Download NUR 634 MIDTERM ACTUAL EXAM NEWEST VERSION - 2025/2026- WITH 100+ QUESTIONS AND answers and more Exams Nursing in PDF only on Docsity!
NUR 634 MIDTERM ACTUAL EXAM NEWEST VERSION -
2025/2026- WITH 100+ QUESTIONS AND VERIFIED ANSWERS
(100% SUCCESS)
what lifestyle choices to make with GERD smoking cessation and reduce alcohol dull lung sound on percussion consolidated pneumonia, unilateral or bilateral patient diagnosed with GERD. what education do you provide about foods? avoid spicy, fatty, acidic, sweets and caffeine what type of meal should you have with GERD? reduced meal size what should you avoid with GERD? tight clothing, avoid bending/stooping after meals, avoid recumbence until 2 hours after meal
how should you sleep with GERD HOB elevated with entire chest up what is the normal physiological change in vision in the elderly? presbyopia (near sited?) patient complains of being sick, upon physical examination, nodules behind the sternocleidomatoid. what lymph nodes are inflamed? posterior cervical lymph nodes female c/o being tiredness, and body has been hurting for two months. what do you suspect? depression patient c/o double vision out of one eye. what CN is affected? CN 3
patient c/o painless loss of vision in one eye, what is DDX? retinal detachment patient c/o painful loss of vision in one eye. what is your DDX? open angle glaucoma; optic neuritis Patient c/o recent trauma to right hand. Upon assessment patient has pain in the triangular depression on the dorsum of the hand at the base of the thumb, and x- ray indicates fracture. what is this area called? small box, scaphoid fracture locate the PMI left 5th intercostal space located 7 to 9 cm lateral to the sternum patient c/o pain while chewing gum, you suspect? TMJD
which part of your patient's assessment would you document occupation and education? social history Your patient c/o an overwhelming sadness with a loss of interest for the past few months, what would you DDX be? major depression patient c/o constipation for past several months, what would you ask in your assessment about medications? opioids/antidepressants, anticholinergic medications,, antihypertensives, antihistamines, calcium or iron supplements. diuretics/anticonvulsants/antiacids containing aluminum patient c/o constipation for past several months, what would you ask in your assessment about medical history? thyroid issues, IBS, neurologic/endocrine/metabolic, diverticulosis/Hirschsprung's intestinal obstruction patient c/o constipation for past several months, what would you look for in physical exam? dry skin, brittle hair, decreased HR, decreased GI, diet and fluid intake, lifestyle, ignoring urge defecation, change in daily activities. laxative abuse
what is the DIAPERS mnemonic for new onset of urinary incontinence passive ROM in the shoulder without pain indicates what location within the shoulder? extra articular. periarticular ligaments, tendons, bursae muscle, fascia, bone, nerve, and underlying skin passive ROM in the shoulder with pain indicates what location within the shoulder? intra-articular young female who words at a daycare center presents with jaundice what do you expect? Hep A--oral fecal route pt c/o itchy rash over her joints, she states it gets worse in the winter months and seems to clear up in the summer, what would you suspect? (red, itchy, scaly patches, and most commonly on knees, elbows, trunk and scalp psoriasis
patient presents to ED with c/o abdominal pain. Upon your head-to-toe assessment you find a mass in the mid abdominal area that is pulsating upon auscultation. what is your next step as you suspect and AAA? do not palpate or percuss, send for US which is gold standard diagnostic test patient presents with rash on her back that itches. Upon visual assessment you notice a big red patch with erupted lesions that resembles a Christmas tree. what is your DDX Pityriasis rosea you shine a light into the RIGT eye and the left eye reacts, what is this called? consensual reactoin patient presents coughing up blood, what would your DDX be? upper GI bleed what clinical findings of a patient with cirrhosis? enlarged liver with irregular boarders, cliff is present upon palpitation ascites, jaundice, N/V, anorexia, elevated LFTs
patient presents with a wound on her ankle with hyperpigmentation, what is your DDQ venous insufficiency Your patient is here for an office visit, you ask him to sign a paper. As he raises his right hand, he has tremors that increase as the paper gets closer, what would you call this kind of tremors? intentional what happens at the start of cardiac diastole? the aortic valve closes what would you call diffuse, watery diarrhea that does not smell? osmotic diarrhea How does a stage III wound look? full thickness down to SQ tissue, without bone showing patient presents with a painless thickened area on the top of the eye, flesh colored, what would you call this?
pterygium patient presents with severe abdominal pain that started yesterday; what would you like to know if you suspect pancreatitis? last meal contents alcohol intake (pancreatic fibrosis, related to alcohol hx but is now sober x years), where the pain is patient c/o a sudden spinning sensation when they lie down, what do you suspect? benign position vertigo What is an illusion? a false perception or a misperception of actual stimulus in the environment what is a delusion?
- impaired consciousness with global cognitive impairments.
- lability
- hallucinations
- believing you are something or someone
- false fixed beliefs
what is affected in the diagnosis of carpel tunnel? the median nerve --numbness and tingling of hand, arm and digits 1, 2, or 3 patient presents with a loud, obnoxious behavior, what is your DDX? histrionic behavior disorder erratic patient telling you all personal information; what should you do? summarize what the patient is here for to clarify her needs Pt complains of SOB and coughing at night. Upon examination you hear wheezing upon expiration? asthma Patient presents with blood around the eyes, denies pain, trauma. Starting this morning, nothing makes it better or worse. Coughed all night long. subconjunctival hemorrhage when you are doing your patient's assessment, what would you put in quotes
patient's chief complaint patient's left radial pulse goes from strong bounding pulse to a weak and thready pulse. what is it indicative of? severe L sided heart failure patient states she just feels blah, nothing is going her way, nothing good ever happens, she states that her life sucks, what type of disorder would you say this is? dysthymic disorder a black female c/o pain but the provider doesn't treat her the same as he would the Caucasian female in the next room, what is this called? health care bias you order an EKG on your patient in bay #1, patient is 25-yr-old male who appears healthy except his complaint today of runny nose and cough. The nurse brings the EKG, and it shows a HR of 25, what is your next step? have the nurse redo the EKG
what is normal QRS on EKG less than 120 milliseconds patient comes in with a depression in his mid chest, you know this is what? pectoris excavation patient c/o his voice becoming hoarse, and a sore throat for the last 2 months that is worse at night. Patient denies smoking, but he loves spicy foods, what do you suspect? acid reflux (GERD) what is torticollis? wry neck, is a twisting of the neck that causes the head to rotate and tilt at an odd angle. Upon your assessment of a patient, he states he has a history of an MI and PAD. Patient c/o severe groin pain. You perform an ABI, what do you suspect? A lesion on the iliac; prudential injury on the iliac prudential (the iliac prudential supplies blood to the penis).
when you are assessing your patient for anxiety and depression, what is something else you should assess them for? suicide, substance abuse, homicidal, thyroid issues You have a patient that mentions he used to be alcoholic but quit drinking ten years ago and has remained sober. what would you ask him if he c/o abdominal pain? have you started drinking again, pancreatic fibrosis.
- chronic alcohol consumption increases digestive enzyme synthesis? chronic alcohol consumption blocks the release of digestive enzymes from the cell. release of digestive enzymes from fragile L and Z granules into the cell's interior break down the cell components (i.e., autodigestion). what are the five A's and what are they used for? ask, assist, assess, advise, arrange. Help to change patients addictive behavior, exp. stop smoking patient mentions he smokes a pack of cigarettes a day for the last 20 years, what does he pack per year history? 20 pack per year; the number of packs x the number of years what spinal nerve assesses the Achilles Tendon reflex?
A mother brings her 6-month-old into the ED and mentions he might have put a Lego from his little sister-s toy box into his ear. which cranial nerve would you suspect be affected? CN 9?? Patient c/o double vision, which nerves are effected? CN 3, 4, and 6 extraocular movements and cardinal gaze patient reports he is having pain in his eyes that has been going on for one day now, what would you do? refer to ophthalmology, eye exam, slit lamp upon assessing your patient, you find what looks like a sac in her nose, what might you suspect? nasal polyp your patient c/o SOB with exertion with inspiration and expiration, you her a spilt and fixed heart sounds on second heartbeat, what do you suspect? atrial septal defect --SOB esp with exercise
--fatigue --swelling of legs, feet, or abdomen --heart palpitations or skipped beats --stroke --heart murmur, a whooshing sound that can be heard through the stethoscope You are educating your patient on the risks of hemorrhagic and ischemic stroke, what is the #1 intervention? manage HTN patient comes into the office with c/o cold intolerance, where do you begin your head-to-toe assessment? always at the head where on an EKG would you see an enlarged atria? The patient's P wave will be elongated P-R interval greater than 0.20. you have an elderly patient that comes in presenting with AFIB on his EKG, what would you expect to do for this patient? monitor his BP for the next 2-24 hours --anticoagulation and rate control
