Drexel NUR 550 Final Exam; Cumulative
Study Guide Review Questions with
Certified Solutions:
During the palpation of a patient's thyroid gland, you note a multinodular gland.
Which of the following is the first on your list of differential diagnoses?
a). Thyroid cancer
b). Hashimoto's thyroiditis
c). Grave's disease
d). A metabolic process
d). A metabolic process
You are evaluating a 4-year-old male patient with ear pain. You note the patient
has a temperature of 102.4F. While performing your exam, you note the patient is
pulling at his left ear. What is our most likely differential diagnosis?
1|Page
,a). Otitis externa
b). Otitis media
c). Tinnitus
d). Ottorhea
b). Otitis media
You are using a Snellen chart to evaluate a patient's visual acuity, which of the
following is true? Select all that apply:
a). Have the patient stand back 20 ft. from the chart
b). Have the patient use their hand to cover one eye
c). You are evaluating cranial nerve II
d). Evaluate visual acuity with both eyes open
a). Have the patient stand back 20 ft. from the chart
&
c). You are evaluating cranial nerve II
Within 48-72 hours after the birth, a neonate has bilateral copious purulent
drainage from the eyes. You most likely differential diagnosis is?
a). Gonococcal conjunctivitis
b). Allergic conjunctivitis
c). Bacterial conjunctivitis
d). Viral conjunctivitis
a). Gonococcal conjunctivitis
Which of the following are normal findings during the ophthalmoscope
examination? Select all that apply:
2|Page
,a). The physiologic cup is 70% of the optic disc
b). the area of the macula is absent of blood vessels
c). The optic rim is fuzzy in appearance
d). The optic disc should be orange in appearance
b). the area of the macula is absent of blood vessels
&
d). The optic disc should be orange in appearance
You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight
gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the
expected moisture and texture of the skin of a patient with hypothyroidism?
a). Dry and smooth
b). Moist and rough
c). Moist and smooth
d). Dry and rough
d). Dry and rough
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after
being in the hospital for 6 weeks. She was treated for sepsis and respiratory failure
and had to be on the ventilator for 3 weeks. You are completing your initial
assessment and are evaluating her skin condition. On her sacrum there is full-
thickness skin loss that is 5 cm in diameter, with damage to the subcutaneous
tissue. The underlying muscle is not affected. You diagnose this as a pressure
ulcer. What is the stage of this ulcer?
3|Page
, a). Stage 3
b). Stage 1
c). Stage 2
d). Stage 4
a). Stage 3
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion.
On the right temporal area of the forehead, you see a flattened papule the same
color as his skin, covered by a dry scale that is round and feels hard. He has
several more of these scattered on the forehead, arms, and legs. Based on this
description, what is your most likely diagnosis?
a). Actinic keratosis
b). Seborrheic keratosis
c). Squamous cell carcinoma
d). Basel cell carcinoma
a). Actinic keratosis
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you
press on the rash, it doesn't blanch. What would you tell her regarding her rash?
a). It is likely to be related to an exposure to a chemical.
b). It should not cause any problems
c). It is likely to be related to an allergic reaction
d). It is likely to be related to her lupus
d). It is likely to be related to her lupus
4|Page
Study Guide Review Questions with
Certified Solutions:
During the palpation of a patient's thyroid gland, you note a multinodular gland.
Which of the following is the first on your list of differential diagnoses?
a). Thyroid cancer
b). Hashimoto's thyroiditis
c). Grave's disease
d). A metabolic process
d). A metabolic process
You are evaluating a 4-year-old male patient with ear pain. You note the patient
has a temperature of 102.4F. While performing your exam, you note the patient is
pulling at his left ear. What is our most likely differential diagnosis?
1|Page
,a). Otitis externa
b). Otitis media
c). Tinnitus
d). Ottorhea
b). Otitis media
You are using a Snellen chart to evaluate a patient's visual acuity, which of the
following is true? Select all that apply:
a). Have the patient stand back 20 ft. from the chart
b). Have the patient use their hand to cover one eye
c). You are evaluating cranial nerve II
d). Evaluate visual acuity with both eyes open
a). Have the patient stand back 20 ft. from the chart
&
c). You are evaluating cranial nerve II
Within 48-72 hours after the birth, a neonate has bilateral copious purulent
drainage from the eyes. You most likely differential diagnosis is?
a). Gonococcal conjunctivitis
b). Allergic conjunctivitis
c). Bacterial conjunctivitis
d). Viral conjunctivitis
a). Gonococcal conjunctivitis
Which of the following are normal findings during the ophthalmoscope
examination? Select all that apply:
2|Page
,a). The physiologic cup is 70% of the optic disc
b). the area of the macula is absent of blood vessels
c). The optic rim is fuzzy in appearance
d). The optic disc should be orange in appearance
b). the area of the macula is absent of blood vessels
&
d). The optic disc should be orange in appearance
You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight
gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the
expected moisture and texture of the skin of a patient with hypothyroidism?
a). Dry and smooth
b). Moist and rough
c). Moist and smooth
d). Dry and rough
d). Dry and rough
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after
being in the hospital for 6 weeks. She was treated for sepsis and respiratory failure
and had to be on the ventilator for 3 weeks. You are completing your initial
assessment and are evaluating her skin condition. On her sacrum there is full-
thickness skin loss that is 5 cm in diameter, with damage to the subcutaneous
tissue. The underlying muscle is not affected. You diagnose this as a pressure
ulcer. What is the stage of this ulcer?
3|Page
, a). Stage 3
b). Stage 1
c). Stage 2
d). Stage 4
a). Stage 3
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion.
On the right temporal area of the forehead, you see a flattened papule the same
color as his skin, covered by a dry scale that is round and feels hard. He has
several more of these scattered on the forehead, arms, and legs. Based on this
description, what is your most likely diagnosis?
a). Actinic keratosis
b). Seborrheic keratosis
c). Squamous cell carcinoma
d). Basel cell carcinoma
a). Actinic keratosis
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you
press on the rash, it doesn't blanch. What would you tell her regarding her rash?
a). It is likely to be related to an exposure to a chemical.
b). It should not cause any problems
c). It is likely to be related to an allergic reaction
d). It is likely to be related to her lupus
d). It is likely to be related to her lupus
4|Page
