NURS 511 - Midterm - LATEST EXAM UPDATE - RATED
100% CORRECT!!
Underweight BMI - (answers)<18.5
Normal BMI - (answers)18.5-24.9
Overweight BMI - (answers)25.0-29.9
Obesity I BMI - (answers)30.0-34.9
Obesity II BMI - (answers)35.0-39.9
Extreme Obesity BMI - (answers)Greater or Equal to 40.0
Causes of increased JVP - (answers)Right Sided Heart Failure
Left Sided Heart Failure
Pulmonary Hypertension
Triscuspid Stenosis
AV Dissociation
Increased Venous Vascular Tone
Pericardial Compression Tamponade
JVP Measures What? - (answers)Right Atrial Pressure during systole & diastole
Causes of Decreased JVP - (answers)Loss of Blood
Decreased Vascular Tone
,What position should the bed be in when measuring the JVP of someone who might be
hypovolemic? - (answers)Flat or less than 30 degrees
What position should the bed be in when measuring JVP of someone with normal fluid
status? - (answers)30 degrees
What position should the bed be in when measuring JVP of someone
hypervolemic/experiencing fluid overload. - (answers)higher than 30 degrees
What is considered normal JVP measurement? - (answers)2-4 cm
If you measure JVP from right atrium instead of sternal angle, what would normal
measurement be? - (answers)7-9 cm (add 5 cm)
Causes of painless loss of vision - (answers)Vitreous hemorrhage from diabetes or trauma
Macular Degeneration
Retinal Detachment
Retinal Vein Occlusion
Central Retinal Artery Occlusion
Causes of painful loss of vision - (answers)Usually caused in corneal chamber or cornea
Including:
Corneal Ulcer
Uveitis
Traumatic Hyphema
Acute Angle Closure Glaucoma
Optic Neuritis from MS
,What does false positive mean? - (answers)a test result which incorrectly indicates that a
particular condition or attribute is present
What does false negative mean? - (answers)a test result which incorrectly indicates that a
particular condition or attribute is absent.
Proper order of examination of abdomen - (answers)Inspection
Auscultation
Percussion
Palpation
45 year old patient presents with a cough. Upon auscultation, you hear rhonchi unilaterally.
If you are following the normal order of lung assessment, what would be the next step of
your assessment in order to best establish a differential diagnosis? - (answers)Ask the
patient to cough to evaluate whether the rhonchi clears with cough.
Adequate assessment of abnormal finding of percussed dullness in a lung field requires the
combination of exam techniques. Why would egophany or whispered pectoriloquoy be
helpful techniques for establishing a differential diagnosis? - (answers)Consolidation will
produce positive findings for each of these tests.
Which of the following percussion notes would be an expected over a patient's lungs who
has COPD? - (answers)Hyperresonance
A 5 year old patient presents with drooling, dyspnea, and inspiratory stridor. What is your
initial thought about this patient? - (answers)This is an emergent situation, suggestive of
epiglottitis
58 y.o. patient with a history of hypertension and coronary artery disease presents with
symptoms suggestive of intermittent claudication (pain in legs comes on rapidly during
exercise, quickly relieved by rest). Which of the following is most accurate? - (answers)You
suspect arterial insufficiency, so you will palpate the dorsalis pedis and posterior tibial pulses
which are likely to be diminished.
, A new patient presents with dyspnea and your preceptor asks about a history of eczema or
atopic dermatitis. Why did your preceptor do this? - (answers)Patients with asthma often
have other signs of atopy
You are concerned that a patient has an aortic regurgitation murmur. How should the
patient be positioned in order to best accentuate the murmur? - (answers)Upright, but
leaning forward
Which is true of the splitting of the second heart sound? - (answers)It is best heard over the
pulmonic area with the bell of the stethoscope.
A patient presents for a follow-up appointment for a non-healing ulcer in his lower
extremity. Upon reviewing his chart, which of the following would you expect to find in the
documentation about his physical exam if this patient has a history of chronic arterial
insufficiency? - (answers)Pallor of the foot when raised to 60 degrees for one minute.
Which of the following may be missed unless the patient is placed in the left lateral
decubitus position and auscultated with the bell? - (answers)Mitral Stenosis Murmur
This murmur is only heard with careful listening with stethoscope - (answers)Grade 1
murmur
Murmur readily audible with stethoscope on chest - (answers)Grade II murmur
Murmur accompanied by a thrill - (answers)Murmurs Grade IV-VI
Murmur audible to the naked ear - (answers)Grade VI murmur
The nurse practitioner is conducting an eye exam. A light is pointed at a patient's pupil,
causing it to contract. It is also noted that the other pupil contracts as well, though it is not
100% CORRECT!!
Underweight BMI - (answers)<18.5
Normal BMI - (answers)18.5-24.9
Overweight BMI - (answers)25.0-29.9
Obesity I BMI - (answers)30.0-34.9
Obesity II BMI - (answers)35.0-39.9
Extreme Obesity BMI - (answers)Greater or Equal to 40.0
Causes of increased JVP - (answers)Right Sided Heart Failure
Left Sided Heart Failure
Pulmonary Hypertension
Triscuspid Stenosis
AV Dissociation
Increased Venous Vascular Tone
Pericardial Compression Tamponade
JVP Measures What? - (answers)Right Atrial Pressure during systole & diastole
Causes of Decreased JVP - (answers)Loss of Blood
Decreased Vascular Tone
,What position should the bed be in when measuring the JVP of someone who might be
hypovolemic? - (answers)Flat or less than 30 degrees
What position should the bed be in when measuring JVP of someone with normal fluid
status? - (answers)30 degrees
What position should the bed be in when measuring JVP of someone
hypervolemic/experiencing fluid overload. - (answers)higher than 30 degrees
What is considered normal JVP measurement? - (answers)2-4 cm
If you measure JVP from right atrium instead of sternal angle, what would normal
measurement be? - (answers)7-9 cm (add 5 cm)
Causes of painless loss of vision - (answers)Vitreous hemorrhage from diabetes or trauma
Macular Degeneration
Retinal Detachment
Retinal Vein Occlusion
Central Retinal Artery Occlusion
Causes of painful loss of vision - (answers)Usually caused in corneal chamber or cornea
Including:
Corneal Ulcer
Uveitis
Traumatic Hyphema
Acute Angle Closure Glaucoma
Optic Neuritis from MS
,What does false positive mean? - (answers)a test result which incorrectly indicates that a
particular condition or attribute is present
What does false negative mean? - (answers)a test result which incorrectly indicates that a
particular condition or attribute is absent.
Proper order of examination of abdomen - (answers)Inspection
Auscultation
Percussion
Palpation
45 year old patient presents with a cough. Upon auscultation, you hear rhonchi unilaterally.
If you are following the normal order of lung assessment, what would be the next step of
your assessment in order to best establish a differential diagnosis? - (answers)Ask the
patient to cough to evaluate whether the rhonchi clears with cough.
Adequate assessment of abnormal finding of percussed dullness in a lung field requires the
combination of exam techniques. Why would egophany or whispered pectoriloquoy be
helpful techniques for establishing a differential diagnosis? - (answers)Consolidation will
produce positive findings for each of these tests.
Which of the following percussion notes would be an expected over a patient's lungs who
has COPD? - (answers)Hyperresonance
A 5 year old patient presents with drooling, dyspnea, and inspiratory stridor. What is your
initial thought about this patient? - (answers)This is an emergent situation, suggestive of
epiglottitis
58 y.o. patient with a history of hypertension and coronary artery disease presents with
symptoms suggestive of intermittent claudication (pain in legs comes on rapidly during
exercise, quickly relieved by rest). Which of the following is most accurate? - (answers)You
suspect arterial insufficiency, so you will palpate the dorsalis pedis and posterior tibial pulses
which are likely to be diminished.
, A new patient presents with dyspnea and your preceptor asks about a history of eczema or
atopic dermatitis. Why did your preceptor do this? - (answers)Patients with asthma often
have other signs of atopy
You are concerned that a patient has an aortic regurgitation murmur. How should the
patient be positioned in order to best accentuate the murmur? - (answers)Upright, but
leaning forward
Which is true of the splitting of the second heart sound? - (answers)It is best heard over the
pulmonic area with the bell of the stethoscope.
A patient presents for a follow-up appointment for a non-healing ulcer in his lower
extremity. Upon reviewing his chart, which of the following would you expect to find in the
documentation about his physical exam if this patient has a history of chronic arterial
insufficiency? - (answers)Pallor of the foot when raised to 60 degrees for one minute.
Which of the following may be missed unless the patient is placed in the left lateral
decubitus position and auscultated with the bell? - (answers)Mitral Stenosis Murmur
This murmur is only heard with careful listening with stethoscope - (answers)Grade 1
murmur
Murmur readily audible with stethoscope on chest - (answers)Grade II murmur
Murmur accompanied by a thrill - (answers)Murmurs Grade IV-VI
Murmur audible to the naked ear - (answers)Grade VI murmur
The nurse practitioner is conducting an eye exam. A light is pointed at a patient's pupil,
causing it to contract. It is also noted that the other pupil contracts as well, though it is not
