NU 650 MIDTERM EXAM 2024 REVIEW WITH

NU 650 MIDTERM EXAM 2024 REVIEW WITH

200+ REAL EXAM QUESTIONS AND CORRECT

ANSWERS (100% CORRECT) NU 650 REAL

MIDTERM EXAM QUESTION S AND ANSWERS

GRADED A+ REGIS COLLEGE

Jacob, a 33-year-old construction worker, complains of a "lump on his back" over his scapula. It has been there for about a year and is getting larger. He says his wife has been able to squeeze out a cheesy-textured substance on occasion. He worries this may be cancer. When gently pinched from the side, a prominent dimple forms in the middle of the mass. What is most likely?

• An enlarged lymph node
• A sebaceous cyst
• An actinic keratosis
• A malignant lesion - ANSWER-B

You are examining an unconscious patient from another region and notice Beau's lines, a transverse groove across all of her nails, about 1 cm from the proximal nail fold. What would you do next?

• Conclude this is caused by a cultural practice.
• Conclude this finding is most likely secondary to trauma.
• Look for information from family and records regarding any problems which

occurred 3 months ago.

• Ask about dietary intake. - ANSWER-C

A 40 year old male patient presents with sinus pain, pressure and yellow nasal discharge. Your exam would include palpation of: 1 / 4

• Ethmoid and frontal sinuses
• Maxillary and sphenoid sinuses
• Frontal and maxillary sinuses
• 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?

• Patient denies eye pain or change in vision
• Vision is 20/20 by Snellen Chary
• Yellow crust is visible at the inner canthus of the left eye
• all of the above - ANSWER-A

Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no history of exposure to ill people or other agents in the environment. He has a slight fever in the office. The rash consists of small, bright red marks. When they are pressed, the red color remains. What should you do?

• Prescribe a steroid cream to decrease inflammation.
• Consider admitting the patient to the hospital.
• Reassure the parents and the patient that this should resolve within a week.
• Tell him not to scratch them, and follow up in 3 days. - ANSWER-B

Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus). She has noticed a raised, dark red rash on her legs. When you press on the rash, it doesn't blanch. What would you tell her regarding her rash?

• It is likely to be related to her lupus.
• It is likely to be related to an exposure to a chemical.
• It is likely to be related to an allergic reaction. 2 / 4

• It should not cause any problems - ANSWER-A

A young man comes to you with an extremely pruritic rash over his knees and elbows which has come and gone for several years. It seems to be worse in the winter and improves with some sun exposure. On examination, you notice scabbing and crusting with some silvery scale, and you are observant enough to notice small "pits" in his nails. What would account for these findings?

• Eczema
• Pityriasis rosea
• Psoriasis
• Tinea infection - ANSWER-C

A patient is seen in the office for amenorrhea, for which you obtain a urine pregnancy test in the office that returns negative. You would document this finding in which of the following sections of the encounter?

A. HPI

• CC
• Subjective Data

D. Objective Data - ANSWER-D: Objective data

Mrs. Anderson presents with an itchy rash which is raised and appears and disappears in various locations. Each lesion lasts for many minutes. What most likely accounts for this rash?

• Insect bites
• Urticaria, or hives
• Psoriasis
• Purpura - ANSWER-B
• / 4

Ms. Whiting is a 68 yo who comes in for her usual follow-up visit. You notice a few flat red and purple lesions, about 6 centimeters in diameter, on the ulnar aspect of her forearms but nowhere else. She doesn't mention them. They are tender when you examine them. What should you do?

• Conclude that these are lesions she has had for a long time.
• Wait for her to mention them before asking further questions.
• Ask how she acquired them.
• Conduct the visit as usual for the patient. - ANSWER-C

A middle-aged man comes in because he has noticed multiple small, blood-red, raised lesions over his anterior chest and abdomen for the past several months.They are not painful and he has not noted any bleeding or bruising. He is concerned this may be consistent with a dangerous condition. What should you do?

• Reassure him that there is nothing to worry about.
• Do laboratory work to check for platelet problems.
• Obtain an extensive history regarding blood problems and bleeding disorders.
• Do a skin biopsy in the office. - ANSWER-A

A patient you are seeing for the first time in your office, brings their previous medical records for the review. you would document a summer of the previous medical records in which of the following sections of the encounter note?

A. HPI

• CC
• Subjective Data

D. Objective Data - ANSWER-C: Subjective data

The most effective process to elicit the ROS is for the NP to:

• Limit the ROS to systems related to the CC
• / 4