NU 673 Assessment Midterm questions and
answers 2025\2026 A+ Grade
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
A 20 year old male has a history of leukemia and an enlarged spleen. Today he presents with a fairly
significant left upper quadrant pain. On exam of the area a rough grating noise is heard. What is this
sound known as?
A. It is a variant of bowel noise
B. It is a splenic rub
answers 2025\2026 A+ Grade
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
A 20 year old male has a history of leukemia and an enlarged spleen. Today he presents with a fairly
significant left upper quadrant pain. On exam of the area a rough grating noise is heard. What is this
sound known as?
A. It is a variant of bowel noise
B. It is a splenic rub
