DNP 604 Midterm ACTUAL EXAM
DNP 604 MIDTERM ACTUAL EXAM 2025/2026 COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) WITH RATIONALES |ALREADY GRADED A+||BRAND
NEW VERSION!!
A child presents with congenital hydrocephalus. Upon tapping of his skull, a
resonant sound is appreciated, which is referred to as
A. Dandy-Walker
B. Arnold Chiari
C. Macewen sign
D. sunsetting.
Correct answer: C
Which statements are true regarding neurologic development? (Select all that
apply.)
A. The infant's skull contains fontanels
B. The posterior fontanel may remain open until 2-3 months of age
C. The head size is the fastest growing body part during infancy.
D. An adult's head will expand with an intracranial mass.
Correct answer: A, B, C
Which cardiac chamber has the thickest wall?
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricle
Correct answer: C
Which statement accurately describes blood flow through the heart?
A. Blood flows from the left atrium through the tricuspid valve to the left ventricle
B. Blood flows from the right atrium through the aortic valve to the right ventricle.
1|Page
, DNP 604 Midterm ACTUAL EXAM
C. Blood flows from the right ventricle through the pulmonic semilunar valve
D. Blood flows from the left ventricle through the bicuspid valve.
Correct answer: C
Which statement correctly describes the A wave?
A. The A wave reflects the rapid flow of blood from the great veins and right
atrium into right ventricle.
B. The A wave is produced as a result of the descent of the tricuspid valve ring.
C. The A wave is generated by atrial contraction.
D. The filling of the atrium causes early diastolic peak of the A wave.
Correct answer: C
Which term describes localized and intense abdominal pain that lateralizes?
A. Parietal
B. Referred
C. Phantom
D. Visceral
Correct answer: A
Which term describes bright red blood from the rectum?
A. Melena
B. Occult bleeding
C. hematemesis
D. Heatochezia
Correct answer: D
Which is a cause of functional dysphagia?
A. Stricture
B. Tumor
2|Page
, DNP 604 Midterm ACTUAL EXAM
C. Herniations
D. Achalasia
Correct answer: D
Which statement regarding chronic gastritis is true?
A. Type A, or fundal gastritis, is the most severe
B. Chronic gastritis tends to occur in young individuals
C. Type B, or antral gastritis, is the most rare
D. Four types of chronic gastritis exist
Correct answer: A
Epigastric pain, beginning 30 minutes to 2 hours after eating when the stomach is
empty or in the middle of the night, is consistent with which diagnosis?
A. Gastric ulcer
B. Acute gastritis
C. Duodenal ulcer
D. Chronic gastritis
Correct answer: C
Rationale: Duodenal ulcers are a type of peptic ulcer that occur in the duodenum
(the first part of the small intestine). One of the hallmark symptoms of duodenal
ulcers is epigastric pain that occurs 30 minutes to 2 hours after eating, when the
stomach is empty, or in the middle of the night. This pain often improves
temporarily after eating or taking an antacid, as food can buffer stomach acid.
Why the other options are not correct:
A. Gastric ulcer:Gastric ulcers usually cause pain immediately after eating, as food
can irritate the ulcer. The pain tends to be more constant and less associated with
an empty stomach or nighttime symptoms.
B. Acute gastritis:Acute gastritis involves inflammation of the stomach lining, often
caused by factors like alcohol, infection, or NSAID use. The pain associated with
3|Page
, DNP 604 Midterm ACTUAL EXAM
acute gastritis tends to be more constant and is not typically linked to specific
times after eating or nighttime.
D. Chronic gastritis:Chronic gastritis is a long-term inflammation of the stomach
lining, often due to infection with Helicobacter pylori or other factors. While it can
cause discomfort, the pain is usually more persistent and less specifically related
to timing after meals.
Clinical manifestations of bile salt deficiency are related to poor intestinal
absorption of fat and fat-soluble vitamins. Which of the following is a fat-soluble
vitamin?
A. Vitamin C
B. Vitamin B6
C. Vitamin K
D. Vitamin B12
Correct answer: C
Regarding ulcerative colitis, which is a true statement?
A. Ulcerative colitis generally appears in childhood.
B. Ulcerative colitis causes severe constipation.
C. Ulcerative colitis extends throughout the entire gastrointestinal tract.
D. Lesions are limited to the mucosa
Correct answer: D
Rationale: Ulcerative colitis is a type of inflammatory bowel disease (IBD) that
primarily affects the colon and rectum. It involves inflammation and ulceration of
the innermost lining of the colon, known as the mucosa.
Why the other options are incorrect:
A. Ulcerative colitis generally appears in childhood:While ulcerative colitis can
occur at any age, it most commonly appears in young adults (ages 15 to 30) and is
less common in childhood. It is not typically diagnosed exclusively in childhood.
B. Ulcerative colitis causes severe constipation:Ulcerative colitis usually causes
symptoms like diarrhea (often with blood or mucus), abdominal pain, and
4|Page
DNP 604 MIDTERM ACTUAL EXAM 2025/2026 COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) WITH RATIONALES |ALREADY GRADED A+||BRAND
NEW VERSION!!
A child presents with congenital hydrocephalus. Upon tapping of his skull, a
resonant sound is appreciated, which is referred to as
A. Dandy-Walker
B. Arnold Chiari
C. Macewen sign
D. sunsetting.
Correct answer: C
Which statements are true regarding neurologic development? (Select all that
apply.)
A. The infant's skull contains fontanels
B. The posterior fontanel may remain open until 2-3 months of age
C. The head size is the fastest growing body part during infancy.
D. An adult's head will expand with an intracranial mass.
Correct answer: A, B, C
Which cardiac chamber has the thickest wall?
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricle
Correct answer: C
Which statement accurately describes blood flow through the heart?
A. Blood flows from the left atrium through the tricuspid valve to the left ventricle
B. Blood flows from the right atrium through the aortic valve to the right ventricle.
1|Page
, DNP 604 Midterm ACTUAL EXAM
C. Blood flows from the right ventricle through the pulmonic semilunar valve
D. Blood flows from the left ventricle through the bicuspid valve.
Correct answer: C
Which statement correctly describes the A wave?
A. The A wave reflects the rapid flow of blood from the great veins and right
atrium into right ventricle.
B. The A wave is produced as a result of the descent of the tricuspid valve ring.
C. The A wave is generated by atrial contraction.
D. The filling of the atrium causes early diastolic peak of the A wave.
Correct answer: C
Which term describes localized and intense abdominal pain that lateralizes?
A. Parietal
B. Referred
C. Phantom
D. Visceral
Correct answer: A
Which term describes bright red blood from the rectum?
A. Melena
B. Occult bleeding
C. hematemesis
D. Heatochezia
Correct answer: D
Which is a cause of functional dysphagia?
A. Stricture
B. Tumor
2|Page
, DNP 604 Midterm ACTUAL EXAM
C. Herniations
D. Achalasia
Correct answer: D
Which statement regarding chronic gastritis is true?
A. Type A, or fundal gastritis, is the most severe
B. Chronic gastritis tends to occur in young individuals
C. Type B, or antral gastritis, is the most rare
D. Four types of chronic gastritis exist
Correct answer: A
Epigastric pain, beginning 30 minutes to 2 hours after eating when the stomach is
empty or in the middle of the night, is consistent with which diagnosis?
A. Gastric ulcer
B. Acute gastritis
C. Duodenal ulcer
D. Chronic gastritis
Correct answer: C
Rationale: Duodenal ulcers are a type of peptic ulcer that occur in the duodenum
(the first part of the small intestine). One of the hallmark symptoms of duodenal
ulcers is epigastric pain that occurs 30 minutes to 2 hours after eating, when the
stomach is empty, or in the middle of the night. This pain often improves
temporarily after eating or taking an antacid, as food can buffer stomach acid.
Why the other options are not correct:
A. Gastric ulcer:Gastric ulcers usually cause pain immediately after eating, as food
can irritate the ulcer. The pain tends to be more constant and less associated with
an empty stomach or nighttime symptoms.
B. Acute gastritis:Acute gastritis involves inflammation of the stomach lining, often
caused by factors like alcohol, infection, or NSAID use. The pain associated with
3|Page
, DNP 604 Midterm ACTUAL EXAM
acute gastritis tends to be more constant and is not typically linked to specific
times after eating or nighttime.
D. Chronic gastritis:Chronic gastritis is a long-term inflammation of the stomach
lining, often due to infection with Helicobacter pylori or other factors. While it can
cause discomfort, the pain is usually more persistent and less specifically related
to timing after meals.
Clinical manifestations of bile salt deficiency are related to poor intestinal
absorption of fat and fat-soluble vitamins. Which of the following is a fat-soluble
vitamin?
A. Vitamin C
B. Vitamin B6
C. Vitamin K
D. Vitamin B12
Correct answer: C
Regarding ulcerative colitis, which is a true statement?
A. Ulcerative colitis generally appears in childhood.
B. Ulcerative colitis causes severe constipation.
C. Ulcerative colitis extends throughout the entire gastrointestinal tract.
D. Lesions are limited to the mucosa
Correct answer: D
Rationale: Ulcerative colitis is a type of inflammatory bowel disease (IBD) that
primarily affects the colon and rectum. It involves inflammation and ulceration of
the innermost lining of the colon, known as the mucosa.
Why the other options are incorrect:
A. Ulcerative colitis generally appears in childhood:While ulcerative colitis can
occur at any age, it most commonly appears in young adults (ages 15 to 30) and is
less common in childhood. It is not typically diagnosed exclusively in childhood.
B. Ulcerative colitis causes severe constipation:Ulcerative colitis usually causes
symptoms like diarrhea (often with blood or mucus), abdominal pain, and
4|Page
