Midterm Exam: NU650/ NU 650 Advanced
Health Assessment Nursing | Actual
Questions and Answers Latest Updated
(Graded A+)- Regis
Correct
Incorrect
NU650/ NU 650 Advanced Health Assessment Nursing Midterm Exam
,The name of this test is:
(A) Weber's test
(B) Rinne's test
(C) Whisper test
(D) Romberg test
A 75-year-old retired teacher presents to your clinic, complaining of severe,
unrelenting anterior chest pain radiating to her back. She describes it as if
someone is "ripping out her heart." It began less than an hour ago. She states
she is feeling very nauseated and may pass out. Denies any trauma or recent
illnesses. PMH: difficult-to-control HTN & CAD requiring 2 stents. Exam: great
deal of distress. She is lying on the table, curled up, holding her
left and right arms against her chest and is restless, trying to find a
comfortable position. BP 180/110 R arm and 130/60 L arm, and pulse 120. Right
carotid pulse is bounding but the left carotid pulse is weak. Afebrile, RR 24.
Lungs are clear and her cardiac exam unremarkable. What disorder of the
chest best describes her symptoms?
A) Angina pectoris
B) Pericarditis
C) Dissecting aortic aneurysm
D) Pleural pain
A 36-year-old teacher presents to your clinic, complaining of sharp, knifelike pain
on the left side of her chest x2 days. Breathing and lying down make the pain worse,
while sitting forward helps her pain. Tylenol and ibuprofen have not helped. Her
pain does not radiate to any other area. She denies any upper respiratory or
gastrointestinal symptoms. PMH systemic lupus. On examination you find her to be
distressed, leaning over and holding her left arm and hand to her left chest. BP
130/70, RR 12, and pulse 90. On auscultation her lung fields have normal breath
sounds. A scratching noise is heard at the lower left sternal border, coincident with
systole; leaning forward relieves some of her pain. What disorder of the chest best
describes this disorder?
A) Angina pectoris
B) Pericarditis
C) Dissecting aortic aneurysm
D) Pleural pain
, To hear a soft murmur or bruit, which of the following may be necessary?
A) Asking the patient to hold her breath
B) Asking the patient in the next bed to turn down the TV
C) Checking your stethoscope for air leaks
D) All of the above
Don't know?
2 of 218
Definition
A
Give this one a try later!
Which of the following strategies is most effective when dealing with an angry or
disruptive patient?
A. Allow the patient to disrupt the setting as needed to alleviate their anger
B. Ask the patient to lower their voice and remain calm throughout the interview
C. Reinforce the patients criticisms of other clinicians or the facility
D. Validate the patients feelings without agreeing with their reasons.
A 2-week-old infant is brought into your clinic by his parents because they have
noticed that their child is having some difficulty with feeding and that there is
something strange in his mouth. You diagnose thrush. What is the most likely
physical finding you will see upon examination of his mouth?
(A) Koplik's spots
(B) White plaques
(C) Erythematous plaques
(D) Epstein's pearls
, A 29-year-old computer programmer comes to your office for evaluation of a
headache. The tightening sensation is located all over the head and is of
moderate intensity. It used to last minutes, but this time it has lasted for 5 days.
He denies photophobia and nausea. He spends several hours each day at a
computer monitor/keyboard. He has tried over-the-counter medication; it has
dulled the pain but not taken it away. Based on this description, what is your
most likely diagnosis?
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound
A 55-year-old construction worker presents to the clinic to evaluate fatigue and
weakness. During the course of the interview, the patient reveals that he has noticed
both an increase in his ring size and his shoe size; you ask to look at his driver's
license and also at any pictures that he has in his wallet of himself from an earlier
time period. Upon looking at these pictures, you are able to strongly theorize that
he has acromegaly. Which physical finding is most consistent with this diagnosis?
(A) High forehead
(B) Small, recessed jaw
(C) Coarsening of the facial features
(D) Ptosis
Don't know?
3 of 218
Term
You are palpating the apical impulse in a patient with heart disease and
find that the amplitude is diffuse and increased. Which of the following
conditions could be a potential cause of an increase in the amplitude
of the impulse?
A) Hypothyroidism
B) Aortic stenosis, with pressure overload of the left ventricle
Health Assessment Nursing | Actual
Questions and Answers Latest Updated
(Graded A+)- Regis
Correct
Incorrect
NU650/ NU 650 Advanced Health Assessment Nursing Midterm Exam
,The name of this test is:
(A) Weber's test
(B) Rinne's test
(C) Whisper test
(D) Romberg test
A 75-year-old retired teacher presents to your clinic, complaining of severe,
unrelenting anterior chest pain radiating to her back. She describes it as if
someone is "ripping out her heart." It began less than an hour ago. She states
she is feeling very nauseated and may pass out. Denies any trauma or recent
illnesses. PMH: difficult-to-control HTN & CAD requiring 2 stents. Exam: great
deal of distress. She is lying on the table, curled up, holding her
left and right arms against her chest and is restless, trying to find a
comfortable position. BP 180/110 R arm and 130/60 L arm, and pulse 120. Right
carotid pulse is bounding but the left carotid pulse is weak. Afebrile, RR 24.
Lungs are clear and her cardiac exam unremarkable. What disorder of the
chest best describes her symptoms?
A) Angina pectoris
B) Pericarditis
C) Dissecting aortic aneurysm
D) Pleural pain
A 36-year-old teacher presents to your clinic, complaining of sharp, knifelike pain
on the left side of her chest x2 days. Breathing and lying down make the pain worse,
while sitting forward helps her pain. Tylenol and ibuprofen have not helped. Her
pain does not radiate to any other area. She denies any upper respiratory or
gastrointestinal symptoms. PMH systemic lupus. On examination you find her to be
distressed, leaning over and holding her left arm and hand to her left chest. BP
130/70, RR 12, and pulse 90. On auscultation her lung fields have normal breath
sounds. A scratching noise is heard at the lower left sternal border, coincident with
systole; leaning forward relieves some of her pain. What disorder of the chest best
describes this disorder?
A) Angina pectoris
B) Pericarditis
C) Dissecting aortic aneurysm
D) Pleural pain
, To hear a soft murmur or bruit, which of the following may be necessary?
A) Asking the patient to hold her breath
B) Asking the patient in the next bed to turn down the TV
C) Checking your stethoscope for air leaks
D) All of the above
Don't know?
2 of 218
Definition
A
Give this one a try later!
Which of the following strategies is most effective when dealing with an angry or
disruptive patient?
A. Allow the patient to disrupt the setting as needed to alleviate their anger
B. Ask the patient to lower their voice and remain calm throughout the interview
C. Reinforce the patients criticisms of other clinicians or the facility
D. Validate the patients feelings without agreeing with their reasons.
A 2-week-old infant is brought into your clinic by his parents because they have
noticed that their child is having some difficulty with feeding and that there is
something strange in his mouth. You diagnose thrush. What is the most likely
physical finding you will see upon examination of his mouth?
(A) Koplik's spots
(B) White plaques
(C) Erythematous plaques
(D) Epstein's pearls
, A 29-year-old computer programmer comes to your office for evaluation of a
headache. The tightening sensation is located all over the head and is of
moderate intensity. It used to last minutes, but this time it has lasted for 5 days.
He denies photophobia and nausea. He spends several hours each day at a
computer monitor/keyboard. He has tried over-the-counter medication; it has
dulled the pain but not taken it away. Based on this description, what is your
most likely diagnosis?
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound
A 55-year-old construction worker presents to the clinic to evaluate fatigue and
weakness. During the course of the interview, the patient reveals that he has noticed
both an increase in his ring size and his shoe size; you ask to look at his driver's
license and also at any pictures that he has in his wallet of himself from an earlier
time period. Upon looking at these pictures, you are able to strongly theorize that
he has acromegaly. Which physical finding is most consistent with this diagnosis?
(A) High forehead
(B) Small, recessed jaw
(C) Coarsening of the facial features
(D) Ptosis
Don't know?
3 of 218
Term
You are palpating the apical impulse in a patient with heart disease and
find that the amplitude is diffuse and increased. Which of the following
conditions could be a potential cause of an increase in the amplitude
of the impulse?
A) Hypothyroidism
B) Aortic stenosis, with pressure overload of the left ventricle
