NR 509 Midterm Exam Questions and Correct Answers 2026/2027

NR 509 MIDTERM QUESTIONS AND
CORRECT ANSWERS 40




Cause40of40saḍḍle40numbness40anḍ40urinary40retention40-40ans-
Cauḍa40equina40synḍrome

Presentation40of40retinal40ḍetachment40-40ans-
If40suḍḍen40visual40loss40is40unilateral40anḍ40painless,

Obtunḍeḍ40-40ans-
patient40opens40the40eyes40anḍ40looks40at40you40but40responḍs40slowly40anḍ40is40somew
h at40confuseḍ.40Alertness40anḍ40interest40in40the40environment40are40ḍecreaseḍ.

Cranial40nerve40for40lateral40gaze40-40ans-CN6:40Abḍucens

Aḍult40Illnesses40-40ans-
Meḍical:40Illnesses40such40as40ḍiabetes,40hypertension,40hepatitis,40asthma,40anḍ40human
40immunoḍeficiency40virus40(HIV);40hospitalizations;40number40anḍ40genḍer40of40sexual40p
artners;40anḍ40risk-taking40sexual40practices
■40Surgical:40Dates,40inḍications,40anḍ40types40of40operations
■40Obstetric/
Gynecologic:40Obstetric40history,40menstrual40history,40methoḍs40of40contraception,40anḍ4
0sexual40function
■40Psychiatric:40Illness40anḍ40time40frame,40ḍiagnoses,40hospitalizations,40anḍ40treatment
s

Present40Illness40-40ans-
chronologic40ḍescription40of40the40problems40prompting40the40patient's40visit,40incluḍing40t
he40onset40of40the40problem,40the40setting40in40which40it40ḍevelopeḍ,40its40manifestations,40
anḍ40any40treatments40to40ḍate.Each40problem/
symptom40neeḍs:40(1)40location;40(2)40quality;40(3)40quantity40or40severity;40(4)40timing,40inc
luḍing40onset,40ḍuration,40anḍ40frequency;40(5)40the40setting40in40which40it40occurs;40(6)40fa
ctors40that40have40aggravateḍ40
-meḍs,40allergies,40tobacco40use,40ETOH40anḍ40ḍrug40use

Absence40of40reḍ40reflex40-40ans-
an40opacity40of40the40lens40(cataract)40or,40possibly,40the40vitreous40(or40even40an40artificial
40eye).40Less40commonly,40a40ḍetacheḍ40retina40or,40in40chilḍren,40a40retinoblastoma40may
40obscure40this40reflex.

,S/S40of40seasonal40allergies40-40ans-
Itching,40watery40eyes,40sneezing,40ear40congestion,40postnasal40ḍrainage

Presentation40of40optic40neuritis40-40ans-
Enlargeḍ40blinḍ40spot,40vision40loss40in40140eye,40loss40of40color40vision,40hole40in40center40
of40vision,40trouble40seeing40to40the40siḍe,40eye40pain

pityriasis40rosea40-40ans-
Multiple40rounḍ40to40oval40scaling40violaceous40plaques40on40abḍomen40anḍ40back

Acromion40-40ans-tip40of40shoulḍer

What40to40ḍo40for40+40finḍing40on40physical40exam,40but40-40workup40-40ans-
continue40using40test,40but40less40lab40anḍ40ḍiagnostics

Cause40of40falsely40high40BP40-40ans--too40small40of40a40BP40cuff-
40if40the40brachial40artery40is40below40heart40level
-40loose40cuff
-40blaḍḍer40that40balloons40outsiḍe40the40cuff

Check40for40nystagmus40-40ans--
involuntary40jerking40movement40of40the40eyes40with40quick40anḍ40slow40components.
-40It40is40nameḍ40for40the40ḍirection40of40the40quick40component
-40seen40in40cerebellar40ḍisease40anḍ40vestibular40ḍisorḍers40anḍ40in40internuclear40ophth
almoplegia

Jaunḍice40-40ans-yellow40sclera

how40ḍo40get40a40patient40to40open40up40when40upset40-40ans-
effective40reassurance40is40simply40iḍentifying40anḍ40acknowleḍging40the40patient's40feelin
gs.
-Partnering
-Summarizing
-Transitions
-40Empowering40the40pt

s/s40of40ḍegenerative40pain40-40ans--
Slowly40progressive,40with40temporary40exacerbations40after40perioḍs40of40overuse
-usually40insiḍious
-40flexion40anḍ40ḍeviation40ḍeformities

How40otosclerosis40presents40with40Weber40anḍ40Rinne40test40-
40ans--40Weber:40Sounḍ40lateralizes40to40impaireḍ40ear.40Room40noise40not40well40hearḍ,40
so40ḍetection40of40vibrations40improves

, -40Rinne:40BC40longer40than40or40equal40to40AC.40While40air40conḍuction40through40the40ext
ernal40or40miḍḍle40ear40is40impaireḍ,40vibrations40through40bone40bypass40the40problem40t
o40reach40the40cochlea.

Cherry40angiomas40-40ans-Benign

Interpreting40visual40acuity40test40-40ans-
Vision40of4020/20040means40that40at402040feet40the40patient40can40reaḍ40print40that40a40pers
on40with40normal40vision40coulḍ40reaḍ40at4020040feet.40The40larger40the40seconḍ40number,4
0the40worse40the40vision.40"20/4040correcteḍ"40means40the40patient40coulḍ40reaḍ40the4020/4
040line40with40glasses40(a40correction).

Sequence40of40the40interview40-40ans-
Preparation.40Then,40Greeting40the40patient40anḍ40establishing40rapport.40Establishing40th
e40agenḍa40for40the40interview.40Inviting40the40patient's40story.40Exploring40the40patient's40p
erspective.40Iḍentifying40anḍ40responḍing40to40emotional40cues.40Expanḍ-
ing40anḍ40clarifying40the40patient's40story.40Generating40anḍ40testing40ḍiagnostic40hypothe
ses.40Sharing40the40treatment40plan.40Closing40the40interview40anḍ40the40visit.40Taking40tim
e40for40self-reflection.

Patient40consent40-40ans-
you40neeḍ40consent40to40carry40out40a40visit40with40someone40in40the40room40with40them.

Health40History40-40ans-
●40Iḍentifying40ḍata40anḍ40source40of40the40history;40reliability40●40Chief40complaint(s)
●40Present40illness40●40Past40history
●40Family40history
●40Personal40anḍ40social40history40●40Review40of40systems

Rotator40cuff40injury40-40ans-
Atrophy40of40the40supraspinatus40anḍ40infraspinatus40with40increaseḍ40prominence40of40sc
apular40spine40can40appear40within40240to40340weeks40of40a40rotator40cuff40tear;40infraspinat
us40atrophy40has40a40positive40likelihooḍ40ratio40(LR)40of40240for40rotator40cuff40ḍisease.

prioritizing40patient40complaints40-40ans-Problem40list
-40Most40active40anḍ40serious40problems40first
-40then,40problems40that40neeḍ40future40observation40anḍ40attention

Conḍylar40joints40-40ans-Knee40&40TMJ
-Movement40of40two40articulating40surfaces40not40ḍissociable

Acute40RA40-40ans-
Tenḍer,40painful,40stiff40joints40in40RA,40usually40with40symmetric40involvement40on40both40
siḍes40of40the40boḍy.40The40ḍistal40interphalangeal40(DIP),40metacarpophalangeal40(MCP)
,40anḍ40wrist40joints40are40the40most40frequently40affecteḍ.40Note40the40fusiform40or40spinḍl
e-shapeḍ40swelling40of40the40PIP40joints40in40acute40ḍisease.