NU 518 EXAM 1 AND PRACTICE EXAM NEWEST
ACTUAL EXAM COMPLETE 330 QUESTIONS AND
CORRECT DETAILED ANSWERS||VERIFIED EXAM!!
(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST EXAM!!!!
Jenny is one of your favorite patients who usually shares a
joke with you and is nattily
dressed. Today she is dressed in old jeans, lacks makeup,
and avoids eye contact. To what do
you attribute these changes?
A) She is lacking sleep.
B) She is fatigued from work.
C) She is running into financial difficulty.
D) She is depressed. - ANSWER-D
You are seeing an older patient who has not had medical
care for many years. Her vital
signs taken by your office staff are: T 37.2, HR 78, BP
118/92, and RR 14, and she denies pain.
You notice that she has some hypertensive changes in her
retinas and you find mild proteinuria
on a urine test in your office. You expected the BP to be
higher. She is not on any medications.
,2|Page
What do you think is causing this BP reading, which
doesn't correlate with the other findings?
A) It is caused by an "auscultatory gap."
B) It is caused by a cuff size error.
C) It is caused by the patient's emotional state.
D) It is caused by resolution of the process which caused
her retinopathy and kidney problems. - ANSWER-A
Despite having high BP readings in the office, Mr. Kelly
tells you that his readings at home
are much lower. He checks them twice a day at the same
time of day and has kept a log. How do
you respond?
A) You diagnose "white coat hypertension."
B) You assume he is quite nervous when he comes to
your office.
C) You question the accuracy of his measurements.
D) You question the accuracy of your measurements. -
ANSWER-C
You are observing a patient with heart failure and notice
that there are pauses in his
,3|Page
breathing. On closer examination, you notice that after the
pauses the patient takes progressively
deeper breaths and then progressively shallower breaths,
which are followed by another apneic
spell. The patient is not in any distress. You make the
diagnosis of:
A) Ataxic (Biot's) breathing
B) Cheyne-Stokes respiration
C) Kussmaul's respiration
D) COPD with prolonged expiration - ANSWER-B
Mr. Garcia comes to your office for a rash on his chest
associated with a burning pain. Even
a light touch causes this burning sensation to worsen. On
examination, you note a rash with
small blisters (vesicles) on a background of reddened skin.
The rash overlies an entire rib on his
right side. What type of pain is this?
A) Idiopathic pain
B) Neuropathic pain
C) Nociceptive or somatic pain
D) Psychogenic pain - ANSWER-B
, 4|Page
A 50-year-old body builder is upset by a letter of denial
from his life insurance company. He
is very lean but has gained 2 pounds over the past 6
months. You personally performed his
health assessment and found no problems whatsoever.
He says he is classified as "high risk"
because of obesity. What should you do next?
A) Explain that even small amounts of weight gain can
classify you as obese.
B) Place him on a high-protein, low-fat diet.
C) Advise him to increase his aerobic exercise for calorie
burning.
D) Measure his waist. - ANSWER-D
Ms. Wright comes to your office, complaining of
palpitations. While checking her pulse you
notice an irregular rhythm. When you listen to her heart,
every fourth beat sounds different. It
sounds like a triplet rather than the usual "lub dup." How
would you document your
examination?
A) Regular rate and rhythm
B) Irregularly irregular rhythm