Maryville NURS 612 Exam 1 | Maryville NURS 612
Exam 1 2025-2026 \LATEST VERSION WITH
COMPLETE QUESTIONS AND ACCURATE DETAILED
ANSWERS \GRADED A+
Mr. Cruz presents for a Class II malocclusion
physical examination. On
examination, you note that
the lower molars are distally
positioned in relation to the
upper molars. How would
you classify this
malocclusion?
The most important Maxillary toothache, purulent nasal drainage, poor response to
clinical signs for sinusitis in decongestants
adults includes which of the
following?
Normal findings in elderly Oral tissues may be dryer (xerostomia)
mouth/pharynx
General findings in elderly xerostomia, Periodontal disease, Oral cancer, Aspiration
mouth/pharynx pneumonia, fully edentulous
Abnormal findings in elderly Gingivitis, periodontal disease, dental caries, teeth may
mouth/pharynx appear longer, Dental malocclusion
Initial symptoms are Otitis media with effusion
cracking sound when
yawning or swallowing,
discomfort, feeling of
fullness (no drainage)
Exam shows conductive Otitis media with effusion
loss as ears fills with fluid,
retracted or bulging TM,
,impaired mobility, yellowish
air-fluid level and bubbles
Initial symptoms of Abrupt Acute Otitis Media
onset, fever, feels blocked,
anorexia, irritability, deep-
seated ear ache, if TM
ruptured foul- smelling
discharge
Exam shows conductive loss Acute Otitis Media
as ears fills with pus, TM
with distinct erythema,
thickened or clouding;
bulging, impaired mobility,
air-fluid level and bubbles
Exam shows Meatus Otitis Externa (Swimmer's ear)
inflamed, tender and
weeping, extreme pain,
nothing can be seen of
interior canal.
What tests are done to test Whisper, Weber, & Rinne
hearing?
,expected findings of Weber sound heard equally in both ears
test
expected findings for the air conduction (AC) greater than bone conduction (BC); 2:1 ration
Rinne test
Cataracts
Age related macular
Abnormal findings with elderly
degeneration Diabetic
Conjunctiva
retinopathy
Glaucoma
What is disease that Age related macular degeneration (AMD):
progressively destroys the
macula, impairing central
vision
gradual blurring of central Dry AMD progression...
vision, and increased
difficulty reading fine
print, recognizing faces or
seeing street signs
rapid loss of central Wet AMD
vision, with
metamorphopsia
(images that appear
distorted
progressive, chronic optic neuropathy in which
What is Glaucoma?
intraocular pressure (IOP), disease of optic nerve
where the nerve cells die
characterized by a Diabetic retinopathy
progressive series of
abnormal changes in the
retinal microvasculature,
proliferative retinopathy,
dilated fundoscopy
symptoms are absent except for a gradual loss of
Subjective Data for Open-
angle glaucoma peripheral vision over a period of years
intense ocular pain, blurred vision, halos around lights,
what you might see in Acute
glaucoma a red eye, and a dilated pupilo Occasionally: stomach
pain, nausea, & vomiting
, presbyopia, decrease in Normal findings with elderly Conjunctiva
dim light sight, decreased
ability to adjust to change
in lighting
What is being looked at with Red reflex, vascular supply of the retina, optic disc and macula
ophthalmoscope
ask if they any cultural beliefs that will affect how you
if someone of a different
need to treat the pain, does the pain frighten you,
culture comes in with pain
how do you cope with pain, what ways do you usually
how would you address
treat pain
that?
How would you like to be examples of patient-centered questions
addressed?; How are you
feeling today?; What
would you like for us to do
today?; What do you think
is causing your
symptoms?; What is your
understanding of your
diagnosis?
If language is a barrier how professional interpreter, rather than a family member, should be
should it be handled used
gives the patient
What do open-ended
questions allow? discretion about the
extent of an answer
What do direct questions to seeks specific information
allow?
What tests would you use to Rosenbaum (near vision) & Snellen (far vision)
check vision acuity?
Know some red flags of the uneven pupils with HA, sudden loss of vision, floaters/flashers
eye (send to ED or eye
doctor)
Exam 1 2025-2026 \LATEST VERSION WITH
COMPLETE QUESTIONS AND ACCURATE DETAILED
ANSWERS \GRADED A+
Mr. Cruz presents for a Class II malocclusion
physical examination. On
examination, you note that
the lower molars are distally
positioned in relation to the
upper molars. How would
you classify this
malocclusion?
The most important Maxillary toothache, purulent nasal drainage, poor response to
clinical signs for sinusitis in decongestants
adults includes which of the
following?
Normal findings in elderly Oral tissues may be dryer (xerostomia)
mouth/pharynx
General findings in elderly xerostomia, Periodontal disease, Oral cancer, Aspiration
mouth/pharynx pneumonia, fully edentulous
Abnormal findings in elderly Gingivitis, periodontal disease, dental caries, teeth may
mouth/pharynx appear longer, Dental malocclusion
Initial symptoms are Otitis media with effusion
cracking sound when
yawning or swallowing,
discomfort, feeling of
fullness (no drainage)
Exam shows conductive Otitis media with effusion
loss as ears fills with fluid,
retracted or bulging TM,
,impaired mobility, yellowish
air-fluid level and bubbles
Initial symptoms of Abrupt Acute Otitis Media
onset, fever, feels blocked,
anorexia, irritability, deep-
seated ear ache, if TM
ruptured foul- smelling
discharge
Exam shows conductive loss Acute Otitis Media
as ears fills with pus, TM
with distinct erythema,
thickened or clouding;
bulging, impaired mobility,
air-fluid level and bubbles
Exam shows Meatus Otitis Externa (Swimmer's ear)
inflamed, tender and
weeping, extreme pain,
nothing can be seen of
interior canal.
What tests are done to test Whisper, Weber, & Rinne
hearing?
,expected findings of Weber sound heard equally in both ears
test
expected findings for the air conduction (AC) greater than bone conduction (BC); 2:1 ration
Rinne test
Cataracts
Age related macular
Abnormal findings with elderly
degeneration Diabetic
Conjunctiva
retinopathy
Glaucoma
What is disease that Age related macular degeneration (AMD):
progressively destroys the
macula, impairing central
vision
gradual blurring of central Dry AMD progression...
vision, and increased
difficulty reading fine
print, recognizing faces or
seeing street signs
rapid loss of central Wet AMD
vision, with
metamorphopsia
(images that appear
distorted
progressive, chronic optic neuropathy in which
What is Glaucoma?
intraocular pressure (IOP), disease of optic nerve
where the nerve cells die
characterized by a Diabetic retinopathy
progressive series of
abnormal changes in the
retinal microvasculature,
proliferative retinopathy,
dilated fundoscopy
symptoms are absent except for a gradual loss of
Subjective Data for Open-
angle glaucoma peripheral vision over a period of years
intense ocular pain, blurred vision, halos around lights,
what you might see in Acute
glaucoma a red eye, and a dilated pupilo Occasionally: stomach
pain, nausea, & vomiting
, presbyopia, decrease in Normal findings with elderly Conjunctiva
dim light sight, decreased
ability to adjust to change
in lighting
What is being looked at with Red reflex, vascular supply of the retina, optic disc and macula
ophthalmoscope
ask if they any cultural beliefs that will affect how you
if someone of a different
need to treat the pain, does the pain frighten you,
culture comes in with pain
how do you cope with pain, what ways do you usually
how would you address
treat pain
that?
How would you like to be examples of patient-centered questions
addressed?; How are you
feeling today?; What
would you like for us to do
today?; What do you think
is causing your
symptoms?; What is your
understanding of your
diagnosis?
If language is a barrier how professional interpreter, rather than a family member, should be
should it be handled used
gives the patient
What do open-ended
questions allow? discretion about the
extent of an answer
What do direct questions to seeks specific information
allow?
What tests would you use to Rosenbaum (near vision) & Snellen (far vision)
check vision acuity?
Know some red flags of the uneven pupils with HA, sudden loss of vision, floaters/flashers
eye (send to ED or eye
doctor)
