NURS 511 – Midterm UPDATED ACTUAL
Exam Questions and CORRECT Answers
Underweight BMI - CORRECT ANSWER - <18.5
Normal BMI - CORRECT ANSWER - 18.5-24.9
Overweight BMI - CORRECT ANSWER - 25.0-29.9
Obesity I BMI - CORRECT ANSWER - 30.0-34.9
Obesity II BMI - CORRECT ANSWER - 35.0-39.9
Extreme Obesity BMI - CORRECT ANSWER - Greater or Equal to 40.0
Causes of increased JVP - CORRECT ANSWER - Right Sided Heart Failure
Left Sided Heart Failure
Pulmonary Hypertension
Triscuspid Stenosis
AV Dissociation
Increased Venous Vascular Tone
Pericardial Compression Tamponade
JVP Measures What? - CORRECT ANSWER - Right Atrial Pressure during systole &
diastole
Causes of Decreased JVP - CORRECT ANSWER - Loss of Blood
Decreased Vascular Tone
,What position should the bed be in when measuring the JVP of someone who might be
hypovolemic? - CORRECT ANSWER - Flat or less than 30 degrees
What position should the bed be in when measuring JVP of someone with normal fluid status? -
CORRECT ANSWER - 30 degrees
What position should the bed be in when measuring JVP of someone hypervolemic/experiencing
fluid overload. - CORRECT ANSWER - higher than 30 degrees
What is considered normal JVP measurement? - CORRECT ANSWER - 2-4 cm
If you measure JVP from right atrium instead of sternal angle, what would normal measurement
be? - CORRECT ANSWER - 7-9 cm (add 5 cm)
Causes of painless loss of vision - CORRECT ANSWER - Vitreous hemorrhage from
diabetes or trauma
Macular Degeneration
Retinal Detachment
Retinal Vein Occlusion
Central Retinal Artery Occlusion
Causes of painful loss of vision - CORRECT ANSWER - Usually caused in corneal
chamber or cornea
Including:
Corneal Ulcer
Uveitis
Traumatic Hyphema
Acute Angle Closure Glaucoma
Optic Neuritis from MS
,What does false positive mean? - CORRECT ANSWER - a test result which incorrectly
indicates that a particular condition or attribute is present
What does false negative mean? - CORRECT ANSWER - a test result which incorrectly
indicates that a particular condition or attribute is absent.
Proper order of examination of abdomen - CORRECT ANSWER - Inspection
Auscultation
Percussion
Palpation
45 year old patient presents with a cough. Upon auscultation, you hear rhonchi unilaterally. If
you are following the normal order of lung assessment, what would be the next step of your
assessment in order to best establish a differential diagnosis? - CORRECT ANSWER -
Ask the patient to cough to evaluate whether the rhonchi clears with cough.
Adequate assessment of abnormal finding of percussed dullness in a lung field requires the
combination of exam techniques. Why would egophany or whispered pectoriloquoy be helpful
techniques for establishing a differential diagnosis? - CORRECT ANSWER -
Consolidation will produce positive findings for each of these tests.
Which of the following percussion notes would be an expected over a patient's lungs who has
COPD? - CORRECT ANSWER - Hyperresonance
A 5 year old patient presents with drooling, dyspnea, and inspiratory stridor. What is your initial
thought about this patient? - CORRECT ANSWER - This is an emergent situation,
suggestive of epiglottitis
58 y.o. patient with a history of hypertension and coronary artery disease presents with
symptoms suggestive of intermittent claudication (pain in legs comes on rapidly during exercise,
quickly relieved by rest). Which of the following is most accurate? - CORRECT
, ANSWER - You suspect arterial insufficiency, so you will palpate the dorsalis pedis and
posterior tibial pulses which are likely to be diminished.
A new patient presents with dyspnea and your preceptor asks about a history of eczema or atopic
dermatitis. Why did your preceptor do this? - CORRECT ANSWER - Patients with asthma
often have other signs of atopy
You are concerned that a patient has an aortic regurgitation murmur. How should the patient be
positioned in order to best accentuate the murmur? - CORRECT ANSWER - Upright, but
leaning forward
Which is true of the splitting of the second heart sound? - CORRECT ANSWER - It is
best heard over the pulmonic area with the bell of the stethoscope.
A patient presents for a follow-up appointment for a non-healing ulcer in his lower extremity.
Upon reviewing his chart, which of the following would you expect to find in the documentation
about his physical exam if this patient has a history of chronic arterial insufficiency? -
CORRECT ANSWER - Pallor of the foot when raised to 60 degrees for one minute.
Which of the following may be missed unless the patient is placed in the left lateral decubitus
position and auscultated with the bell? - CORRECT ANSWER - Mitral Stenosis Murmur
This murmur is only heard with careful listening with stethoscope - CORRECT
ANSWER - Grade 1 murmur
Murmur readily audible with stethoscope on chest - CORRECT ANSWER - Grade II
murmur
Murmur accompanied by a thrill - CORRECT ANSWER - Murmurs Grade IV-VI
Murmur audible to the naked ear - CORRECT ANSWER - Grade VI murmur
Exam Questions and CORRECT Answers
Underweight BMI - CORRECT ANSWER - <18.5
Normal BMI - CORRECT ANSWER - 18.5-24.9
Overweight BMI - CORRECT ANSWER - 25.0-29.9
Obesity I BMI - CORRECT ANSWER - 30.0-34.9
Obesity II BMI - CORRECT ANSWER - 35.0-39.9
Extreme Obesity BMI - CORRECT ANSWER - Greater or Equal to 40.0
Causes of increased JVP - CORRECT ANSWER - Right Sided Heart Failure
Left Sided Heart Failure
Pulmonary Hypertension
Triscuspid Stenosis
AV Dissociation
Increased Venous Vascular Tone
Pericardial Compression Tamponade
JVP Measures What? - CORRECT ANSWER - Right Atrial Pressure during systole &
diastole
Causes of Decreased JVP - CORRECT ANSWER - Loss of Blood
Decreased Vascular Tone
,What position should the bed be in when measuring the JVP of someone who might be
hypovolemic? - CORRECT ANSWER - Flat or less than 30 degrees
What position should the bed be in when measuring JVP of someone with normal fluid status? -
CORRECT ANSWER - 30 degrees
What position should the bed be in when measuring JVP of someone hypervolemic/experiencing
fluid overload. - CORRECT ANSWER - higher than 30 degrees
What is considered normal JVP measurement? - CORRECT ANSWER - 2-4 cm
If you measure JVP from right atrium instead of sternal angle, what would normal measurement
be? - CORRECT ANSWER - 7-9 cm (add 5 cm)
Causes of painless loss of vision - CORRECT ANSWER - Vitreous hemorrhage from
diabetes or trauma
Macular Degeneration
Retinal Detachment
Retinal Vein Occlusion
Central Retinal Artery Occlusion
Causes of painful loss of vision - CORRECT ANSWER - Usually caused in corneal
chamber or cornea
Including:
Corneal Ulcer
Uveitis
Traumatic Hyphema
Acute Angle Closure Glaucoma
Optic Neuritis from MS
,What does false positive mean? - CORRECT ANSWER - a test result which incorrectly
indicates that a particular condition or attribute is present
What does false negative mean? - CORRECT ANSWER - a test result which incorrectly
indicates that a particular condition or attribute is absent.
Proper order of examination of abdomen - CORRECT ANSWER - Inspection
Auscultation
Percussion
Palpation
45 year old patient presents with a cough. Upon auscultation, you hear rhonchi unilaterally. If
you are following the normal order of lung assessment, what would be the next step of your
assessment in order to best establish a differential diagnosis? - CORRECT ANSWER -
Ask the patient to cough to evaluate whether the rhonchi clears with cough.
Adequate assessment of abnormal finding of percussed dullness in a lung field requires the
combination of exam techniques. Why would egophany or whispered pectoriloquoy be helpful
techniques for establishing a differential diagnosis? - CORRECT ANSWER -
Consolidation will produce positive findings for each of these tests.
Which of the following percussion notes would be an expected over a patient's lungs who has
COPD? - CORRECT ANSWER - Hyperresonance
A 5 year old patient presents with drooling, dyspnea, and inspiratory stridor. What is your initial
thought about this patient? - CORRECT ANSWER - This is an emergent situation,
suggestive of epiglottitis
58 y.o. patient with a history of hypertension and coronary artery disease presents with
symptoms suggestive of intermittent claudication (pain in legs comes on rapidly during exercise,
quickly relieved by rest). Which of the following is most accurate? - CORRECT
, ANSWER - You suspect arterial insufficiency, so you will palpate the dorsalis pedis and
posterior tibial pulses which are likely to be diminished.
A new patient presents with dyspnea and your preceptor asks about a history of eczema or atopic
dermatitis. Why did your preceptor do this? - CORRECT ANSWER - Patients with asthma
often have other signs of atopy
You are concerned that a patient has an aortic regurgitation murmur. How should the patient be
positioned in order to best accentuate the murmur? - CORRECT ANSWER - Upright, but
leaning forward
Which is true of the splitting of the second heart sound? - CORRECT ANSWER - It is
best heard over the pulmonic area with the bell of the stethoscope.
A patient presents for a follow-up appointment for a non-healing ulcer in his lower extremity.
Upon reviewing his chart, which of the following would you expect to find in the documentation
about his physical exam if this patient has a history of chronic arterial insufficiency? -
CORRECT ANSWER - Pallor of the foot when raised to 60 degrees for one minute.
Which of the following may be missed unless the patient is placed in the left lateral decubitus
position and auscultated with the bell? - CORRECT ANSWER - Mitral Stenosis Murmur
This murmur is only heard with careful listening with stethoscope - CORRECT
ANSWER - Grade 1 murmur
Murmur readily audible with stethoscope on chest - CORRECT ANSWER - Grade II
murmur
Murmur accompanied by a thrill - CORRECT ANSWER - Murmurs Grade IV-VI
Murmur audible to the naked ear - CORRECT ANSWER - Grade VI murmur
