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NU 650 THROUGH MIDTERM EXAM|| ACTUAL
EXAM ALL QUESTIONS AND CORRECT ANSWERS
ALREADY GRADED A+|| LATEST AND COMPLETE
UPDATE (VERSION 1- 3) WITH VERIFIED
SOLUTIONS|| ASSURED PASS!!!
A 40 year old male patient presents with sinus pain, pressure and yellow nasal
discharge. Your exam would include palpation of:
A. Ethmoid and frontal sinuses
B. Maxillary and sphenoid sinuses
C. Frontal and maxillary sinuses
D. Sphenoid and ethmoid sinuses - ANSWER: C
A 60 y.o presents with a 3-day history of left eye irritation. Which of the following
findings should be recorded in the ROS?
A. Patient denies eye pain or change in vision
B. Vision is 20/20 by Snellen Chary
C. Yellow crust is visible at the inner canthus of the left eye
D. all of the above - ANSWER: A
During a physical exam of the throat, which of the following structures of the
mouth/throat should rise when the patient says "aah"?
A. Hard palate
B. Soft palate
C. Lingual frenulum
D. Buccal mucosa - ANSWER: B
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In conductive type hearing loss, you would expect:
A. sound lateralizes to the good ear when the weber test is used
B. sound lateralizes to the affected (bad) ear when the weber test is used
C. The weber test remains unaltered with conductive type hearing loss and
sound will be heard equally in both ears
D. The weber test can cause discomfort in a patient with conductive type
hearing loss and should not be used in this situation - ANSWER: B
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?
A. tonsils noted to be normal
B. Tonsils visualized grade 3
C. Tonsils visualized grade 1
D. Tonsils visualized grade 2 - ANSWER: C
The NP will assess visual acuity using which of the following tests?
A. Snellen test
B. Cover test
C. Accommodation test
D. Confrontation test - ANSWER: A
The NP will recognize which of the following findings when assessing the lymph
nodes in the head and neck as worrisome, warranting further workup?
A. Tender tonsillar and submandibular nodes in the presence of a streptococcal
infection
B. Any lymph node that the NP is able to roll in two directions: up and down,
side to side
C. Enlarged supraclavicular nodes
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D. Deep cervical chain nodes that are inaccessible to exam - ANSWER: C
When conducting an ophthalmoscopic exam, the NP will differentiate arteries from
veins by noting:
A. Larger size of arteries
B. Bright light reflection of arteries
C. Dark red color of arteries
D. location of the vessel to the optic disc - ANSWER: B
When examining a 3 y.o presenting to your office with right ear pain, which would
be the appropriate order for the assessment?
A. Right ear, left ear, mouth, nose, neck, lungs, heart
B. Neck, lungs, heart, mouth, nose, left ear, right ear
C. Left ear, right ear, neck, lungs, heart and nose
D. Lungs, heart, mouth, nose, and right ear. - ANSWER: B
Which of the following describes the proper technique for examination of the ear
canal and drum for a 5 year old?
A. Use the smallest ear speculum, position the pt. head so that you see
comfortable, straighten the ear canal by grasping the auricle firmly and pulling it
upward and backward, slightly away from the head.
B. use the largest ear speculum that inserts easily in the canal, position the
patients head so that you see comfortable, straighten the ear canal by grasping the
auricle firmly and pulling it downward and backward, slightly away from the head
- ANSWER: B
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Which of the following findings on exam of the nasal mucosa and septum would
most likely indicate allergic rhinitis?
A. Reddened nasal mucosa with purulent drainage
B. pale or bluish nasal mucosa with clear drainage
C. fresh blood or crusting of the nasal mucosa
D. Asymmetry in appearance between the right and left sides - ANSWER: B
Which of the following is/are normal in the examination of the oral cavity?
A. a midline lingual frenulum extending from the tongue to the floor of the
mouth
B. papillae covering the dorsum of the tongue
C. Pink buccal mucosa lining the cheeks
D. All of the above are normal - ANSWER: D
Which of the following techniques identifies the correct way to use an
ophthalmascope to inspect the optic disc and retina in the patients left eye? The NP
will hold the ophthalmoscope:
A. in their left hand and examine the patients left eye with his or hear left eye
B. in the right hand and examine the patients left eye with her or her right eye.
C. In their dominant hand and examine both of the patients eyes with his/her
dominant eye
D. According to personal preference and experience - ANSWER: A
You are examining a 4 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 epitaxis in the age group is:
A. Chronic rhinitis
