1
NU650/ NU 650 MIDTERM EXAM: (NEW
2026/ 2027 UPDATE) ADVANCED HEALTH
ASSESSMENT GUIDE| QS & AS| 100%
CORRECT (VERIFIED ANSWERS)
When percussing the abdomen, you would document the normal finding of
percussion over the intestines as:
A. Tympanic
B. Dull
C. Resonant
D. Hyperresonant CORRECT ANSWER: A
Which of the following abdominal exam findings would prompt the NP to
consider cholecystitis as a differential diagnosis?
A. Positive psoas sign
B. Positive Rovsing's sign
C. Positive Obturator sign
D. Positive murphy's sign CORRECT ANSWER: D
Which of the following symptoms would you expect from a young adolescent in
the early phase of appendicitis?
A. Abdominal pain two hours after eating
B. CVA tenderness
C. Severe RLQ pain with pallor and sweating
D. Constipation CORRECT ANSWER: C
A 40 year old male patient presents with sinus pain, pressure and yellow nasal
discharge. Your exam would include palpation of:
A. Ethmoid and frontal sinuses
, 2
B. Maxillary and sphenoid sinuses
C. Frontal and maxillary sinuses
D. Sphenoid and ethmoid sinuses CORRECT ANSWER: C
A 60 y.o presents with a 3-day history of left eye irritation. Which of the following
findings should be recorded in the ROS?
A. Patient denies eye pain or change in vision
B. Vision is 20/20 by Snellen Chary
C. Yellow crust is visible at the inner canthus of the left eye
D. all of the above CORRECT ANSWER: A
During a physical exam of the throat, which of the following structures of the
mouth/throat should rise when the patient says "aah"?
A. Hard palate
B. Soft palate
C. Lingual frenulum
D. Buccal mucosa CORRECT ANSWER: B
In conductive type hearing loss, you would expect:
A. sound lateralizes to the good ear when the weber test is used
B. sound lateralizes to the affected (bad) ear when the weber test is used
C. The weber test remains unaltered with conductive type hearing loss and sound
will be heard equally in both ears
D. The weber test can cause discomfort in a patient with conductive type hearing
loss and should not be used in this situation CORRECT ANSWER: B
On exam of the posterior pharynx, you are able to visualize the tonsils bilaterally
extending just past the anterior and posterior pillars. According to the Friedman
Scale, how would you document this finding in your note?
A. tonsils noted to be normal
B. Tonsils visualized grade 3
C. Tonsils visualized grade 1
D. Tonsils visualized grade 2 CORRECT ANSWER: C
The NP will assess visual acuity using which of the following tests?
A. Snellen test
B. Cover test
, 3
C. Accommodation test
D. Confrontation test CORRECT ANSWER: A
The NP will recognize which of the following findings when assessing the lymph
nodes in the head and neck as worrisome, warranting further workup?
A. Tender tonsillar and submandibular nodes in the presence of a streptococcal
infection
B. Any lymph node that the NP is able to roll in two directions: up and down, side
to side
C. Enlarged supraclavicular nodes
D. Deep cervical chain nodes that are inaccessible to exam CORRECT ANSWER: C
When conducting an ophthalmoscopic exam, the NP will differentiate arteries
from veins by noting:
A. Larger size of arteries
B. Bright light reflection of arteries
C. Dark red color of arteries
D. location of the vessel to the optic disc CORRECT ANSWER: B
When examining a 3 y.o presenting to your office with right ear pain, which
would be the appropriate order for the assessment?
A. Right ear, left ear, mouth, nose, neck, lungs, heart
B. Neck, lungs, heart, mouth, nose, left ear, right ear
C. Left ear, right ear, neck, lungs, heart and nose
D. Lungs, heart, mouth, nose, and right ear. CORRECT ANSWER: B
Which of the following describes the proper technique for examination of the ear
canal and drum for a 5 year old?
A. Use the smallest ear speculum, position the pt. head so that you see
comfortable, straighten the ear canal by grasping the auricle firmly and pulling it
upward and backward, slightly away from the head.
B. use the largest ear speculum that inserts easily in the canal, position the
patients head so that you see comfortable, straighten the ear canal by grasping
the auricle firmly and pulling it downward and backward, slightly away from the
head CORRECT ANSWER: B
, 4
Which of the following findings on exam of the nasal mucosa and septum would
most likely indicate allergic rhinitis?
A. Reddened nasal mucosa with purulent drainage
B. pale or bluish nasal mucosa with clear drainage
C. fresh blood or crusting of the nasal mucosa
D. Asymmetry in appearance between the right and left sides CORRECT ANSWER:
B
Which of the following is/are normal in the examination of the oral cavity?
A. a midline lingual frenulum extending from the tongue to the floor of the
mouth
B. papillae covering the dorsum of the tongue
C. Pink buccal mucosa lining the cheeks
D. All of the above are normal CORRECT ANSWER: D
Which of the following techniques identifies the correct way to use an
ophthalmascope to inspect the optic disc and retina in the patients left eye? The
NP will hold the ophthalmoscope:
A. in their left hand and examine the patients left eye with his or hear left eye
B. in the right hand and examine the patients left eye with her or her right eye.
C. In their dominant hand and examine both of the patients eyes with his/her
dominant eye
D. According to personal preference and experience CORRECT ANSWER: A
You are examining a 4 y.o boy who presents to the office with his mother who
complains that he gets bloody noses frequently. You know that the most
common cause of epitaxis in the age group is:
A. Chronic rhinitis
B. Foreign body
C. picking their nose
D. Allergic rhinitis CORRECT ANSWER: C
You are examining a 9-month-old in your office and do not see a red reflex on the
fundoscopic exam. This finding would cause concern as it can indicate which of
the following?
A. Glaucoma
B. Dacryostenosis
NU650/ NU 650 MIDTERM EXAM: (NEW
2026/ 2027 UPDATE) ADVANCED HEALTH
ASSESSMENT GUIDE| QS & AS| 100%
CORRECT (VERIFIED ANSWERS)
When percussing the abdomen, you would document the normal finding of
percussion over the intestines as:
A. Tympanic
B. Dull
C. Resonant
D. Hyperresonant CORRECT ANSWER: A
Which of the following abdominal exam findings would prompt the NP to
consider cholecystitis as a differential diagnosis?
A. Positive psoas sign
B. Positive Rovsing's sign
C. Positive Obturator sign
D. Positive murphy's sign CORRECT ANSWER: D
Which of the following symptoms would you expect from a young adolescent in
the early phase of appendicitis?
A. Abdominal pain two hours after eating
B. CVA tenderness
C. Severe RLQ pain with pallor and sweating
D. Constipation CORRECT ANSWER: C
A 40 year old male patient presents with sinus pain, pressure and yellow nasal
discharge. Your exam would include palpation of:
A. Ethmoid and frontal sinuses
, 2
B. Maxillary and sphenoid sinuses
C. Frontal and maxillary sinuses
D. Sphenoid and ethmoid sinuses CORRECT ANSWER: C
A 60 y.o presents with a 3-day history of left eye irritation. Which of the following
findings should be recorded in the ROS?
A. Patient denies eye pain or change in vision
B. Vision is 20/20 by Snellen Chary
C. Yellow crust is visible at the inner canthus of the left eye
D. all of the above CORRECT ANSWER: A
During a physical exam of the throat, which of the following structures of the
mouth/throat should rise when the patient says "aah"?
A. Hard palate
B. Soft palate
C. Lingual frenulum
D. Buccal mucosa CORRECT ANSWER: B
In conductive type hearing loss, you would expect:
A. sound lateralizes to the good ear when the weber test is used
B. sound lateralizes to the affected (bad) ear when the weber test is used
C. The weber test remains unaltered with conductive type hearing loss and sound
will be heard equally in both ears
D. The weber test can cause discomfort in a patient with conductive type hearing
loss and should not be used in this situation CORRECT ANSWER: B
On exam of the posterior pharynx, you are able to visualize the tonsils bilaterally
extending just past the anterior and posterior pillars. According to the Friedman
Scale, how would you document this finding in your note?
A. tonsils noted to be normal
B. Tonsils visualized grade 3
C. Tonsils visualized grade 1
D. Tonsils visualized grade 2 CORRECT ANSWER: C
The NP will assess visual acuity using which of the following tests?
A. Snellen test
B. Cover test
, 3
C. Accommodation test
D. Confrontation test CORRECT ANSWER: A
The NP will recognize which of the following findings when assessing the lymph
nodes in the head and neck as worrisome, warranting further workup?
A. Tender tonsillar and submandibular nodes in the presence of a streptococcal
infection
B. Any lymph node that the NP is able to roll in two directions: up and down, side
to side
C. Enlarged supraclavicular nodes
D. Deep cervical chain nodes that are inaccessible to exam CORRECT ANSWER: C
When conducting an ophthalmoscopic exam, the NP will differentiate arteries
from veins by noting:
A. Larger size of arteries
B. Bright light reflection of arteries
C. Dark red color of arteries
D. location of the vessel to the optic disc CORRECT ANSWER: B
When examining a 3 y.o presenting to your office with right ear pain, which
would be the appropriate order for the assessment?
A. Right ear, left ear, mouth, nose, neck, lungs, heart
B. Neck, lungs, heart, mouth, nose, left ear, right ear
C. Left ear, right ear, neck, lungs, heart and nose
D. Lungs, heart, mouth, nose, and right ear. CORRECT ANSWER: B
Which of the following describes the proper technique for examination of the ear
canal and drum for a 5 year old?
A. Use the smallest ear speculum, position the pt. head so that you see
comfortable, straighten the ear canal by grasping the auricle firmly and pulling it
upward and backward, slightly away from the head.
B. use the largest ear speculum that inserts easily in the canal, position the
patients head so that you see comfortable, straighten the ear canal by grasping
the auricle firmly and pulling it downward and backward, slightly away from the
head CORRECT ANSWER: B
, 4
Which of the following findings on exam of the nasal mucosa and septum would
most likely indicate allergic rhinitis?
A. Reddened nasal mucosa with purulent drainage
B. pale or bluish nasal mucosa with clear drainage
C. fresh blood or crusting of the nasal mucosa
D. Asymmetry in appearance between the right and left sides CORRECT ANSWER:
B
Which of the following is/are normal in the examination of the oral cavity?
A. a midline lingual frenulum extending from the tongue to the floor of the
mouth
B. papillae covering the dorsum of the tongue
C. Pink buccal mucosa lining the cheeks
D. All of the above are normal CORRECT ANSWER: D
Which of the following techniques identifies the correct way to use an
ophthalmascope to inspect the optic disc and retina in the patients left eye? The
NP will hold the ophthalmoscope:
A. in their left hand and examine the patients left eye with his or hear left eye
B. in the right hand and examine the patients left eye with her or her right eye.
C. In their dominant hand and examine both of the patients eyes with his/her
dominant eye
D. According to personal preference and experience CORRECT ANSWER: A
You are examining a 4 y.o boy who presents to the office with his mother who
complains that he gets bloody noses frequently. You know that the most
common cause of epitaxis in the age group is:
A. Chronic rhinitis
B. Foreign body
C. picking their nose
D. Allergic rhinitis CORRECT ANSWER: C
You are examining a 9-month-old in your office and do not see a red reflex on the
fundoscopic exam. This finding would cause concern as it can indicate which of
the following?
A. Glaucoma
B. Dacryostenosis
