NUR-634 MIDTERM LATEST
EXAM
When do you hear wheezing in an asthmatic patient - ANSWERS-Upon
expiration
Patient complains of pain after walking, radiating from back into butt
cheeks, to calves and relief with sitting. What DDx - ANSWERS-
Neurogenic claudication
A black woman is 6-10 times more likely to die after childbirth; what is
this an example of? - ANSWERS-Health bias
Patient presents with diabetes, etoh abuse, complains of increasing
weakness, epigastric pain radiating to the back, diarrhea, and weight
loss. What is on your DDx? - ANSWERS-Pancreatitis -
autodigestion/scarring of the pancreas
Patient with decreased sensation to light touch around the heel; which
dermatome is affected? - ANSWERS-S1
How do you find the fourth intercostal space? - ANSWERS-Find your
sternal notch, 2nd intercostal space and palpate down to 4th
END OF
PAGE
1
, NUR-634 MIDTERM LATEST
EXAM
If a patient has problems with ocular movements, what cranial nerves
can be affected and what could be wrong? - ANSWERS-Cranial nerves
3, 4, and 6; and it could be a potential stroke
Nasal exam shows growth that is inflamed, obstructing nasal passage;
what do you suspect? - ANSWERS-Nasal polyp
What is dysphagia? - ANSWERS-Trouble swallowing
If we are assessing anxiety and depression, what else do we check for? -
ANSWERS-a. Suicidal ideation
b. Thyroid dysfunction
c. Substance abuse
d. Homicidal ideation
Pt presents with problems and has ETOH history and sober for 10 years.
What are you thinking? - ANSWERS-Did they start drinking again?
END OF
PAGE
2
, NUR-634 MIDTERM LATEST
EXAM
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? - ANSWERS-Redirect and summarize
Blood in the eye. What are some questions you'd like to ask? -
ANSWERS-Recent trauma, double vision, OPQRST, nausea (Dx:
subconjunctival hemorrhage from retching)
What is a normal finding of visual changes as we age? - ANSWERS-
Presbyopia
What is the order of exam for a new patient? - ANSWERS-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? - ANSWERS-B
Cell proliferation, which makes more cells, hence enlargement
END OF
PAGE
3
EXAM
When do you hear wheezing in an asthmatic patient - ANSWERS-Upon
expiration
Patient complains of pain after walking, radiating from back into butt
cheeks, to calves and relief with sitting. What DDx - ANSWERS-
Neurogenic claudication
A black woman is 6-10 times more likely to die after childbirth; what is
this an example of? - ANSWERS-Health bias
Patient presents with diabetes, etoh abuse, complains of increasing
weakness, epigastric pain radiating to the back, diarrhea, and weight
loss. What is on your DDx? - ANSWERS-Pancreatitis -
autodigestion/scarring of the pancreas
Patient with decreased sensation to light touch around the heel; which
dermatome is affected? - ANSWERS-S1
How do you find the fourth intercostal space? - ANSWERS-Find your
sternal notch, 2nd intercostal space and palpate down to 4th
END OF
PAGE
1
, NUR-634 MIDTERM LATEST
EXAM
If a patient has problems with ocular movements, what cranial nerves
can be affected and what could be wrong? - ANSWERS-Cranial nerves
3, 4, and 6; and it could be a potential stroke
Nasal exam shows growth that is inflamed, obstructing nasal passage;
what do you suspect? - ANSWERS-Nasal polyp
What is dysphagia? - ANSWERS-Trouble swallowing
If we are assessing anxiety and depression, what else do we check for? -
ANSWERS-a. Suicidal ideation
b. Thyroid dysfunction
c. Substance abuse
d. Homicidal ideation
Pt presents with problems and has ETOH history and sober for 10 years.
What are you thinking? - ANSWERS-Did they start drinking again?
END OF
PAGE
2
, NUR-634 MIDTERM LATEST
EXAM
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? - ANSWERS-Redirect and summarize
Blood in the eye. What are some questions you'd like to ask? -
ANSWERS-Recent trauma, double vision, OPQRST, nausea (Dx:
subconjunctival hemorrhage from retching)
What is a normal finding of visual changes as we age? - ANSWERS-
Presbyopia
What is the order of exam for a new patient? - ANSWERS-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? - ANSWERS-B
Cell proliferation, which makes more cells, hence enlargement
END OF
PAGE
3
