NUR 634 FINAL EXAMS WITH
CORRECT ANSWERS RATED A+
SURE PASS !!!
72-year-
olddMdptdcomplainsdofdbilateraldkneedpain.dthedNPdassessdstumblingdduringdheeldstrikedsuggestived
of?d-dCORRECTdANSWERSquadracepdweaknessdordabnormaldpatellardtracking
14dy/odstudentdcomesdtodclinicaldfordad3-
monthdhxdofddyspneadwhendplayingdbasketball.dtheddyspneadresolvesdshortlydafterdresting.dTheredi
sdnodfever,dchills,dcoughdsputum,dchestdpain,dordseriousdillness.dAsthmadisdsuspected.dWhichdofdthe
dfollowingdsoundsdhearddondexhalationdwoulddsuggestdasthma?d-dCORRECTdANSWERSwheezing
75dy/odFdindgooddhealthdpresentsdtodadNP.dshedtakesdnodmedicationsdbutdhasdbeendtolddindthedpastd
herdBPdisdhigh.dwhichdonedofdthedfollowingdfindingsdisdconsistentdwithdnormaldagingdprocessdanddisd
notdadsigndofdCVddisease?d-dCORRECTdANSWERSmurmur,dstiffeneddventriclesd(valvulardchanges)
AndolderdadultdMdcomplainsdofdfeelingdsomethingdindhisdLdscrotum.dOndpalpitation,dsoft,danddmove
abledblooddvesselsdthatdfeeldlikedadbagdofdwarmsdarednoteddunderneathdthedscrotaldskin.dthedtesticl
esdarednotdswollendordred;dwhatdisdlikelydtheddiagnosis?d-dCORRECTdANSWERSvaricocele-
varicosedveindofdspermaticdcord
Kyphosisdisdadlatedsigndof?d-dCORRECTdANSWERS?
Parentsdgenerallydbringdchildrendfordhealth.dAtdwhatdagedshoulddthedproviderdbegindtodquestiondth
edchilddhimdordherselfdregardingdpresentingdsymptoms?d-dCORRECTdANSWERS>6d?
Thedbulgedsigndanddthedballoondsigndmaydbedpresentdwheredtheredisda/an?d-
dCORRECTdANSWERSPatellardeffusion-
fluiddindthedknee.dSwellingdindsuprapatellardpouch,dbulgedconfirmsdpresencedofdfluiddasdyoudmovedj
oindfromdsidedtodside.
,Thedcremastericdreflexdisdeliciteddby:d-
dCORRECTdANSWERSCremastericdreflexdisdadsuperficialdreflexdseendindmales,dlightdstrokingdordpoki
ngdthedmedicaldpartdofdthighdregardlessdofdtheddirectiondofdthedstroke.
Stimulationdofdmorodreflex?d-
dCORRECTdANSWERSScaredindbaby.dSpreaddofdarmsd(abduct),dfingersdspread,dlegsdextend.dGentlydli
ftdheaddanddreleasedbabvdsodthatdtheydfeeldlikedtheydaredfalling.dAbsencedofdthisdsuggestddamagedt
odbraindordspinaldcord.donedsidedabsent-brachialdplexusdinjury.
Thedtwodmostdimportantdcomponentsdofdthedeyedexamdfordyoungdchild?d-
dCORRECTdANSWERSIdthink:dmotility,dhirschbergdlightdreflex.dusedtoysdanddmakeditdfun.
Indicationdofdcrepitusd-dCORRECTdANSWERScommondsigndofdbonedfxdordRA.dindlungs-
subcutaneousdemphysemad(trappeddairdunderdskin)
RetentiondCystsd-
dCORRECTdANSWERStumordlikedaccumulationdofdsecretionsdformeddwhendthedoutletdofdsecretingd
glanddisdobstructed.dcanddevelopdindbreast,dpancreas,dkidney,dmucusdmembrane.dSmalldsacdofdmuc
usdthatdformsdwhendmucusdductdbecomesdblocked.dyellowishdblgedanddshoulddbeddrained
GCSd-dCORRECTdANSWERSmeasuresdLOC,deyedopening,dmotordresponse,dverbaldresponse.d3-15
AssessmentdofdCNdXId-dCORRECTdANSWERSSpinaldaccessorydnerve,dshrugdshoulders
Assessmentdofdegophony?d-
dCORRECTdANSWERSSayd"e"danddsoundsdliked"a"=degophony.dSuggestsdconsolidation,dpleuraldeffus
ion,dpneumonia.
, ThedFNPdwilldbedabledtodassessdthedsplittingdofds2dindwhichdlocation?d-
dCORRECTdANSWERS2nddICSdLdsternaldboarder
Ad42dy/odhealthydFdrequestsdandMRIdratherdthandmammogram.dnodhxdofdfamilydca.dwhichdofdthedfol
lowingdisdtruedaboutdMRIdasdadscreeningdmodalitydfordbreastdcadindthedgeneraldpopulation?d-
dCORRECTdANSWERSaccuratedbydhighdfalsedpositivedrate
AssessmentdofdPADd-dCORRECTdANSWERSpaindwithdwalkingdbutdbetterdatdrest
Evaluationdofdcornealdabrasiond-dCORRECTdANSWERSSlitdlampdexam=dstaindindeye.
AssessmentdofdurinedanalysisdofdUTId-dCORRECTdANSWERStheredwoulddNOTdbedproteins
assessmentdofdstereognosisdanddgraphesthesiad-
dCORRECTdANSWERSstereognosis:didentifydobjectdwithoutdseeingdordhearingdbutdbydtouch
graphesthesia:ddrawdfigured8dondhanddanddcandidentifydwhatdwasdwritten
Assessmentdofdriskdfactorsdfordmelanomad-dCORRECTdANSWERSABCDE
Ad35dy/odsoccerdplayerdpresentsdtodurgentdcaredwithdcomplaindofdswellingdanddpaindondmedialdasp
ectdofdrightdknee.dondexamdthedkneedisdswollendanddtenderdondthedjoint.dtodassessdfordpossibledinju
rydtodmeniscus,dwhichdmaneuverdwilldyielddthedbestdinformationdfordthedNP.d-
dCORRECTdANSWERSmcMurrarysdtest,dfullydbenddlegdanddpulldoutwarddbowdleggeddwhiledexternal
lydrotatingdasdyoudextenddknee.dClickdordpain=+
ThedNPdbeginsdthedexamdofdad29dy/odfemaledpresentingdfordcough.dnoteddisddepressiondofdthedlow
erdpartdofdthedsternum.dWhichdofdthedfollowingdbestddescribesdthedappearancedofdthedchest.d-
dCORRECTdANSWERSPectusdexcavatumd"sunkendindappearance".dbirthddefect,dcupdshaped.
CORRECT ANSWERS RATED A+
SURE PASS !!!
72-year-
olddMdptdcomplainsdofdbilateraldkneedpain.dthedNPdassessdstumblingdduringdheeldstrikedsuggestived
of?d-dCORRECTdANSWERSquadracepdweaknessdordabnormaldpatellardtracking
14dy/odstudentdcomesdtodclinicaldfordad3-
monthdhxdofddyspneadwhendplayingdbasketball.dtheddyspneadresolvesdshortlydafterdresting.dTheredi
sdnodfever,dchills,dcoughdsputum,dchestdpain,dordseriousdillness.dAsthmadisdsuspected.dWhichdofdthe
dfollowingdsoundsdhearddondexhalationdwoulddsuggestdasthma?d-dCORRECTdANSWERSwheezing
75dy/odFdindgooddhealthdpresentsdtodadNP.dshedtakesdnodmedicationsdbutdhasdbeendtolddindthedpastd
herdBPdisdhigh.dwhichdonedofdthedfollowingdfindingsdisdconsistentdwithdnormaldagingdprocessdanddisd
notdadsigndofdCVddisease?d-dCORRECTdANSWERSmurmur,dstiffeneddventriclesd(valvulardchanges)
AndolderdadultdMdcomplainsdofdfeelingdsomethingdindhisdLdscrotum.dOndpalpitation,dsoft,danddmove
abledblooddvesselsdthatdfeeldlikedadbagdofdwarmsdarednoteddunderneathdthedscrotaldskin.dthedtesticl
esdarednotdswollendordred;dwhatdisdlikelydtheddiagnosis?d-dCORRECTdANSWERSvaricocele-
varicosedveindofdspermaticdcord
Kyphosisdisdadlatedsigndof?d-dCORRECTdANSWERS?
Parentsdgenerallydbringdchildrendfordhealth.dAtdwhatdagedshoulddthedproviderdbegindtodquestiondth
edchilddhimdordherselfdregardingdpresentingdsymptoms?d-dCORRECTdANSWERS>6d?
Thedbulgedsigndanddthedballoondsigndmaydbedpresentdwheredtheredisda/an?d-
dCORRECTdANSWERSPatellardeffusion-
fluiddindthedknee.dSwellingdindsuprapatellardpouch,dbulgedconfirmsdpresencedofdfluiddasdyoudmovedj
oindfromdsidedtodside.
,Thedcremastericdreflexdisdeliciteddby:d-
dCORRECTdANSWERSCremastericdreflexdisdadsuperficialdreflexdseendindmales,dlightdstrokingdordpoki
ngdthedmedicaldpartdofdthighdregardlessdofdtheddirectiondofdthedstroke.
Stimulationdofdmorodreflex?d-
dCORRECTdANSWERSScaredindbaby.dSpreaddofdarmsd(abduct),dfingersdspread,dlegsdextend.dGentlydli
ftdheaddanddreleasedbabvdsodthatdtheydfeeldlikedtheydaredfalling.dAbsencedofdthisdsuggestddamagedt
odbraindordspinaldcord.donedsidedabsent-brachialdplexusdinjury.
Thedtwodmostdimportantdcomponentsdofdthedeyedexamdfordyoungdchild?d-
dCORRECTdANSWERSIdthink:dmotility,dhirschbergdlightdreflex.dusedtoysdanddmakeditdfun.
Indicationdofdcrepitusd-dCORRECTdANSWERScommondsigndofdbonedfxdordRA.dindlungs-
subcutaneousdemphysemad(trappeddairdunderdskin)
RetentiondCystsd-
dCORRECTdANSWERStumordlikedaccumulationdofdsecretionsdformeddwhendthedoutletdofdsecretingd
glanddisdobstructed.dcanddevelopdindbreast,dpancreas,dkidney,dmucusdmembrane.dSmalldsacdofdmuc
usdthatdformsdwhendmucusdductdbecomesdblocked.dyellowishdblgedanddshoulddbeddrained
GCSd-dCORRECTdANSWERSmeasuresdLOC,deyedopening,dmotordresponse,dverbaldresponse.d3-15
AssessmentdofdCNdXId-dCORRECTdANSWERSSpinaldaccessorydnerve,dshrugdshoulders
Assessmentdofdegophony?d-
dCORRECTdANSWERSSayd"e"danddsoundsdliked"a"=degophony.dSuggestsdconsolidation,dpleuraldeffus
ion,dpneumonia.
, ThedFNPdwilldbedabledtodassessdthedsplittingdofds2dindwhichdlocation?d-
dCORRECTdANSWERS2nddICSdLdsternaldboarder
Ad42dy/odhealthydFdrequestsdandMRIdratherdthandmammogram.dnodhxdofdfamilydca.dwhichdofdthedfol
lowingdisdtruedaboutdMRIdasdadscreeningdmodalitydfordbreastdcadindthedgeneraldpopulation?d-
dCORRECTdANSWERSaccuratedbydhighdfalsedpositivedrate
AssessmentdofdPADd-dCORRECTdANSWERSpaindwithdwalkingdbutdbetterdatdrest
Evaluationdofdcornealdabrasiond-dCORRECTdANSWERSSlitdlampdexam=dstaindindeye.
AssessmentdofdurinedanalysisdofdUTId-dCORRECTdANSWERStheredwoulddNOTdbedproteins
assessmentdofdstereognosisdanddgraphesthesiad-
dCORRECTdANSWERSstereognosis:didentifydobjectdwithoutdseeingdordhearingdbutdbydtouch
graphesthesia:ddrawdfigured8dondhanddanddcandidentifydwhatdwasdwritten
Assessmentdofdriskdfactorsdfordmelanomad-dCORRECTdANSWERSABCDE
Ad35dy/odsoccerdplayerdpresentsdtodurgentdcaredwithdcomplaindofdswellingdanddpaindondmedialdasp
ectdofdrightdknee.dondexamdthedkneedisdswollendanddtenderdondthedjoint.dtodassessdfordpossibledinju
rydtodmeniscus,dwhichdmaneuverdwilldyielddthedbestdinformationdfordthedNP.d-
dCORRECTdANSWERSmcMurrarysdtest,dfullydbenddlegdanddpulldoutwarddbowdleggeddwhiledexternal
lydrotatingdasdyoudextenddknee.dClickdordpain=+
ThedNPdbeginsdthedexamdofdad29dy/odfemaledpresentingdfordcough.dnoteddisddepressiondofdthedlow
erdpartdofdthedsternum.dWhichdofdthedfollowingdbestddescribesdthedappearancedofdthedchest.d-
dCORRECTdANSWERSPectusdexcavatumd"sunkendindappearance".dbirthddefect,dcupdshaped.