NU 673 ASSESSMENT MIDTERM EXAM
QUESTIONS AND 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 - correct 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 - correct 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 - correct answer
C. Paradoxical pulse
Which of the following percussion notes is obtained over a
gastric bubble?
A. Flatness
B. Hyperresonance
C. Tympany
D. Resonance - correct answer
C. Tympany
The APRN is performing a cardiac exam on a pt with SOB and
palpitations. She listens to the heart with the pt sitting upright,
then has the pt change to a supine position, and finally she has
the pt turn onto the left side in the left lateral decubitus
position. Which of the following valvular defects is best heard
in this position?
A. Mitral
B. Aortic
C. Tricuspid
D. Pulmonic - correct answer
A. Mitral
QUESTIONS AND 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 - correct 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 - correct 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 - correct answer
C. Paradoxical pulse
Which of the following percussion notes is obtained over a
gastric bubble?
A. Flatness
B. Hyperresonance
C. Tympany
D. Resonance - correct answer
C. Tympany
The APRN is performing a cardiac exam on a pt with SOB and
palpitations. She listens to the heart with the pt sitting upright,
then has the pt change to a supine position, and finally she has
the pt turn onto the left side in the left lateral decubitus
position. Which of the following valvular defects is best heard
in this position?
A. Mitral
B. Aortic
C. Tricuspid
D. Pulmonic - correct answer
A. Mitral
