Newest /GCU NUR 634 MIDTERM Exam Preparation /GCU NUR
634 MIDTERM Practice Exam Complete 120+ Questions And
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What is the order of assessment for the GI system?
Inspect, Auscultate, Percuss, Palpate
A patient states he has multiple readings of SBP in the 140s and is 145/80 in
clinic. You know you need two consecutive readings of HTN before initiating
pharmacologic
treatment. Should you use the home readings, correlate them with your office
reading, and begin to treat for HTN?
YES, home blood pressures count
When interviewing a patient, you suspect a number of different diagnoses. You
have only gotten briefly into the interview and don't think the patient is in
distress. How should you figure out how to guide your assessment?
Continue your interview, ask for further symptoms and clarification
What 3 things stop an interview and require immediate referral to emergency
services?
Suspected threat to life, limb, or eyesight
,An erratic patient comes in complaining that "my hands are cold, my back hurts,
my nose runs, and my left pinky toe is bugging me." What should you do?
Help guide her in the interview and narrow the focus
The USPSTF recommends colon cancer screening for adults between ages 45-75.
What would warrant screening starting at age 40?
A patient with 1st degree relative with colon CA
Who finds most melanomas: patients, patient spouses, or providers?
Patients do, often when looking in the mirror after a shower
Why has primary care been imperative in early detection of melanoma?
Primary care providers need to educate patients on signs of melanoma and
encouraged to make an appointment for any new or suspicious leisons
Patient complains of orthopnea in the review of symptoms. Where is it placed, CV
or respiratory?
CV
Patient is having 10/10 pain all over and all physical causes have been ruled
out. What else may be causing her pain?
Psychiatric issues
, What is the first step in all provider exams?
Introduce oneself
What are the 5 A's?
Ask, Assess, Advise, Assist, Arrange
An obese, pregnant patient recently had surgery over in Mexico then
returned to the US. She smokes and has lung CA. She is the perfect storm
for which condition?
Pulmonary Emboli
During the respiratory exam, the provider finds increased fremitus, dullness on
percussion, lethargy, confusion, and Egophony (change in pitch of spoken words
while auscultating the lungs). What is the diagnosis?
Pneumonia
Patient comes in with audible expiatory wheezes and a reactive airway history.
What do they have?
Athsma
COPD, Anxiety, PE, and CHF all cause what symptom?
Dyspnea