NR509 Week 4: Midterm Exam (sept 2026)

NR509 Week 4: Midterm Exam [Sept-2026]

The NP is conducting a cardiac physical examination to assess for jugular venous distention. What is the MOST appropriate position for this assessment?

Answers: A – D

1. Prone
2. Sitting leaning forward after full exhalation
3. Supine with head of bed elevated to 30 degrees ✅
4. Left lateral decubitus

Which of the following findings constitutes jugular venous distention (JVD) during a physical examination?

Answers: A – D

1. Internal jugular vein distention observed above 3 cm from the sternal angle with the head of the bed elevated to 30–45 degrees ✅
2. Visible pulsations of the internal jugular vein at the sternal notch with the patient seated upright at 90 degrees
3. External jugular vein collapse when the patient is positioned at a 45-degree angle
4. Carotid artery pulsation visible just above the clavicle with the patient lying flat

During a physical examination of a patient, the NP notes a large, well-defined, flat-topped lesion on the elbow. The lesion is raised and measures about 2 cm in diameter, and it appears to have formed by the coalescence of smaller, elevated spots. How should the NP describe this lesion based on the physical exam findings?

Answers: A – D

1. Papule
2. Nodule
3. Plaque ✅
4. Macule

A 44-year-old female presents for follow-up care. She was diagnosed with systemic lupus erythematosus 6 months ago. Since her diagnosis, she has been minimally compliant with medications. The NP is using the FIFE model to guide the encounter. What does FIFE stand for?

Answers: A – D

1. Function, Illness, Family, and Examination
2. Feelings, Investigation, Findings, and Education
3. Feelings, Ideas, Function, and Expectations ✅
4. Fear, Impact, Facts, and Evaluation

When evaluating pulsus paradoxus, which measurement difference confirms the finding?

Answers: A – D

1. ≥10 mm Hg drop during inspiration ✅
2. ≥5 mm Hg drop during inspiration
3. Constant systolic pressure throughout the cycle
4. Increase in diastolic pressure during expiration

A 42-year-old male complains of pain in his left leg. He does not remember injuring his leg; however, he notes that there is a small wound on the lateral aspect of his mid-shin. Upon examination, some mild erythema surrounding the wound and flat, nonpalpable red streaks progressing up his leg are noted. What do these streaks likely represent?

Answers: A – D

1. Dilated veins
2. Occluded arterial vessels
3. Draining lymphatic channels ✅
4. Thrombus

Which of the following best reflects the practice of cultural humility in clinical encounters?

Answers: A – D

1. Using your personal experience to guide the patient toward the best medical decision
2. Prioritizing biomedical knowledge over a patient’s personal beliefs when conflicts arise
3. Learning the health beliefs and customs of every cultural group before clinical practice
4. Engaging in self-reflection and respectful communication to build collaborative partnerships with patients ✅…………………………………………………..purchase the entire exam questions and answers at $75 only