NUR 634 FINAL EXAM WITH CORRECT ANSWERS (GRADED A+)

NUR 634 FINAL EXAM WITH CORRECT ANSWERS (GRADED A+) 1. 72-year-old M pt complains of bilateral knee pain. the NP assess stumbling during heel strike suggestive of? - correct answers- quadracep weakness or abnormal patellar tracking 2. 14 y/o student comes to clinical for a 3-month hx of dyspnea when playing basketball. the dyspnea resolves shortly after resting. There is no fever, chills, cough sputum, chest pain, or serious illness. Asthma is suspected. Which of the following sounds heard on exhalation would suggest asthma? - correct answers-wheezing 3. 75 y/o F in good health presents to a NP. she takes no medications but has been told in the past her BP is high. which one of the following findings is consistent with normal aging process and is not a sign of CV disease? - correct answers-murmur, stiffened ventricles (valvular changes) 4. An older adult M complains of feeling something in his L scrotum. On palpitation, soft, and moveable blood vessels that feel like a bag of warms are noted underneath the scrotal skin. the testicles are not swollen or red; what is likely the diagnosis? - correct answers- varicocele-varicose vein of spermatic cord 5. Kyphosis is a late sign of? - correct answers-? 6. Parents generally bring children for health. At what age should the provider begin to question the child him or herself regarding presenting symptoms? - correct answers-6 ? 7. The bulge sign and the balloon sign may be present where there is a/an? - correct answers-Patellar effusion-fluid in the knee. Swelling in suprapatellar pouch, bulge confirms presence of fluid as you move join from side to side. 8. The cremasteric reflex is elicited by: - correct answers-Cremasteric reflex is a superficial reflex seen in males, light stroking or poking the medical part of thigh regardless of the direction of the stroke. 9. Stimulation of moro reflex? - correct answers-Scare in baby. Spread of arms (abduct), fingers spread, legs extend. Gently lift head and release babv so that they feel like they are falling. Absence of this suggest damage to brain or spinal cord. one side absent-brachial plexus injury. 10. The two most important components of the eye exam for young child? - correct answers-I think: motility, hirschberg light reflex. use toys and make it fun. 11. Indication of crepitus - correct answers-common sign of bone fx or RA. in lungs-subcutaneous emphysema (trapped air under skin) 12. Retention Cysts - correct answers-tumor like accumulation of secretions formed when the outlet of secreting gland is obstructed. can develop in breast, pancreas, kidney, mucus membrane. Small sac of mucus that forms when mucus duct becomes blocked. yellowish blge and should be drained 13. GCS - correct answers-measures LOC, eye opening, motor response, verbal response. 3-15 14. Assessment of CN XI - correct answers-Spinal accessory nerve, shrug shoulders 15. Assessment of egophony? - correct answers-Say "e" and sounds like "a"= egophony. Suggests consolidation, pleural effusion, pneumonia. 16. The FNP will be able to assess the splitting of s2 in which location? - correct answers-2nd ICS L sternal boarder 17. A 42 y/o healthy F requests an MRI rather than mammogram. no hx of family ca. which of the following is true about MRI as a screening modality for breast ca in the general population? - correct answers- accurate by high false positive rate 18. Assessment of PAD - correct answers-pain with walking but better at rest 19. Evaluation of corneal abrasion - correct answers-Slit lamp exam= stain in eye. 20. Assessment of urine analysis of UTI - correct answers-there would NOT be proteins 21. assessment of stereognosis and graphesthesia - correct answers- stereognosis: identify object without seeing or hearing but by touch esthesia: draw figure 8 on hand and can identify what was written 23.Assessment of risk factors for melanoma - correct answers-ABCDE 24. A 35 y/o soccer player presents to urgent care with complain of swelling and pain on medial aspect of right knee. on exam the knee is swollen and tender on the joint. to assess for possible injury to meniscus, which maneuver will yield the best information for the NP. - correct answers-mcMurrarys test, fully bend leg and pull outward bow legged while externally rotating as you extend knee. Click or pain=+ 25. The NP begins the exam of a 29 y/o female presenting for cough. noted is depression of the lower part of the sternum. Which of the following best describes the appearance of the chest. - correct answers-Pectus excavatum "sunken in appearance". birth defect, cup shaped. 26.When examining the cervix of a 20 y/o female you note that most of the cervix is pink but there is a small ring of dark red tissue surrounding the os. This is most likely? - correct answers- Strawberry cervix- not linked to Ca. Causes: hormones, pregnancy, PO birth control, and age (young,puberty) 27. Testing CN IX and X for a child - correct answers-swallow and gag 28. say "ah" and stick tongue out to observe uvula and soft palate. 29.Describe McMurray's test - correct answers-Assess for meniscus tear. 30. Lateral: pt supine w. knee completely flexed, old joint with one hand and foot in the other. rotate foot internally while extending knee. click/pain=positive 31. medial: hold knee and fully bend leg and pull outward bow legged while externally rotating and extending knee. 32.Bell's Palsy (facial nerve paralysis) - correct answers-lesion on CN VII t move eyebrows. 34. R side facial paralysis 35. facial drooping, drooling, pain behind ear, loss of taste 36.Fibromyalgia - correct answers-Femal patient w tiredness, fatigue, pain and tender points. d by stress 38. no swelling 39.Asthma and breath sounds - correct answers-wheezing 40. cannot hear clear lungs sounds in patient with asthma-- wheezing 41. Pneumonia - correct answers-increased tactile fremitus. 42. egophony 43. percussion sounds would be dull 44. bronchophony=pneumonia 45. Patient with pain down butt and with lifting - correct answers- sciatica 46. pressure on sciatica nerve causes radiating pain runs down one or both legs from lower back 47. + SLR (straight leg raise) - correct answers-=herniated disc also pain like sciatica 48. lumbo-sacral radiculopath. 49. Cluster headaches - correct answers-severe unilateral pain behind eye (redness) 50. Resting tremors - correct answers-Parkinsons 51. #1 cause of stroke - correct answers-HTN 52. Romberg Test - correct answers-tests cerebellar ataxia 53. proprioception-have hard time balancing. 54. measures sense of balance (dorsal column of spinal cord) 55. stand and close eyes with arms crossed-do they stand still? 56.Not a fidning of a rotator cuff tear? - correct answers-painless because rotator cuffs are very painful 57.Whisper test-how to do it? - correct answers-whisper 3 words into ear and repeat them back. cover ear that you are not whispering into 58. hordeum - correct answers-pustule on eyelid BPH - correct answers-prostate is firm, uniform, and enlarged. 60. Strep pharyngitis symptoms - correct answers-sore throat, painful swallowing, fever, rash 61. NOT cough 62.SLE lupus - correct answers-butterfly rash rash 64. +ANA (anti-nuclear antibody) scleroderma Sjogren syndrome 65.Bag of warms, scrotum - correct answers-varicocele (varicose veins of spermatic cord) 66.Hip circumduction - correct answers-Lack of knee flexion 67. Candida test - correct answers-ANA everything but dry! 68. Questions to ask for remote memory - correct answers- mothers maiden name, childhood, school, historical events 69.Thenar Atrophy - correct answers-carpel tunnel syndrome, distal muscle weakness, base of thumb 70.Bulging or ballooning of knee - correct answers-patellar effusion (fluid in knee) 71. s&s: sswelling, stiffness, dull/mild ache restricted mvmnt. 72. what ligament does abducting knee test - correct answers-MCL 73.Moro reflex - correct answers-scare baby. 74. hold infant supine, support head, abruptly lower entire body and baby's arms with abduct and extend, hands will open, legs flex, baby may cry. 75.Yellow of skin is problem with - correct answers-bilirubin 76. Purpose of MMSE - correct answers-dementia 77. PAD - correct answers-pain with walking and better with rest 78. Where is S2 split heard - correct answers-2nd ICS and L sternal border 79. where is mitral regurg best heard - correct answers-apex and S1 L sternal border 80. What does CN XI assess - correct answers-shoulder shrug 81. otitis media - correct answers-erythema, landmarks not visible, bulging, negative mobility. 82. corneal abrasion - correct answers-slit lamp exam; dye fluroxene in eye. 83. Melenoma - correct answers-ABCDE 84. expressive aphasia-not affected part - correct answers- reading comprehension