NU 650 HEENT EXAM QUESTIONS AND
ANSWERS UPDATED (2024/2025)
(VERIFIED ANSWERS)
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 be
indicative of which of the following?
A. Glaucoma
B. Dacryostenosis
C. Cataracts
D. Retinoblastoma - ANS ✓D. Retinoblastoma
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. retractions, nasal
flaring, tachypnea, grunting
An 85 y.o. woman is brought to the urgent care center for possible
aspiration pneumonia. The NP understands that, based on normal anatomy
adventitious lung sounds will most likely be heard in which of the following
areas?
A. left upper lobe
B. left middle & lower lobes
C. right upper lobe
D. Right middle and lower lobes - ANS ✓D. Right middle and lower lobes
NU 650
, 2
NU
Barrel chest is an abnormal chest configuration that may occur in which of
the following disorders?
A. COPD
B. Pneumonia
C. Pneumothorax
D. TB - ANS ✓A. COPD
bronchovesicular sounds are heard normally at which location?
A. second intercostal space anteriorly bilaterally
B. base of lungs bilaterally, posteriorly
C. laterally at the midaxillary line, bilaterally
D. Bilaterally at the mid-clavicular line, 5th intercostal space - ANS ✓A.
second intercostal space anteriorly bilaterally
Normally when the lung fields are percussed the resulting sound is
described as _______:
A. hyperresonant
B. resonant
C. tympanic
D. Dull - ANS ✓B. resonant
The clinic has extended hours to provide flu vaccines and preventative
teaching for the community. Based on current CDC influenza vaccine
recommendations, the NP understands which of the following patients has
a contraindication and cannot receive the vaccine?
A. healthy 2 month baby girl
B. primigravida at 32 weeks
C. 60 y.o male with hx CHF
D. 45 y.o female with BMI of 42 - ANS ✓A. healthy 2 month baby girl
The NP will note a history of chronic cough based on the patients report of
symptoms lasting for:
A. 1 week
B. 4 weeks
C. 6 weeks
D. 10 weeks - ANS ✓D. 10 weeks
NU 650
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