NUR 634 Final 180 Exam Updated Study
Guide Questions and Answers | Focused
Revision Pack | A+ Verified
• 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? -✓✓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? -✓✓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? -
✓✓varicocele-varicose vein of spermatic cord
• Kyphosis is a late sign of? -✓✓?
• Parents generally bring children for health. At what age should the provider begin to
question the child him or herself regarding presenting symptoms? -✓✓>6 ?
• The bulge sign and the balloon sign may be present where there is a/an? -✓✓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: -✓✓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? -✓✓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? -✓✓I think:
motility, hirschberg light reflex. use toys and make it fun.
• Indication of crepitus -✓✓common sign of bone fx or RA. in lungs-subcutaneous
emphysema (trapped air under skin)
, • Retention Cysts -✓✓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 -✓✓measures LOC, eye opening, motor response, verbal response. 3-15
• Assessment of CN XI -✓✓Spinal accessory nerve, shrug shoulders
• Assessment of egophony? -✓✓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? -✓✓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? -✓✓accurate by high false positive rate
• Assessment of PAD -✓✓pain with walking but better at rest
• Evaluation of corneal abrasion -✓✓Slit lamp exam= stain in eye.
• Assessment of urine analysis of UTI -✓✓there would NOT be proteins
• assessment of stereognosis and graphesthesia -✓✓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 -✓✓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. -✓✓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. -✓✓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? -
Guide Questions and Answers | Focused
Revision Pack | A+ Verified
• 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? -✓✓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? -✓✓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? -
✓✓varicocele-varicose vein of spermatic cord
• Kyphosis is a late sign of? -✓✓?
• Parents generally bring children for health. At what age should the provider begin to
question the child him or herself regarding presenting symptoms? -✓✓>6 ?
• The bulge sign and the balloon sign may be present where there is a/an? -✓✓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: -✓✓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? -✓✓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? -✓✓I think:
motility, hirschberg light reflex. use toys and make it fun.
• Indication of crepitus -✓✓common sign of bone fx or RA. in lungs-subcutaneous
emphysema (trapped air under skin)
, • Retention Cysts -✓✓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 -✓✓measures LOC, eye opening, motor response, verbal response. 3-15
• Assessment of CN XI -✓✓Spinal accessory nerve, shrug shoulders
• Assessment of egophony? -✓✓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? -✓✓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? -✓✓accurate by high false positive rate
• Assessment of PAD -✓✓pain with walking but better at rest
• Evaluation of corneal abrasion -✓✓Slit lamp exam= stain in eye.
• Assessment of urine analysis of UTI -✓✓there would NOT be proteins
• assessment of stereognosis and graphesthesia -✓✓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 -✓✓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. -✓✓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. -✓✓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? -
