NURS 634
NURS 634 Midterm Exam Study Questions and
Answers 2025
Upon auscultating someone's lungs there is decreased air movement and high pitch
expiratory whistling. What diagnosis is at the top of the list? -Correct Answer
✔Asthma
What can you do if someone comes in, is distracted, and needs redirecting -Correct
Answer ✔Summarize why the patient is here and the plan
A patient presents with a bloody left eye. What questions should you ask? -Correct
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? -Correct Answer ✔• Cataracts:
no
• Glaucoma: no
• Macular degeneration: no (common but not expected)
• Presbyopia (near sighted): yes
The proper way to start an initial consult -Correct Answer ✔1. Introduce yourself
2. Establish rapport
3. Ask for the chief complaint
Which lymph nodes are behind the sternoclavicular mastoid? -Correct Answer
✔Posterior cervical lymph nodes
NURS 634
, NURS 634
A woman comes in with vague complaints: muscle ache, not sleeping well. What
diagnosis is probable? -Correct 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? -Correct 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? -
Correct 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? -Correct Answer ✔• Lateral: swinging back (tennis)
• Medial: swinging forward (golf)
Percussion on lungs sound dull, what are differentials? -Correct 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? -Correct Answer ✔Sebaceous cyst
What is the normal cup to disk ratio in a normal eye exam? -Correct Answer ✔1:3
If the cup to disk ratio is 1:2, what is suspected? -Correct Answer ✔Glaucoma
One differential to diagnose chest pain that does not radiate -Correct Answer
✔Angina
A patient losses all vision in one eye, differentials? -Correct Answer ✔• Retinal
detachment (painless)
• Optic neuritis (painful)
NURS 634
NURS 634 Midterm Exam Study Questions and
Answers 2025
Upon auscultating someone's lungs there is decreased air movement and high pitch
expiratory whistling. What diagnosis is at the top of the list? -Correct Answer
✔Asthma
What can you do if someone comes in, is distracted, and needs redirecting -Correct
Answer ✔Summarize why the patient is here and the plan
A patient presents with a bloody left eye. What questions should you ask? -Correct
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? -Correct Answer ✔• Cataracts:
no
• Glaucoma: no
• Macular degeneration: no (common but not expected)
• Presbyopia (near sighted): yes
The proper way to start an initial consult -Correct Answer ✔1. Introduce yourself
2. Establish rapport
3. Ask for the chief complaint
Which lymph nodes are behind the sternoclavicular mastoid? -Correct Answer
✔Posterior cervical lymph nodes
NURS 634
, NURS 634
A woman comes in with vague complaints: muscle ache, not sleeping well. What
diagnosis is probable? -Correct 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? -Correct 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? -
Correct 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? -Correct Answer ✔• Lateral: swinging back (tennis)
• Medial: swinging forward (golf)
Percussion on lungs sound dull, what are differentials? -Correct 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? -Correct Answer ✔Sebaceous cyst
What is the normal cup to disk ratio in a normal eye exam? -Correct Answer ✔1:3
If the cup to disk ratio is 1:2, what is suspected? -Correct Answer ✔Glaucoma
One differential to diagnose chest pain that does not radiate -Correct Answer
✔Angina
A patient losses all vision in one eye, differentials? -Correct Answer ✔• Retinal
detachment (painless)
• Optic neuritis (painful)
NURS 634
