NURS 550 MIDTERM EXAM 2026 ACTUAL
QUESTIONS WITH VERIFIED ANSWERS
◉ Presentation of retinal detachment. Answer: If sudden visual loss
is unilateral and painless,
◉ Obtunded. Answer: patient opens the eyes and looks at you but
responds slowly and is somewhat confused. Alertness and interest
in the environment are decreased.
◉ Cranial nerve for lateral gaze. Answer: CN6: Abducens
◉ Adult Illnesses. Answer: Medical: Illnesses such as diabetes,
hypertension, hepatitis, asthma, and human immunodeficiency virus
(HIV); hospitalizations; number and gender of sexual partners; and
risk-taking sexual practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history,
methods of contraception, and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations,
and treatments
◉ Present Illness. Answer: chronologic description of the problems
prompting the patient's visit, including the onset of the problem, the
,setting in which it developed, its manifestations, and any treatments
to date.Each problem/symptom needs: (1) location; (2) quality; (3)
quantity or severity; (4) timing, including onset, duration, and
frequency; (5) the setting in which it occurs; (6) factors that have
aggravated
-meds, allergies, tobacco use, ETOH and drug use
◉ Absence of red reflex. Answer: an opacity of the lens (cataract) or,
possibly, the vitreous (or even an artificial eye). Less commonly, a
detached retina or, in children, a retinoblastoma may obscure this
reflex.
◉ S/S of seasonal allergies. Answer: Itching, watery eyes, sneezing,
ear congestion, postnasal drainage
◉ Presentation of optic neuritis. Answer: Enlarged blind spot, vision
loss in 1 eye, loss of color vision, hole in center of vision, trouble
seeing to the side, eye pain
◉ pityriasis rosea. Answer: Multiple round to oval scaling violaceous
plaques on abdomen and back
◉ Acromion. Answer: tip of shoulder
, ◉ What to do for + finding on physical exam, but - workup. Answer:
continue using test, but less lab and diagnostics
◉ Cause of falsely high BP. Answer: -too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
◉ Check for nystagmus. Answer: -involuntary jerking movement of
the eyes with quick and slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in
internuclear ophthalmoplegia
◉ Jaundice. Answer: yellow sclera
◉ how do get a patient to open up when upset. Answer: effective
reassurance is simply identifying and acknowledging the patient's
feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
QUESTIONS WITH VERIFIED ANSWERS
◉ Presentation of retinal detachment. Answer: If sudden visual loss
is unilateral and painless,
◉ Obtunded. Answer: patient opens the eyes and looks at you but
responds slowly and is somewhat confused. Alertness and interest
in the environment are decreased.
◉ Cranial nerve for lateral gaze. Answer: CN6: Abducens
◉ Adult Illnesses. Answer: Medical: Illnesses such as diabetes,
hypertension, hepatitis, asthma, and human immunodeficiency virus
(HIV); hospitalizations; number and gender of sexual partners; and
risk-taking sexual practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history,
methods of contraception, and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations,
and treatments
◉ Present Illness. Answer: chronologic description of the problems
prompting the patient's visit, including the onset of the problem, the
,setting in which it developed, its manifestations, and any treatments
to date.Each problem/symptom needs: (1) location; (2) quality; (3)
quantity or severity; (4) timing, including onset, duration, and
frequency; (5) the setting in which it occurs; (6) factors that have
aggravated
-meds, allergies, tobacco use, ETOH and drug use
◉ Absence of red reflex. Answer: an opacity of the lens (cataract) or,
possibly, the vitreous (or even an artificial eye). Less commonly, a
detached retina or, in children, a retinoblastoma may obscure this
reflex.
◉ S/S of seasonal allergies. Answer: Itching, watery eyes, sneezing,
ear congestion, postnasal drainage
◉ Presentation of optic neuritis. Answer: Enlarged blind spot, vision
loss in 1 eye, loss of color vision, hole in center of vision, trouble
seeing to the side, eye pain
◉ pityriasis rosea. Answer: Multiple round to oval scaling violaceous
plaques on abdomen and back
◉ Acromion. Answer: tip of shoulder
, ◉ What to do for + finding on physical exam, but - workup. Answer:
continue using test, but less lab and diagnostics
◉ Cause of falsely high BP. Answer: -too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
◉ Check for nystagmus. Answer: -involuntary jerking movement of
the eyes with quick and slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in
internuclear ophthalmoplegia
◉ Jaundice. Answer: yellow sclera
◉ how do get a patient to open up when upset. Answer: effective
reassurance is simply identifying and acknowledging the patient's
feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
