MIDTERM: NURS 550 2025 UPDATE |
ACTUAL EXAM SET QUESTIONS AND
VERIFIED ANSWERS (CORRECT
SOLUTIONS) | GET IT 100% ACCURATE!!
EXAM WITH CORRECT QUESTIONS
AND ANSWERS 2025
a. Differential Diagnosis - CORRECT-ANSWERS• In deciding which disease to include in
the differential, consider: - What's the most life-threatening disease the patient could
have? - Could this be a common disease presenting with unusual features? - What
diseases present with misleading symptoms? - What rare diseases could be causing these
signs and symptoms?
b. Develop a Complete, Framed Differential Diagnosis (Hypothesis) - CORRECT-
ANSWERS• Not all diagnoses in a given differential are: - equally likely - equally
important
• You must select: - a leading (working) hypothesis - a must not miss hypothesis -
An active alternative hypothesis
c. SOAP stands for: - CORRECT-ANSWERS• Subjective • Objective • Assessment • Plan
d. Subjective - CORRECT-ANSWERSThe subjective section is what the patient tells you
about their current condition and past conditions.
,e. Chief Complaint - CORRECT-ANSWERS• What brought the patient to the office
• Example: Sore throat for 2 days
f. History of Present Illness/Injury - CORRECT-ANSWERS- Onset - When did the
symptoms and/or signs begin, what was the mechanism of injury
- Chronology - episodic, variable, constant, etc
- Quality - sharp, dull, ache, sudden, insidious
- Severity - pain rating, 0-10 pain scale, interferes with daily activities
- Modifying factors - aggravating and alleviating factors
- Additional symptoms - unrelated or significant symptoms
- Treatment - medications, herbs, "home remedies", rest, activity, splint,
etc
- Use "OLDCART" to assist you (Onset, Location, Duration, Character ,
Aggravating factors, Relieving factors, Treatments"
g. History - CORRECT-ANSWERSAllergies - list of allergies to food, medication, and
products with type of reaction
- Medical - past and present medical conditions (i.e. asthma, hypertension,
malaria, etc.)
- Surgical - past surgeries (i.e. appendectomy, CABG, craniotomy, etc.)
- Family - mother, father, siblings, etc. - Social - occupation, alcohol,
drug, tobacco use, risky behavior
- Immunizations - current and past received with dates
, - Screenings/Health Promotion - mammography, testicular exams, dental,
vision
- Review of Systems - systemic symptoms related to the current
problem(s) including pertinent positives and negatives
h. Review of Systems - CORRECT-ANSWERSGeneral - fever (subjective) with chills and
sweats, denies fatigue, weakness, weight loss, or malaise
- Skin - denies rashes, lesions, discolorations
- HEENT - positive for generalized headache, sore throat, pain with
swallowing and rhinorrhea. Denies difficulty swallowing saliva, earache,
sinus congestion, sinus pain, visual or auditory aura
- Neck - denies lump, pain, stiffness, or decreased range of motion
- Cardiac - denies chest pain, pressure, tightness, palpitations
- Pulmonary - denies cough, wheeze, hemoptysis
- GI - denies nausea, vomiting, abdominal pain
- GU - denies missed menses, urinary frequency, urgency or hematuria
- MS - denies cramping, pain,
- Neuro - denies unilateral weakness, numbness, tingling
i. Review of Systems - CORRECT-ANSWERS• Should elaborate on the chief complaint
and HPI • Don't ask questions that the patient may not know
j. Review of Systems
k. Do you have a problem with your prostate? Do have anemia, heart failure, cancer? Do
you frequently urinate during the night? Have you noticed a change in the stream of your
, urine? Do you avoid drinking fluids during work? Do you feel tired often? Are you short
of breath? Have you had any weight loss recently?
l. Objective - CORRECT-ANSWERSIn this section you document what you observe
during the examination and visit.
m. Physical Examination - CORRECT-ANSWERS- Vital signs - Physical examination
findings - the use of "normal", "within normal limits", "unremarkable" and other phrases
are NOT acceptable. - Diagnostic results - Measurements including height, weight,
screening tools, etc. - Mental Status
n. -Weight 50 Kg previously documented height 5'3" -Vital signs - BP 118/76, HR 104, RR
16, T 38.2C, pulse Ox 99% RA -Diagnostic results •Rapid strep test positive
o. -Physical examination findings - CORRECT-ANSWERS• General -Well nourished and
hydrated 28 yo female. Awake, alert and orient; appropriately dressed for season.
Pleasant and cooperative.
p. *Skin - hot, dry and pink. No rashes or lesions including petechiae noted
• HEENT - normocephalic, symmetric face features. No tenderness in scalp, face,
ethmoid/maxillary/frontal sinuses. Negative transillumination. External ears
without deviations, ear canal clear bilaterally, tympanic membranes pearly grey
with cone of light, bony landmarks visualized bilaterally. Nasal mucosa pink and
moist turbinates with no edema or erythema. Oral mucosa pink and moist,
dentition without obvious caries; no lesions oral cavity. Pharynx with moderate
erythema tonsillar pillars ¼ bilaterally. No exudate. Uvula midline gag reflex
present.
ACTUAL EXAM SET QUESTIONS AND
VERIFIED ANSWERS (CORRECT
SOLUTIONS) | GET IT 100% ACCURATE!!
EXAM WITH CORRECT QUESTIONS
AND ANSWERS 2025
a. Differential Diagnosis - CORRECT-ANSWERS• In deciding which disease to include in
the differential, consider: - What's the most life-threatening disease the patient could
have? - Could this be a common disease presenting with unusual features? - What
diseases present with misleading symptoms? - What rare diseases could be causing these
signs and symptoms?
b. Develop a Complete, Framed Differential Diagnosis (Hypothesis) - CORRECT-
ANSWERS• Not all diagnoses in a given differential are: - equally likely - equally
important
• You must select: - a leading (working) hypothesis - a must not miss hypothesis -
An active alternative hypothesis
c. SOAP stands for: - CORRECT-ANSWERS• Subjective • Objective • Assessment • Plan
d. Subjective - CORRECT-ANSWERSThe subjective section is what the patient tells you
about their current condition and past conditions.
,e. Chief Complaint - CORRECT-ANSWERS• What brought the patient to the office
• Example: Sore throat for 2 days
f. History of Present Illness/Injury - CORRECT-ANSWERS- Onset - When did the
symptoms and/or signs begin, what was the mechanism of injury
- Chronology - episodic, variable, constant, etc
- Quality - sharp, dull, ache, sudden, insidious
- Severity - pain rating, 0-10 pain scale, interferes with daily activities
- Modifying factors - aggravating and alleviating factors
- Additional symptoms - unrelated or significant symptoms
- Treatment - medications, herbs, "home remedies", rest, activity, splint,
etc
- Use "OLDCART" to assist you (Onset, Location, Duration, Character ,
Aggravating factors, Relieving factors, Treatments"
g. History - CORRECT-ANSWERSAllergies - list of allergies to food, medication, and
products with type of reaction
- Medical - past and present medical conditions (i.e. asthma, hypertension,
malaria, etc.)
- Surgical - past surgeries (i.e. appendectomy, CABG, craniotomy, etc.)
- Family - mother, father, siblings, etc. - Social - occupation, alcohol,
drug, tobacco use, risky behavior
- Immunizations - current and past received with dates
, - Screenings/Health Promotion - mammography, testicular exams, dental,
vision
- Review of Systems - systemic symptoms related to the current
problem(s) including pertinent positives and negatives
h. Review of Systems - CORRECT-ANSWERSGeneral - fever (subjective) with chills and
sweats, denies fatigue, weakness, weight loss, or malaise
- Skin - denies rashes, lesions, discolorations
- HEENT - positive for generalized headache, sore throat, pain with
swallowing and rhinorrhea. Denies difficulty swallowing saliva, earache,
sinus congestion, sinus pain, visual or auditory aura
- Neck - denies lump, pain, stiffness, or decreased range of motion
- Cardiac - denies chest pain, pressure, tightness, palpitations
- Pulmonary - denies cough, wheeze, hemoptysis
- GI - denies nausea, vomiting, abdominal pain
- GU - denies missed menses, urinary frequency, urgency or hematuria
- MS - denies cramping, pain,
- Neuro - denies unilateral weakness, numbness, tingling
i. Review of Systems - CORRECT-ANSWERS• Should elaborate on the chief complaint
and HPI • Don't ask questions that the patient may not know
j. Review of Systems
k. Do you have a problem with your prostate? Do have anemia, heart failure, cancer? Do
you frequently urinate during the night? Have you noticed a change in the stream of your
, urine? Do you avoid drinking fluids during work? Do you feel tired often? Are you short
of breath? Have you had any weight loss recently?
l. Objective - CORRECT-ANSWERSIn this section you document what you observe
during the examination and visit.
m. Physical Examination - CORRECT-ANSWERS- Vital signs - Physical examination
findings - the use of "normal", "within normal limits", "unremarkable" and other phrases
are NOT acceptable. - Diagnostic results - Measurements including height, weight,
screening tools, etc. - Mental Status
n. -Weight 50 Kg previously documented height 5'3" -Vital signs - BP 118/76, HR 104, RR
16, T 38.2C, pulse Ox 99% RA -Diagnostic results •Rapid strep test positive
o. -Physical examination findings - CORRECT-ANSWERS• General -Well nourished and
hydrated 28 yo female. Awake, alert and orient; appropriately dressed for season.
Pleasant and cooperative.
p. *Skin - hot, dry and pink. No rashes or lesions including petechiae noted
• HEENT - normocephalic, symmetric face features. No tenderness in scalp, face,
ethmoid/maxillary/frontal sinuses. Negative transillumination. External ears
without deviations, ear canal clear bilaterally, tympanic membranes pearly grey
with cone of light, bony landmarks visualized bilaterally. Nasal mucosa pink and
moist turbinates with no edema or erythema. Oral mucosa pink and moist,
dentition without obvious caries; no lesions oral cavity. Pharynx with moderate
erythema tonsillar pillars ¼ bilaterally. No exudate. Uvula midline gag reflex
present.
