GCU NUR 634 MIDTERM Exam Newest /GCU NUR
634 MIDTERM Exam Preparation /GCU NUR 634
MIDTERM Practice Exam Complete 120+ Questions
And Correct Detailed Answers |Already Graded
A+|Brand New Version!! 2026-2027
Which of the following percussion notes would you obtain over the gastric
bubble?
A. Resonance
B. Tympany
C. Hyperresonance
D. Flatness
ANS: B
Feedback: The gastric bubble produces one of the longest percussion notes. A
patient with COPD may have hyperresonance over his chest, while a normal
person would have resonance. Dullness is heard over a normal liver, and flatness
is heard if one percusses a large muscle
,Where is the point of maximal impulse (PMI) normally located?
A. In the left 5th intercostal space, 7 to 9 cm lateral to the sternum
B. In the left 5th intercostal space, 10 to 12 cm lateral to the sternum
C. In the left 5th intercostal space, in the anterior axillary line
D. In the left 5th intercostal space, in the midaxillary line
ANS: A
Feedback: The PMI is usually located in the left 5th intercostal space, 7 to 9
centimeters lateral to the sternal border. If it is located more laterally, it usually
represents cardiac enlargement. Its size should not be greater than the size of a
US quarter, or about an inch. Left ventricular enlargement should be suspected if
it is larger. The PMI is often the best place to listen for mitral valve murmurs as
well as S3 and S4. The PMI is often difficult to feel in normal patients.
,Two weeks ago, Mary started a job which requires carrying 40-pound buckets.
She presents with elbow pain worse on the right. On examination, it hurts her
elbows to dorsiflex her hands against resistance when her palms face the floor.
What condition does she have?
A. Medial epicondylitis (golfer's elbow)
B. Olecranon bursitis
C. Lateral epicondylitis (tennis elbow)
D. Supracondylar fracture
ANS: C
Feedback: Mary’s injury probably occurred by lifting heavy buckets with her palms
down (toward the bucket). This caused her chronic overuse injury at the lateral
epicondyle.
Medial epicondylitis has reproducible pain when palmar flexion against resistance
is performed and also features tenderness over the involved epicondyle.
Olecranon bursitis produces erythema and swelling over the olecranon process. A
supracondylar fracture of the humerus is a major injury and would present more
acutely.
, Mrs. T. comes for her regular visit to the clinic. She is on your schedule because
her regular provider is on vacation, and she wanted to be seen. You have heard
about her many times from your colleague and are aware that she is a very
talkative person. Which of the following is a helpful technique to improve the
quality of the interview for both the provider and the patient?
A. Allow the patient to speak uninterrupted for the duration of the appointment.
B. Briefly summarize what you heard from the patient in the first 5 minutes and then
try to have her focus on one aspect of what she told you.
C. Set the time limit at the beginning of the interview and stick with it, no matter
what occurs in the course of the interview.
D. Allow your impatience to show so that the patient picks up on your nonverbal
cue that the appointment needs to end.
ANS: B
Feedback: You can also say, “I want to make sure I take good care of this problem
because it is very important. We may need to talk about the others at the next
appointment. Is that okay with you?” This is a technique that can help you to change
the subject but, at the same time, validate the patient's concerns; it also can provide
more structure to the interview
634 MIDTERM Exam Preparation /GCU NUR 634
MIDTERM Practice Exam Complete 120+ Questions
And Correct Detailed Answers |Already Graded
A+|Brand New Version!! 2026-2027
Which of the following percussion notes would you obtain over the gastric
bubble?
A. Resonance
B. Tympany
C. Hyperresonance
D. Flatness
ANS: B
Feedback: The gastric bubble produces one of the longest percussion notes. A
patient with COPD may have hyperresonance over his chest, while a normal
person would have resonance. Dullness is heard over a normal liver, and flatness
is heard if one percusses a large muscle
,Where is the point of maximal impulse (PMI) normally located?
A. In the left 5th intercostal space, 7 to 9 cm lateral to the sternum
B. In the left 5th intercostal space, 10 to 12 cm lateral to the sternum
C. In the left 5th intercostal space, in the anterior axillary line
D. In the left 5th intercostal space, in the midaxillary line
ANS: A
Feedback: The PMI is usually located in the left 5th intercostal space, 7 to 9
centimeters lateral to the sternal border. If it is located more laterally, it usually
represents cardiac enlargement. Its size should not be greater than the size of a
US quarter, or about an inch. Left ventricular enlargement should be suspected if
it is larger. The PMI is often the best place to listen for mitral valve murmurs as
well as S3 and S4. The PMI is often difficult to feel in normal patients.
,Two weeks ago, Mary started a job which requires carrying 40-pound buckets.
She presents with elbow pain worse on the right. On examination, it hurts her
elbows to dorsiflex her hands against resistance when her palms face the floor.
What condition does she have?
A. Medial epicondylitis (golfer's elbow)
B. Olecranon bursitis
C. Lateral epicondylitis (tennis elbow)
D. Supracondylar fracture
ANS: C
Feedback: Mary’s injury probably occurred by lifting heavy buckets with her palms
down (toward the bucket). This caused her chronic overuse injury at the lateral
epicondyle.
Medial epicondylitis has reproducible pain when palmar flexion against resistance
is performed and also features tenderness over the involved epicondyle.
Olecranon bursitis produces erythema and swelling over the olecranon process. A
supracondylar fracture of the humerus is a major injury and would present more
acutely.
, Mrs. T. comes for her regular visit to the clinic. She is on your schedule because
her regular provider is on vacation, and she wanted to be seen. You have heard
about her many times from your colleague and are aware that she is a very
talkative person. Which of the following is a helpful technique to improve the
quality of the interview for both the provider and the patient?
A. Allow the patient to speak uninterrupted for the duration of the appointment.
B. Briefly summarize what you heard from the patient in the first 5 minutes and then
try to have her focus on one aspect of what she told you.
C. Set the time limit at the beginning of the interview and stick with it, no matter
what occurs in the course of the interview.
D. Allow your impatience to show so that the patient picks up on your nonverbal
cue that the appointment needs to end.
ANS: B
Feedback: You can also say, “I want to make sure I take good care of this problem
because it is very important. We may need to talk about the others at the next
appointment. Is that okay with you?” This is a technique that can help you to change
the subject but, at the same time, validate the patient's concerns; it also can provide
more structure to the interview
