NUR 634 Midterm Exam

Course : Grand Canyon
Contributed : Sharoon
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  • NUR 634 Midterm Exam
  1. If auscultating lungs and you hear a decreased air movement with a high pitched whistling on expiration, what is this indicative of?
  2. What can we do if our patient comes in and goes way off topic talking about things that are not relevant to the reason for their visit?
  3. Differential for patient that comes in with blood in the left eye?
  4. Which of the following are normal parts of aging?
  5. How to start an initial consult
  6. What lymph nodes are behind the SCM?
  7. A woman comes in with vague complaints of muscle aches, not sleeping well, what are some differentials?
  8. Education to provide to patient with history of GERD:
  9. If patient has blurred vision while covering one eye, what CN is affected?
  10. Medial epicondyle and lateral epicondyle; what conditions can happen with the elbow?
  11. Lung sounds should sound resonant on percussion, what if they start to sound dull?
  12. If we did an I&D on a lump on a patient’s back and a cheesy like substance came out of the cyst, what is it?
  13. What is the normal cup to disc ratio on an eye exam?
  14. What is the cup to disc ratio is smaller; such as 1:2?
  15. If patient can do one single motion to describe their chest pain, what is the differential?
  16. Patient loses all vision in one eye, what is a differential?
  17. If there is tenderness when patient is touched between wrist and thumb, what is a differential? (Snuff box)
  18. What is the landmarks for the PMI?
  19. Patient complains of jaw pain, what are some questions we should ask?
  20. If I was taking patient history, and we mention their education and occupation, what part of the note would this be under?
  21. Young elementary age girl comes in and mom complains that her hair is falling out and everything else is normal, what is on our differential?
  22. On physical exam, if there are spider web looking veins going up the neck, what should be on the differential?
  23. Physical exam findings that are consistent with exam findings of meningitis?
  24. Which CN is being assess when we are looking at the soft palate?
  25. If there is a small mass that can be moved around under a patient’s skin, is this a normal or abnormal finding, and what do we think it is?
  26. Medical term forms a sty?
  27. Patient with history of lupus comes in with a new dark rash on her legs. Is this an expected finding?
  28. D.I.A.P.E.R.S:
  29. If we move a patients shoulder passively and there is no pain, but he moves it actively and there is pain, where is the pain coming from?
  30. A day care worker comes in and appears jaundice, what is a differential?
  31. Skin condition that presents as silvery scales?
  32. Abdominal exam, you’re able to feel a pulsatile mass, what is the next step?
  33. What is included in the ROS?
  34. What does ABCDE stand for?
  35. Patient comes in with one large patch that was a rash, then they started having more lesions, their itch, and has a pattern of eruption that resembles a Christmas tree. What is a differential?
  36. If you shine a penlight in one eye, and the other contracts, what is that called?
  37. If we are listening to heart sounds and we hear a friction rub, is this a normal finding?
  38. Patient complains of unintentional weightloss and recent fatigue, what is something we want to check on physical exam?
  39. What is it called when a patient repeats the same thing over and over?
  40. Doing assessment, find a mass midline and patients complains that it is tender, it is dull on percussion, what do you think it is?
  41. Mom said kid just stares off into space often, what is a differential?
  42. How to verify if a patient has claudication?
  43. Soft abdomen that is tender in the RUQ on inspiration, what is a differential?
  44. Why do patients develop ulcerative lesions on their feet?
  45. If you’re steady until you get close to an object, what is this known as?
  46. What is happening anatomically at the start of diastole?
  47. Difference between a hallucination and a delusion?
  48. Wound staging: full thickness, damage to subq tissue, muscles not affected?
  49. First thing assessing when someone comes in saying they lost all interest in normal activities?
  50. What is it called when there is thickening that goes over the eyeball?
  51. Patient comes in with dizziness (spinning sensation), what is on differential?
  52. Who would we do a full head-to-toe physical exam?
  53. What is a normal finding on percussion over abdomen?
  54. What does swimmers ear (otitis externa) look like?
  55. Risk factors for CAD?
  56. Ecchymosis on the forearms for several months, no history of trauma, what is a differential?
  57. What are we assessing when we do the Tinel’s sign?
  58. Personality disorder that is dramatic, emotional or erratic?
  59. If checking pulses and one side is more faint than the other, what is a differential?
  60. OPQRST:
  61. One thing we don’t want to do when talking to a patent?
  62. Checking pulses and it goes from strong to thready, what could this be?
  63. What test do we use to confirm an appendicitis?
  64. What is the next step if the Weber or Rinne test came back abnormal?
  65. Old, fat guy came in with hoarse voice, what is a differential?
  66. What is it called when patients breastbone is sunken into their chest?
  67. What does a LBB do on the EKG?
  68. How often does the USPTF recommend screening for prostate cancer?
  69. 10 years ago patient had positive fecal occult blood, went for colonoscopy and was diagnosed with hemorrhoids, has no history of cancer or polyps in family. How often do we want to screen him using fecal occult blood testing?
  70. Where are we palpating a femoral pulse?
  71. What happens to the BP in a normal aging process?
  72. If we had a patient that complained of a nevi on her arm, what would make us suspicious of it being malignant?
  73. Young healthy person with SOB, stress EKG came back with resting HR of 30 and an exercise HR of 100, what are we thinking?
  74. Stiff, painful neck that is pulling patient head to one side, what is a diagnosis?
  75. When do we hear wheezing in an asthmatic?
  76. Pain after walking, that radiates from back into buttocks, down legs to calves and gets better when sitting down and leaning forward?
  77. How much more likely is a black woman to die after child birth than a white woman, and what is this an example of?
  78. If a patient cannot produce or understand language, what is that called?
  79. If we are trying to see if a person is truly hypertensive, what numbers do we see in the office or at home?
  80. A diabetic alcoholic is complaining of weakness with epigastric pain that radiates to his back and complains of diarrhea, and weightloss. What is happening?
  81. What is the 5 A’s model?
  82. Pinprick and light touch test, if there is a decreased sensation around the heel, what dermatome is affected?
  83. What is the order for the lung exam?
  84. What is the order for the abdomen exam?
  85. What do we want to know if someone says they are a smoke?
  86. Instability in relationships, self-image difficulty, impulsivity, what are these characteristic of?
  87. If we are going to do chest tube and want it in the 4th intercostal space, how would you find that space?
  88. If patient had something in their ear and has pain, what CN is sending that pain signal?
  89. CN III, IV and VI; what are we assessing?
  90. What does the erector spinae muscle group do?
  91. Pain in right eye with blurred vision, may have gotten a metal shaving in it, what is the next course of action?
  92. Signs/symptoms of biliary colic?
  93. Doing a nasal exam and see a sac like growth that is inflamed and obstructing the patient’s nasal cavity, what are differentials?
  94. SOB on exertion, palpitations, hear 2nd heart sound that is split and fixed on both inspiration and expiration, what does this patient have?
  95. Biggest risk factor for hemorrhagic or ischemic stroke?
  96. Patient comes in with cold intolerance, we are going to do a head-to-toe exam, where do we start?
  97. Biggest associated symptom found in conjunction with tinnitus?
  98. Where on an EKG would we see if the patient had an enlarged atria?
  99. Older patient comes in complaining of palpitations for several months, tachy rhythms on EKG, just diagnosed with AFIB. What are we going to do to monitor his blood pressure?
  100. What pulse is in the dorsum of the foot just lateral to the extensor tendon of the big toe?
 

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