NUR 634 FINAL EXAM NEWEST ACTUAL EXAM
COMPLETE ALL QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+
72-year-old M pt complains of bilateral knee pain. the NP assess stumbling during heel strike
suggestive of? - CORRECT ANSWER-quadracep 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? -
CORRECT ANSWER-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? - CORRECT ANSWER-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? - CORRECT ANSWER-varicocele-varicose vein of
spermatic cord
Kyphosis is a late sign of? - CORRECT ANSWER-?
Parents generally bring children for health. At what age should the provider begin to question the child
him or herself regarding presenting symptoms? - CORRECT ANSWER->6 ?
The bulge sign and the balloon sign may be present where there is a/an? - CORRECT ANSWER-
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: - CORRECT ANSWER-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? - CORRECT ANSWER-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? - CORRECT ANSWER-I think:
motility, hirschberg light reflex. use toys and make it fun.
1
, Indication of crepitus - CORRECT ANSWER-common sign of bone fx or RA. in lungs-subcutaneous
emphysema (trapped air under skin)
Retention Cysts - CORRECT ANSWER-tumor like accumulation of secretions formed when the outlet
of secreting gland is obstructed. can develop in breast, pancreas, kidney, mucus membrane. Small sac
of mucus that forms when mucus duct becomes blocked. yellowish blge and should be drained
GCS - CORRECT ANSWER-measures LOC, eye opening, motor response, verbal response. 3-15
Assessment of CN XI - CORRECT ANSWER-Spinal accessory nerve, shrug shoulders
Assessment of egophony? - CORRECT ANSWER-Say "e" and sounds like "a"= egophony. Suggests
consolidation, pleural effusion, pneumonia.
The FNP will be able to assess the splitting of s2 in which location? - CORRECT ANSWER-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? -
CORRECT ANSWER-accurate by high false positive rate
Assessment of PAD - CORRECT ANSWER-pain with walking but better at rest
Evaluation of corneal abrasion - CORRECT ANSWER-Slit lamp exam= stain in eye.
Assessment of urine analysis of UTI - CORRECT ANSWER-there would NOT be proteins
assessment of stereognosis and graphesthesia - CORRECT ANSWER-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 - CORRECT ANSWER-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. - CORRECT ANSWER-
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. - CORRECT
ANSWER-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? - CORRECT ANSWER-
2
COMPLETE ALL QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+
72-year-old M pt complains of bilateral knee pain. the NP assess stumbling during heel strike
suggestive of? - CORRECT ANSWER-quadracep 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? -
CORRECT ANSWER-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? - CORRECT ANSWER-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? - CORRECT ANSWER-varicocele-varicose vein of
spermatic cord
Kyphosis is a late sign of? - CORRECT ANSWER-?
Parents generally bring children for health. At what age should the provider begin to question the child
him or herself regarding presenting symptoms? - CORRECT ANSWER->6 ?
The bulge sign and the balloon sign may be present where there is a/an? - CORRECT ANSWER-
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: - CORRECT ANSWER-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? - CORRECT ANSWER-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? - CORRECT ANSWER-I think:
motility, hirschberg light reflex. use toys and make it fun.
1
, Indication of crepitus - CORRECT ANSWER-common sign of bone fx or RA. in lungs-subcutaneous
emphysema (trapped air under skin)
Retention Cysts - CORRECT ANSWER-tumor like accumulation of secretions formed when the outlet
of secreting gland is obstructed. can develop in breast, pancreas, kidney, mucus membrane. Small sac
of mucus that forms when mucus duct becomes blocked. yellowish blge and should be drained
GCS - CORRECT ANSWER-measures LOC, eye opening, motor response, verbal response. 3-15
Assessment of CN XI - CORRECT ANSWER-Spinal accessory nerve, shrug shoulders
Assessment of egophony? - CORRECT ANSWER-Say "e" and sounds like "a"= egophony. Suggests
consolidation, pleural effusion, pneumonia.
The FNP will be able to assess the splitting of s2 in which location? - CORRECT ANSWER-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? -
CORRECT ANSWER-accurate by high false positive rate
Assessment of PAD - CORRECT ANSWER-pain with walking but better at rest
Evaluation of corneal abrasion - CORRECT ANSWER-Slit lamp exam= stain in eye.
Assessment of urine analysis of UTI - CORRECT ANSWER-there would NOT be proteins
assessment of stereognosis and graphesthesia - CORRECT ANSWER-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 - CORRECT ANSWER-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. - CORRECT ANSWER-
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. - CORRECT
ANSWER-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? - CORRECT ANSWER-
2
