GCU NUR 634 Midterm EXAM LATEST
GCU NUR 634 Midterm EXAM 1 LATEST
2025/2026 ACTUAL SUMMER-FALL
SEMESTER EXAM GRADED A +
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
1. A woman in her third trimester complains of shortness of breath on occasion, without other
symptoms. She has a normal examination. The most likely cause of this symptom is:
A) Hormonal
B) Asthma
C) Pulmonary embolus
D) Infection –
Correct Answer :Ans: A
Chapter: 19
Page and Header: 881, Techniques of Examination
A+ TEST BANK 1
, GCU NUR 634 Midterm EXAM LATEST
Feedback: While these other etiologies must be considered in any dyspneic pregnant woman,
the lack of other symptoms and findings makes it more likely that this is a hormonal effect of
progesterone. Expect a normal respiratory rate and respiratory alkalosis.
. Which of the following represents age-related changes in the lungs?
A) Decrease in chest wall compliance
B) Speed of expiration increases
C) Increase in respiratory muscle strength
D) Increased elastic recoil of lung tissue –
Correct Answer :Ans: A
Chapter: 20
Page and Header: 897, Anatomy and Physiology
Feedback: The lungs age along with the rest of the body. These changes include decreased lung
and chest wall compliance, increased expiratory time, decreased muscle strength and cough, and
decreased elastic recoil.
. You are assessing an infant and notice that his nares flare, he has a soft grunt with each breath,
and the skin between his ribs is pulled inward with inhalation. What is the significance of these
findings?
A) These are indicative of a CNS process.
B) These are indicative of respiratory distress.
C) These are indicative of muscular dystrophy.
D) These are frequently accompanied by stridor. –
Correct Answer :Ans: B
Chapter: 18
Page and Header: 774, Assessing the Infant
A+ TEST BANK 2
, GCU NUR 634 Midterm EXAM LATEST
Feedback: It is critical to notice these findings of respiratory distress. Muscular dystrophy may
not allow the appearance of these signs because they are caused by muscular effort. It is hard to
find a cause for these signs in the CNS. Stridor is usually inspiratory, so while nasal flaring and
retractions may occur, grunting is unusual because exhalation is unimpeded.
. A mother brings her infant to you because of a "rattle" in his chest with breathing. Which of the
following would you hear if there were a problem in the upper airway?
A) Different sounds from the nose and chest
B) Asymmetric sounds
C) Inspiratory sounds
D) Sounds louder in the lower chest –
Correct Answer :Ans: C
Chapter: 18
Page and Header: 774, Assessing the Infant
Feedback: It is important to distinguish upper airway sounds from lower because many benign
conditions cause upper airway noise, such as viral upper respiratory infections. It is reassuring to
hear the same noises at the nose as at the chest. Lower respiratory conditions also are generally
symmetric, and sounds are louder at the upper chest versus the lower chest. They are usually
very harsh and loud, which concerns parents.
An infant presents with a heart rate of 180, a respiratory rate of 68, and an enlarged liver. What
diagnosis does this suggest?
A) Pneumonia
B) Heart failure
C) Sepsis
D) Necrotizing enterocolitis –
Correct Answer :Ans: B
A+ TEST BANK 3
, GCU NUR 634 Midterm EXAM LATEST
Chapter: 18
Page and Header: 776, Assessing the Infant
Feedback: Heart failure presents differently in infants than in adults. This triad should suggest
this diagnosis. Pneumonia, necrotizing enterocolitis, and sepsis should not necessarily cause
hepatomegaly. Observe closely for central cyanosis of the lips and tongue. Peripheral cyanosis
alone does not mean much in infants. Perform a careful cardiac examination in as quiet a setting
as possible, perhaps while the infant is in the mother's arms, to look for evidence of valvular
disease.
You have been unable to hear normal S2 splitting in children up to this point. What technique
will maximize your chances of hearing this phenomenon?
A) Listen with the diaphragm over the left lower sternal border.
B) Listen with the bell over the 2nd left intercostal space.
C) Listen with the bell over the apex.
D) Listen with the diaphragm in the axilla. –
Correct Answer :Ans: B
Chapter: 18
Page and Header: 778, Assessing the Infant
Feedback: S2 is made of aortic and pulmonic components. Of these, the pulmonic component is
much softer and heard best over the pulmonic area. Even in the proper location, the pulmonic
component may be difficult to hear with the diaphragm because it is a soft, low-pitched sound.
For this reason, the bell should be used to listen for S2 splitting over the pulmonic area during
inspiration, when splitting should be maximized. Breathing also changes heart rate more rapidly
in children. One may think an arrhythmia is present until she notices that this rate change is
related to the respiratory cycle.
16. You are assessing an infant and notice that his nares flare, he has a soft grunt with each
breath, and the skin between his ribs is pulled inward with inhalation. What is the significance of
these findings?
A) These are indicative of a CNS process.
A+ TEST BANK 4
GCU NUR 634 Midterm EXAM 1 LATEST
2025/2026 ACTUAL SUMMER-FALL
SEMESTER EXAM GRADED A +
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
1. A woman in her third trimester complains of shortness of breath on occasion, without other
symptoms. She has a normal examination. The most likely cause of this symptom is:
A) Hormonal
B) Asthma
C) Pulmonary embolus
D) Infection –
Correct Answer :Ans: A
Chapter: 19
Page and Header: 881, Techniques of Examination
A+ TEST BANK 1
, GCU NUR 634 Midterm EXAM LATEST
Feedback: While these other etiologies must be considered in any dyspneic pregnant woman,
the lack of other symptoms and findings makes it more likely that this is a hormonal effect of
progesterone. Expect a normal respiratory rate and respiratory alkalosis.
. Which of the following represents age-related changes in the lungs?
A) Decrease in chest wall compliance
B) Speed of expiration increases
C) Increase in respiratory muscle strength
D) Increased elastic recoil of lung tissue –
Correct Answer :Ans: A
Chapter: 20
Page and Header: 897, Anatomy and Physiology
Feedback: The lungs age along with the rest of the body. These changes include decreased lung
and chest wall compliance, increased expiratory time, decreased muscle strength and cough, and
decreased elastic recoil.
. You are assessing an infant and notice that his nares flare, he has a soft grunt with each breath,
and the skin between his ribs is pulled inward with inhalation. What is the significance of these
findings?
A) These are indicative of a CNS process.
B) These are indicative of respiratory distress.
C) These are indicative of muscular dystrophy.
D) These are frequently accompanied by stridor. –
Correct Answer :Ans: B
Chapter: 18
Page and Header: 774, Assessing the Infant
A+ TEST BANK 2
, GCU NUR 634 Midterm EXAM LATEST
Feedback: It is critical to notice these findings of respiratory distress. Muscular dystrophy may
not allow the appearance of these signs because they are caused by muscular effort. It is hard to
find a cause for these signs in the CNS. Stridor is usually inspiratory, so while nasal flaring and
retractions may occur, grunting is unusual because exhalation is unimpeded.
. A mother brings her infant to you because of a "rattle" in his chest with breathing. Which of the
following would you hear if there were a problem in the upper airway?
A) Different sounds from the nose and chest
B) Asymmetric sounds
C) Inspiratory sounds
D) Sounds louder in the lower chest –
Correct Answer :Ans: C
Chapter: 18
Page and Header: 774, Assessing the Infant
Feedback: It is important to distinguish upper airway sounds from lower because many benign
conditions cause upper airway noise, such as viral upper respiratory infections. It is reassuring to
hear the same noises at the nose as at the chest. Lower respiratory conditions also are generally
symmetric, and sounds are louder at the upper chest versus the lower chest. They are usually
very harsh and loud, which concerns parents.
An infant presents with a heart rate of 180, a respiratory rate of 68, and an enlarged liver. What
diagnosis does this suggest?
A) Pneumonia
B) Heart failure
C) Sepsis
D) Necrotizing enterocolitis –
Correct Answer :Ans: B
A+ TEST BANK 3
, GCU NUR 634 Midterm EXAM LATEST
Chapter: 18
Page and Header: 776, Assessing the Infant
Feedback: Heart failure presents differently in infants than in adults. This triad should suggest
this diagnosis. Pneumonia, necrotizing enterocolitis, and sepsis should not necessarily cause
hepatomegaly. Observe closely for central cyanosis of the lips and tongue. Peripheral cyanosis
alone does not mean much in infants. Perform a careful cardiac examination in as quiet a setting
as possible, perhaps while the infant is in the mother's arms, to look for evidence of valvular
disease.
You have been unable to hear normal S2 splitting in children up to this point. What technique
will maximize your chances of hearing this phenomenon?
A) Listen with the diaphragm over the left lower sternal border.
B) Listen with the bell over the 2nd left intercostal space.
C) Listen with the bell over the apex.
D) Listen with the diaphragm in the axilla. –
Correct Answer :Ans: B
Chapter: 18
Page and Header: 778, Assessing the Infant
Feedback: S2 is made of aortic and pulmonic components. Of these, the pulmonic component is
much softer and heard best over the pulmonic area. Even in the proper location, the pulmonic
component may be difficult to hear with the diaphragm because it is a soft, low-pitched sound.
For this reason, the bell should be used to listen for S2 splitting over the pulmonic area during
inspiration, when splitting should be maximized. Breathing also changes heart rate more rapidly
in children. One may think an arrhythmia is present until she notices that this rate change is
related to the respiratory cycle.
16. You are assessing an infant and notice that his nares flare, he has a soft grunt with each
breath, and the skin between his ribs is pulled inward with inhalation. What is the significance of
these findings?
A) These are indicative of a CNS process.
A+ TEST BANK 4
