NR509 MIDTERM EXAM TESTBANK 1 WITH 400
QUESTIONS & CORRECT ANSWERS LATEST 2026/2027
A Patient who is deaf enters your examination room with a family member. When
building rapport with this patient, it is important to:
A. Ask their family member about the patient's medical history
B. Use family members for communication interpretation if needed
C. Address the patient directly regarding medical care
D. Utilize and address the interpreter regarding medical care
C
Upon reviewing a HPI of a patient you are about to see, it currently says: "ST is a 48
year old male with stabbing intermittent upper right quadrant abdominal pain with a
severity rating of 7/10 that started this morning. Patient states, 'It gets worse with
activity,' and denies any relief from Tylenol intake." With the attention to chronology,
what elaboration of the chief complaint is this current HPI missing?
A. Location
B. Quantity or Severity
C. Timing
D. Associated Manifestations
D
When formulating a plan and documenting it in the health history progress note within
the patient's medical record, the Advanced Practice Registered Nurse (APRN) should
incorporate all the following EXCEPT:
a. Changes in medications and needed diagnostic tests
b. Patient's response to the problems identified and to the diagnostic and therapeutic
interventions the APRN has recommended
c. Patient's subjective complaint and reason for seeking care
d. Education provided to the patient
C
The NP is conducting an H&P for patient Cathleen prior to gender reassignment surgery
male to female. How should the NP address the patient to establish rapport?
Good morning! My name is Charlotte Nguyen; I am a nurse practitioner and I work with
the surgery team. How would you like me to address you? What pronouns do you
prefer?
Good morning sweetie! How are you doing today? My name is Charlotte and I work with
the surgery team.
Good morning, Cathleen or is it Conor? Which name do you go by?
,Good morning Mrs. Saperstein! My name is Charlotte, and I am a nurse practitioner
working for the surgery team. Let's start with the questionnaires.
A
Mr. Jones came in for his annual physical exam. My Jones is physically disabled and
uses a wheelchair to get around. During his visit, which of the following actions are
correct?
A. Move the wheelchair to the back of the room to avoid a fire hazard?
B. Make sure there is a clear path to access the room and assistive devices.
C. Do the exam from the wheelchair
D. Call for assistance as soon as he arrives to move him to the exam table.
B
A patient has a BMI of 40 what classification of weight by body mass index does this
patient belong to?
Overweight
Obesity class 2
Obesity class 3
Obesity class 1
C
After attending a training class for comprehensive and focused history taking and
knowing the differences between these two types, the nurse practitioner can apply
focused history taking in which situation?
a. The patient is coming for the first time to the clinic.
b. The patient is admitted to a long-term care facility.
c. The patient is coming for a daycare surgery the next day.
d. The patient is having signs and symptoms of covid19.
D
. Chief Complaints are generally recorded in the patient's chart as:
"patient exhibits rebound tenderness at 4th lower quadrant"
"patient reports family history of colon cancer"
"patient brought self into the ED stating 'I've been noticing more and more blood when I
poop."
"Guaiac test demonstrates the presence of blood"
C
1. A 78-year-old patient comes into the clinic for an annual wellness exam under a new
insurance plan. She does not take any prescribed medications. She states that her
previous doctor, "was really on her about eating sugar." Which assessment finding is
consistent with the normal aging process and not a sign of an underlying disease?
A. Increased oral temperature
B. Elevated heart rate
C. Widened pulse pressure
D. Narrowed pulse pressure
C
Sam Inna, a 58-year-old, was stricken with cataracts about a year ago. Which
assessment data would the NP expect when collecting the nursing history from the
client?
,Blurred vision
Eye pain
Floaters
Eye redness
A
. The NP performs a physical assessment on a patient and noticed tonsillar exudates
with a beefy red uvula, what does the NP suspect of this condition:
Streptococcal pharyngitis
Tonsillitis
Gingivitis
Tongue carcinoma
A
Mr. Jones, an 86-year-old male who is independent and lives by himself, has a medical
history of CHD, Atrial fibrillation, and prostate cancer in admission is coming into clinic
with complaints of chronic, but worsening back pain. Prior to assessing Mr. Jones, what
are considerations you can take as the nurse practitioner to ensure communication is
effective and efficient?
a. Perform the assessment in a room next to a loud procedure
b. Speak fast, Mr. Jones probably wants to get home soon.
c. Face Mr. Jones and speak in low tones, enunciating, and ensure the patient has his
glasses, hearing devices or dentures if needed.
d. If Mr. Jones is accompanied by a family member, be sure to only speak directly to the
family member as Mr. Jones is too old to be a participant of his care.
C
A 65-year-old female presents to the clinic for a physical exam. The patient has a past
medical history of hypertension, hyperlipidemia, and diabetes. The patient is 5'5 and
190 lbs. The nurse practitioner documents in the patient's electronic health record that
the patient's BMI falls into which classification?
A) Obesity class I
B) Obesity class II
C) Overweight
D) Obesity class III
A
2. Which of these statements is correct about Open-angle glaucoma?
a. Open-angle glaucoma is Painless and gradual loss of vision
b. Open-angle glaucoma is Painful loss of vision
c. Open-angle glaucoma present with fixed midsized pupil
d. Open-angle glaucoma doesn't cause blindness.
A
Mr. Guillen, a 67-year-old male presents to your clinic for the first time for his yearly
physical. Which immunization is not routinely recommended for older adults in the
United States?
Influenza vaccination
, Zoster vaccination
HPV vaccination
Pneumococcal vaccination
C
A six-year-old boy is brought in by his father to the clinic for left ear pain and drainage.
After a thorough HEENT assessment, the FNP suspects otitis media. The FNP knows
that which of the following is NOT true regarding otitis media?
Movement of the auricle and tragus is painful.
Tenderness behind the ears is present.
Bone conduction is equal to or longer than air conduction.
Sensorineural hearing is intact.
A
A 60 y/o patient complains of feeling dizzy. The nurse practitioner (NP) wants to clarify
what the patient means by dizzy and will ask:
"Do you feel dizzy or lightheaded?"
"Do your symptoms get worse when you move your head?"
"Do you have any ear drainage?"
"Do you have any bruising."
B
A 40-year-old Hispanic male is visiting you in clinic for the first time. Patient denies any
past medical history, surgical history and any allergies. You're examining your patient's
thyroid. As you palpate over the thyroid gland it feels firm and no nodules are felt.
Patient denies any tenderness as you palpate. What diagnosis are you to consider?
Thyroiditis
Graves' Disease
Hashimoto Thyroiditis
Normal finding
B
Williams is 27 -year-old construction worker shows up in your clinic complaining of pain
to his eyes. His eyes are very red and appear irritated. He states, "He feels like there is
something in his eyes." Which of the following is the most appropriate intervention by
the Nurse Practitioner?
Perform a physical examination including and eye exam.
Apply a warm compress, prescribe an antibiotic eye drops and send him home
Perform a focus examination of the eye, history of present illness, and attempt to
remove the foreign body following the fluorescein staining procedure
Refer him to an ophthalmologist
C
A 24-year-old male patient presented to a clinic for his annual check-up. A nurse
practitioner is palpating the apical impulse. Where should the NP palpate?
A) Third left intercostal space at the midclavicular line
B) Forth left intercostal space at the sternal border
QUESTIONS & CORRECT ANSWERS LATEST 2026/2027
A Patient who is deaf enters your examination room with a family member. When
building rapport with this patient, it is important to:
A. Ask their family member about the patient's medical history
B. Use family members for communication interpretation if needed
C. Address the patient directly regarding medical care
D. Utilize and address the interpreter regarding medical care
C
Upon reviewing a HPI of a patient you are about to see, it currently says: "ST is a 48
year old male with stabbing intermittent upper right quadrant abdominal pain with a
severity rating of 7/10 that started this morning. Patient states, 'It gets worse with
activity,' and denies any relief from Tylenol intake." With the attention to chronology,
what elaboration of the chief complaint is this current HPI missing?
A. Location
B. Quantity or Severity
C. Timing
D. Associated Manifestations
D
When formulating a plan and documenting it in the health history progress note within
the patient's medical record, the Advanced Practice Registered Nurse (APRN) should
incorporate all the following EXCEPT:
a. Changes in medications and needed diagnostic tests
b. Patient's response to the problems identified and to the diagnostic and therapeutic
interventions the APRN has recommended
c. Patient's subjective complaint and reason for seeking care
d. Education provided to the patient
C
The NP is conducting an H&P for patient Cathleen prior to gender reassignment surgery
male to female. How should the NP address the patient to establish rapport?
Good morning! My name is Charlotte Nguyen; I am a nurse practitioner and I work with
the surgery team. How would you like me to address you? What pronouns do you
prefer?
Good morning sweetie! How are you doing today? My name is Charlotte and I work with
the surgery team.
Good morning, Cathleen or is it Conor? Which name do you go by?
,Good morning Mrs. Saperstein! My name is Charlotte, and I am a nurse practitioner
working for the surgery team. Let's start with the questionnaires.
A
Mr. Jones came in for his annual physical exam. My Jones is physically disabled and
uses a wheelchair to get around. During his visit, which of the following actions are
correct?
A. Move the wheelchair to the back of the room to avoid a fire hazard?
B. Make sure there is a clear path to access the room and assistive devices.
C. Do the exam from the wheelchair
D. Call for assistance as soon as he arrives to move him to the exam table.
B
A patient has a BMI of 40 what classification of weight by body mass index does this
patient belong to?
Overweight
Obesity class 2
Obesity class 3
Obesity class 1
C
After attending a training class for comprehensive and focused history taking and
knowing the differences between these two types, the nurse practitioner can apply
focused history taking in which situation?
a. The patient is coming for the first time to the clinic.
b. The patient is admitted to a long-term care facility.
c. The patient is coming for a daycare surgery the next day.
d. The patient is having signs and symptoms of covid19.
D
. Chief Complaints are generally recorded in the patient's chart as:
"patient exhibits rebound tenderness at 4th lower quadrant"
"patient reports family history of colon cancer"
"patient brought self into the ED stating 'I've been noticing more and more blood when I
poop."
"Guaiac test demonstrates the presence of blood"
C
1. A 78-year-old patient comes into the clinic for an annual wellness exam under a new
insurance plan. She does not take any prescribed medications. She states that her
previous doctor, "was really on her about eating sugar." Which assessment finding is
consistent with the normal aging process and not a sign of an underlying disease?
A. Increased oral temperature
B. Elevated heart rate
C. Widened pulse pressure
D. Narrowed pulse pressure
C
Sam Inna, a 58-year-old, was stricken with cataracts about a year ago. Which
assessment data would the NP expect when collecting the nursing history from the
client?
,Blurred vision
Eye pain
Floaters
Eye redness
A
. The NP performs a physical assessment on a patient and noticed tonsillar exudates
with a beefy red uvula, what does the NP suspect of this condition:
Streptococcal pharyngitis
Tonsillitis
Gingivitis
Tongue carcinoma
A
Mr. Jones, an 86-year-old male who is independent and lives by himself, has a medical
history of CHD, Atrial fibrillation, and prostate cancer in admission is coming into clinic
with complaints of chronic, but worsening back pain. Prior to assessing Mr. Jones, what
are considerations you can take as the nurse practitioner to ensure communication is
effective and efficient?
a. Perform the assessment in a room next to a loud procedure
b. Speak fast, Mr. Jones probably wants to get home soon.
c. Face Mr. Jones and speak in low tones, enunciating, and ensure the patient has his
glasses, hearing devices or dentures if needed.
d. If Mr. Jones is accompanied by a family member, be sure to only speak directly to the
family member as Mr. Jones is too old to be a participant of his care.
C
A 65-year-old female presents to the clinic for a physical exam. The patient has a past
medical history of hypertension, hyperlipidemia, and diabetes. The patient is 5'5 and
190 lbs. The nurse practitioner documents in the patient's electronic health record that
the patient's BMI falls into which classification?
A) Obesity class I
B) Obesity class II
C) Overweight
D) Obesity class III
A
2. Which of these statements is correct about Open-angle glaucoma?
a. Open-angle glaucoma is Painless and gradual loss of vision
b. Open-angle glaucoma is Painful loss of vision
c. Open-angle glaucoma present with fixed midsized pupil
d. Open-angle glaucoma doesn't cause blindness.
A
Mr. Guillen, a 67-year-old male presents to your clinic for the first time for his yearly
physical. Which immunization is not routinely recommended for older adults in the
United States?
Influenza vaccination
, Zoster vaccination
HPV vaccination
Pneumococcal vaccination
C
A six-year-old boy is brought in by his father to the clinic for left ear pain and drainage.
After a thorough HEENT assessment, the FNP suspects otitis media. The FNP knows
that which of the following is NOT true regarding otitis media?
Movement of the auricle and tragus is painful.
Tenderness behind the ears is present.
Bone conduction is equal to or longer than air conduction.
Sensorineural hearing is intact.
A
A 60 y/o patient complains of feeling dizzy. The nurse practitioner (NP) wants to clarify
what the patient means by dizzy and will ask:
"Do you feel dizzy or lightheaded?"
"Do your symptoms get worse when you move your head?"
"Do you have any ear drainage?"
"Do you have any bruising."
B
A 40-year-old Hispanic male is visiting you in clinic for the first time. Patient denies any
past medical history, surgical history and any allergies. You're examining your patient's
thyroid. As you palpate over the thyroid gland it feels firm and no nodules are felt.
Patient denies any tenderness as you palpate. What diagnosis are you to consider?
Thyroiditis
Graves' Disease
Hashimoto Thyroiditis
Normal finding
B
Williams is 27 -year-old construction worker shows up in your clinic complaining of pain
to his eyes. His eyes are very red and appear irritated. He states, "He feels like there is
something in his eyes." Which of the following is the most appropriate intervention by
the Nurse Practitioner?
Perform a physical examination including and eye exam.
Apply a warm compress, prescribe an antibiotic eye drops and send him home
Perform a focus examination of the eye, history of present illness, and attempt to
remove the foreign body following the fluorescein staining procedure
Refer him to an ophthalmologist
C
A 24-year-old male patient presented to a clinic for his annual check-up. A nurse
practitioner is palpating the apical impulse. Where should the NP palpate?
A) Third left intercostal space at the midclavicular line
B) Forth left intercostal space at the sternal border
