Download NUR 634 FINAL EXAM|2025-2026|ACTUAL EXAM QUESTIONS WITH CORRECT ANSWERS|GRADE A+ ASSURED and more Exams Nursing in PDF only on Docsity!
NUR 634 FINAL EXAM| 2025 - 2026|ACTUAL EXAM
QUESTIONS WITH CORRECT ANSWERS|GRADE A+ ASSURED
72 - year-old m pt complains of bilateral knee pain. The np assesses stumbling during heel strike suggestive of? Quadricep weakness or abnormal patellar tracking 14 y/o student comes to clinical for a 3-month hx of dyspnea when playing basketball. The dyspnea resolves shortly after resting. There is no fever, chills, cough sputum, chest pain, or serious illness. Asthma is suspected. Which of the following sounds heard on exhalation would suggest asthma? Wheezing 75 y/o f in good health presents to a np. She takes no medications but has been told in the past her bp is high. Which one of the following findings is consistent with normal aging process and is not a sign of cv disease? Murmur, stiffened ventricles (valvular changes) An older adult m complains of feeling something in his l scrotum. On palpitation, soft, and moveable blood vessels that feel like a bag of warms are noted underneath the scrotal skin. The testicles are not swollen or red; what is likely the diagnosis? Varicocele-varicose vein of spermatic cord
Parents generally bring children for health. At what age should the provider begin to question the child him or herself regarding presenting symptoms? > The bulge sign and the balloon sign may be present where there is a/an? Patellar effusion-fluid in the knee. Swelling in suprapatellar pouch, bulge confirms presence of fluid as you move join from side to side. The cremasteric reflex is elicited by: Cremasteric reflex is a superficial reflex seen in males, light stroking or poking the medical part of thigh regardless of the direction of the stroke. Stimulation of moro reflex? Scare in baby. Spread of arms (abduct), fingers spread, legs extend. Gently lift head and release babv so that they feel like they are falling. Absence of this suggest damage to brain or spinal cord. One side absent-brachial plexus injury. The two most important components of the eye exam for young child? I think: motility, hirschberg light reflex. Use toys and make it fun.
The fnp will be able to assess the splitting of s2 in which location? 2nd ics l sternal boarder A 42 y/o healthy f requests an mri rather than mammogram. No hx of family ca. Which of the following is true about mri as a screening modality for breast ca in the general population? Accurate by high false positive rate Assessment of pad Pain with walking but better at rest Evaluation of corneal abrasion Slit lamp exam= stain in eye. Assessment of urine analysis of uti There would not be proteins Assessment of stereognosis and graphesthesia Stereognosis: identify object without seeing or hearing but by touch
Graphesthesia: draw figure 8 on hand and can identify what was written Assessment of risk factors for melanoma ABCDE A 35 y/o soccer player presents to urgent care with complain of swelling and pain on medial aspect of right knee. On exam the knee is swollen and tender on the joint. To assess for possible injury to meniscus, which maneuver will yield the best information for the np. Mcmurrarys test, fully bend leg and pull outward bow legged while externally rotating as you extend knee. Click or pain=+ The np begins the exam of a 29 y/o female presenting for cough. Noted is depression of the lower part of the sternum. Which of the following best describes the appearance of the chest. Pectus excavatum "sunken in appearance". Birth defect, cup shaped. When examining the cervix of a 20 y/o female you note that most of the cervix is pink but there is a small ring of dark red tissue surrounding the os. This is most likely? Strawberry cervix- not linked to ca. Causes: hormones, pregnancy, po birth control, and age (young,puberty)
Caused by stress No swelling Asthma and breath sounds Wheezing Cannot hear clear lungs sounds in patient with asthma--> wheezing Pneumonia Increased tactile fremitus. Egophony Percussion sounds would be dull Bronchophony=pneumonia Patient with pain down butt and with lifting Sciatica Pressure on sciatica nerve causes radiating pain runs down one or both legs from lower back
- slr (straight leg raise) =herniated disc also pain like sciatica
Lumbo-sacral radiculopath. Cluster headaches Severe unilateral pain behind eye (redness) Resting tremors Parkinsons #1 cause of stroke Htn Romberg test Tests cerebellar ataxia Proprioception-have hard time balancing. Measures sense of balance (dorsal column of spinal cord) Stand and close eyes with arms crossed-do they stand still? Not a fidning of a rotator cuff tear?
+ana (anti-nuclear antibody) scleroderma sjogren syndrome Bag of warms, scrotum Varicocele (varicose veins of spermatic cord) Hip circumduction Lack of knee flexion Candida test Ana everything but dry! Questions to ask for remote memory Mothers maiden name, childhood, school, historical events Thenar atrophy Carpel tunnel syndrome, distal muscle weakness, base of thumb
Bulging or ballooning of knee Patellar effusion (fluid in knee) S&s: sswelling, stiffness, dull/mild ache restricted mvmnt. What ligament does abducting knee test Mcl Moro reflex Scare baby. Hold infant supine, support head, abruptly lower entire body and baby's arms with abduct and extend, hands will open, legs flex, baby may cry. Yellow of skin is problem with Bilirubin Purpose of mmse Dementia Pad
Melenoma Abcde Expressive aphasia-not affected part Reading comprehension Cn3 oculomotor Pupils constricts on near vision Smoking but not ready to quit Contemplation Mental health q All of the above Depression Decrease in desire to do things
Delirium Onset in about 2 days Inserting/removing vaginal speculum for pelvic exam Posterior, down Mri breast Accurate but high false positive What do you not use for yeast infection test Dry Menopausal bleeding Endometrial biopsy Achilles tendon reflex When tapped, foot will dorsiflex
Strep pharyngitis No cough Torsion of spermatic cord Pain and decreased reflex Murphy sign Cholecystitis Polymyalgia rheumatica Joint pain Shotty lymph nodes Small mobile lymph nodes in the neck that are palpable and represent benign change-viral illness, Child does not care about peer pressure
Baby responds to clapping hands Heberden nodes Dip joints common in oa, small boney growths at tip of finger joint Bouchard nodes Pain at base of thumb, in carpel ometacarpal arthritis "dont cry over spilled milk" assesses what Abstract thinking What is it called when youre unable to id a pen as an ojbect Agnosia Which is a component of assessing cognition Memory
Large left supraclavicular lymph node is indicative of what Serious pathology- virchow node-malignancy Av nicking during retinal exam; what would you have seen Atrial stiffening- vein stops on either side of the artery Clicking in tmj Crepitus, displacement of joint New onset ear pain, suggestive of otitis media Lack of mobility in tympanic membrane during insuffiation Touching tonsisls is grade __ 4+ To determine s
Palpate carotid artery for carotid upstroke Assessment of jvp correlates with Cvp Where on the body and when in cardiac cycle would you ascultate a murmur Mitral valv prolapse-late systolic. Mid systolic click at apex and left lower sternal border What do you do prior to abg Allens test When percussing pna pt youll hear Dullness Pulse oximeter reads 97% what does that mean Arterial hgb 97%
