NSG 6170 Exam 2 Latest 2025/2026
Cedarville University Accurate Spring-
Summer Graded A+
What should be considered if the patient presents with pain associated with a headache, jaw
pain or claudication?
Consider it may be associated with giant cell arthritis
What should be considered if the patient presents with no pain with a headache, jaw pain or
claudication?
Consider it may be associated with vascular occlusion, retinal detachment or hemorrhage
What should be considered if painless bilateral loss of vision occurs?
Consider vascular etiologies and stroke
What should be considered if painful bilateral loss of vision occurs?
Consider intoxication, trauma, chemical/radiation exposure
What should be considered if vision loss is gradual?
Consider cataracts, glaucoma, or macular degeneration
What should be considered if patient presents with red, painless, eye symptoms?
Consider subconjunctival hemorrhage and episcleritis (inflammation of the tissue between the
sclera and conjunctiva)
What should be considered if patient presents with red eye accompanied with a gritty
sensation?
Consider dry eye or viral conjunctivitis
What should be considered if patient presents with red and painful eye symptoms?
,Consider corneal abrasion, foreign bodies, corneal ulcers, acute angle closure glaucoma, herpes
keratitis, fungal keratitis, hyphemia, uveitis
What should be considered if diplopia with weakness or paralysis of one or more extraocular
muscles develops?
Consider lesions in the brainstem or cerebellum
What should be considered if diplopia develops both horizontally and vertically?
Consider palsy of CN 3 or 4
What should be considered if diplopia develops in one eye when the other eye is closed?
Consider problems of the ocular surface, cornea, lens or macula
What would swelling of the optic disc and bulging of the cup suggest?
Papilledema the swelling of the optic nerve that is associated with increased intracranial
pressure.
How is the glandular tissue of the breast divided?
Divided into 15-20 lobes that form the lactiferous ducts and sinuses before opening to the
nipple and areola.
Where does each lactiferous duct drain?
20-40 smaller lobules which consists of milk-secreting tubloaveolar glands
What are the risk factors for breast cancer?
Retraction Signs, skin dimpling, edema of the skin peau d'orange (orange peel) sign. It is often
seen first in the lower portion of the breast or areola.
Nipple Retraction and Deviation
Abnormal Contours 30-90 yrs, most common over age 50 yrs Shape is Irregular or stellate Not
clearly delineated from surrounding tissues May be fixed to skin or underlying tissues Usually
nontender, firm/hard
, At what age and how does a fibroadenoma present?
15-25 yrs, usually puberty and young adulthood, but up to age 55 yr
Very mobile
Usually nontender, round, disc-like, or lobular; typically, small (1-2 cm)
At what age and how does a cyst present?
30-50 yrs, regress after menopause except with estrogen therapy
Mobile
Often tender
Round
Where do you insert the needle for a tension pneumo?
2nd intercostal space for decompression
Where do you insert a chest tube?
Intercostal space between the 4th and 5th rib
Where can correct placement of an endotracial tube be found on a chest xray?
Level of the 4th rib for the lower margin
What is a pathological example of a flat sound when percussing an area of the body?
Large pleural effusion
What is a pathological example of a dull sound when percussing an area of the body?
Lobar pneumonia
What is a pathological example of a resonant sound when percussing an area of the body?
Simple chronic bronchitis
What is a pathological example of a hyperresounant sound when percussing an area of the
body?
COPD or a penumo
Cedarville University Accurate Spring-
Summer Graded A+
What should be considered if the patient presents with pain associated with a headache, jaw
pain or claudication?
Consider it may be associated with giant cell arthritis
What should be considered if the patient presents with no pain with a headache, jaw pain or
claudication?
Consider it may be associated with vascular occlusion, retinal detachment or hemorrhage
What should be considered if painless bilateral loss of vision occurs?
Consider vascular etiologies and stroke
What should be considered if painful bilateral loss of vision occurs?
Consider intoxication, trauma, chemical/radiation exposure
What should be considered if vision loss is gradual?
Consider cataracts, glaucoma, or macular degeneration
What should be considered if patient presents with red, painless, eye symptoms?
Consider subconjunctival hemorrhage and episcleritis (inflammation of the tissue between the
sclera and conjunctiva)
What should be considered if patient presents with red eye accompanied with a gritty
sensation?
Consider dry eye or viral conjunctivitis
What should be considered if patient presents with red and painful eye symptoms?
,Consider corneal abrasion, foreign bodies, corneal ulcers, acute angle closure glaucoma, herpes
keratitis, fungal keratitis, hyphemia, uveitis
What should be considered if diplopia with weakness or paralysis of one or more extraocular
muscles develops?
Consider lesions in the brainstem or cerebellum
What should be considered if diplopia develops both horizontally and vertically?
Consider palsy of CN 3 or 4
What should be considered if diplopia develops in one eye when the other eye is closed?
Consider problems of the ocular surface, cornea, lens or macula
What would swelling of the optic disc and bulging of the cup suggest?
Papilledema the swelling of the optic nerve that is associated with increased intracranial
pressure.
How is the glandular tissue of the breast divided?
Divided into 15-20 lobes that form the lactiferous ducts and sinuses before opening to the
nipple and areola.
Where does each lactiferous duct drain?
20-40 smaller lobules which consists of milk-secreting tubloaveolar glands
What are the risk factors for breast cancer?
Retraction Signs, skin dimpling, edema of the skin peau d'orange (orange peel) sign. It is often
seen first in the lower portion of the breast or areola.
Nipple Retraction and Deviation
Abnormal Contours 30-90 yrs, most common over age 50 yrs Shape is Irregular or stellate Not
clearly delineated from surrounding tissues May be fixed to skin or underlying tissues Usually
nontender, firm/hard
, At what age and how does a fibroadenoma present?
15-25 yrs, usually puberty and young adulthood, but up to age 55 yr
Very mobile
Usually nontender, round, disc-like, or lobular; typically, small (1-2 cm)
At what age and how does a cyst present?
30-50 yrs, regress after menopause except with estrogen therapy
Mobile
Often tender
Round
Where do you insert the needle for a tension pneumo?
2nd intercostal space for decompression
Where do you insert a chest tube?
Intercostal space between the 4th and 5th rib
Where can correct placement of an endotracial tube be found on a chest xray?
Level of the 4th rib for the lower margin
What is a pathological example of a flat sound when percussing an area of the body?
Large pleural effusion
What is a pathological example of a dull sound when percussing an area of the body?
Lobar pneumonia
What is a pathological example of a resonant sound when percussing an area of the body?
Simple chronic bronchitis
What is a pathological example of a hyperresounant sound when percussing an area of the
body?
COPD or a penumo
