Maryville NURS 612 Exam 1 Questions With 100% Correct Answers

Maryville NURS 612 Exam 1 Questions With 100% Correct Answers midsystolic murmur that radiates to left sternal border with a medium pitch; a coarse thrill is palpated as well? - answerAortic stenosis During percussion, the patient holds his or her arms in front in order to? - answerExpose maximum lung area List 2 HPI questions for Chest pain - answer1. does the pain radiate to the arm or jaw 2. Are there associated symptoms such as SOB, sweating or N/V List 2 patient educations regarding sun exposure - answer1. Apply SPF of 30 or after and reapply every 30 min to an hour 2. wear long sleeves and hat and avoid peak sun hours When looking for skin cancer what does 'ABCDE' stand for - answerA - Asymmetry - halves do not match and not equal B - Borders - are they irregular, ragged, blurred C - Color - is it the same throughout or varying in shades across area D - Diameter - is it > 6mm E - evolving/elavation What is a skin lesion that resembles a lipoma and is > 1.5 mm considered? - answerNodule What would you ask a young woman with possible thyroid issues? - answerHave you been fatigued or had a change in your sleep patterns Pt c/o allergies and wheezing what would you suspect? - answerAsthma How do you assess for epitrochlear nodes - answerpalpated the groove between the tricep and bicep found proximal and slightly anterior to the medial epicondyle of the humerous What type of headache starts in the morning and eases up throughout the day? - answerHypertension HA 18 y/o with skin irritation that just started shaving? - answerfolliculitis List 2 normal findings of when palpating the precordium - answer1. No heaves or thrills 2. Apical pulse is at midclavicular line and 5th IC space <1cm If the patient has a history of asthma and is exposed to allergens, what would you expect if the patient comes in with wheezing? diagnosis? - answerSOB, coughing, chest tightness; Acute asthma exacerbation; patient says I was exposed to allergens and now I have a fever, what would the diagnosis be - answerpnuemonia What are some physical findings of a patient that is SOB? - answeruse of accessory muscles, are they able to perform ADLs, tripoding What are you looking for if murmur is heard - answerT-DIPQ-LRV (timing, duration, intensity, pitch, quality, location, radiation, variation with resp phase HA with rapid and sudden onset, what are some of the differential diagnoses that you would think of - answerIntracranial bleed or subarachnoid hemorrhage HA with rapid and sudden onset in patient with cardiac issues what differential diagnosis - answerCVA What cranial nerves should always be assessed with HA - answer2 (optic) & 12 (Hypoglossal) HA with fever, chills, and neck pain could indicate what - answermeningitis Important HPI questions for HA - answerOnset and location A 26 y/o female presents with complaints of fatigue and hair falling out what lab would you check - answerTSH A 16 y/o female comes in saying that her periods are irregular what is one thing to check - answerTSH An older patient asks the examiner, "Is this spot on my chin a cancer?" Which of the following would indicate a need for further medical investigation? - answerbleeds easily when touched While examining the skin of an 87-year-old woman, the examiner observes significant tenting. What age-associated changes best explains this finding - answerloss of adipose tissue and elasticity Which of the following may be associated with neurofibromatosis or pulmonary stenosis - answerCafé au lait spots Which lesion is an expected finding on the skin of