NUR 634 MIDTERM EXAM 2025-2026 QUESTIONS
AND CORRECT ANSWERS|VERIFIED|LATEST
GCU
You have a patient who comes in that is super talkative. At the end of it all, what
tools do you have to find out what the patient actually came in for?
Redirect and summarize
Blood in the eye. What are some questions you'd like to ask?
Recent trauma, double vision, OPQRST, nausea (Dx: subconjunctival hemorrhage
from retching)
What is a normal finding of visual changes as we age?
Presbyopia
What is the order of exam for a new patient?
a. Introduction
b. Chief complaint
c. HPI
,d. Dx/plan
e. Summarize
If I had a person ask me as I was palpating their lymph nodes, why their lymph
nodes get large, what would your answer be?
B Cell proliferation, which makes more cells, hence enlargement
Which lymph nodes sit just behind the sternocleidomastoid?
Posterior cervical chain
A patient comes in with really vague overall muscle complaints, fatigue with no
accident or mechanism of injury, what is something that is really important to
screen for?
Depression
If a patient has double vision with one eye covered? Which cranial nerve are you
concerned about?
Cranial Nerve III
,A patient that comes in with elbow pain that is worse on the right and pain when
she extends her wrist, what would you suspect?
a. Medial epicondylitis (Golfer's elbow)
b. Tennis elbow presents with pain and tenderness experienced on the outside of
the elbow, while golfer's elbow can be felt on the inside of your elbow and down
the arm.
Pt has a lump that requires an I&D and it has a very "cheesy" substance that comes
out. You will document that you just removed what?
A sebaceous cyst.
If a patient has a cup to disc ratio of 1:2, then what is happening?
Flatter disc, so less likely to be a glaucoma suspect
What is your #1 DDx if I say I have chest pain that is sharp, right over my sternum
Angina
What is the main cause of Angina?
Atherosclerosis
, If you have a patient with sudden, non-painful loss of vision, what would you
suspect?
Retinal detachment
If you have a patient with painful loss of vision in one eye, what would you suspect
optic Neuritis
The tender point between the two tendons at the base of the thumb (the snuff box
area), we relate that to what type of fracture?
Scaphoid fracture
What are the landmarks for PMI (point of maximal impulse)?
a. the bony point of your sternum
b. the 5th intercostal spaces
c. the midclavicular line (7-9 cm lateral to the sternum)
a patient has pain while chewing, but only on one side of the face. What are some
DDx?
TMJ
AND CORRECT ANSWERS|VERIFIED|LATEST
GCU
You have a patient who comes in that is super talkative. At the end of it all, what
tools do you have to find out what the patient actually came in for?
Redirect and summarize
Blood in the eye. What are some questions you'd like to ask?
Recent trauma, double vision, OPQRST, nausea (Dx: subconjunctival hemorrhage
from retching)
What is a normal finding of visual changes as we age?
Presbyopia
What is the order of exam for a new patient?
a. Introduction
b. Chief complaint
c. HPI
,d. Dx/plan
e. Summarize
If I had a person ask me as I was palpating their lymph nodes, why their lymph
nodes get large, what would your answer be?
B Cell proliferation, which makes more cells, hence enlargement
Which lymph nodes sit just behind the sternocleidomastoid?
Posterior cervical chain
A patient comes in with really vague overall muscle complaints, fatigue with no
accident or mechanism of injury, what is something that is really important to
screen for?
Depression
If a patient has double vision with one eye covered? Which cranial nerve are you
concerned about?
Cranial Nerve III
,A patient that comes in with elbow pain that is worse on the right and pain when
she extends her wrist, what would you suspect?
a. Medial epicondylitis (Golfer's elbow)
b. Tennis elbow presents with pain and tenderness experienced on the outside of
the elbow, while golfer's elbow can be felt on the inside of your elbow and down
the arm.
Pt has a lump that requires an I&D and it has a very "cheesy" substance that comes
out. You will document that you just removed what?
A sebaceous cyst.
If a patient has a cup to disc ratio of 1:2, then what is happening?
Flatter disc, so less likely to be a glaucoma suspect
What is your #1 DDx if I say I have chest pain that is sharp, right over my sternum
Angina
What is the main cause of Angina?
Atherosclerosis
, If you have a patient with sudden, non-painful loss of vision, what would you
suspect?
Retinal detachment
If you have a patient with painful loss of vision in one eye, what would you suspect
optic Neuritis
The tender point between the two tendons at the base of the thumb (the snuff box
area), we relate that to what type of fracture?
Scaphoid fracture
What are the landmarks for PMI (point of maximal impulse)?
a. the bony point of your sternum
b. the 5th intercostal spaces
c. the midclavicular line (7-9 cm lateral to the sternum)
a patient has pain while chewing, but only on one side of the face. What are some
DDx?
TMJ
