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NUR 634 FINAL EXAM LATEST 2024 -2025 ALL POSSIBLE EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
The proper way to start an initial consult - Correct Answer - 1. Introduce yourself
- Establish rapport
- Ask for the chief complaint
What numbers are consistent with true hypertension? - Correct Answer - Anything over
120/80
A diabetic alcoholic is complaining of increasing weakness, epigastric pain, diarrhea, and weight loss. What is most likely occurring? - Correct Answer - Pancreatic fibrosis
The 5 As used to help a patient quit smoking: - Correct Answer - Ask, advise, assess, assist, and arrange
When performing a pinprick v light touch assessment, the patient has decreased sensation on the heel. Which dermatome level is involved? - Correct Answer - S1
Order of lung assessment - Correct Answer - Inspection Palpation Percussion Auscultation
What information do we want to know when someone is a smoker: - Correct Answer - How many packs per day and how many years 1 / 3
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A patient has instability in relationships, self-image issues, and impulsivity. This is common for which psych issue? - Correct Answer - Borderline personality
A chest tube needs to be inserted in the 4th intercostal space. What landmarks will you need to locate - Correct Answer - 2nd rib near the sternal angle
If a patient has ear pain, which CN is involved in the pain signal? - Correct Answer - CN IX - Glossopharyngeal
CN III, IV, and VI are assessed through - Correct Answer - 6 cardinal gazes (extra- ocular movements)
If the 6 cardinal gazes are not intact, this is a concern for: - Correct Answer - Neurological function
What does the erector spinae do? - Correct Answer - extends vertebral column
One day a patient has pain in one eye and blurry vision. Possible metal shaving is in the eye. What do you do? - Correct Answer - Slit lamp eye exam and refer to an ophthalmologist
Which lymph nodes are behind the sternoclavicular mastoid? - Correct Answer - Posterior cervical lymph nodes
A woman comes in with vague complaints: muscle ache, not sleeping well. What
diagnosis is probable? - Correct Answer - Depression (always have a psych differential for vague symptoms)
A patient with a history of GERD is being assessed. What education should be provided? - Correct Answer - • Eliminate spicy food • Eliminate acid foods 2 / 3
pg. 3 • They should avoid eating late at night
If a patient has blurred vision while covering one eye, what CN is involved? - Correct Answer - CN III - Oculomotor (blurred vision or double vision = CN III)
Medial epicondyle and lateral epicondyle, what are the two disorders that happen with
the elbow? - Correct Answer - • Lateral: swinging back (tennis)
• Medial: swinging forward (golf)
Percussion on lungs sound dull, what are differentials? - Correct Answer – • Consolidation (pneumonia) • Could be bilateral, depending on location
If a patient has a large lump on the back and the I&D has cheesy like substance. What is it? - Correct Answer - Sebaceous cyst
What is the normal cup to disk ratio in a normal eye exam? - Correct Answer - 1:3
If the cup to disk ratio is 1:2, what is suspected? - Correct Answer - Glaucoma
One differential to diagnose chest pain that does not radiate - Correct Answer - Angina
A patient loss all vision in one eye, differentials? - Correct Answer – • Retinal detachment (painless) • Optic neuritis (painful)
A spot between the wrist and thumb has palpation tenderness, what bone is suspected to have an injury? - Correct Answer - Scaphoid injury
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