1
GCU NUR 634 MIDTERM EXAM NEWEST /GCU
NUR 634 MIDTERM PRACTICE EXAM COMPLETE
120+ QUESTIONS
AND CORRECT DETAILED ANSWERS
D
O
N
O
T
C
O
PY
1
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Mrs. T. comes for her regular visit to the clinic. She is on your schedule
because her regular provider is on vacation, and she wanted to be seen.
You have heard about her many times from your colleague and are
aware that she is a very talkative person. Which of the following is a
helpful technique to improve the quality of the interview for both the
provider and the patient?
A. Allow the patient to speak uninterrupted for the duration of the
appointment.
B. Briefly summarize what you heard from the patient in the first 5 minutes
and then try to have her focus on one aspect of what she told you.
C. Set the time limit at the beginning of the interview and stick with it, no
matter what occurs in the course of the interview.
D
O
D. Allow your impatience to show so that the patient picks up on your
nonverbal cue that the appointment needs to end.
N
O
ANS: B
T
C
Feedback: You can also say, “I want to make sure I take good care of
O
this problem because it is very important. We may need to talk about the
others at the next appointment. Is that okay with you?” This is a
PY
technique that can help you to change the subject but, at the same time,
validate the patient's concerns; it also can provide more structure to the
interview
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You feel a small mass that you think is a lymph node. It is mobile in both
the upand- down and side-to-side directions. Which of the following is
most likely?
A. Cancer
B. Lymph node
C. Deep scar
D. Muscle
ANS: B
Feedback: A useful maneuver for discerning lymph nodes from other
D
masses in the neck is to check for their mobility in all directions. Many
O
other masses are mobile in
only two directions. Cancerous masses may also be “fixed,” or immobile
N
O
T
C
O
PY
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A 77-year-old retired bus driver comes to your clinic for a physical
examination at his wife's request. He has recently been losing weight and
has felt very fatigued. He has had no chest pain, shortness of breath,
nausea, vomiting, or fever. His past medical history includes colon cancer,
for which he had surgery, and arthritis. He has been married for over 40
years. He denies any tobacco or drug use and has not drunk alcohol in over
40 years. His parents both died of cancer in their 60s. On examination his
vital signs are normal. His head, cardiac, and pulmonary examinations are
unremarkable. On abdominal examination you hear normal bowel sounds,
but when you palpate his liver it is abnormal. His rectal examination is
positive for occult blood. What further abnormality of the liver was likely
found on examination?
D
A. Smooth, large, nontender liver
O
B. Irregular, large liver
N
C. Smooth, large, tender liver
O
D. Irregular, small, nontender
T
C
ANS: B
O
PY
Feedback: With his past history of colon cancer and with recent weight loss
and fatigue, a relapse of his colon cancer would be expected. Colon cancer
usually metastasizes to the liver, creating hard, irregular nodules, which
can sometimes be palpated on examination. A smooth, large liver which is
tender is often seen in hepatitis.
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GCU NUR 634 MIDTERM EXAM NEWEST /GCU
NUR 634 MIDTERM PRACTICE EXAM COMPLETE
120+ QUESTIONS
AND CORRECT DETAILED ANSWERS
D
O
N
O
T
C
O
PY
1
, classmerit.com — The Marketplace to Buy and Sell Study Materials
Mrs. T. comes for her regular visit to the clinic. She is on your schedule
because her regular provider is on vacation, and she wanted to be seen.
You have heard about her many times from your colleague and are
aware that she is a very talkative person. Which of the following is a
helpful technique to improve the quality of the interview for both the
provider and the patient?
A. Allow the patient to speak uninterrupted for the duration of the
appointment.
B. Briefly summarize what you heard from the patient in the first 5 minutes
and then try to have her focus on one aspect of what she told you.
C. Set the time limit at the beginning of the interview and stick with it, no
matter what occurs in the course of the interview.
D
O
D. Allow your impatience to show so that the patient picks up on your
nonverbal cue that the appointment needs to end.
N
O
ANS: B
T
C
Feedback: You can also say, “I want to make sure I take good care of
O
this problem because it is very important. We may need to talk about the
others at the next appointment. Is that okay with you?” This is a
PY
technique that can help you to change the subject but, at the same time,
validate the patient's concerns; it also can provide more structure to the
interview
Downloaded by: Want to earn $1,500 Distribution of this document is illegal
extra per year?
, classmerit.com — The Marketplace to Buy and Sell Study Materials
You feel a small mass that you think is a lymph node. It is mobile in both
the upand- down and side-to-side directions. Which of the following is
most likely?
A. Cancer
B. Lymph node
C. Deep scar
D. Muscle
ANS: B
Feedback: A useful maneuver for discerning lymph nodes from other
D
masses in the neck is to check for their mobility in all directions. Many
O
other masses are mobile in
only two directions. Cancerous masses may also be “fixed,” or immobile
N
O
T
C
O
PY
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extra per year?
, classmerit.com — The Marketplace to Buy and Sell Study Materials
A 77-year-old retired bus driver comes to your clinic for a physical
examination at his wife's request. He has recently been losing weight and
has felt very fatigued. He has had no chest pain, shortness of breath,
nausea, vomiting, or fever. His past medical history includes colon cancer,
for which he had surgery, and arthritis. He has been married for over 40
years. He denies any tobacco or drug use and has not drunk alcohol in over
40 years. His parents both died of cancer in their 60s. On examination his
vital signs are normal. His head, cardiac, and pulmonary examinations are
unremarkable. On abdominal examination you hear normal bowel sounds,
but when you palpate his liver it is abnormal. His rectal examination is
positive for occult blood. What further abnormality of the liver was likely
found on examination?
D
A. Smooth, large, nontender liver
O
B. Irregular, large liver
N
C. Smooth, large, tender liver
O
D. Irregular, small, nontender
T
C
ANS: B
O
PY
Feedback: With his past history of colon cancer and with recent weight loss
and fatigue, a relapse of his colon cancer would be expected. Colon cancer
usually metastasizes to the liver, creating hard, irregular nodules, which
can sometimes be palpated on examination. A smooth, large liver which is
tender is often seen in hepatitis.
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extra per year?
