NU 650 through
Midterm exam (227
questions and
answers)
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. The NP will ask the patient which of the following questions to assess for depression?
A. have you ever been annoyed by other criticizing your alcohol use?
B. Over the past two weeks have you felt little interest or pleasure in doing things?
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? - answer
>B
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 - answer > B
7. The primary care provider will anticipate that what percent of outpatients have mental health
disorders?
A. 10%
B. 15 %
, C. 20%
D. 25% - answer > C
8. Which of the following actions by the NP demonstrations patient-centered interviewing
techniques?
A. Determine the personal context of the patients symptoms
B. Focus on symptoms to identify a disease or condition
C. Offer his or her perspective to lead the patients response
D. Solicit information from the patients significant others - answer > A
9. Which of the following strategies is most effective when dealing with an angry or disruptive
patient?
A. Allow the patient to disrupt the setting as needed to alleviate their anger
B. Ask the patient to lower their voice and remain calm throughout the interview
C. Reinforce the patients criticisms of other clinicians or the facility
D. Validate the patients feelings without agreeing with their reasons. - answer > D
10. Which of the following variables should have the greatest affect as to how the NP will conduct the
H & PE of a child?
A. The child's developmental level
B. the child's chronological age
C. The expected head to toe format and order of examination techniques
D. The child's birth history - answer > A
11. Match the primary skin lesion to the description
A. Macule 1. Lesion is raised
B. Papule 2. Lesion is raised > 1 cm & fluid filled
C. Plaque 3. Lesion is flat
D. Vesicle 4. Lesion is raised, > 1cm but not fluid filled
, E. Bullae 5. Lesion is raised - answer > Macule --> Lesion is Flat
12. Papule --> lesion is raised
13. Plaque --> lesion is raised, > 1 cm but not fluid filled
14. Vesicle --> lesion is raised
15. Bullae --> lesion is raised, > 1 cm and fluid filled
16. A linear arrangement along a nerve distribution is a description of which type of skin lesion?
A. Annular
B. Zosteriform
C. Keratitis
D. Linear - answer > B
17. A wood's lamp is especially useful in diagnosing __________
A. tine versicolor
B. herpes zoster
C. contact dermatitis
D. All of the above - answer > A. tine versicolor (woods lamp helps diagnosis yeast
infections)
18. Mr. P. has had a "terrible itch" for several months that he has been scratching continuously. Upon
examination, the nurse might expect to find:
A. a keloid
B. a fissue
C. keratosis
D. Lichenification - answer > D
19. The NP has identified a solid, elevated, circumscribed lesion that is less than 1 cm in diameter and
palpable into the dermis. This NP will correctly document this finding as a _________
A. bulla
Midterm exam (227
questions and
answers)
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. The NP will ask the patient which of the following questions to assess for depression?
A. have you ever been annoyed by other criticizing your alcohol use?
B. Over the past two weeks have you felt little interest or pleasure in doing things?
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? - answer
>B
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 - answer > B
7. The primary care provider will anticipate that what percent of outpatients have mental health
disorders?
A. 10%
B. 15 %
, C. 20%
D. 25% - answer > C
8. Which of the following actions by the NP demonstrations patient-centered interviewing
techniques?
A. Determine the personal context of the patients symptoms
B. Focus on symptoms to identify a disease or condition
C. Offer his or her perspective to lead the patients response
D. Solicit information from the patients significant others - answer > A
9. Which of the following strategies is most effective when dealing with an angry or disruptive
patient?
A. Allow the patient to disrupt the setting as needed to alleviate their anger
B. Ask the patient to lower their voice and remain calm throughout the interview
C. Reinforce the patients criticisms of other clinicians or the facility
D. Validate the patients feelings without agreeing with their reasons. - answer > D
10. Which of the following variables should have the greatest affect as to how the NP will conduct the
H & PE of a child?
A. The child's developmental level
B. the child's chronological age
C. The expected head to toe format and order of examination techniques
D. The child's birth history - answer > A
11. Match the primary skin lesion to the description
A. Macule 1. Lesion is raised
B. Papule 2. Lesion is raised > 1 cm & fluid filled
C. Plaque 3. Lesion is flat
D. Vesicle 4. Lesion is raised, > 1cm but not fluid filled
, E. Bullae 5. Lesion is raised - answer > Macule --> Lesion is Flat
12. Papule --> lesion is raised
13. Plaque --> lesion is raised, > 1 cm but not fluid filled
14. Vesicle --> lesion is raised
15. Bullae --> lesion is raised, > 1 cm and fluid filled
16. A linear arrangement along a nerve distribution is a description of which type of skin lesion?
A. Annular
B. Zosteriform
C. Keratitis
D. Linear - answer > B
17. A wood's lamp is especially useful in diagnosing __________
A. tine versicolor
B. herpes zoster
C. contact dermatitis
D. All of the above - answer > A. tine versicolor (woods lamp helps diagnosis yeast
infections)
18. Mr. P. has had a "terrible itch" for several months that he has been scratching continuously. Upon
examination, the nurse might expect to find:
A. a keloid
B. a fissue
C. keratosis
D. Lichenification - answer > D
19. The NP has identified a solid, elevated, circumscribed lesion that is less than 1 cm in diameter and
palpable into the dermis. This NP will correctly document this finding as a _________
A. bulla
