NR 509 MIDTERM EXAM
HEALTH ASSESSMENT
QUESTIONS & CORRECT
ANSWERS LATEST 2025
, 1. Which of the following statements best describes a differential diagnosis list?
A. It is a list of planned interventions for the problems assessed during the visit.
B. It is the list of concerns brought to the appointment by the patient.
C. It is a list of different diagnoses experienced by the patient in the past.
D. It is a list of potential/plausible diagnoses that may be causing the
patient’s signs and symptoms.
E. It is a list of diagnoses that have already been ruled out as causes for the
chief complaint.
2. A 66 y.o female presents to the primary care office with complaints of jaw pain,
fatigue, and nausea for the last 48 hours. What course of action is appropriate in the
treatment of this patient?
a. Refer the patient to an otolaryngologist to evaluate for jaw pain.
b. Prescribe the medication for the jaw pain and nausea and reevaluate in 2-3
days.
c. Order x-rays of the jaw and abdomen to further evaluate.
d. Recognize these could be atypical symptoms of acute coronary
syndrome and proceed accordingly.
e. Order screening blood work to evaluate for thyroid disease.
3. In an adult over the age of 40, a S3 assessment finding on cardiac auscultation may
be indicative of what? Select all that apply.
a. anemia
b. myocardial infarction
c. heart failure
d. normal for athletes Downloaded by
e. ventricular volume overload from aortic or mitral regurgitation
4. A 72 y.o male is admitted to ICU from the ED for the initial complaint of chest pain.
After the history and physical examination, the NP documents the following CV
findings: JVP is 5 cm above the sternal angle with the HOB elevated to 50º. Carotid
upstrokes are brisk; a bruit is heard over the left carotid artery. The PMI is diffuse, 3
cm in diameter, palpated at the anterior axillary line in the intercostal spaces. S1 and
S2 are soft. S3 is present at the apex. High-pitched harsh 2/6 holosystolic murmur
best heard at the apex, radiating to the axilla. Which of the following possible
diagnosis is based on the accurate interpretation of the assessment findings?
a. These findings suggest heart failure.
b. These findings suggest previous myocardial infarction.
c. These findings suggest right carotid occlusion.
d. These findings suggest mitral stenosis.
e. These findings suggest aortic aneurysm.
, 5. A 76 y.o male presents to the office for a routine physical examination. The NP
documents the following skin findings: decreased elasticity with multiple lentiginous
macules on habitually sun-exposed skin. Multiple, discrete, brown, stuck on,
non-indurated, verrucous plaques on the back and abdomen varying from 1-2 cm.
Which of the following is the most accurate interpretation of these findings?
a. These findings suggest seborrheic keratoses.
b. These findings suggest actinic keratoses.
c. These findings suggest malignant melanoma.
d. These findings suggest lichen planus.
e. These findings suggest psoriasis.
6. A 14 y.o male presents to the clinic with his grandmother for a complaint of sore
throat. The patient is afebrile and denies cough. After completing the history and
physical examination, the NP documented the following partial assessment findings:
throat – oral mucosa pink, dental caries in lower molars, tongue midline, uvula and
pharynx erythematous, bilateral tonsils enlarged, no exudates. Neck – trachea
midline. Neck supple; thyroid isthmus midline, lobes palpable but not enlarged.
Lymph nodes – submandibular and anterior cervical lymph nodes tender. 1 cm x 1
cm, rubbery and mobile, no posterior cervical, epitrochlear, axillary, or inguinal
lymphadenopathy. Which of the following is the most accurate interpretation of the
findings?
a. These findings suggest pharyngitis.
b. These findings suggest tonsillar abscess.
c. These findings suggest lymphoma.
d. These findings suggest mononucleosis.
e. These findings suggest upper respiratory illness.
7. The NP is assuming care for a 56 y.o female resident of a long-term assisted living
facility. The woman is seated in a wheelchair next to a window in her private room.
After completing a history and physical examination, the NP documented the
following mental status findings: the patient appears to be sad and fatigued; clothes
are wrinkled, speech is slow and words are mumbled. Thought processes are
coherent, but insight into current life reverses is limited. The patient is oriented to
person, place and time. Digit span, serial 7s, and calculations accurate, but
responses delayed. Clock drawing is good. Which of the following is the most
accurate interpretation of the findings?
a. These findings suggest depression.
b. These findings suggest anxiety.
c. These findings suggest mood disorder.
d. These findings suggest a neurocognitive disorder.
e. These findings suggest intellectual disability.
HEALTH ASSESSMENT
QUESTIONS & CORRECT
ANSWERS LATEST 2025
, 1. Which of the following statements best describes a differential diagnosis list?
A. It is a list of planned interventions for the problems assessed during the visit.
B. It is the list of concerns brought to the appointment by the patient.
C. It is a list of different diagnoses experienced by the patient in the past.
D. It is a list of potential/plausible diagnoses that may be causing the
patient’s signs and symptoms.
E. It is a list of diagnoses that have already been ruled out as causes for the
chief complaint.
2. A 66 y.o female presents to the primary care office with complaints of jaw pain,
fatigue, and nausea for the last 48 hours. What course of action is appropriate in the
treatment of this patient?
a. Refer the patient to an otolaryngologist to evaluate for jaw pain.
b. Prescribe the medication for the jaw pain and nausea and reevaluate in 2-3
days.
c. Order x-rays of the jaw and abdomen to further evaluate.
d. Recognize these could be atypical symptoms of acute coronary
syndrome and proceed accordingly.
e. Order screening blood work to evaluate for thyroid disease.
3. In an adult over the age of 40, a S3 assessment finding on cardiac auscultation may
be indicative of what? Select all that apply.
a. anemia
b. myocardial infarction
c. heart failure
d. normal for athletes Downloaded by
e. ventricular volume overload from aortic or mitral regurgitation
4. A 72 y.o male is admitted to ICU from the ED for the initial complaint of chest pain.
After the history and physical examination, the NP documents the following CV
findings: JVP is 5 cm above the sternal angle with the HOB elevated to 50º. Carotid
upstrokes are brisk; a bruit is heard over the left carotid artery. The PMI is diffuse, 3
cm in diameter, palpated at the anterior axillary line in the intercostal spaces. S1 and
S2 are soft. S3 is present at the apex. High-pitched harsh 2/6 holosystolic murmur
best heard at the apex, radiating to the axilla. Which of the following possible
diagnosis is based on the accurate interpretation of the assessment findings?
a. These findings suggest heart failure.
b. These findings suggest previous myocardial infarction.
c. These findings suggest right carotid occlusion.
d. These findings suggest mitral stenosis.
e. These findings suggest aortic aneurysm.
, 5. A 76 y.o male presents to the office for a routine physical examination. The NP
documents the following skin findings: decreased elasticity with multiple lentiginous
macules on habitually sun-exposed skin. Multiple, discrete, brown, stuck on,
non-indurated, verrucous plaques on the back and abdomen varying from 1-2 cm.
Which of the following is the most accurate interpretation of these findings?
a. These findings suggest seborrheic keratoses.
b. These findings suggest actinic keratoses.
c. These findings suggest malignant melanoma.
d. These findings suggest lichen planus.
e. These findings suggest psoriasis.
6. A 14 y.o male presents to the clinic with his grandmother for a complaint of sore
throat. The patient is afebrile and denies cough. After completing the history and
physical examination, the NP documented the following partial assessment findings:
throat – oral mucosa pink, dental caries in lower molars, tongue midline, uvula and
pharynx erythematous, bilateral tonsils enlarged, no exudates. Neck – trachea
midline. Neck supple; thyroid isthmus midline, lobes palpable but not enlarged.
Lymph nodes – submandibular and anterior cervical lymph nodes tender. 1 cm x 1
cm, rubbery and mobile, no posterior cervical, epitrochlear, axillary, or inguinal
lymphadenopathy. Which of the following is the most accurate interpretation of the
findings?
a. These findings suggest pharyngitis.
b. These findings suggest tonsillar abscess.
c. These findings suggest lymphoma.
d. These findings suggest mononucleosis.
e. These findings suggest upper respiratory illness.
7. The NP is assuming care for a 56 y.o female resident of a long-term assisted living
facility. The woman is seated in a wheelchair next to a window in her private room.
After completing a history and physical examination, the NP documented the
following mental status findings: the patient appears to be sad and fatigued; clothes
are wrinkled, speech is slow and words are mumbled. Thought processes are
coherent, but insight into current life reverses is limited. The patient is oriented to
person, place and time. Digit span, serial 7s, and calculations accurate, but
responses delayed. Clock drawing is good. Which of the following is the most
accurate interpretation of the findings?
a. These findings suggest depression.
b. These findings suggest anxiety.
c. These findings suggest mood disorder.
d. These findings suggest a neurocognitive disorder.
e. These findings suggest intellectual disability.
