NR509 Week 4 Midterm Exam (July-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
A. Prone
B. Sitting leaning forward after full exhalation
C. Supine with head of bed elevated to 30 degrees ✅
D. Left lateral decubitus
✔️ Correct answer: C. Supine with head of bed elevated to 30 degrees

Which of the following findings constitutes jugular venous distention (JVD) during a physical examination?
Answers: A – D
A. Internal jugular vein distention observed above 3 cm from the sternal angle with the head of the bed elevated to 30–45 degrees ✅
B. Visible pulsations of the internal jugular vein at the sternal notch with the patient seated upright at 90 degrees
C. External jugular vein collapse when the patient is positioned at a 45-degree angle
D. Carotid artery pulsation visible just above the clavicle with the patient lying flat
✔️ Correct answer: A. Internal jugular vein distention observed above 3 cm from the sternal angle with the head of the bed elevated to 30–45 degrees

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
A. Papule
B. Nodule
C. Plaque ✅
D. Macule
✔️ Correct answer: C. Plaque

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
A. Function, Illness, Family, and Examination
B. Feelings, Investigation, Findings, and Education
C. Feelings, Ideas, Function, and Expectations ✅
D. Fear, Impact, Facts, and Evaluation
✔️ Correct answer: C. Feelings, Ideas, Function, and Expectations………………..purchase the entire exam questions and answers at $70 only