NR 603-KNOW THIS AND FINISH
ALREADY EXAM QUESTIONS &
VERIFIED ANSWERS ALL PASSED
During a post-hospital discharge visit, you notice your 71 year old female patient has
been diagnosed with a "new murmur" found by the hospitalist during their recent
hospitalization for CHF exacerbation. In evaluating the patient, during which phase of
the cardiac cycle would you anticipate auscultation of a S3 or S4 heart sound? - Correct
Answer ✔✔ Diastole
The point of maximum impulse (PMI) is most often palpable in healthy adults when
positioned in the supine or left lateral decubitus position. Which one of the following
locations is most commonly described as the PMI in a healthy adult? - Correct Answer
✔✔ left 5th ICS, MCL
The nurse practitioner assessing the patient with a rapid cardiac rhythm may assess for
a pulse deficit by auscultating the patient's heart while watching the EKG rhythm. Where
would the S1 heart sound correlate with the electrocardiographic waves? - Correct
Answer ✔✔ Peak of the R wave
Michael, a 72 year old male patient who previously presented with stable cardiac-type
chest pain has underwent a stress test. He presents today to review the stress test
results, which show EKG findings of ST segment depression during the exam in leads
V3 and V4 as well as some concurrent chest discomfort. Based on these findings, which
of the following are NOT priority medical decisions?
*Prescribe metoprolol (Lopressor) 12.5mg PO BID
*Prescribe aspirin 81mg PO daily
*Refer to cardiology for angiography
• Check for thyroid dysfunction - Correct Answer ✔✔ Check for thyroid dysfunction
Your newly established patient states in the past year, they have progressively
developed a noticeable bump on their neck and when asked about symptoms, they
report feeling very anxious, have developed a tremor, and are commonly feeling
palpitations in their chest.On examination, you identify an enlarged thyroid gland
suspicious for a goiter. Of the following diagnoses, which is most likely for the patient to
develop based on these findings above? - Correct Answer ✔✔ thyrotoxicosis
Your patient has a diagnosis of Addison's disease. Which of the following might you
expect to find during examination? - Correct Answer ✔✔ low body temperature
Your patient with a diagnosis of autoimmune hepatitis is beingseen in your clinic for
routine liver serology and follow-up examination. Which of the following correctly
,identifies the normal liver span when percussing the liver of a HEALTHY adult? -
Correct Answer ✔✔ 6-12 cm in the right midclavicular line.
The 19 year old male patient presents with acute symptomsof abdominal pain and a
history of intermittent heartburn and spicy foodintolerance, as well as anxiety due to his
college athletic performance. You have a concern the patient may have a perforated
gastric ulcer and is experiencing peritonitis. Which of the following exam findings is NOT
supportive of this diagnosis? - Correct Answer ✔✔ Absence of pain with withdrawal of
palpation.
Your new patient intake history of an elderly man includes a history of Ehlers-Danlos
with complications of retinal detachment treated with gas pneumopexy. In discussing
this history, you recall the transparent mass of gelatinous material where the gas
pneumopexy is performed can be found in which chamber(s) of the eye? - Correct
Answer ✔✔ Anterior only
While assessing the patient, you covered their right eye while you covered your left eye,
then brought a set number of fingers or wiggling fingers into each quadrant of the
patient's visual field while you had them identify when they saw your fingers/movement.
A normal exam would be documented as which of the following? - Correct Answer ✔✔
Normal Confrontation
A patient of Mediterranean descent who presents with microcytic anemia with normal
red cell distribution width should be evaluated using gel electrophoresis to confirm
which of the following types of anemia? - Correct Answer ✔✔ Thalassemia
The 43 year old male patient with macrocytic anemia should be evaluated for which of
the following lab levels to help narrow down the etiology? - Correct Answer ✔✔ Vitamin
B12
While examining a 53 year old female patient, you auscultate abnormal breath sounds
over all fields, and now assess transmission of voice sounds by having the patient say
"ee" while auscultating the chest with the diaphragm of your stethoscope. Normally, you
should auscultate a muffled "e" sound, however, you hear hear a nasally "a" sound.
Which one of the following will you document is present?*Positive
stereognosis.*Positive for egophony.*Negative for bronchophony.*Negative for
egophony - Correct Answer ✔✔ Positive for egophony
While assessing the 19 year old patient for a new onset cough, the nurse practitioner
may inspect, auscultate, palpate, and/or percuss.How does performing percussion of
the thorax assist the provider during the physical examination?*To assist with the
confirmation of cardiac origin of angina.*To assess for deep-seated lesion and
tumors.*To assess for any pain or discomfort prior to palpitation of the chest wall.*To
identify if underlying tissue are air-filled, fluid-filled or consolidated - Correct Answer ✔✔
To identify if underlying tissue are air-filled, fluid-filled or consolidated
, Your 42 year old male patient has been referred to your clinic for establishing care and
on his intake survey, you note he has documented diagnosis of interstitial lung disease.
You have decided to perform a diaphragmatic excursion test on the patient. Which one
of the following results would you expect to see in this patient? - Correct Answer ✔✔
Approximately equal level of change in the descent of the diaphragm bilaterally during
maximal inspiration and expiration. with a decreased overall inspiratory capacity
Your 50 year old Caucasian male patient has not seen a primary care giver in 20+ years
and is here for a history and physical examination. While examining the head and face,
you see your patient has nonpitting periorbital edema, particularly underneath their eyes
and very dry, thinned hair, including the lateral third of eyebrows (as pictured below:
Sparse hairline, thin lateral eyebrows, Periobital edema). Which one of the folowing
would you expect to cause this finding? - Correct Answer ✔✔ Severe hypothyroidism
A40 year old, female, African American patient presents for history and physical. Upon
your initial assessment, you notice she has severe exophthalmos as pictured below.
Which one of the following diagnoses below would be the highest on your differential
diagnose of this physical examination finding? (eyes bulging out of her head) - Correct
Answer ✔✔ Hyperthyroidism.
Your patient with a suspected diagnosis of COPD has been seen by pulmonology and
has underwent a pulmonary function test (PFT) with spirometry. As the patient's primary
healthcare provider, you have been asked to explain the findings of the PFT to the
patient in afollow-up visit at which time the patient asks what the study was evaluating.
To describe the PFT to the patient in more useful terms, you state that the large
inspiration of air to the furthest extent they could reasonably accomplish followed by a
full exhalation is referred to as which of the following measurements during the PFT? -
Correct Answer ✔✔ Forced Vital Capacity.
Your 32 year old female patient presented for a routine health exam states they have a
diagnoses of hyperthyroidism by anotherprovider a year ago. In addition to evaluation
with TSH and T4 labwork, which of the following represent typical signs of
hyperthyroidism expected on your exam of this patient? - Correct Answer ✔✔
tachycardia
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should
include which of the folowing while evaluatingfor end organ dysfunction of the disease?
*Renal function panel.*Urinalysis.*Non-dilated eye exam.*All of these are appropriate
options. - Correct Answer ✔✔ All of these are appropriate options.
The 33 year old male patient presents with complaints of abdominal pain after a recent
birthday party where other guests alsosuspected food borne illness and gastroenteritis.
To elicit the most accurate evaluation of this patient, which is the order of assessment
which should be done for the abdomen? - Correct Answer ✔✔ Inspection, auscultation,
palpation, percussion
ALREADY EXAM QUESTIONS &
VERIFIED ANSWERS ALL PASSED
During a post-hospital discharge visit, you notice your 71 year old female patient has
been diagnosed with a "new murmur" found by the hospitalist during their recent
hospitalization for CHF exacerbation. In evaluating the patient, during which phase of
the cardiac cycle would you anticipate auscultation of a S3 or S4 heart sound? - Correct
Answer ✔✔ Diastole
The point of maximum impulse (PMI) is most often palpable in healthy adults when
positioned in the supine or left lateral decubitus position. Which one of the following
locations is most commonly described as the PMI in a healthy adult? - Correct Answer
✔✔ left 5th ICS, MCL
The nurse practitioner assessing the patient with a rapid cardiac rhythm may assess for
a pulse deficit by auscultating the patient's heart while watching the EKG rhythm. Where
would the S1 heart sound correlate with the electrocardiographic waves? - Correct
Answer ✔✔ Peak of the R wave
Michael, a 72 year old male patient who previously presented with stable cardiac-type
chest pain has underwent a stress test. He presents today to review the stress test
results, which show EKG findings of ST segment depression during the exam in leads
V3 and V4 as well as some concurrent chest discomfort. Based on these findings, which
of the following are NOT priority medical decisions?
*Prescribe metoprolol (Lopressor) 12.5mg PO BID
*Prescribe aspirin 81mg PO daily
*Refer to cardiology for angiography
• Check for thyroid dysfunction - Correct Answer ✔✔ Check for thyroid dysfunction
Your newly established patient states in the past year, they have progressively
developed a noticeable bump on their neck and when asked about symptoms, they
report feeling very anxious, have developed a tremor, and are commonly feeling
palpitations in their chest.On examination, you identify an enlarged thyroid gland
suspicious for a goiter. Of the following diagnoses, which is most likely for the patient to
develop based on these findings above? - Correct Answer ✔✔ thyrotoxicosis
Your patient has a diagnosis of Addison's disease. Which of the following might you
expect to find during examination? - Correct Answer ✔✔ low body temperature
Your patient with a diagnosis of autoimmune hepatitis is beingseen in your clinic for
routine liver serology and follow-up examination. Which of the following correctly
,identifies the normal liver span when percussing the liver of a HEALTHY adult? -
Correct Answer ✔✔ 6-12 cm in the right midclavicular line.
The 19 year old male patient presents with acute symptomsof abdominal pain and a
history of intermittent heartburn and spicy foodintolerance, as well as anxiety due to his
college athletic performance. You have a concern the patient may have a perforated
gastric ulcer and is experiencing peritonitis. Which of the following exam findings is NOT
supportive of this diagnosis? - Correct Answer ✔✔ Absence of pain with withdrawal of
palpation.
Your new patient intake history of an elderly man includes a history of Ehlers-Danlos
with complications of retinal detachment treated with gas pneumopexy. In discussing
this history, you recall the transparent mass of gelatinous material where the gas
pneumopexy is performed can be found in which chamber(s) of the eye? - Correct
Answer ✔✔ Anterior only
While assessing the patient, you covered their right eye while you covered your left eye,
then brought a set number of fingers or wiggling fingers into each quadrant of the
patient's visual field while you had them identify when they saw your fingers/movement.
A normal exam would be documented as which of the following? - Correct Answer ✔✔
Normal Confrontation
A patient of Mediterranean descent who presents with microcytic anemia with normal
red cell distribution width should be evaluated using gel electrophoresis to confirm
which of the following types of anemia? - Correct Answer ✔✔ Thalassemia
The 43 year old male patient with macrocytic anemia should be evaluated for which of
the following lab levels to help narrow down the etiology? - Correct Answer ✔✔ Vitamin
B12
While examining a 53 year old female patient, you auscultate abnormal breath sounds
over all fields, and now assess transmission of voice sounds by having the patient say
"ee" while auscultating the chest with the diaphragm of your stethoscope. Normally, you
should auscultate a muffled "e" sound, however, you hear hear a nasally "a" sound.
Which one of the following will you document is present?*Positive
stereognosis.*Positive for egophony.*Negative for bronchophony.*Negative for
egophony - Correct Answer ✔✔ Positive for egophony
While assessing the 19 year old patient for a new onset cough, the nurse practitioner
may inspect, auscultate, palpate, and/or percuss.How does performing percussion of
the thorax assist the provider during the physical examination?*To assist with the
confirmation of cardiac origin of angina.*To assess for deep-seated lesion and
tumors.*To assess for any pain or discomfort prior to palpitation of the chest wall.*To
identify if underlying tissue are air-filled, fluid-filled or consolidated - Correct Answer ✔✔
To identify if underlying tissue are air-filled, fluid-filled or consolidated
, Your 42 year old male patient has been referred to your clinic for establishing care and
on his intake survey, you note he has documented diagnosis of interstitial lung disease.
You have decided to perform a diaphragmatic excursion test on the patient. Which one
of the following results would you expect to see in this patient? - Correct Answer ✔✔
Approximately equal level of change in the descent of the diaphragm bilaterally during
maximal inspiration and expiration. with a decreased overall inspiratory capacity
Your 50 year old Caucasian male patient has not seen a primary care giver in 20+ years
and is here for a history and physical examination. While examining the head and face,
you see your patient has nonpitting periorbital edema, particularly underneath their eyes
and very dry, thinned hair, including the lateral third of eyebrows (as pictured below:
Sparse hairline, thin lateral eyebrows, Periobital edema). Which one of the folowing
would you expect to cause this finding? - Correct Answer ✔✔ Severe hypothyroidism
A40 year old, female, African American patient presents for history and physical. Upon
your initial assessment, you notice she has severe exophthalmos as pictured below.
Which one of the following diagnoses below would be the highest on your differential
diagnose of this physical examination finding? (eyes bulging out of her head) - Correct
Answer ✔✔ Hyperthyroidism.
Your patient with a suspected diagnosis of COPD has been seen by pulmonology and
has underwent a pulmonary function test (PFT) with spirometry. As the patient's primary
healthcare provider, you have been asked to explain the findings of the PFT to the
patient in afollow-up visit at which time the patient asks what the study was evaluating.
To describe the PFT to the patient in more useful terms, you state that the large
inspiration of air to the furthest extent they could reasonably accomplish followed by a
full exhalation is referred to as which of the following measurements during the PFT? -
Correct Answer ✔✔ Forced Vital Capacity.
Your 32 year old female patient presented for a routine health exam states they have a
diagnoses of hyperthyroidism by anotherprovider a year ago. In addition to evaluation
with TSH and T4 labwork, which of the following represent typical signs of
hyperthyroidism expected on your exam of this patient? - Correct Answer ✔✔
tachycardia
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should
include which of the folowing while evaluatingfor end organ dysfunction of the disease?
*Renal function panel.*Urinalysis.*Non-dilated eye exam.*All of these are appropriate
options. - Correct Answer ✔✔ All of these are appropriate options.
The 33 year old male patient presents with complaints of abdominal pain after a recent
birthday party where other guests alsosuspected food borne illness and gastroenteritis.
To elicit the most accurate evaluation of this patient, which is the order of assessment
which should be done for the abdomen? - Correct Answer ✔✔ Inspection, auscultation,
palpation, percussion
