NUR 611 MIDTERM LATEST UPOADED EXAM 2025

NUR 611 MIDTERM LATEST UPOADED EXAM 2025 Atypical pigmentation; red/white/grey/blue/black/brown; geriatric population - Correct Ans-malignant melanoma Prolonged horizontal growth or vertical, can spread to other organs - Correct Ans lentigo maligna melanoma Most common skin malignancy, malignant neoplasm of the basal cells of the epidermis, lesions almost always occur on face; pearly, rolled, well-defined margins, ulceration in center - Correct Ans-basal cell carcinoma Malignant neoplasm of keratocytes in the epidermis; scaling, crusting, plaque appearance, can ulcerate and bleed - Correct Ans-squamous cell carcinoma Frequently encountered in patients with HIV infection; mouth and nose; vesicular at first then dries/crusts up - Correct Ans-herpes simplex Before rash erupts patient will describe burning, tingling sensation on skin then eruption of vesicular rash along dermatome; can come out along a spinal nerve or cranial nerve (body or face) - Correct Ans-herpes zoster Less than 1 cm; filled with serous fluid; blister, herpes simplex - Correct Ans-vesicle Greater than 1 cm; filled with serous fluid; blister, vulgaris - Correct Ans-bullae Smaller than 1 cm; nevus, wart - Correct Ans-papule Would cause enlargement of submaxillary or submental - Correct Ans-dental abscess 1 or more enlargement of lymph node; post auricular and post cervical nodes would be enlarged; viral or bacterial etiology - Correct Ans-lymphadenopathy Exudate, fever, tonsils 3+ is what type of pharyngitis? - Correct Ans-bacterial Tonsils 2-3+ (may be 4+), absence of fever is what type of pharyngitis? (most common cause) - Correct Ans-viral Measurement of fluid overload, heart, strain, flow is what assessment? - Correct Ans jugular venous pressure Pockets in the tonsils are normal unless ? - Correct Ans-covered with exudate NURS 611 NURS 611 What type of conjunctivitis? Both eyes affected, generally no pain, URI, fever - Correct Ans-viral conjunctivitis What type of conjunctivitis? Usually 1 eye, generally no pain, discharge - Correct Ans bacterial conjuctivitis Difference between conjunctivitis and retinal issue is ? - Correct Ans-pain What type of eye condition- both eyes are itchy, tearing, shiners, allergy symptoms - Correct Ans-allergic reaction Thyroid gland enlargement (graves disease) - Correct Ans-hyperthyroidism Weight loss, anxiety, fast metabolism can be related to ? - Correct Ans-Hyperthyroidism Weight gain, fatigue, dry skin, brittle nails can be related to ? - Correct Ans-hypothyroid Main symptom and time frame - Correct Ans-chief complaint Further explain chief complaint - Correct Ans-history of present illness Summarizes in terms of body systems all the symptoms that may have been overlooked in the HPI, yes or no questions - Correct Ans-review of symptoms (subjective) Preparation of equipment; inspection, palpation, auscultation, percussion; conduct by body regions from head to toe - Correct Ans-physical exam (objective) Painless; floaters, flushing, curtain or shadow across the peripheral vision; can cause retinal detachment - Correct Ans-retinal tear A tumor on the ocular fundus in children, white pupil= - Correct Ans-retinoblastoma (most common malignant tumor of the sensory retina) - Correct Ans-retinoblastoma The most common cause of blindness, "mistiness or looking through dirty window"; as the lenticular opacity increases with time, there is a diminution of visual acuity in association with glare of bright light; results from pupillary constriction limiting light rays passing through central portion of lens - Correct Ans-cataracts Sense of smell - Correct Ans-olfactory cranial nerve 1 Visual acuity- Snellen or Rosenbaum, ophthalmoscopic exam- pupil examination - Correct Ans-optic cranial nerve 2 NURS 611 NURS 611 EOM, convergence- follow finger to bridge of nose, pupillary reflex for accommodation, direct and consensual light reactions - Correct Ans-oculomotor cranial nerve 3 EOM cranial nerves - Correct Ans-oculomotor, trochlear, abducens (3,4,6) Corneal light reflex (Hirschberg), motor: palpate over masseter muscle w/ clenched jaw; sensory: ophthalmic, maxillary, and mandibular dermatomes - Correct Ans-trigeminal cranial nerve 5 Facial expressions (puff cheeks, smile, frown, show teeth, close eyes) - Correct Ans facial cranial nerve 7 Whisper test, weber test, Rinne test - Correct Ans-vestibulocochlear cranial nerve 8 Say "Ah" - Correct Ans-glossopharyngeal cranial nerve 9 Gag reflex, Say "Ah" - Correct Ans-vagus cranial nerve 10 Turn head against resistance, shrug shoulders - Correct Ans-spinal cranial nerve 11 Stick out tongue - Correct Ans-hypoglossal cranial nerve 12 - Serial 7's or 3's, memory, word comprehension, naming, reading, writing and copying figures, NIH stroke scale material - Correct Ans-testing cognition - Assess gait- heel to toe, tip toes, heels - Romberg test- feet together, hands at side for 20-30 seconds - Cerebellar coordination- serial finger opposition, hand flip-flop, finger to nose test, run heel down shin - Correct Ans-testing cerebellar function Auditory acuity - Correct Ans-whisper test Vibration on the forehead is felt in both ears symmetrically= normal and no lateralization; if the sound is not heard in the middle it means lateralized to side with hearing loss; sound lateralized to the affected side in conductive deafness - Correct Ans-weber test Air conduction is greater than bone conduction (positive is normal), abnormal is bone conduction better than air conduction- conductive hearing loss (positive) - Correct Ans rinne test Visual acuity - Correct Ans-Snellen/Rosenbaum Determines lesions in the visual pathway, normal peripheral vision reading of fingers - Correct Ans-visual fields of confrontation NURS 611 NURS 611 Pupils converge and constrict (patient looks at object in distance then looks at finger held 10cm from nose) - Correct Ans-pupillary reflex for accommodation - eye alignment; no deviation, eyes are midline and symmetric - Correct Ans cover/uncover test Reflection is symmetrical- light shined on bridge of nose; if not symmetrical deviation may exist - Correct Ans-corneal light reflex What is done before moving to the fundoscopic exam? - Correct Ans-corneal red reflex - eye alignment- eyes move symmetrically, no muscle weakness. - Correct Ans-cardinal gaze for EOM "99", palpate with the ball of hand - Correct Ans-tactile fremitus Normal lung tissue "e" will be heard, consolidation should be noted over spots that sound like nasally "a" - Correct Ans-egophony "99"- normally the sound becomes less distinct and indistinct as the examiner moves the diaphragm of the stethoscope - Correct Ans-bronchopathy Normal 4-7cm - Correct Ans-diaphragmatic excursion Measures the ability of the lungs to expand properly - Correct Ans-diaphragmatic excursion COPD, neurological, mass, or tumor can cause (respiratory) - Correct Ans-restricted movement of diaphragm Diaphragm moves down (contracts) - Correct Ans-inhalation Diaphragm moves up (relaxes) - Correct Ans-exhal