NU 673 Assessment Midterm exam with
correct answers
A patient is suspected to have COPD. The
| | | | | | | |
APRN instructs the patient to take a deep
| | | | | | | |
breath in, and then with his mouth open,
| | | | | | | |
breathe out as fast and completely as he can. For
| | | | | | | | | |
what is the APRN checking?
| | | |
A. Whispered pectoriloquy
| |
B. Forced expiratory time
| | |
C. Egophony |
D. Tactile fremitus - VERIFIED
| | | | |
ANSWER✔✔-B. Forced expiratory time | | |
A pt presents to the clinic with severe right sided
| | | | | | | | | |
abdominal pain for 12 hours. He began having a | | | | | | | |
"stomach ache" yesterday, with decreased
| | | | | |
appetite, but today the pain seems to be just on
| | | | | | | | | |
,the lower right side. He has had some nausea &
| | | | | | | | | |
vomiting, but no constipation or diarrhea. His | | | | | | |
last BM was last night and was normal. He has
| | | | | | | | | |
had no fever or chills. He denies any recent
| | | | | | | | |
illness or injuries. His PMH is unremarkable.| | | | | | |
He denies any tobacco or drug use and drinks 4-
| | | | | | | | |
6 beers/week. on exam, he appears ill and is
| | | | | | | | |
lying on his right side. His temp is 100.4 F and
| | | | | | | | | | |
HR is 110. His bowel sounds are decreased and
| | | | | | | | |
he has rebound pain and guarding one third of
| | | | | | | | |
the way between anterior superior iliac spine
| | | | | | |
and the umbilicus in the right lower quadrant.
| | | | | | | |
What is the most likely cause of his pain?
| | | | | | | | |
A. Acute appendicitis
| |
B. Mesenteric ischemia
| |
C. Acute mechanical intestinal obstruction
| | | |
D. Acute cholecystitis - VERIFIED
| | | | |
ANSWER✔✔-A. Acute appendicitis | |
, An APRN notes a 12 mm Hg difference in
| | | | | | | | |
systolic BP during inspiration. How should the
| | | | | | |
APRN document this finding?
| | |
A. Acute stenosis
| |
B. Carotid arterial disease
| | |
C. Paradoxical pulse
| |
D. Pulsus alternans - VERIFIED
| | | | |
ANSWER✔✔-C. Paradoxical pulse | |
Which of the following percussion notes is
| | | | | | |
obtained over a gastric bubble?
| | | |
A. Flatness
|
B. Hyperresonance
|
C. Tympany
|
D. Resonance - VERIFIED ANSWER✔✔-C.
| | | | |
Tympany
correct answers
A patient is suspected to have COPD. The
| | | | | | | |
APRN instructs the patient to take a deep
| | | | | | | |
breath in, and then with his mouth open,
| | | | | | | |
breathe out as fast and completely as he can. For
| | | | | | | | | |
what is the APRN checking?
| | | |
A. Whispered pectoriloquy
| |
B. Forced expiratory time
| | |
C. Egophony |
D. Tactile fremitus - VERIFIED
| | | | |
ANSWER✔✔-B. Forced expiratory time | | |
A pt presents to the clinic with severe right sided
| | | | | | | | | |
abdominal pain for 12 hours. He began having a | | | | | | | |
"stomach ache" yesterday, with decreased
| | | | | |
appetite, but today the pain seems to be just on
| | | | | | | | | |
,the lower right side. He has had some nausea &
| | | | | | | | | |
vomiting, but no constipation or diarrhea. His | | | | | | |
last BM was last night and was normal. He has
| | | | | | | | | |
had no fever or chills. He denies any recent
| | | | | | | | |
illness or injuries. His PMH is unremarkable.| | | | | | |
He denies any tobacco or drug use and drinks 4-
| | | | | | | | |
6 beers/week. on exam, he appears ill and is
| | | | | | | | |
lying on his right side. His temp is 100.4 F and
| | | | | | | | | | |
HR is 110. His bowel sounds are decreased and
| | | | | | | | |
he has rebound pain and guarding one third of
| | | | | | | | |
the way between anterior superior iliac spine
| | | | | | |
and the umbilicus in the right lower quadrant.
| | | | | | | |
What is the most likely cause of his pain?
| | | | | | | | |
A. Acute appendicitis
| |
B. Mesenteric ischemia
| |
C. Acute mechanical intestinal obstruction
| | | |
D. Acute cholecystitis - VERIFIED
| | | | |
ANSWER✔✔-A. Acute appendicitis | |
, An APRN notes a 12 mm Hg difference in
| | | | | | | | |
systolic BP during inspiration. How should the
| | | | | | |
APRN document this finding?
| | |
A. Acute stenosis
| |
B. Carotid arterial disease
| | |
C. Paradoxical pulse
| |
D. Pulsus alternans - VERIFIED
| | | | |
ANSWER✔✔-C. Paradoxical pulse | |
Which of the following percussion notes is
| | | | | | |
obtained over a gastric bubble?
| | | |
A. Flatness
|
B. Hyperresonance
|
C. Tympany
|
D. Resonance - VERIFIED ANSWER✔✔-C.
| | | | |
Tympany
