NURS 507 - Final Exam UPDATED ACTUAL
Questions and CORRECT Answers
Miss Smith comes to your clinic complaining of a cough and fever of 101 degrees for 3 days. (Use this scenario for the
next 6 questions)
The information cough and fever of 101 for three days is an example of?
a. chief complaint
b. current health history
c. review of systems
d. objective data - CORRECT ANSWER -a. chief complaint
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER -c. macular
, Characteristics of a rash include all of the following except?
a. distribution
b. pruritis
c. color
d. heat - CORRECT 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 - CORRECT ANSWER -d. food allergies
Possible differential diagnoses for Susy include the following except?
a. scabies
b. scarlet fever
c. rubella
d. roseola - CORRECT 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 - CORRECT 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?
a. gastric etiology
b. musculoskeletal etiology
c. cardiac etiology
d. intestinal etiology - CORRECT ANSWER -d. intestinal etiology
What history do you need from Mr. Jones to rule out a gastric etiology?
a. onset and timing to meals
b. alleviating factors
c. pain description
d. all of the above - CORRECT ANSWER -d. all of the above
What physical exam or piece of data do you need to rule out musculoskeletal etiology?
a. reproducible pain
b. internal rotation of the shoulder
c. ROM of hip
d. flexion of wrists - CORRECT ANSWER -a. reproducible pain
What are the vital questions needed for a potential cardiac etiology?
a. personal history of cardiac disease
b. pain relief with OTC medications
c. family history of cardiac disease
d. A and C
e. all of the above - CORRECT ANSWER -e. all of the above
You detect a S4 when you auscultated Mr. Jones heart. Where is the best position to hear a S4?
a. sitting, leaning forward
b. supine and flat
c. left lateral position
d. sitting upright - CORRECT ANSWER -c. left lateral position
You decide that Mr. Jones doesn't have a split fourth heart sound but a murmur. How do you grade murmurs?
Questions and CORRECT Answers
Miss Smith comes to your clinic complaining of a cough and fever of 101 degrees for 3 days. (Use this scenario for the
next 6 questions)
The information cough and fever of 101 for three days is an example of?
a. chief complaint
b. current health history
c. review of systems
d. objective data - CORRECT ANSWER -a. chief complaint
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER -c. macular
, Characteristics of a rash include all of the following except?
a. distribution
b. pruritis
c. color
d. heat - CORRECT 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 - CORRECT ANSWER -d. food allergies
Possible differential diagnoses for Susy include the following except?
a. scabies
b. scarlet fever
c. rubella
d. roseola - CORRECT 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 - CORRECT 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?
a. gastric etiology
b. musculoskeletal etiology
c. cardiac etiology
d. intestinal etiology - CORRECT ANSWER -d. intestinal etiology
What history do you need from Mr. Jones to rule out a gastric etiology?
a. onset and timing to meals
b. alleviating factors
c. pain description
d. all of the above - CORRECT ANSWER -d. all of the above
What physical exam or piece of data do you need to rule out musculoskeletal etiology?
a. reproducible pain
b. internal rotation of the shoulder
c. ROM of hip
d. flexion of wrists - CORRECT ANSWER -a. reproducible pain
What are the vital questions needed for a potential cardiac etiology?
a. personal history of cardiac disease
b. pain relief with OTC medications
c. family history of cardiac disease
d. A and C
e. all of the above - CORRECT ANSWER -e. all of the above
You detect a S4 when you auscultated Mr. Jones heart. Where is the best position to hear a S4?
a. sitting, leaning forward
b. supine and flat
c. left lateral position
d. sitting upright - CORRECT ANSWER -c. left lateral position
You decide that Mr. Jones doesn't have a split fourth heart sound but a murmur. How do you grade murmurs?
