NR 509 Week 4 Midterm Exam
Question and Choices
The question asks: Which of the following symptoms most likely indicates that the left ventricle
is not adequately moving blood through the circulation?
The choices are:
• A. Lightheadedness or loss of consciousness upon standing
• B. Irregular or extra heartbeats upon changing positions
• C. Swelling in the legs and ankles when in a recumbent position
• D. Shortness of breath, especially with exertion or lying flat
Correct Answer and Explanation
The correct answer is D.
,A NP is evaluating a 74-year-old female for an open wound on the left lower leg (see image). She
denies injury and reports the wound is very painful. On examination, the NP does not note any
odor from the wound or increased warmth with palpation. Based on history and physical
examination, which of the following most likely explains her signs and symptoms?
Answer choices:
A. Chronic atrial insufficiency
B. Gangrenous wound
C. Peripheral artery disease
D. Chronic venous insufficiency
Correct answer: C. Peripheral artery disease (PAD)
,A patient presents to the clinic with new complaints of chest discomfort. The NP has obtained a
detailed HPI, review of systems, and history during the encounter. What information should the
NP use to decide if focused or comprehensive physical examination should be conducted?
Answer choices:
A. Vital signs, as they provide the most objective information about the patient’s condition B.
The patient’s overall appearance, body structure, mobility, and behavior to gather a broad
impression of their health status
C. The patient’s self-reported symptoms will help determine their general health without making
objective observations
D. The patient’s weight and posture, as these are the most important aspects of a general survey
✅ Correct Answer: B. The patient’s overall appearance, body structure, mobility, and
behavior to gather a broad impression of their health status
, During an otoscopic examination of a patient with complaints of itching and hearing loss, the NP observes
a hole in the tympanic membrane. The tympanic membrane appears scarred, with no visible landmarks.
What is the most likely physical finding the NP is observing?
Answers:
A. Serous otitis media
B. Central tympanic membrane perforation
C. Infectious otitis externa
D. Tympanosclerosis of the middle ear
Answer: B. Central tympanic membrane perforation
Question and Choices
The question asks: Which of the following symptoms most likely indicates that the left ventricle
is not adequately moving blood through the circulation?
The choices are:
• A. Lightheadedness or loss of consciousness upon standing
• B. Irregular or extra heartbeats upon changing positions
• C. Swelling in the legs and ankles when in a recumbent position
• D. Shortness of breath, especially with exertion or lying flat
Correct Answer and Explanation
The correct answer is D.
,A NP is evaluating a 74-year-old female for an open wound on the left lower leg (see image). She
denies injury and reports the wound is very painful. On examination, the NP does not note any
odor from the wound or increased warmth with palpation. Based on history and physical
examination, which of the following most likely explains her signs and symptoms?
Answer choices:
A. Chronic atrial insufficiency
B. Gangrenous wound
C. Peripheral artery disease
D. Chronic venous insufficiency
Correct answer: C. Peripheral artery disease (PAD)
,A patient presents to the clinic with new complaints of chest discomfort. The NP has obtained a
detailed HPI, review of systems, and history during the encounter. What information should the
NP use to decide if focused or comprehensive physical examination should be conducted?
Answer choices:
A. Vital signs, as they provide the most objective information about the patient’s condition B.
The patient’s overall appearance, body structure, mobility, and behavior to gather a broad
impression of their health status
C. The patient’s self-reported symptoms will help determine their general health without making
objective observations
D. The patient’s weight and posture, as these are the most important aspects of a general survey
✅ Correct Answer: B. The patient’s overall appearance, body structure, mobility, and
behavior to gather a broad impression of their health status
, During an otoscopic examination of a patient with complaints of itching and hearing loss, the NP observes
a hole in the tympanic membrane. The tympanic membrane appears scarred, with no visible landmarks.
What is the most likely physical finding the NP is observing?
Answers:
A. Serous otitis media
B. Central tympanic membrane perforation
C. Infectious otitis externa
D. Tympanosclerosis of the middle ear
Answer: B. Central tympanic membrane perforation
