitched whistling or squeaking sounds during
inspiration or expiration
16.Rhonchi - ANSWER ✔ snoring, rumbling sounds heard upon auscultation of
the chest during respiration-low pitched
17.tactile fremitus - ANSWER ✔ • INCREASED FREMITUS
- Means there is liquid or solid inside the lungs (consolidation such as
with pneumonia)
- Remember Liquid or solid transmits vibrations better than air
• DECREASED FREMITUS
Means air trapping such as with emphysema or bronchial obstruction.
18.Bronchophony - ANSWER ✔ the spoken voice sound heard through the
stethoscope, which sounds soft, muffled, and indistinct over normal lung
tissue, clearer over disease
19.Egophony - ANSWER ✔ abnormal change in tone of voice that is heard
when auscultating the lungs EE-->AA
20.what the health professional observes by inspecting, palpating, percussing,
and auscultating during the physical examination - ANSWER ✔ objective
data
21.things a person tells you about that you cannot observe through your senses;
symptoms - ANSWER ✔ subjective data
22.The most effective way to elicit the ROSs is for the NP to - ANSWER ✔
Start with general questions on each of the different body systems
,23.The NP can determine higher cognitive fxn by asking the patient to perform
which of the following tasks? - ANSWER ✔ Explain the meaning of a
proverb
24.The NP will ask the patient which of the following questions to assess for
depression? - ANSWER ✔ "Over the past two weeks, have you felt little
interest or pleasure in doing things?"
25.The NP will document the reason for the visit in which of the following
sections of the encounter note? - ANSWER ✔ Cheif Complaint
26.The primary provider will anticipate what percent of outpatients have mental
health disorders? - ANSWER ✔ 20%
27.Which of the following actions by the NP demonstrates patient-centered
interviewing techniques? - ANSWER ✔ Determine the personal context of
the patient's symptoms
28.Which of the following strategies is most effective when dealing with an
angry or disruptive patient? - ANSWER ✔ Validate the patient's feelings
without agreeing with their reasons
29.Which of the following variables should have the greatest effect as to how
the NP will conduct the history and physical examination of the child? -
ANSWER ✔ The child's developmental age
30.Normal palpitation of ovaries - ANSWER ✔ They are smooth, firm, mobile,
and almond shape
31.Proper order of examining the female genitalia - ANSWER ✔ Speculum
examination, bimanual examination, rectovaginal examination
32.Swelling around the inguinal ring alongside the pubic hair that is not painful
and reduces without difficulty when in the supine position - ANSWER ✔ A
direct inguinal hernia
33.Breast palpation that is most suggestive of cancer - ANSWER ✔ Firm,
nontender lump that is fixed to underlying tissue
, 34.To prepare female patient for a pelvic exam and pap smear - ANSWER ✔
Assure the woman that she can stop the exam at anytime she feels
discomfort
35.Associated with increased breast cancer risk - ANSWER ✔ Heavy alcohol
usefirst degree relative with breast canceradvancing age
36.Assessment of normal prostate - ANSWER ✔ It is heart shaped with a
palpable grooveIt surface is smoothIt has a elasticity, rubbery consistency
37.To determine the patient's gender identity the NP should - ANSWER ✔
Incorporate open-ended, neutral questions into the sexual history
38.Normal testicular exam - ANSWER ✔ Testes that feel ovoid and mobile,
and slight sensation is felt by the patient upon compression
39.Rectal examination = firm, irregularly shaped mass - ANSWER ✔ Report
the finding and refer the patient to GI for further examination.
40.Pelvic Inflammatory Disease - ANSWER ✔ Cervical Motion Tenderness
(CMT)
41.A 63-year-old janitor with a history of adenomatous colonic polyps presents
for a well visit. Basic labs are performed to screen for diabetes mellitus and
dyslipidemia. Electrolytes and liver enzymes were also measured. His labs
are all normal expect for moderate elevations of aspartate aminotransferase,
alanine aminotransferase, γ-glutamyl transferase, and alkaline phosphatase
as well as a mildly elevated total bilirubin. He presents for a follow-up
appointment and the clinician performs an abdominal exam to assess his
liver. Which of the following findings would be most consistent with
hepatomegaly? - ANSWER ✔ Liver palpable 3 cm below the right costal
margin, mid clavicles line, on expiration
42.A 23-year-old woman comes to the respiratory clinic for follow-up of her
chronic sinusitis and bronchiectasis that is associated with a rare congenital
condition called Kartagener syndrome. The preceptor notes that she has situs
in versus and asks for a physical exam. Which of the following descriptions