1.) While conducting a general survey during a comprehensive physical
exam, which of the following findings would most warrant further
evaluation of the patient?
a. Asymmetrical shoulder height
b. Disheveled appearance and poor hygiene
c. Halitosis and body odor
d. Flat affect and monotone speech
2.) During the process of differential diagnosis, the NP lists several
possible conditions for a patient presenting with fatigue, weight loss,
and night sweats which of the following best demonstrates the correct
use of pertinent positives and negatives?
a. Identifying the absence of fever to rule out malignancy.
b. Noting the presence of lymphadenopathy to support a possible
diagnosis of lymphoma
c. Assuming a diagnosis based solely on the patient’s age and sex
d. Prioritizing the most common condition regardless of
symptomology
3.) A 63-year-old male presents with a 3-day history of productive cough,
fever, and fatigue. He reports a 20-year history of smoking. His
temperature is 101.8F, respiratory rate is 22, and auscultation reveals
crackles in the right lower lung field. A chest x-ray shows
consolidation in the right lower lobe. What information belongs in the
assessment section of the EHR?
a. “patient reports fatigue, fever, and cough with yellow sputum
for 3 days”
b. “start azithromycin 500mg PO on day 1, then 250mg daily for 4
days”
c. Community-acquired pneumonia localized to the right lower
lobe”
d. “vital signs notable for fever and tachypnea, crackles
auscultated in RLL. CXR shows consolidation”
4.) A 7-year-old child is brought to the clinic by a parent who reports
recent changes in behavior, including frequent nightmares, refusal to
go to school, and increased irritability. What is the most appropriate
initial clinical response by the NP?
a. Reassure the parent that these behaviors are normal for the
child’s age and advise observation
b. Recommend disciplinary strategies to manage the child’s
defiance
exam, which of the following findings would most warrant further
evaluation of the patient?
a. Asymmetrical shoulder height
b. Disheveled appearance and poor hygiene
c. Halitosis and body odor
d. Flat affect and monotone speech
2.) During the process of differential diagnosis, the NP lists several
possible conditions for a patient presenting with fatigue, weight loss,
and night sweats which of the following best demonstrates the correct
use of pertinent positives and negatives?
a. Identifying the absence of fever to rule out malignancy.
b. Noting the presence of lymphadenopathy to support a possible
diagnosis of lymphoma
c. Assuming a diagnosis based solely on the patient’s age and sex
d. Prioritizing the most common condition regardless of
symptomology
3.) A 63-year-old male presents with a 3-day history of productive cough,
fever, and fatigue. He reports a 20-year history of smoking. His
temperature is 101.8F, respiratory rate is 22, and auscultation reveals
crackles in the right lower lung field. A chest x-ray shows
consolidation in the right lower lobe. What information belongs in the
assessment section of the EHR?
a. “patient reports fatigue, fever, and cough with yellow sputum
for 3 days”
b. “start azithromycin 500mg PO on day 1, then 250mg daily for 4
days”
c. Community-acquired pneumonia localized to the right lower
lobe”
d. “vital signs notable for fever and tachypnea, crackles
auscultated in RLL. CXR shows consolidation”
4.) A 7-year-old child is brought to the clinic by a parent who reports
recent changes in behavior, including frequent nightmares, refusal to
go to school, and increased irritability. What is the most appropriate
initial clinical response by the NP?
a. Reassure the parent that these behaviors are normal for the
child’s age and advise observation
b. Recommend disciplinary strategies to manage the child’s
defiance
