NURS 316 MIDTERM 2026 NURSING
TEST PAPER QUESTIONS ANSWERS
GRADED A+
◉ The first question you will need to ask Miss Smith is?
a. have medications been effective
b. onset
c. does she have any allergies
d. does anyone in her family have emphysema.
Answer: b. onset
◉ What review of systems will you need to review with Miss Smith?
a. ears, nose, throat, and respiratory
b. HEENT and respiratory
c. HEENT, respiratory, cardiac
d. HEENT, respiratory, cardiac, endocrine.
Answer: b. HEENT and respiratory
◉ What physical exam will you need to complete on Miss Smith?
a. HEENT and respiratory
b. Ears, nose, throat, and respiratory
c. HEENT, cervical nodes, respiratory
d. ears, nose, throat, cervical nodes, respiratory, and cardiac.
Answer: c. HEENT, cervical nodes, respiratory
,◉ Possible differential diagnoses for Miss Smith include the following?
a. allergies, flu
b. URI, strep throat
c. viral pneumonia, bacterial pneumonia
d. all of the above.
Answer: d. all of the above
◉ ou would suspect Miss Smith has a bacterial infection if you find the
following on the physical exam?
a. the presence of a boggy edematous nasal mucosa, tearing, and
conjunctivitis
b. course rhonchi, red pharynx, and productive cough
c. rhinitis, fever, headache, achy feeling
d. croupy cough, scattered rales.
Answer: b. course rhonchi, red pharynx, and productive cough
◉ A possible nursing diagnosis for Miss Smith is?
a. ineffective airway related to fever
b. ineffective cough related to normal aging process
c. ineffective airway clearance related to mucous secretions
d. fever related to pneumonia.
Answer: c. ineffective airway clearance related to mucous secretions
,◉ usy, age 2-years-old, comes to your office with complaints of a runny
nose, cough, conjunctivitis, and a fever of 101 degrees. On examination
you notice a red flat rash on her face and trunk. (Use this scenario for the
next 4 questions).
Susy's rash can be described as which of the following?
a. papular
b. vesicular
c. macular
d. squamous.
Answer: c. macular
◉ Characteristics of a rash include all of the following except?
a. distribution
b. pruritis
c. color
d. heat.
Answer: d. heat
◉ What question is not relevant to ask Susy's mother? (in this situation)
a. has the MMR immunization been given
b. medical history
c. symptomatology
d. food allergies.
, Answer: d. food allergies
◉ Possible differential diagnoses for Susy include the following except?
a. scabies
b. scarlet fever
c. rubella
d. roseola.
Answer: a. scabies
◉ In order to distract Susy while you talk to her mother, you give her a
toy to play with. Which of the following is appropriate for her age?
a. coloring book and crayons
b. magazine
c. blocks
d. tongue blade.
Answer: c. blocks
◉ You are a family nurse practitioner (FNP) at a rural clinic. Your first
patient today is Mr. Jones who C/O pain in his chest for 2 - 3 weeks.
(Use this scenario for the next five questions)
Possible differential diagnoses for Mr. Jones include all of the following
except?
TEST PAPER QUESTIONS ANSWERS
GRADED A+
◉ The first question you will need to ask Miss Smith is?
a. have medications been effective
b. onset
c. does she have any allergies
d. does anyone in her family have emphysema.
Answer: b. onset
◉ What review of systems will you need to review with Miss Smith?
a. ears, nose, throat, and respiratory
b. HEENT and respiratory
c. HEENT, respiratory, cardiac
d. HEENT, respiratory, cardiac, endocrine.
Answer: b. HEENT and respiratory
◉ What physical exam will you need to complete on Miss Smith?
a. HEENT and respiratory
b. Ears, nose, throat, and respiratory
c. HEENT, cervical nodes, respiratory
d. ears, nose, throat, cervical nodes, respiratory, and cardiac.
Answer: c. HEENT, cervical nodes, respiratory
,◉ Possible differential diagnoses for Miss Smith include the following?
a. allergies, flu
b. URI, strep throat
c. viral pneumonia, bacterial pneumonia
d. all of the above.
Answer: d. all of the above
◉ ou would suspect Miss Smith has a bacterial infection if you find the
following on the physical exam?
a. the presence of a boggy edematous nasal mucosa, tearing, and
conjunctivitis
b. course rhonchi, red pharynx, and productive cough
c. rhinitis, fever, headache, achy feeling
d. croupy cough, scattered rales.
Answer: b. course rhonchi, red pharynx, and productive cough
◉ A possible nursing diagnosis for Miss Smith is?
a. ineffective airway related to fever
b. ineffective cough related to normal aging process
c. ineffective airway clearance related to mucous secretions
d. fever related to pneumonia.
Answer: c. ineffective airway clearance related to mucous secretions
,◉ usy, age 2-years-old, comes to your office with complaints of a runny
nose, cough, conjunctivitis, and a fever of 101 degrees. On examination
you notice a red flat rash on her face and trunk. (Use this scenario for the
next 4 questions).
Susy's rash can be described as which of the following?
a. papular
b. vesicular
c. macular
d. squamous.
Answer: c. macular
◉ Characteristics of a rash include all of the following except?
a. distribution
b. pruritis
c. color
d. heat.
Answer: d. heat
◉ What question is not relevant to ask Susy's mother? (in this situation)
a. has the MMR immunization been given
b. medical history
c. symptomatology
d. food allergies.
, Answer: d. food allergies
◉ Possible differential diagnoses for Susy include the following except?
a. scabies
b. scarlet fever
c. rubella
d. roseola.
Answer: a. scabies
◉ In order to distract Susy while you talk to her mother, you give her a
toy to play with. Which of the following is appropriate for her age?
a. coloring book and crayons
b. magazine
c. blocks
d. tongue blade.
Answer: c. blocks
◉ You are a family nurse practitioner (FNP) at a rural clinic. Your first
patient today is Mr. Jones who C/O pain in his chest for 2 - 3 weeks.
(Use this scenario for the next five questions)
Possible differential diagnoses for Mr. Jones include all of the following
except?
