1
NU
NU650/ NU 650 M IDTERM EXAM: (NEW 2024/
2025 UPDATE) ADVANCED HEALTH ASSESSMENT
GUIDE| QS & AS| GRADE A| 100% CORRECT
(VERIFIED ANSWERS)
When percussing the abdomen, you would document the normal finding of
percussion over the intestines as:
A. Tympanic
B. Dull
C. Resonant
D. Hyperresonant - ANS ✓A
Which of the following abdominal exam findings would prompt the NP to
consider cholecystitis as a differential diagnosis?
A. Positive psoas sign
B. Positive Rovsing's sign
C. Positive Obturator sign
D. Positive murphy's sign - ANS ✓D
Which of the following symptoms would you expect from a young
adolescent in the early phase of appendicitis?
A. Abdominal pain two hours after eating
B. CVA tenderness
C. Severe RLQ pain with pallor and sweating
D. Constipation - ANS ✓C
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 - ANS ✓C
NU650/ NU
, 2
NU
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 - ANS ✓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 - ANS ✓B
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 - ANS ✓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 - ANS ✓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 - ANS ✓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
NU650/ NU
, 3
NU
B. Any lymph node that the NP is able to roll in two directions: up and
down, side to side
C. Enlarged supraclavicular nodes
D. Deep cervical chain nodes that are inaccessible to exam - ANS ✓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 - ANS ✓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. - ANS ✓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 - ANS ✓B
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 - ANS ✓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
NU650/ NU
, 4
NU
C. Pink buccal mucosa lining the cheeks
D. All of the above are normal - ANS ✓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 - ANS ✓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
B. Foreign body
C. picking their nose
D. Allergic rhinitis - ANS ✓C
You are examining a 9-month-old in your office and do not see a red reflex
on the fundoscopic exam. This finding would cause concern as it can
indicate which of the following?
A. Glaucoma
B. Dacryostenosis
C. Cararacts
D. Retinoblastoma - ANS ✓D
A newborn is in the office with cold symptoms. you go into the room to see a
distressed mom who is very concerned about her baby. She expresses to
you that something is wrong. Your initial thought that comes to mind is that
this could be RSV. You must look for signs of respiratory distress. Those
signs include________________
A. Vomiting and diarrhea
B. coughing, pulling legs up
C. retractions, nasal flaring, tachypnea, grunting
D. fever of 100.4 or higher, tachypnea, vomiting - ANS ✓C
An 85 y.o. woman is brought to the urgent care center for possible
aspiration pneumonia. The NP understands that, based on normal anatomy
NU650/ NU
