NU 650/ NU650 Final Exam | Health Assessment (Latest 2025/ 2026 Update) | Questions and Verified Answers | 100 out of 100 | GRADED A | 100% Correct – Regis

NU 650/ NU650 Final Exam | Health Assessment (Latest 2025/ 2026 Update) | Questions and Verified Answers | 100 out of 100 | GRADED A | 100% Correct – Regis Question: You place a quarter in your client's hand and ask him to identify it without looking. You are testing which discriminative sensation? Answer: Stereognosis Question: Which of the following neurological tests assess the sensory system? Answer: Vibration and position Question: When you ask a 68 year old patient to stand with his feet together and arms at his sides with eyes closed, he starts to sway and moves his feet further apart and stumbles. You would document this as Answer: Positive Romberg's sign Question: Which of the following responses would the NP recognize as worrisome? Answer: Dorsiflexion of the great toe when eliciting a plantar response Question: The NP examines a 6 month old infant girl for a well child visit. The presence of which of the following reflexes will be noted as normal? Answer: Landau reflex or parachute reflex are both correct Question: The NP uses the get up and go (TUG) test to evaluate mobility of a 75 year old male patient. The expectation is that the patient should be able to complete this in Answer: 10 seconds Question: A patient reports problems with balance. On physical exam you notice an unsteady gait. This most likely represents a disturbance in Answer: Cerebellum function Question: The NP demonstrates and had the patient demonstrate rapid alternating movements to assess Answer: Coordination Question: Biceps reflex response Answer: Flexion at the elbow Question: Brachioradialis reflex response Answer: Flexion at the forearm Question: Achilles reflex response Answer: Plantar flexion at the ankle Question: Triceps reflex response Answer: Extension at the elbow Question: Quadriceps/Patellar reflex response Answer: Extension at the knee Question: CN II Answer: Check the patient's vision Question: CN V Answer: Palpate the temporal and masseter muscles as the patient clenches his jaw Question: CN VII Answer: Have the client raise both eyebrows, close both eyes tightly, puff out his cheeks and smile Question: CN XI Answer: Have the patient shrug their shoulders upward against your hands Question: CN XII Answer: Ask the patient to stick out their tongue Question: When performing a rectal exam, you note a firm, irregularly shaped mass. What would be an appropriate response Answer: Report finding and refer the patient to a GI specialist for further evaluation Question: Cervical motion tenderness is associated with what condition Answer: Pelvic inflammatory disease Question: How to ask about a patient's gender Answer: Incorporate open ended, neutral questions into the sexual history Question: Which of the following would be consistent with a normal testicular exam Answer: Testes that feel ovoid and mobile, and slight sensation is felt by the patient upon compression Question: Which of the following is appropriate in the preparation of the female patient for a pelvic exam or Pap smear Answer: Assure the woman that she can stop the exam at any point if she feels discomfort Question: Which of the following is/are associated with an increased breast cancer risk Answer: Heavy alcohol use, first degree relative with breast cancer, and advancing age Question: Which of the following objective findings is/are consistent with a normal prostate Answer: It is heart shaped with a palpable groove, it's surface is smooth, it has an elastic rubbery consistency Question: When performing an exam on a 47 year old man you notice swelling around the inguinal ring alongside the pubic hair that is not painful and reduces without difficulty in the supine position. This finding is most consistent with which of the following diagnoses Answer: A direct inguinal hernia Question: Which of the following findings on palpation of the breast is most suggestive of cancer Answer: Firm, nontender lump that is fixed to underlying tissue Question: The NP will assist a 6 year old female patient to which of the following positions to examine her genitalia Answer: Supine, frog leg position Question: The nurse practitioner palpates a woman's ovaries. Which of the following represents a normal finding? Answer: The ovaries are smooth, firm, mobile and almond shaped Question: The order of examination of the internal female genitalia is important. Which statement best describes the proper order of examination Answer: Speculum examination, bimanual vaginal examination, rectovaginal examination Question: Menorrhagia Answer: excessive menstrual flow Question: metorrhagia Answer: intermenstrual bleeding Question: oligomenorrhea Answer: Infrequent menstrual bleeding Question: Polymenorrhea Answer: less than 21-day intervals between menses Question: During the genitalia exam of the newborn male infant, the NP recognizes which of the following findings as normal Answer: Nonretractable or only minimally retractable foreskin Question: Menopause is defined as Answer: Absence of menses for 12 consecutive months Question: Cone shaped breast tissue that projects up into the axilla Answer: tail of spence Question: The NP is performing a sports physical on an adolescent male and notes coarse curly pubic hair spread sparsely over the pubic symphysis. This will be documented as tanner stage Answer: 3 Question: Match the anatomical structure to the correct description-Bursae Answer: Fluid filled sac Question: Match the anatomical structure to the correct description-Ligament Answer: Bone to bone elastic tissue Question: Match the anatomical structure to the correct description-Tendon Answer: Muscle to bone elastic tissue Question: A 16 year-old male patient presents for an acute contusion to his left lower extremity sustained while playing soccer. The NP will anticipate the following signs of inflammation to be present: Answer: All of the above Question: An 80-year-old female is seen for evaluation of a possible joint replacement. The NP performs a complete musculoskeletal examination. The NP asks the patient to move her right arm out to the side and away from her body. If performed correctly, the NP will document the patient was able to demonstrate which of the following movements? Answer: Abduction Question: An 80-year-old female is seen for evaluation of a possible joint replacement. The NP performs a complete musculoskeletal examination. The NP asks the patient to move her head forward to touch her chin to her chest to check her range of motion. The movement she is performing is described as: Answer: Flexion Question: An 80-year-old female is seen for evaluation of a possible joint replacement. The NP performs a complete musculoskeletal examination. The NP asks the patient to point her foot downward towards the floor. The NP will note the patients ability for: Answer: Plantar flexion Question: Match the following cranial nerves with the activities used to test them-CN II Answer: Visual acuity Question: Match the following cranial nerves with the activities used to test them-CN V Answer: Corneal reflex, sensation of eyebrow, cheeks, and chin, chewing, lateral jaw movements Question: Match the following cranial nerves with the activities used to test them-CN VII Answer: Taste, move forehead and mouth, Question: Match the following cranial nerves with the activities used to test them-CN XI Answer: Shoulder movement, shrug Question: Match the following cranial nerves with the activities used to test them-CN XII Answer: Tongue movement Question: Match the positive response with the assessed tendon reflex: Triceps reflex Answer: Triceps/elbow Question: Match the positive response with the assessed tendon reflex: Quadriceps/Patellar reflex Answer: Knee/patellar tendon Question: A newborn is in the office for her one-week check. You are examining her mouth with a gloved finger. You touch her cheek lightly and notice her head turn to the side of touch. You recognize this as the: Answer: Rooting reflex Question: When grading deep tendon reflexes, a normal average reflex score is considered: Answer: 2+ Question: An 80-year-old female is seen for evaluation of a possible joint replacement. The NP performs a complete musculoskeletal examination. The NP documents that her patient has a muscle strength grade of 4 in her left leg. This means: Answer: She has full ROM against gravity and some resistance Question: A newborn is in the office with cold symptoms. you go into the room to see a distressed mom who is very concerned about her baby. She expresses to you that something is wrong. Your initial thought that comes to mind is that this could be RSV. You must look for signs of respiratory distress. Those signs include________________ Answer: Retractions, nasal flaring, tachypnea, grunting Question: An 85 y.o. woman is brought to the urgent care center for possible aspiration pneumonia. The NP understands that, based on normal anatomy adventitious lung sounds will most likely be heard in which of the following areas? Answer: Right middle and lower lobes Question: Barrel chest is an abnormal chest configuration that may occur in which of the following disorders? Answer: COPD Question: Bronchovesticular sounds are heard normally at which location? Answer: Second intercostal space anteriorly bilaterally Question: Normally when the lung fields are percussed the resulting sound is described as _______: Answer: Resonant Question: The NP will note a history of chronic cough based on the patients report of symptoms lasting for: Answer: 10 weeks Question: The clinic has extended hours to provide flu vaccines and preventative teaching for the community. Based on current CDC influenza vaccine recommendations, the NP understands which of the following patients has a contraindication and cannot receive the vaccine? Answer: Healthy 2-month baby girl Question: When compared to wheezes and rhonchi, the NP notes that on auscultation, crackles are: Answer: Intermittent and discontinuous sounds Question: Which breath sound is normally heard over the sternal notch? Answer: Bronchial Question: Which of the following findings will alert the NP to include pneumonia as a differential diagnosis? Answer: Positive bronchophony Question: Which of the following is an expected change of aging? Answer: There is a decrease of the elastic properties within lungs Question: In your assessment of a normal adult, where would you expect to palpate the apical impulse? Answer: Fifth left intercostal space at the midclavicular line. Question: The NP will ask the patient to assume which position to assess for mitral stenosis? Answer: Left lateral decubitus Question: The NP will ask the patient to assume which position to assess the patient for aortic regurgitation? Answer: Sitting, leaning forward after full exhalation Question: The NP will document assessment of the radial pulse as normal by noting the following grade: Answer: 2+ Question: To assess the patient for a carotid bruit, the NP will first ask the patient to Answer: Hold their breath and then place the diaphragm of the stethoscope near the upper end of the thyroid cartilage below the angle of the jaw Question: The NP incorporates which of the following techniques to ensure an accurate blood pressure measurement Answer: Center the bladder of the cuff over the brachial artery Question: When auscultating heart sounds at the mitral area of the anterior chest, you would expect: Answer: S1 to be louder than S2. Question: When examining a patient´s heart you hear a murmur between S2 and S1. How would you describe the murmur? Answer: It is a systolic murmur Question: When performing an Allen Test, the NP will note which of the following results as positive, potentially indicating an occlusion? Answer: Palmar pallor Question: Which of the following objective findings on the LE would alert the NP to consider chronic venous insufficiency as a differential diagnosis? Answer: Brownish discoloration or ulcers just above the malleolus Question: Which of the following statements describes the correct assessment technique for the examination of the peripheral vascular system? Answer: Assess the temperature of the feet and legs with the dorsal aspect of the fingers Question: Which cardiac finding can be considered normal in children and young adults? Answer: Third heart sound (S3) Question: Which of the following statements is true of auscultation of the aortic valve? Answer: It is best performed using the diaphragm of the stethoscope Question: Which of the following assessment findings is usually indicative of an abdominal aortic aneurysm? Answer: Positive bruit or wide, diffuse pulsation in the epigastric area Question: You notice a medium-pitched harsh systolic murmur during an episodic examination of a 37-year-old woman. It is best heard at the right upper border of the sternum. Which of the following is most likely? Answer: Aortic Stenosis Question: When auscultating heart sounds at the aortic and pulmonic areas of the anterior chest, you would expect: Answer: S2 to be louder than S1 Question: Match the anatomic landmarks to the cardiac auscultatory area. Answer: a. Aortic b. Erb's Point c. Pulmonic d. Tricuspid e. Mitral A-aortic P Pulmonic E-Erb's Point T- Tricuspid M-Mitral Image: Match the anatomic landmarks to the cardiac auscultatory area. a. Aortic b. Erb's Point c. Pulmonic d. Tricuspid e. Mitral Question: A 40-year-old male patient presents with sinus pain, pressure, and yellow nasal discharge. Your exam would include palpation of: Answer: Frontal and maxillary sinuses Question: A 60 y.o presents with a three-day history of left eye irritation. Which of the following findings should be recorded in the ROS? Answer: The patient denies eye pain or change in vision Question: During a P.E. of the throat, which of the following structures of the mouth/throat should rise when the patient says "aah"? Answer: Soft palate Question: In conductive type hearing loss, you would expect: Answer: sound lateralizes to the affected (bad) ear when the weber test is used Question: 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? Answer: Tonsils visualized grade 1 Question: The N.P. will assess visual acuity using which of the following tests? Answer: Snellen Test Question: The N.P. will recognize which of the following findings when assessing the lymph nodes in the head and neck as worrisome, warranting further workup? Answer: Enlarged supraclavicular nodes Question: When conducting an ophthalmoscopic exam, the N.P. will differentiate arteries from veins by noting: Answer: Bright light reflection of arteries Question: When examining a three y.o presenting to your office with right ear pain, which would be the appropriate order for the assessment? Answer: Neck, lungs, heart, mouth, nose, left ear, right ear Question: Which of the following describes the proper technique for examination of the ear canal and drum for a five-year-old? Answer: use the largest ear speculum that inserts easily in the canal, position the patient's head so that you see comfortable, and straighten the ear canal by grasping the auricle firmly and pulling it downward and backward, slightly away from the head Question: Which of the following findings on exam of the nasal mucosa and septum would most likely indicate allergic rhinitis? Answer: pale or bluish nasal mucosa with clear drainage Question: Which of the following is/are normal in the examination of the oral cavity? Answer: a midline lingual frenulum extending from the tongue to the floor of the mouth, papillae covering the dorsum of the tongue, Pink buccal mucosa lining the cheeks Question: Which of the following techniques identifies the correct way to use an ophthalmoscope to inspect the optic disc and retina in the patient's left eye? The N.P. will hold the ophthalmoscope: Answer: in their left hand and examine the patient's left eye with his or her left eye Question: You are examining a four 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 epistaxis in the age group is: Answer: picking their nose Question: You are examining a nine-month-old in your office and do not see a red reflex on the fundoscopic exam. This finding would cause concern as it can be indicative of which of the following? Answer: Retinoblastoma Question: Which of the following represents the proper position for the NP to assess the patients abdomen? Stand at the patients right side and process in a systemic fashion Answer: Question: The NP will demonstrate the correct order of examination for the abdomen by using examination techniques that follows: Answer: 1. Auscultation 2. Inspection 3. Palpation 4. Percussion Inspection, auscultation, percussion, palpation