1|Pag e
NU 518 EXAM 1|| VESION 1 ACTUAL EXAM ALL
QUESTIONS AND CORRECT ANSWERS ALREADY
GRADED A+|| LATEST AND COMPLETE VERSION
2024-2025 WITH EXPERTY VERIFIED SOLUTIONS||
ASSURED PASS!!!!
A 55-year-old bookkeeper comes to your office for a routine visit. You note that on
a previous
visit for treatment of contact dermatitis, her blood pressure was elevated. She does
not have prior elevated readings and her family history is negative for
hypertension. You measure her blood pressure in your office today. Which of the
following factors can result in a false high reading?
A) Blood pressure cuff is tightly fitted.
B) Patient is seated quietly for 10 minutes prior to measurement.
C) Blood pressure is measured on a bare arm.
D) Patient's arm is resting, supported by your arm at her mid-chest level as you
stand to measure the blood pressure. - ANSWER: A
A 49-year-old truck driver comes to the emergency room for shortness of breath
and swelling
in his ankles. He is diagnosed with congestive heart failure and admitted to the
hospital. You are
the student assigned to do the patient's complete history and physical examination.
When you
palpate the pulse, what do you expect to feel?
A) Large amplitude, forceful
B) Small amplitude, weak
C) Normal
D) Bigeminal - ANSWER: B
,2|Pag e
An 18-year-old college freshman presents to the clinic for evaluation of
gastroenteritis. You
measure the patient's temperature and it is 104 degrees Fahrenheit. What type of
pulse would you expect to feel during his initial examination?
A) Large amplitude, forceful
B) Small amplitude, weak
C) Normal
D) Bigeminal - ANSWER: A
. A 25-year-old type 1 diabetic clerk presents to the emergency room with
shortness of breath and states that his blood sugar was 605 at home. You diagnose
the patient with diabetic
ketoacidosis. What is the expected pattern of breathing?
A) Normal
B) Rapid and shallow
C) Rapid and deep
D) Slow - ANSWER: C
Mrs. Lenzo weighs herself every day with a very accurate balance-type scale. She
has
noticed that over the past 2 days she has gained 4 pounds. How would you best
explain this?
A) Attribute this to some overeating at the holidays.
B) Attribute this to wearing different clothing.
C) Attribute this to body fluid.
D) Attribute this to instrument inaccuracy. - ANSWER: C
,3|Pag e
Mr. Curtiss has a history of obesity, diabetes, osteoarthritis of the knees, HTN, and
obstructive sleep apnea. His BMI is 43 and he has been discouraged by his
difficulty in losing
weight. He is also discouraged that his goal weight is 158 pounds away. What
would you tell
him?
A) "When you get down to your goal weight, you will feel so much better."
B) "Some people seem to be able to lose weight and others just can't, no matter
how hard they
try."
C) "We are coming up with new medicines and methods to treat your conditions
every day."
D) "Even a weight loss of 10% can make a noticeable improvement in the
problems you
mention." - ANSWER: D
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
, 4|Pag e
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.
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
NU 518 EXAM 1|| VESION 1 ACTUAL EXAM ALL
QUESTIONS AND CORRECT ANSWERS ALREADY
GRADED A+|| LATEST AND COMPLETE VERSION
2024-2025 WITH EXPERTY VERIFIED SOLUTIONS||
ASSURED PASS!!!!
A 55-year-old bookkeeper comes to your office for a routine visit. You note that on
a previous
visit for treatment of contact dermatitis, her blood pressure was elevated. She does
not have prior elevated readings and her family history is negative for
hypertension. You measure her blood pressure in your office today. Which of the
following factors can result in a false high reading?
A) Blood pressure cuff is tightly fitted.
B) Patient is seated quietly for 10 minutes prior to measurement.
C) Blood pressure is measured on a bare arm.
D) Patient's arm is resting, supported by your arm at her mid-chest level as you
stand to measure the blood pressure. - ANSWER: A
A 49-year-old truck driver comes to the emergency room for shortness of breath
and swelling
in his ankles. He is diagnosed with congestive heart failure and admitted to the
hospital. You are
the student assigned to do the patient's complete history and physical examination.
When you
palpate the pulse, what do you expect to feel?
A) Large amplitude, forceful
B) Small amplitude, weak
C) Normal
D) Bigeminal - ANSWER: B
,2|Pag e
An 18-year-old college freshman presents to the clinic for evaluation of
gastroenteritis. You
measure the patient's temperature and it is 104 degrees Fahrenheit. What type of
pulse would you expect to feel during his initial examination?
A) Large amplitude, forceful
B) Small amplitude, weak
C) Normal
D) Bigeminal - ANSWER: A
. A 25-year-old type 1 diabetic clerk presents to the emergency room with
shortness of breath and states that his blood sugar was 605 at home. You diagnose
the patient with diabetic
ketoacidosis. What is the expected pattern of breathing?
A) Normal
B) Rapid and shallow
C) Rapid and deep
D) Slow - ANSWER: C
Mrs. Lenzo weighs herself every day with a very accurate balance-type scale. She
has
noticed that over the past 2 days she has gained 4 pounds. How would you best
explain this?
A) Attribute this to some overeating at the holidays.
B) Attribute this to wearing different clothing.
C) Attribute this to body fluid.
D) Attribute this to instrument inaccuracy. - ANSWER: C
,3|Pag e
Mr. Curtiss has a history of obesity, diabetes, osteoarthritis of the knees, HTN, and
obstructive sleep apnea. His BMI is 43 and he has been discouraged by his
difficulty in losing
weight. He is also discouraged that his goal weight is 158 pounds away. What
would you tell
him?
A) "When you get down to your goal weight, you will feel so much better."
B) "Some people seem to be able to lose weight and others just can't, no matter
how hard they
try."
C) "We are coming up with new medicines and methods to treat your conditions
every day."
D) "Even a weight loss of 10% can make a noticeable improvement in the
problems you
mention." - ANSWER: D
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
, 4|Pag e
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.
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
