NUR 634 Final || Graded A+
72-year-old M pt complains of bilateral knee pain. the NP assess stumbling during heel strike
suggestive of? correct answers quadracep weakness or abnormal patellar tracking
14 y/o student comes to clinical for a 3-month hx of dyspnea when playing basketball. the
dyspnea resolves shortly after resting. There is no fever, chills, cough sputum, chest pain, or
serious illness. Asthma is suspected. Which of the following sounds heard on exhalation would
suggest asthma? correct answers wheezing
75 y/o F in good health presents to a NP. she takes no medications but has been told in the past
her BP is high. which one of the following findings is consistent with normal aging process and
is not a sign of CV disease? correct answers murmur, stiffened ventricles (valvular changes)
An older adult M complains of feeling something in his L scrotum. On palpitation, soft, and
moveable blood vessels that feel like a bag of warms are noted underneath the scrotal skin. the
testicles are not swollen or red; what is likely the diagnosis? correct answers varicocele-varicose
vein of spermatic cord
Kyphosis is a late sign of? correct answers ?
Parents generally bring children for health. At what age should the provider begin to question the
child him or herself regarding presenting symptoms? correct answers >6 ?
The bulge sign and the balloon sign may be present where there is a/an? correct answers Patellar
effusion-fluid in the knee. Swelling in suprapatellar pouch, bulge confirms presence of fluid as
you move join from side to side.
The cremasteric reflex is elicited by: correct answers Cremasteric reflex is a superficial reflex
seen in males, light stroking or poking the medical part of thigh regardless of the direction of the
stroke.
,Stimulation of moro reflex? correct answers Scare in baby. Spread of arms (abduct), fingers
spread, legs extend. Gently lift head and release babv so that they feel like they are falling.
Absence of this suggest damage to brain or spinal cord. one side absent-brachial plexus injury.
The two most important components of the eye exam for young child? correct answers I think:
motility, hirschberg light reflex. use toys and make it fun.
Indication of crepitus correct answers common sign of bone fx or RA. in lungs-subcutaneous
emphysema (trapped air under skin)
Retention Cysts correct answers tumor like accumulation of secretions formed when the outlet of
secreting gland is obstructed. can develop in breast, pancreas, kidney, mucus membrane. Small
sac of mucus that forms when mucus duct becomes blocked. yellowish blge and should be
drained
GCS correct answers measures LOC, eye opening, motor response, verbal response. 3-15
Assessment of CN XI correct answers Spinal accessory nerve, shrug shoulders
Assessment of egophony? correct answers Say "e" and sounds like "a"= egophony. Suggests
consolidation, pleural effusion, pneumonia.
The FNP will be able to assess the splitting of s2 in which location? correct answers 2nd ICS L
sternal boarder
A 42 y/o healthy F requests an MRI rather than mammogram. no hx of family ca. which of the
following is true about MRI as a screening modality for breast ca in the general population?
correct answers accurate by high false positive rate
Assessment of PAD correct answers pain with walking but better at rest
, Evaluation of corneal abrasion correct answers Slit lamp exam= stain in eye.
Assessment of urine analysis of UTI correct answers there would NOT be proteins
assessment of stereognosis and graphesthesia correct answers stereognosis: identify object
without seeing or hearing but by touch
graphesthesia: draw figure 8 on hand and can identify what was written
Assessment of risk factors for melanoma correct answers ABCDE
A 35 y/o soccer player presents to urgent care with complain of swelling and pain on medial
aspect of right knee. on exam the knee is swollen and tender on the joint. to assess for possible
injury to meniscus, which maneuver will yield the best information for the NP. correct answers
mcMurrarys test, fully bend leg and pull outward bow legged while externally rotating as you
extend knee. Click or pain=+
The NP begins the exam of a 29 y/o female presenting for cough. noted is depression of the
lower part of the sternum. Which of the following best describes the appearance of the chest.
correct answers Pectus excavatum "sunken in appearance". birth defect, cup shaped.
When examining the cervix of a 20 y/o female you note that most of the cervix is pink but there
is a small ring of dark red tissue surrounding the os. This is most likely? correct answers
Strawberry cervix- not linked to Ca. Causes: hormones, pregnancy, PO birth control, and age
(young,puberty)
Testing CN IX and X for a child correct answers swallow and gag
say "ah" and stick tongue out to observe uvula and soft palate.
Describe McMurray's test correct answers Assess for meniscus tear.
Lateral: pt supine w. knee completely flexed, old joint with one hand and foot in the other. rotate
foot internally while extending knee. click/pain=positive
72-year-old M pt complains of bilateral knee pain. the NP assess stumbling during heel strike
suggestive of? correct answers quadracep weakness or abnormal patellar tracking
14 y/o student comes to clinical for a 3-month hx of dyspnea when playing basketball. the
dyspnea resolves shortly after resting. There is no fever, chills, cough sputum, chest pain, or
serious illness. Asthma is suspected. Which of the following sounds heard on exhalation would
suggest asthma? correct answers wheezing
75 y/o F in good health presents to a NP. she takes no medications but has been told in the past
her BP is high. which one of the following findings is consistent with normal aging process and
is not a sign of CV disease? correct answers murmur, stiffened ventricles (valvular changes)
An older adult M complains of feeling something in his L scrotum. On palpitation, soft, and
moveable blood vessels that feel like a bag of warms are noted underneath the scrotal skin. the
testicles are not swollen or red; what is likely the diagnosis? correct answers varicocele-varicose
vein of spermatic cord
Kyphosis is a late sign of? correct answers ?
Parents generally bring children for health. At what age should the provider begin to question the
child him or herself regarding presenting symptoms? correct answers >6 ?
The bulge sign and the balloon sign may be present where there is a/an? correct answers Patellar
effusion-fluid in the knee. Swelling in suprapatellar pouch, bulge confirms presence of fluid as
you move join from side to side.
The cremasteric reflex is elicited by: correct answers Cremasteric reflex is a superficial reflex
seen in males, light stroking or poking the medical part of thigh regardless of the direction of the
stroke.
,Stimulation of moro reflex? correct answers Scare in baby. Spread of arms (abduct), fingers
spread, legs extend. Gently lift head and release babv so that they feel like they are falling.
Absence of this suggest damage to brain or spinal cord. one side absent-brachial plexus injury.
The two most important components of the eye exam for young child? correct answers I think:
motility, hirschberg light reflex. use toys and make it fun.
Indication of crepitus correct answers common sign of bone fx or RA. in lungs-subcutaneous
emphysema (trapped air under skin)
Retention Cysts correct answers tumor like accumulation of secretions formed when the outlet of
secreting gland is obstructed. can develop in breast, pancreas, kidney, mucus membrane. Small
sac of mucus that forms when mucus duct becomes blocked. yellowish blge and should be
drained
GCS correct answers measures LOC, eye opening, motor response, verbal response. 3-15
Assessment of CN XI correct answers Spinal accessory nerve, shrug shoulders
Assessment of egophony? correct answers Say "e" and sounds like "a"= egophony. Suggests
consolidation, pleural effusion, pneumonia.
The FNP will be able to assess the splitting of s2 in which location? correct answers 2nd ICS L
sternal boarder
A 42 y/o healthy F requests an MRI rather than mammogram. no hx of family ca. which of the
following is true about MRI as a screening modality for breast ca in the general population?
correct answers accurate by high false positive rate
Assessment of PAD correct answers pain with walking but better at rest
, Evaluation of corneal abrasion correct answers Slit lamp exam= stain in eye.
Assessment of urine analysis of UTI correct answers there would NOT be proteins
assessment of stereognosis and graphesthesia correct answers stereognosis: identify object
without seeing or hearing but by touch
graphesthesia: draw figure 8 on hand and can identify what was written
Assessment of risk factors for melanoma correct answers ABCDE
A 35 y/o soccer player presents to urgent care with complain of swelling and pain on medial
aspect of right knee. on exam the knee is swollen and tender on the joint. to assess for possible
injury to meniscus, which maneuver will yield the best information for the NP. correct answers
mcMurrarys test, fully bend leg and pull outward bow legged while externally rotating as you
extend knee. Click or pain=+
The NP begins the exam of a 29 y/o female presenting for cough. noted is depression of the
lower part of the sternum. Which of the following best describes the appearance of the chest.
correct answers Pectus excavatum "sunken in appearance". birth defect, cup shaped.
When examining the cervix of a 20 y/o female you note that most of the cervix is pink but there
is a small ring of dark red tissue surrounding the os. This is most likely? correct answers
Strawberry cervix- not linked to Ca. Causes: hormones, pregnancy, PO birth control, and age
(young,puberty)
Testing CN IX and X for a child correct answers swallow and gag
say "ah" and stick tongue out to observe uvula and soft palate.
Describe McMurray's test correct answers Assess for meniscus tear.
Lateral: pt supine w. knee completely flexed, old joint with one hand and foot in the other. rotate
foot internally while extending knee. click/pain=positive
