NU 673 ASSESSMENT MIDTERM EXAM
WITH CORRECT ANSWERS
A bpatient bis bsuspected bto bhave bCOPD. bThe bAPRN binstructs bthe bpatient bto btake
ba bdeep bbreath bin, band bthen bwith bhis bmouth bopen, bbreathe bout bas bfast band
bcompletely bas bhe bcan. bFor bwhat bis bthe bAPRN bchecking?
A. bWhispered bpectoriloquy
B. bForced bexpiratory btime
C. bEgophony
D. bTactile bfremitus b- bcorrect banswers b-B. bForced bexpiratory btime
A bpt bpresents bto bthe bclinic bwith bsevere bright bsided babdominal bpain bfor b12
bhours. bHe bbegan bhaving ba b"stomach bache" byesterday, bwith bdecreased bappetite,
bbut btoday bthe bpain bseems bto bbe bjust bon bthe blower bright bside. bHe bhas bhad
, bsome bnausea b& bvomiting, bbut bno bconstipation bor bdiarrhea. bHis blast bBM bwas
blast bnight band bwas bnormal. bHe bhas bhad bno bfever bor bchills. bHe bdenies bany
brecent billness bor binjuries. bHis bPMH bis bunremarkable. bHe bdenies bany btobacco bor
bdrug buse band bdrinks b4-6 bbeers/week. bon bexam, bhe bappears bill band bis blying bon
bhis bright bside. bHis btemp bis b100.4 bF band bHR bis b110. bHis bbowel bsounds bare
bdecreased band bhe bhas brebound bpain band bguarding bone bthird bof bthe bway
bbetween banterior bsuperior biliac bspine band bthe bumbilicus bin bthe bright blower
bquadrant. bWhat bis bthe bmost blikely bcause bof bhis bpain? b
A. bAcute bappendicitis
B. bMesenteric bischemia
C. bAcute bmechanical bintestinal bobstruction
D. bAcute bcholecystitis b- bcorrect banswers b-A. bAcute bappendicitis
An bAPRN bnotes ba b12 bmm bHg bdifference bin bsystolic bBP bduring binspiration. bHow
bshould bthe bAPRN bdocument bthis bfinding?
A. bAcute bstenosis
B. bCarotid barterial bdisease
C. bParadoxical bpulse
D. bPulsus balternans b- bcorrect banswers b-C. bParadoxical bpulse
Which bof bthe bfollowing bpercussion bnotes bis bobtained bover ba bgastric bbubble?
A. bFlatness
B. bHyperresonance
C. bTympany
D. bResonance b- bcorrect banswers b-C. bTympany
The bAPRN bis bperforming ba bcardiac bexam bon ba bpt bwith bSOB band bpalpitations.
bShe blistens bto bthe bheart bwith bthe bpt bsitting bupright, bthen bhas bthe bpt bchange bto
ba bsupine bposition, band bfinally bshe bhas bthe bpt bturn bonto bthe bleft bside bin bthe
bleft blateral bdecubitus bposition. bWhich bof bthe bfollowing bvalvular bdefects bis bbest
bheard bin bthis bposition? b
A. bMitral
B. bAortic
C. bTricuspid
D. bPulmonic b- bcorrect banswers b-A. bMitral
A b20 byear bold bmale bhas ba bhistory bof bleukemia band ban benlarged bspleen. bToday
bhe bpresents bwith ba bfairly bsignificant bleft bupper bquadrant bpain. bOn bexam bof bthe
barea ba brough bgrating bnoise bis bheard. bWhat bis bthis bsound bknown bas?
A. bIt bis ba bvariant bof bbowel bnoise
B. bIt bis ba bsplenic brub
WITH CORRECT ANSWERS
A bpatient bis bsuspected bto bhave bCOPD. bThe bAPRN binstructs bthe bpatient bto btake
ba bdeep bbreath bin, band bthen bwith bhis bmouth bopen, bbreathe bout bas bfast band
bcompletely bas bhe bcan. bFor bwhat bis bthe bAPRN bchecking?
A. bWhispered bpectoriloquy
B. bForced bexpiratory btime
C. bEgophony
D. bTactile bfremitus b- bcorrect banswers b-B. bForced bexpiratory btime
A bpt bpresents bto bthe bclinic bwith bsevere bright bsided babdominal bpain bfor b12
bhours. bHe bbegan bhaving ba b"stomach bache" byesterday, bwith bdecreased bappetite,
bbut btoday bthe bpain bseems bto bbe bjust bon bthe blower bright bside. bHe bhas bhad
, bsome bnausea b& bvomiting, bbut bno bconstipation bor bdiarrhea. bHis blast bBM bwas
blast bnight band bwas bnormal. bHe bhas bhad bno bfever bor bchills. bHe bdenies bany
brecent billness bor binjuries. bHis bPMH bis bunremarkable. bHe bdenies bany btobacco bor
bdrug buse band bdrinks b4-6 bbeers/week. bon bexam, bhe bappears bill band bis blying bon
bhis bright bside. bHis btemp bis b100.4 bF band bHR bis b110. bHis bbowel bsounds bare
bdecreased band bhe bhas brebound bpain band bguarding bone bthird bof bthe bway
bbetween banterior bsuperior biliac bspine band bthe bumbilicus bin bthe bright blower
bquadrant. bWhat bis bthe bmost blikely bcause bof bhis bpain? b
A. bAcute bappendicitis
B. bMesenteric bischemia
C. bAcute bmechanical bintestinal bobstruction
D. bAcute bcholecystitis b- bcorrect banswers b-A. bAcute bappendicitis
An bAPRN bnotes ba b12 bmm bHg bdifference bin bsystolic bBP bduring binspiration. bHow
bshould bthe bAPRN bdocument bthis bfinding?
A. bAcute bstenosis
B. bCarotid barterial bdisease
C. bParadoxical bpulse
D. bPulsus balternans b- bcorrect banswers b-C. bParadoxical bpulse
Which bof bthe bfollowing bpercussion bnotes bis bobtained bover ba bgastric bbubble?
A. bFlatness
B. bHyperresonance
C. bTympany
D. bResonance b- bcorrect banswers b-C. bTympany
The bAPRN bis bperforming ba bcardiac bexam bon ba bpt bwith bSOB band bpalpitations.
bShe blistens bto bthe bheart bwith bthe bpt bsitting bupright, bthen bhas bthe bpt bchange bto
ba bsupine bposition, band bfinally bshe bhas bthe bpt bturn bonto bthe bleft bside bin bthe
bleft blateral bdecubitus bposition. bWhich bof bthe bfollowing bvalvular bdefects bis bbest
bheard bin bthis bposition? b
A. bMitral
B. bAortic
C. bTricuspid
D. bPulmonic b- bcorrect banswers b-A. bMitral
A b20 byear bold bmale bhas ba bhistory bof bleukemia band ban benlarged bspleen. bToday
bhe bpresents bwith ba bfairly bsignificant bleft bupper bquadrant bpain. bOn bexam bof bthe
barea ba brough bgrating bnoise bis bheard. bWhat bis bthis bsound bknown bas?
A. bIt bis ba bvariant bof bbowel bnoise
B. bIt bis ba bsplenic brub
