NR 509 Final Exam Test Question and Answers
How to get patient to open up?
Answer: - effective reassurance
- meaningful reassurance
- moving closer to patient
What is the order of meeting a patient and conducting an interview?
Answer: - preparation
- sequence of interview
- culture context of the interview
How can the size of BP cuff and position of the brachial artery affect the patient's BP reading?
Answer: Cuff too small = High BP
Cuff too large = Low BP
Brachial artery below heart = High BP
Brachial artery above the heart = Low BP
Constitutional Symptoms are:
Answer: Fatigue, weakness, fever/chills, night sweats, weight changes, or pain.
Benign tumors that result from overgrowth of capillaries?
Answer: Cherry angiomas
What can acanthosis nigricans clue into?
Answer: Diabetes
What labs do you check for vitiligo?
Answer: TSH, T3, T4, and CBC
What are scattered erythematous; raised on skin, over 1 cm; plaque- Raised papule - rough, dry, silver,
grey. Found mostly over joints?
Answer: Psoriasis
What are herald spot with bullseye like papule with branches emanating from it occur on back, chest.
Red raised?
Answer: Pityriasis Rosea
What are malar, erythema (mid cheeks, spans bridge of nose), relative sparing of nasolabial folds,
periungual erythema, interphalangeal erythema?
Answer: Systemic Lupus Erythematosus
What are rash, often in red bullseye pattern (erythema migrans), caused by tick bite. Symptoms are flu-
like, fever, HA, fatigue
Answer: Lyme Disease
, What do you check for when patient has cellulitis?
Answer: Ulcer for signs of infection
How does retinal detachment present?
Answer: sudden, painless, unilateral vision loss
What cranial nerve are you assessing when checking lateral gaze?
Answer: Cranial nerve 6 - Abducens
What conditions do not have red reflexes?
Answer: cataracts, detached retina, the vitreous, artificial eye, or retinoblastoma in children
Eye condition in which there is a sudden vision loss, unilateral, painful; associated with multiple
sclerosis?
Answer: Optic Neuritis
What is a signature sign of otitis externa? (swimmer's ear)
Answer: Painful movement of the tragus
Eye condition where there is a leakage of outside blood vessels in the eye, absent of pain; vision is not
affected
Answer: Subconjunctival hemorrhage
Where to palpate for strep lymph nodes?
Answer: Anterior cervical
Where to palpate for mono lymph nodes?
Answer: Posterior cervical
Eye condition where the eye is severe, aching, deep pain; decreased vision, pupil dilated/fixed?
Answer: Glaucoma
Lung condition where there is dullness replaced with resonance, dyspnea, pleuritic pain, cough, fever;
localized bronchophony/egophony?
Answer: Pneumonia
Lung condition where the patient coughs sometimes with thick mucoid, sputum, especially near end of
an attack, episodic wheezing and dyspnnea, but cough may occur alone. Often history of allergies
Answer: Asthma
Heart condition where patient does a clenching movement over the sternum?
Answer: Myocardium
What ventricle are you feeling when palpating anterior cardiac surface?
Answer: Right ventricle
What valve are you listening to at the apex of the heart?
Answer: Mitral valve
How to get patient to open up?
Answer: - effective reassurance
- meaningful reassurance
- moving closer to patient
What is the order of meeting a patient and conducting an interview?
Answer: - preparation
- sequence of interview
- culture context of the interview
How can the size of BP cuff and position of the brachial artery affect the patient's BP reading?
Answer: Cuff too small = High BP
Cuff too large = Low BP
Brachial artery below heart = High BP
Brachial artery above the heart = Low BP
Constitutional Symptoms are:
Answer: Fatigue, weakness, fever/chills, night sweats, weight changes, or pain.
Benign tumors that result from overgrowth of capillaries?
Answer: Cherry angiomas
What can acanthosis nigricans clue into?
Answer: Diabetes
What labs do you check for vitiligo?
Answer: TSH, T3, T4, and CBC
What are scattered erythematous; raised on skin, over 1 cm; plaque- Raised papule - rough, dry, silver,
grey. Found mostly over joints?
Answer: Psoriasis
What are herald spot with bullseye like papule with branches emanating from it occur on back, chest.
Red raised?
Answer: Pityriasis Rosea
What are malar, erythema (mid cheeks, spans bridge of nose), relative sparing of nasolabial folds,
periungual erythema, interphalangeal erythema?
Answer: Systemic Lupus Erythematosus
What are rash, often in red bullseye pattern (erythema migrans), caused by tick bite. Symptoms are flu-
like, fever, HA, fatigue
Answer: Lyme Disease
, What do you check for when patient has cellulitis?
Answer: Ulcer for signs of infection
How does retinal detachment present?
Answer: sudden, painless, unilateral vision loss
What cranial nerve are you assessing when checking lateral gaze?
Answer: Cranial nerve 6 - Abducens
What conditions do not have red reflexes?
Answer: cataracts, detached retina, the vitreous, artificial eye, or retinoblastoma in children
Eye condition in which there is a sudden vision loss, unilateral, painful; associated with multiple
sclerosis?
Answer: Optic Neuritis
What is a signature sign of otitis externa? (swimmer's ear)
Answer: Painful movement of the tragus
Eye condition where there is a leakage of outside blood vessels in the eye, absent of pain; vision is not
affected
Answer: Subconjunctival hemorrhage
Where to palpate for strep lymph nodes?
Answer: Anterior cervical
Where to palpate for mono lymph nodes?
Answer: Posterior cervical
Eye condition where the eye is severe, aching, deep pain; decreased vision, pupil dilated/fixed?
Answer: Glaucoma
Lung condition where there is dullness replaced with resonance, dyspnea, pleuritic pain, cough, fever;
localized bronchophony/egophony?
Answer: Pneumonia
Lung condition where the patient coughs sometimes with thick mucoid, sputum, especially near end of
an attack, episodic wheezing and dyspnnea, but cough may occur alone. Often history of allergies
Answer: Asthma
Heart condition where patient does a clenching movement over the sternum?
Answer: Myocardium
What ventricle are you feeling when palpating anterior cardiac surface?
Answer: Right ventricle
What valve are you listening to at the apex of the heart?
Answer: Mitral valve
