Chamberlain CEA Final Exam Review 190
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What are NOT priority medical decisions for a patient
with ST segment depression in leads V3 and V4? -
✔✔ANSWER ✔✔-Prescribe metoprolol (Lopressor)
12.5mg PO BID, Prescribe aspirin 81mg PO daily.
What will you document if you hear a nasally 'a' sound
while assessing voice sounds? - ✔✔ANSWER ✔✔-Positive
for egophony.
,During which phase of the cardiac cycle would you
anticipate auscultation of an S3 or S4 heart sound? -
✔✔ANSWER ✔✔-Diastole.
Where is the point of maximum impulse (PMI) most
commonly palpable in healthy adults? - ✔✔ANSWER
✔✔-Left 5th intercostal space, midclavicular line.
How does percussion of the thorax assist the provider
during the physical examination? - ✔✔ANSWER ✔✔-To
identify if underlying tissues are air-filled, fluid-filled or
consolidated.
What result would you expect from a diaphragmatic
excursion test in a patient with interstitial lung disease? -
✔✔ANSWER ✔✔-Approximately equal level of change in
the descent of the diaphragm bilaterally during maximal
inspiration and expiration, with a decreased overall
inspiratory capacity.
,What condition is indicated by sparse hairline, thin
lateral eyebrows, and periorbital edema? - ✔✔ANSWER
✔✔-Severe hypothyroidism.
What diagnosis would be highest on the differential for a
patient with severe exophthalmos? - ✔✔ANSWER ✔✔-
Hyperthyroidism.
What does a pulmonary function test (PFT) evaluate? -
✔✔ANSWER ✔✔-Forced Vital Capacity.
What are typical signs of hyperthyroidism expected on
examination? - ✔✔ANSWER ✔✔-Tachycardia.
What should the nurse practitioner's evaluation of a
patient with Diabetes Mellitus type 2 include? -
✔✔ANSWER ✔✔-All of these are appropriate options:
Renal function panel, Urinalysis, Non-dilated eye exam.
, What is the correct order of assessment for the
abdomen? - ✔✔ANSWER ✔✔-Inspection, auscultation,
palpation, percussion.
Which exam finding is NOT supportive of a perforated
gastric ulcer diagnosis? - ✔✔ANSWER ✔✔-Absence of
pain with withdrawal of palpation.
What diagnosis is suspected for a patient with an
enlarged scrotum? - ✔✔ANSWER ✔✔-Varicocele.
Which sinus should be palpated for sinus pressure and
congestion? - ✔✔ANSWER ✔✔-Frontal.
What assessment finding would be INCONSISTENT with a
diagnosis of lymphoma? - ✔✔ANSWER ✔✔-Non-tender,
minimally palpable anterior cervical chain node
palpation.