Page 1 of 108
NU 650 THROUGH MIDTERM 2026 EXAM
COMPLETE (227) CURRENT TESTING
QUESTIONS AND DETAILED CORRECT
ANSWERS|GUARANTEED PASS.
NU 650
Prepare effectively with this NU 650 Through Midterm Exam,
designed to assess comprehensive understanding of
foundational course content up to the midterm. It focuses on
key concepts, clinical assessment skills, and application of
theoretical knowledge in patient care scenarios. The exam
strengthens critical thinking and readiness for advanced
coursework. Suitable for nursing and healthcare students.
A 47-year-old receptionist comes to your office, complaining
of fever, shortness of breath, and a productive cough with
golden sputum. She says she had a cold last week and her
symptoms have only gotten worse, despite using over-the-
counter cold remedies. She looks ill, temp is elevated, at
101; BP and pulse unremarkable. Edema of the nasal
turbinates. On auscultation she has decreased air
movement, and coarse crackles are heard over LLL. There is
dullness on percussion, increased fremitus during
palpation, and egophony and whispered pectoriloquy on
, Page 2 of 108
auscultation. What disorder of the thorax or lung best
describes her symptoms?
A) Spontaneous pneumothorax
B) Chronic obstructive pulmonary disease (COPD)
C) Asthma
D) Pneumonia ✓ ✓ ...... ANSWER ....... D
A 17-year-old high school senior presents to your clinic in
acute respiratory distress. Between shallow breaths he
states he was at home finishing his homework when he
suddenly began having right-sided chest pain and severe
SOB. Denies any recent traumas or illnesses. PMH
unremarkable. On examination you see a tall, thin young
man in obvious distress. He is diaphoretic and RR 35. On
auscultation you hear no breath sounds on the right side of
his superior chest wall. On percussion he is hyperresonant
over RUL. Palpation: absent fremitus over the RUL.
What disorder of the thorax or lung best describes his
symptoms?
A) Spontaneous pneumothorax
B) Chronic obstructive pulmonary disease (COPD)
C) Asthma
, Page 3 of 108
D) Pneumonia ✓ ✓ ...... ANSWER ....... A
A 62-year-old construction worker presents to your clinic,
complaining of almost a year of chronic cough and
occasional shortness of breath. Although he has had
worsening of symptoms occasionally with a cold, his
symptoms have stayed about the same. The cough has
occasional mucous drainage but never any blood. He denies
any chest pain. PMH significant for high BP and arthritis. 2
pack/day smoker x45 years packs a day for the past 45 years.
On examination you see a man looking slightly older than his
stated age. His BP is 130/80, pulse 88. He is breathing
comfortably -RR 12. On examination of his chest, the
diameter seems enlarged. Breath sounds are decreased
throughout all lobes. Rhonchi are heard over all lung fields.
There is no area of dullness and no increased or decreased
fremitus. What thorax or lung disorder is most likely causing
his symptoms?
A) Spontaneous pneumothorax
B) Chronic obstructive pulmonary disea ✓ ✓ ...... ANSWER
....... B
, Page 4 of 108
A 36-year-old teacher presents to your clinic, complaining of
sharp, knifelike pain on the left side of her chest x2 days.
Breathing and lying down make the pain worse, while sitting
forward helps her pain. Tylenol and ibuprofen have not
helped. Her pain does not radiate to any other area. She
denies any upper respiratory or gastrointestinal symptoms.
PMH systemic lupus. On examination you find her to be
distressed, leaning over and holding her left arm and hand to
her left chest. BP 130/70, RR 12, and pulse 90. On
auscultation her lung fields have normal breath sounds. A
scratching noise is heard at the lower left sternal border,
coincident with systole; leaning forward relieves some of her
pain. What disorder of the chest best describes this
disorder?
A) Angina pectoris
B) Pericarditis
C) Dissecting aortic aneurysm
D) Pleural pain ✓ ✓ ...... ANSWER ....... B
A 68-year-old retired postman presents to your clinic,
complaining of dull, intermittent left-sided chest pain over
the last few weeks. The pain occurs after he mows his lawn
or chops wood. Pain radiates to the left side of his jaw but
NU 650 THROUGH MIDTERM 2026 EXAM
COMPLETE (227) CURRENT TESTING
QUESTIONS AND DETAILED CORRECT
ANSWERS|GUARANTEED PASS.
NU 650
Prepare effectively with this NU 650 Through Midterm Exam,
designed to assess comprehensive understanding of
foundational course content up to the midterm. It focuses on
key concepts, clinical assessment skills, and application of
theoretical knowledge in patient care scenarios. The exam
strengthens critical thinking and readiness for advanced
coursework. Suitable for nursing and healthcare students.
A 47-year-old receptionist comes to your office, complaining
of fever, shortness of breath, and a productive cough with
golden sputum. She says she had a cold last week and her
symptoms have only gotten worse, despite using over-the-
counter cold remedies. She looks ill, temp is elevated, at
101; BP and pulse unremarkable. Edema of the nasal
turbinates. On auscultation she has decreased air
movement, and coarse crackles are heard over LLL. There is
dullness on percussion, increased fremitus during
palpation, and egophony and whispered pectoriloquy on
, Page 2 of 108
auscultation. What disorder of the thorax or lung best
describes her symptoms?
A) Spontaneous pneumothorax
B) Chronic obstructive pulmonary disease (COPD)
C) Asthma
D) Pneumonia ✓ ✓ ...... ANSWER ....... D
A 17-year-old high school senior presents to your clinic in
acute respiratory distress. Between shallow breaths he
states he was at home finishing his homework when he
suddenly began having right-sided chest pain and severe
SOB. Denies any recent traumas or illnesses. PMH
unremarkable. On examination you see a tall, thin young
man in obvious distress. He is diaphoretic and RR 35. On
auscultation you hear no breath sounds on the right side of
his superior chest wall. On percussion he is hyperresonant
over RUL. Palpation: absent fremitus over the RUL.
What disorder of the thorax or lung best describes his
symptoms?
A) Spontaneous pneumothorax
B) Chronic obstructive pulmonary disease (COPD)
C) Asthma
, Page 3 of 108
D) Pneumonia ✓ ✓ ...... ANSWER ....... A
A 62-year-old construction worker presents to your clinic,
complaining of almost a year of chronic cough and
occasional shortness of breath. Although he has had
worsening of symptoms occasionally with a cold, his
symptoms have stayed about the same. The cough has
occasional mucous drainage but never any blood. He denies
any chest pain. PMH significant for high BP and arthritis. 2
pack/day smoker x45 years packs a day for the past 45 years.
On examination you see a man looking slightly older than his
stated age. His BP is 130/80, pulse 88. He is breathing
comfortably -RR 12. On examination of his chest, the
diameter seems enlarged. Breath sounds are decreased
throughout all lobes. Rhonchi are heard over all lung fields.
There is no area of dullness and no increased or decreased
fremitus. What thorax or lung disorder is most likely causing
his symptoms?
A) Spontaneous pneumothorax
B) Chronic obstructive pulmonary disea ✓ ✓ ...... ANSWER
....... B
, Page 4 of 108
A 36-year-old teacher presents to your clinic, complaining of
sharp, knifelike pain on the left side of her chest x2 days.
Breathing and lying down make the pain worse, while sitting
forward helps her pain. Tylenol and ibuprofen have not
helped. Her pain does not radiate to any other area. She
denies any upper respiratory or gastrointestinal symptoms.
PMH systemic lupus. On examination you find her to be
distressed, leaning over and holding her left arm and hand to
her left chest. BP 130/70, RR 12, and pulse 90. On
auscultation her lung fields have normal breath sounds. A
scratching noise is heard at the lower left sternal border,
coincident with systole; leaning forward relieves some of her
pain. What disorder of the chest best describes this
disorder?
A) Angina pectoris
B) Pericarditis
C) Dissecting aortic aneurysm
D) Pleural pain ✓ ✓ ...... ANSWER ....... B
A 68-year-old retired postman presents to your clinic,
complaining of dull, intermittent left-sided chest pain over
the last few weeks. The pain occurs after he mows his lawn
or chops wood. Pain radiates to the left side of his jaw but
