GCU NUR 634 MIDTERM Practice Exam With
150 Complete Questions And Correct Detailed
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Which of the following is a "red flag" regarding patients presenting with headache?
Phonophobia and photophobia
Pain over the sinuses
Unilateral headache
A+ TEST BANK 1
, GCU NUR 634 MIDTERM Practice Exam
Age over 50 –
Correct Answer :Age over 50
A patient presents with ear pain. She is an avid swimmer. The history includes pain and
drainage from the left ear. On examination, she has pain when the ear is manipulated,
including manipulation of the tragus. The canal is narrowed and erythematous, with some
white debris in the canal. The rest of the examination is normal. What diagnosis would you
assign this patient?
External otitis
Cholesteatoma
Perforation of the tympanum
Otitis media –
Correct Answer :External otitis
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On
observation, the right eyeball appears to be protruding forward. Based on this description,
what is the most likely diagnosis?
Exophthalmos
Ectropion
A+ TEST BANK 2
, GCU NUR 634 MIDTERM Practice Exam
Epicanthus
Ptosis –
Correct Answer :Exophthalmos
A 73-year-old nurse comes to your office for evaluation of new onset of tremors. She is not
on any medications and does not take herbs or supplements. She has no chronic medical
conditions. She does not smoke or drink alcohol. She walks into the examination room with
slow movements and shuffling steps. She has decreased facial mobility and a blunt
expression, without any changes in hair distribution on her face. Based on this description,
what is the most likely reason for the patient's symptoms?
Myxedema
Parkinson's disease
Nephrotic syndrome
Cushing's syndrome –
Correct Answer :Parkinson's disease
On visual confrontation testing, a stroke patient is unable to see your fingers on his entire
right side with either eye covered. Which of the following terms would describe this finding?
Right temporal hemianopsia
A+ TEST BANK 3
, GCU NUR 634 MIDTERM Practice Exam
Binasal hemianopsia
Right homonymous hemianopsia
Bitemporal hemianopsia –
Correct Answer :Right homonymous hemianopsia
Glaucoma is the leading cause of blindness in African-Americans and the second leading
cause of blindness overall. What features would be noted on funduscopic examination?
Cotton wool spots
AV nicking
Increased cup-to-disc ratio
Microaneurysms –
Correct Answer :Increased cup-to-disc ratio
A 49-year-old administrative assistant comes to your office for evaluation of dizziness. You
elicit the information that the dizziness is a spinning sensation of sudden onset, worse with
head position changes. The episodes last a few seconds and then go away, and they are
accompanied by intense nausea. She has vomited one time. She denies tinnitus. You
perform a physical examination of the head and neck and note that the patient's hearing is
intact to Weber and Rinne and that there is nystagmus. Her gait is normal. Based on this
description, what is the most likely diagnosis?
A+ TEST BANK 4