NUR 634 FINAL EXAM NEWEST ACTUAL EXAM COMPLETE ALL 200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+.pdf

NUR-634 FINAL EXAM TEST PREP
n n n n




1. Younarenexaminingnannelderlynmannandnnoticenthenfollowing:nDecreasednvibration
nsenseninnthe nfeetnandnankles,ndiminished ngagnreflex,nrightnpatellar nreflexnlessntha

nnthenleft,nandndiminishednabdominalnreflexes.nWhichnofnthesenisnabnormal?
• Decreasednvibrationnsense


• Diminishedngagnreflex


• Diminishednrightnpatellar nreflexncomparednto nthenleft


• Diminishednabdominalnreflexes




Question nPoints: n1.0n/n1.0

2. An68-year-
oldnretirednfarmer npresentsnto nyournofficenfornevaluationnofnanskinnlesion.nOnnthenright
ntemporalnarea nofnthe nforehead,nyounsee na nflattened npapule nthe nsame ncolornasnhisnskin

,ncoverednbynandrynscalenthatnisnroundnandnfeelsnhard.nHenhasnseveralnmorenofnthesensc
atterednonnthenforehead,narms,nandnlegs.nBasednonnthisndescription,nwhatnisnyournmos
tnlikelyndiagnosis?
• Actinicnkeratosis


• Seborrheicnkeratosis


• Basalncellncarcinoma


• Squamousncellncarcinoma




Question nPoints: n1.0n/n1.0

3. An14-year-
oldnjuniornhighnschoolnstudentnisnbroughtninnbynhisnmothernandnfathernbecausenhen
seemsnto nbendevelopingnbreasts.nThenmothernisnupsetnbecausenshenreadnonnthenInte
rnetnthatnsmokingnmarijuananleadsnto nbreastnenlargementninnmales.nThe

, youngnmannadamantlyndeniesnusingnanyntobacco,nalcohol,norndrugs.nHenhasnrecentlynn
oticednchangesninnhisnpenis,ntesticles,nandnpubicnhairnpattern.nOtherwise,nhisnpastnme
dicalnhistorynisnunremarkable.nHisnparentsnarenbothninngoodnhealth.nHenhasntwo nolde
rnbrothersnwho nnevernhadnthisnproblem.nOnnexamination,nyounseenanmildlynoverweig
htnteenager nwithnenlargednbreastntissuenthatnisnslightlyntender nonnbothnsides.nOtherw
isenhisnexaminationnisnnormal.nHenisnagreeablento ntakingnandrugntest.nWhatnisnthenmos
tnlikelyncausenofnhisngynecomastia?
• Breastncancer


• Imbalancenofnhormonesnofnpuberty


• Drugnuse


• Alcoholnuse




Question nPoints: n1.0n/n1.0
4. An17-year-
oldnfemalenpresentsnto nyournoffice,ncomplainingnofnanclear ndischargenfromnhernrightnb
reastnforn2nmonths.nShenstatesnthatnshennoticednitnwhennshenandnhernboyfriendnweren“
messingnaround”nandnhensqueezednhernnipple.nShencontinuesnto nhaventhisndischargena
nytimenshensqueezesnthatnnipple.nShendeniesnanyntraumanto nhernbreasts.nHernpastnme
dicalnhistorynisnunremarkable.nShendeniesnanynpregnancies.nBothnofnhernparentsnarenh
ealthy.nShendeniesnusingntobacconornillegalndrugsnandndrinksnthreento nfournbeersnanwe
ek.nOnnexamination,nhernbreastsnarensymmetricnwithnno nskinnchanges.nYounarenablent
o nexpressnclearndischargenfromnhernrightnnipple.nYounfeelnnondiscretenmassesnandnher
naxillae nare nnormal.nThe nremaindernofnher nheart,nlung,nabdominal,nandnpelvicnexamin

ationsnarenunremarkable.nAnurinenpregnancyntestnisnnegative.
Whatncausenofnnipplendischargenisnthenmostnlikelyninnherncircumstance?
• Benignnbreastnabnormality


• Breastncancer


• Nonpuerperalngalactorrhea


• Pagetsndisease

, Question nPoints: n1.0n/n1.0

5. An26-year-
oldnflightnattendantnpresentsninnfornanthirdntrimester nprenatalnvisit.nShenhasnhadnpre
natalncarensincenhernsixthnweeknofnpregnancy.nShenhasnnoncomplaintsntodaynandnher
nprenatalncourse nhasnbeennunremarkable.nTodaynher nblood npressurenandnweightnga

innarenappropriate,nandnhernurinenisnunremarkable.nYounhavenanfirst-
nyear nmedicalnstudentnshadowing nyou,nso nyounasknthe nstudentnto ngetnDoptones nandn

measurenthenpatient'snuterusninncentimeters.nThennursenpractitioner nstudentnprom
ptlynreportsnfetalnheartntonesnofn140,nbutnhenisnhavingndifficultynobtainingnthencorre
ctnmeasurement.nHenknowsnonenendnofnthentapengoesnovernthenuterinenfundus.nFro
mnwhatninferior nanatomicnpositionnshouldnthentapenbenplaced?
• Vagina


• Clitoris


• Pubicnsymphysis


• Umbilicus




Question nPoints: n1.0n/n1.0

6. An58-year-
oldngardener npresentsntonyournofficenfornevaluationnofnannewnlesionnonnhernuppernch
est.nThenlesionnappearsnto nben“stucknon”nandnisnoval,nbrown,nandnslightlynelevatednwi
thnanflatnsurface.nItnhasnanrough,nwartnlikentexturenonnpalpation.nBasednonnthisndescri
ption,nwhatnisnyournmostnlikelyndiagnosis?
• Actinicnkeratosis


• Seborrheicnkeratosis


• Basalncellncarcinoma


• Squamousncellncarcinoma

, MISSINGnANSWER




Question nPoints: n0.0n/n1.0

7. Whichnofnthenfollowingnrepresentsnage-relatednchangesninnthenlungs?
• Decreaseninnchestnwallncompliance


• Speednofnexpirationnincreases


• Increaseninnrespiratorynmusclenstrength


• Increasednelasticnrecoilnofnlungntissue




Question nPoints: n1.0n/n1.0

8. An15-month-
oldnisnbroughtnto nyounfornanfevernofn38.6ndegreesnCelsiusnandnfussiness.nThenearnexami
nationnisnasnfollows:nexternalnear,nnormalnappearancenandnno ntendernessnwithnmanipul
ation;ncanal,nnormalndiameter nwithoutnevidencenofninflammation;ntympanicnmembran
e,nbulging,nerythematous,nandnopaque.nInsufflationnisndeferrednduento npain.nWhatnisnth
enmostnlikelynconditionnhere?
• Otitisnexterna


• Cholesteatoma


• Rupturedntympanicnmembrane


• Otitisnmedia