1|Page
NURS 634 MIDTERM EXAM 1 COMPLETELY
UPDATED 2025–2026 EDITION | VERIFIED
QUESTIONS & 100% ACCURATE ANSWERS |
GUARANTEED A+ PERFORMANCE
Upon auscultating someone's lungs there is decreased air movement and high pitch
expiratory whistling. What diagnosis is at the top of the list? - ANSWER: Asthma
What can you do if someone comes in, is distracted, and needs redirecting -
ANSWER: Summarize why the patient is here and the plan
A patient presents with a bloody left eye. What questions should you ask? -
ANSWER: • Injury or trauma? No
• Sneezing or coughing? No
• BP? Normal
• Changes in vision, double vision, visual disturbances? No
• Blood thinners? No
• Headaches? No
• Eye hemorrhage from vomiting after drinking alcohol = subconjunctival
hemorrhage
What eye disorders are normal in geriatric patients? - ANSWER: • Cataracts: no
• Glaucoma: no
• Macular degeneration: no (common but not expected)
,2|Page
• Presbyopia (near sighted): yes
The proper way to start an initial consult - ANSWER: 1. Introduce yourself
2. Establish rapport
3. Ask for the chief complaint
Which lymph nodes are behind the sternoclavicular mastoid? - ANSWER:
Posterior cervical lymph nodes
A woman comes in with vague complaints: muscle ache, not sleeping well. What
diagnosis is probable? - ANSWER: Depression (always have a psych differential
for vague symptoms)
A patient with a history of GERD is being assessed. What education should be
provided? - ANSWER: • Eliminate spicy food
• Eliminate acid foods
• They should avoid eating late at night
If a patient has blurred vision while covering one eye, what CN is involved? -
ANSWER: CN III - Oculomotor (blurred vision or double vision = CN III)
Medial epicondyle and lateral epicondyle, what are the two disorders that happen
with the elbow? - ANSWER: • Lateral: swinging back (tennis)
, 3|Page
• Medial: swinging forward (golf)
Percussion on lungs sound dull, what are differentials? - ANSWER: •
Consolidation (pneumonia)
• Could be bilateral, depending on location
If a patient has a large lump on the back and the I&D has cheesy like substance.
What is it? - ANSWER: Sebaceous cyst
What is the normal cup to disk ratio in a normal eye exam? - ANSWER: 1:3
If the cup to disk ratio is 1:2, what is suspected? - ANSWER: Glaucoma
One differential to diagnose chest pain that does not radiate - ANSWER: Angina
A patient losses all vision in one eye, differentials? - ANSWER: • Retinal
detachment (painless)
• Optic neuritis (painful)
A spot between the wrist and thumb has palpation tenderness, what bone is
suspected to have an injury? - ANSWER: Scaphoid injury
NURS 634 MIDTERM EXAM 1 COMPLETELY
UPDATED 2025–2026 EDITION | VERIFIED
QUESTIONS & 100% ACCURATE ANSWERS |
GUARANTEED A+ PERFORMANCE
Upon auscultating someone's lungs there is decreased air movement and high pitch
expiratory whistling. What diagnosis is at the top of the list? - ANSWER: Asthma
What can you do if someone comes in, is distracted, and needs redirecting -
ANSWER: Summarize why the patient is here and the plan
A patient presents with a bloody left eye. What questions should you ask? -
ANSWER: • Injury or trauma? No
• Sneezing or coughing? No
• BP? Normal
• Changes in vision, double vision, visual disturbances? No
• Blood thinners? No
• Headaches? No
• Eye hemorrhage from vomiting after drinking alcohol = subconjunctival
hemorrhage
What eye disorders are normal in geriatric patients? - ANSWER: • Cataracts: no
• Glaucoma: no
• Macular degeneration: no (common but not expected)
,2|Page
• Presbyopia (near sighted): yes
The proper way to start an initial consult - ANSWER: 1. Introduce yourself
2. Establish rapport
3. Ask for the chief complaint
Which lymph nodes are behind the sternoclavicular mastoid? - ANSWER:
Posterior cervical lymph nodes
A woman comes in with vague complaints: muscle ache, not sleeping well. What
diagnosis is probable? - ANSWER: Depression (always have a psych differential
for vague symptoms)
A patient with a history of GERD is being assessed. What education should be
provided? - ANSWER: • Eliminate spicy food
• Eliminate acid foods
• They should avoid eating late at night
If a patient has blurred vision while covering one eye, what CN is involved? -
ANSWER: CN III - Oculomotor (blurred vision or double vision = CN III)
Medial epicondyle and lateral epicondyle, what are the two disorders that happen
with the elbow? - ANSWER: • Lateral: swinging back (tennis)
, 3|Page
• Medial: swinging forward (golf)
Percussion on lungs sound dull, what are differentials? - ANSWER: •
Consolidation (pneumonia)
• Could be bilateral, depending on location
If a patient has a large lump on the back and the I&D has cheesy like substance.
What is it? - ANSWER: Sebaceous cyst
What is the normal cup to disk ratio in a normal eye exam? - ANSWER: 1:3
If the cup to disk ratio is 1:2, what is suspected? - ANSWER: Glaucoma
One differential to diagnose chest pain that does not radiate - ANSWER: Angina
A patient losses all vision in one eye, differentials? - ANSWER: • Retinal
detachment (painless)
• Optic neuritis (painful)
A spot between the wrist and thumb has palpation tenderness, what bone is
suspected to have an injury? - ANSWER: Scaphoid injury
