N522 MID TERM EXAM QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS| TESTED
QUESTIONS AND RATIONALE|WELL GRADED A+
|LATEST UPDATE 2024/2025.
pulsus alternans - CORRECT ANSWERS-the rhythm of pulse is regular, but the foce of
the pulse alternates because of the alternating strong and weak ventricular contractions;
indicates severe left ventricular dysfunction
paradoxical pulse - CORRECT ANSWERS-pulse varies in amplitude w/ respiration,
checked w/ BP cuff
grade 1 - CORRECT ANSWERS-murmur that is very faint, may not be heart in all
positions
grade 2 - CORRECT ANSWERS-murmur that is quiet but hear immediately after
placing stethoscope on the chest
grade 3 - CORRECT ANSWERS-murmur that is moderately loud
grade 4 - CORRECT ANSWERS-murmur that is loud w/ palpable thrill
grade 5 - CORRECT ANSWERS-murmur that is very loud w/ thrill. may be heard with
stethoscope off the chest
grade 6 - CORRECT ANSWERS-murmur that is very loud w/ thrill and heart w/out
stethoscope on chest
-fatigue, aching, numbness, or pain that limits walking or exertion in the legs; if present,
identify the location. ask about erectile dysfunction
-any poorly healing or nonhealing wounds of the legs or feet
-any pain present when at rest in the lower leg or foot and changes when standing or
supine
-abdominal pain after mals and associated "food fear" and weight loss
-any 1 degree relatives w/ a AAA - CORRECT ANSWERS-warnings for PAD
3+ - CORRECT ANSWERS-bounding pulse
2+ - CORRECT ANSWERS-Brisk, expected (normal) pulse
1+ - CORRECT ANSWERS-diminished, weaker than expected pulse
0 - CORRECT ANSWERS-absent, unable to palpate pulse
,allen test - CORRECT ANSWERS-compares the patency of the ulnar and radial arteries
by asking the pt to make a fist w/ 1 hand and compressing both the radial and ulnar
arteries between your thumbs and finger. next, open the hand into relaxed position,
palm should be pale. release pressure over the ulnar artery, if it is patent it will flush in
about 3-5 seconds
diagnostic reasoning - CORRECT ANSWERS-a scientific process in which the
practitioner suspects the cause of a patient's symptoms and signs based on previous
knowledge
Character-how does it look/feel/smell/sound
Onset-when did it start
Location
Duration-how long does it last, recurrent
Severity- scale 0-10
Pattern- what makes it worse/better
Associated factors-other symptoms, interfere w/ ADLs - CORRECT ANSWERS-What is
symptom analysis using COLDSPA
clinical reasoning - CORRECT ANSWERS-situation, practice-based form of reasoning
that acknowledges the many variables that are present in an actual clinical situation,
such as social relationships/situations involving family, community and team of
healthcare providers
evidence-based practice - CORRECT ANSWERS-integration of clinical expertise with
the most current, relevant, and sound research evidence to guide clinical practice
decisions
comprehensive assessment - CORRECT ANSWERS-all the elements of the health
history and complete physical examination
focused/problem oriented assessment - CORRECT ANSWERS-addresses focused
concerns/symptoms, restricted to body system, applies examination methods relevant
to assessing the concern
subjective data - CORRECT ANSWERS-what the patient tells you; symptoms and
history from chief complaint through review of systems
objective data - CORRECT ANSWERS-what you detect during examination, lab
findings, and test data. all physical exam findings.
identifying data/source of history and reliability, chief complaint, present illness, past
history, family history, personal and social history, review of systems - CORRECT
ANSWERS-components of the comprehensive health history
, location, quality, quantity/severity, timing, setting, relieving and aggravating factors,
associated manifestations - CORRECT ANSWERS-7 attributes of a symptom
inspection - CORRECT ANSWERS-close observation of the details of the patient's
appearance, behavior, and movement
palpation - CORRECT ANSWERS-tactile pressure from the palmar fingers or
fingerpads to assess areas of skin elevation, depression, warmth, tenderness, lymph
nodes, pulses, contours, sizes of organs, masses, crepitus
percussion - CORRECT ANSWERS-use of striking usually the third digit to deliver a
rapid to tap to other 3rd digit against the chest or abdomen to evoke a sound
auscultation - CORRECT ANSWERS-use of diaphragm and bell of stethoscope to
detect characteristics of heart, lung, bowel sounds
general survey - CORRECT ANSWERS-observe the patient's general state of health,
ht, wt, build, and sexual development. note posture, motor activity, gait, personal
hygiene, facial expressions, tone
differential diagnosis - CORRECT ANSWERS-a list of potential causes for the patient's
problems
primary prevention - CORRECT ANSWERS-interventions designed to prevent disease
secondary prevention - CORRECT ANSWERS-screening tests designed to find disease
or disease processes at an early, asymptomatic age
patient-centered interviewing - CORRECT ANSWERS-following the patient's lead to
understand their thoughts, ideas, concerns, and request, without adding additional
information from the clinician's perspective
symptom focused, clinician centered - CORRECT ANSWERS-clinician takes charge of
the interaction to meet their own needs to acquire the symptoms, details, and other data
to identify the disease
moving from open-ended to focused questions, using questions to elicit a graded
response, asking a series of questions one at a time, offering multiple choices for
answers, clarifying what the patient means, encouraging with continuers, using echoing
- CORRECT ANSWERS-techniques of guided questioning
evoke the patient's perspective, convey interest in the person not just the problem,
follow the patient's leads, elicit and validate emotional content, share information w/ the
pt, make clinical reasoning transparent to the patient, reveal the limits of your
knowledge - CORRECT ANSWERS-techniques for empowering the patient
CORRECT VERIFIED ANSWERS| TESTED
QUESTIONS AND RATIONALE|WELL GRADED A+
|LATEST UPDATE 2024/2025.
pulsus alternans - CORRECT ANSWERS-the rhythm of pulse is regular, but the foce of
the pulse alternates because of the alternating strong and weak ventricular contractions;
indicates severe left ventricular dysfunction
paradoxical pulse - CORRECT ANSWERS-pulse varies in amplitude w/ respiration,
checked w/ BP cuff
grade 1 - CORRECT ANSWERS-murmur that is very faint, may not be heart in all
positions
grade 2 - CORRECT ANSWERS-murmur that is quiet but hear immediately after
placing stethoscope on the chest
grade 3 - CORRECT ANSWERS-murmur that is moderately loud
grade 4 - CORRECT ANSWERS-murmur that is loud w/ palpable thrill
grade 5 - CORRECT ANSWERS-murmur that is very loud w/ thrill. may be heard with
stethoscope off the chest
grade 6 - CORRECT ANSWERS-murmur that is very loud w/ thrill and heart w/out
stethoscope on chest
-fatigue, aching, numbness, or pain that limits walking or exertion in the legs; if present,
identify the location. ask about erectile dysfunction
-any poorly healing or nonhealing wounds of the legs or feet
-any pain present when at rest in the lower leg or foot and changes when standing or
supine
-abdominal pain after mals and associated "food fear" and weight loss
-any 1 degree relatives w/ a AAA - CORRECT ANSWERS-warnings for PAD
3+ - CORRECT ANSWERS-bounding pulse
2+ - CORRECT ANSWERS-Brisk, expected (normal) pulse
1+ - CORRECT ANSWERS-diminished, weaker than expected pulse
0 - CORRECT ANSWERS-absent, unable to palpate pulse
,allen test - CORRECT ANSWERS-compares the patency of the ulnar and radial arteries
by asking the pt to make a fist w/ 1 hand and compressing both the radial and ulnar
arteries between your thumbs and finger. next, open the hand into relaxed position,
palm should be pale. release pressure over the ulnar artery, if it is patent it will flush in
about 3-5 seconds
diagnostic reasoning - CORRECT ANSWERS-a scientific process in which the
practitioner suspects the cause of a patient's symptoms and signs based on previous
knowledge
Character-how does it look/feel/smell/sound
Onset-when did it start
Location
Duration-how long does it last, recurrent
Severity- scale 0-10
Pattern- what makes it worse/better
Associated factors-other symptoms, interfere w/ ADLs - CORRECT ANSWERS-What is
symptom analysis using COLDSPA
clinical reasoning - CORRECT ANSWERS-situation, practice-based form of reasoning
that acknowledges the many variables that are present in an actual clinical situation,
such as social relationships/situations involving family, community and team of
healthcare providers
evidence-based practice - CORRECT ANSWERS-integration of clinical expertise with
the most current, relevant, and sound research evidence to guide clinical practice
decisions
comprehensive assessment - CORRECT ANSWERS-all the elements of the health
history and complete physical examination
focused/problem oriented assessment - CORRECT ANSWERS-addresses focused
concerns/symptoms, restricted to body system, applies examination methods relevant
to assessing the concern
subjective data - CORRECT ANSWERS-what the patient tells you; symptoms and
history from chief complaint through review of systems
objective data - CORRECT ANSWERS-what you detect during examination, lab
findings, and test data. all physical exam findings.
identifying data/source of history and reliability, chief complaint, present illness, past
history, family history, personal and social history, review of systems - CORRECT
ANSWERS-components of the comprehensive health history
, location, quality, quantity/severity, timing, setting, relieving and aggravating factors,
associated manifestations - CORRECT ANSWERS-7 attributes of a symptom
inspection - CORRECT ANSWERS-close observation of the details of the patient's
appearance, behavior, and movement
palpation - CORRECT ANSWERS-tactile pressure from the palmar fingers or
fingerpads to assess areas of skin elevation, depression, warmth, tenderness, lymph
nodes, pulses, contours, sizes of organs, masses, crepitus
percussion - CORRECT ANSWERS-use of striking usually the third digit to deliver a
rapid to tap to other 3rd digit against the chest or abdomen to evoke a sound
auscultation - CORRECT ANSWERS-use of diaphragm and bell of stethoscope to
detect characteristics of heart, lung, bowel sounds
general survey - CORRECT ANSWERS-observe the patient's general state of health,
ht, wt, build, and sexual development. note posture, motor activity, gait, personal
hygiene, facial expressions, tone
differential diagnosis - CORRECT ANSWERS-a list of potential causes for the patient's
problems
primary prevention - CORRECT ANSWERS-interventions designed to prevent disease
secondary prevention - CORRECT ANSWERS-screening tests designed to find disease
or disease processes at an early, asymptomatic age
patient-centered interviewing - CORRECT ANSWERS-following the patient's lead to
understand their thoughts, ideas, concerns, and request, without adding additional
information from the clinician's perspective
symptom focused, clinician centered - CORRECT ANSWERS-clinician takes charge of
the interaction to meet their own needs to acquire the symptoms, details, and other data
to identify the disease
moving from open-ended to focused questions, using questions to elicit a graded
response, asking a series of questions one at a time, offering multiple choices for
answers, clarifying what the patient means, encouraging with continuers, using echoing
- CORRECT ANSWERS-techniques of guided questioning
evoke the patient's perspective, convey interest in the person not just the problem,
follow the patient's leads, elicit and validate emotional content, share information w/ the
pt, make clinical reasoning transparent to the patient, reveal the limits of your
knowledge - CORRECT ANSWERS-techniques for empowering the patient
