Midterm Practice NUR634 Exam
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Auscultating lungs and decreased air movement with high pitched whistling on
expiration - CORRECT ANSWER-Asthma Differential
How do you redirect a patient - CORRECT ANSWER-What are we actually here for,
plan of care, good summary of care plan and what alternatives may be
Blood in the left eye what is a differential? - CORRECT ANSWER-subconjunctival
hemorrhage from vomiting
Of the following what is a normal finding; cataracts, glaucoma, macular degeneration, or
presbyopia? - CORRECT ANSWER-Presbyopia-near sightedness is a normal finding
How to establish rapport with a patient - CORRECT ANSWER-Sit on their level, don't
chart while they are talking, maintain eye contact, why are you hear, what are we
accomplishing today, set goals
Lymph node BEHIND sternocleidomastoid - CORRECT ANSWER-posterior cervical
chain
Woman comes in and complains of vague symptoms; "muscle hurts" and "not sleeping
well" - CORRECT ANSWER-Differentials: anxiety, fatigue, depression, psych issues
going on
GERD patient Education - CORRECT ANSWER-Diet focused, limit spicy foods, alcohol,
tomato based, acidic, and soda, do not eat 2 hours before bed
Patient has blurred vision while covering one eye, what CN is this? - CORRECT
ANSWER-CN III Occulomotor, involves blurred or double vision
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Issues with medial elbow and lateral epicondyle how do you differentiate - CORRECT
ANSWER-Tennis elbow-lateral, swing arm back
golf elbow- medial swing arm forward
Practicing percussion and sounds dull what are some differentials? - CORRECT
ANSWER-Mass, lung consolidation, both or unilateral
Large lump on patient back, cheesy substance comes out of cyst, what kind is it? -
CORRECT ANSWER-Sebaceous cyst
Normal disc to cup ratio is 1:3, what is attributed to a cup ratio of 1:2? - CORRECT
ANSWER-Glaucoma
One single motion to describe chest pain what is a differential - CORRECT ANSWER-
Angina
Lost all vision in one eye what is a differential - CORRECT ANSWER-Retinal
detachment, optic neuritis
Touch between the wrist and thumb and have tenderness what fracture are you
suspicious of? - CORRECT ANSWER-Scaphoid bone
Landmarks for PMI - CORRECT ANSWER-5th intercostal space left midclavicular
Jaw pain differentials? - CORRECT ANSWER-Temporal mandibular joint discorder
Taking a patient history and mention they have a bachelors in nursing, where would this
go during charting? - CORRECT ANSWER-under social history
Have a young elementary aged girl, hair has been falling out what are some differentials
- CORRECT ANSWER-Alopecia, nutritional status, thyroid history, stress
Upon physical exam patient has have spider hemangiomas running up neck what is a
differential? - CORRECT ANSWER-alcoholic esophageal varices
Physical exam findings consistent with meningitis? - CORRECT ANSWER-Nuchal
rigidity decreased ROM in neck
Cranial nerve assessing when looking at soft palate - CORRECT ANSWER-CN X
Vagus
Soft mass able to move around skin - CORRECT ANSWER-abnormal lymph nodes
Medical term for a stye - CORRECT ANSWER-Hordeolum
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