NU 673 ASSESSMENT MIDTERM EXAM
QUESTIONS AND ANSWERS 100% CORRECT!!
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 - ANSWERB. 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 - ANSWERA. 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 - ANSWERC. Paradoxical pulse
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
C. Vascular noise
D. It represents borborygmi - ANSWERB. It is a splenic rub
An elderly pt with a history of smoking 2 packs/day for 50 years reports to the APRN
prolonged shortness of breath. On cardiac exam, the APRN feels the most prominent
palpable impulse to be in the xiphoid area. This is most likely a result of what condition?
A. COPD
B. Aortic stenosis
C. Mitral regurgitation
D. Pulmonary hypertension - ANSWERD. Pulmonary hypertension
A pt reports "chest pain" during a visit to the APRN. The pt describes it as "severe" and
"sharp" and worse when taking a deep breath. PMH is unremarkable and there is no
history of tobacco use. VS are normal. Pt appears comfortable. Cardiac and respiratory
exam are unremarkable. What is the most likely diagnosis?
A. GERD
B. Aortic dissection
C. Myocardial infarction
D. Pleuritic pain - ANSWERD. Pleuritic pain
The APRN would anticipate a bounding radial pulse in:
A. Aortic regurgitation
B. Arterial embolism
C. Mitral stenosis
D. Hyperthyroidism - ANSWERA. Aortic regurgitation
A pt with longstanding COPD reports that he was told his liver was enlarged. The APRN
needs to assess the pt. Which of the following should the APRN do first?
A. Order a hepatitis panel
QUESTIONS AND ANSWERS 100% CORRECT!!
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 - ANSWERB. 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 - ANSWERA. 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 - ANSWERC. Paradoxical pulse
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
C. Vascular noise
D. It represents borborygmi - ANSWERB. It is a splenic rub
An elderly pt with a history of smoking 2 packs/day for 50 years reports to the APRN
prolonged shortness of breath. On cardiac exam, the APRN feels the most prominent
palpable impulse to be in the xiphoid area. This is most likely a result of what condition?
A. COPD
B. Aortic stenosis
C. Mitral regurgitation
D. Pulmonary hypertension - ANSWERD. Pulmonary hypertension
A pt reports "chest pain" during a visit to the APRN. The pt describes it as "severe" and
"sharp" and worse when taking a deep breath. PMH is unremarkable and there is no
history of tobacco use. VS are normal. Pt appears comfortable. Cardiac and respiratory
exam are unremarkable. What is the most likely diagnosis?
A. GERD
B. Aortic dissection
C. Myocardial infarction
D. Pleuritic pain - ANSWERD. Pleuritic pain
The APRN would anticipate a bounding radial pulse in:
A. Aortic regurgitation
B. Arterial embolism
C. Mitral stenosis
D. Hyperthyroidism - ANSWERA. Aortic regurgitation
A pt with longstanding COPD reports that he was told his liver was enlarged. The APRN
needs to assess the pt. Which of the following should the APRN do first?
A. Order a hepatitis panel
