GCU NUR 634 MIDTERM ACTUAL TEST SCRIPT
2026 VERIFIED SOLUTIONS
◉ The patient presents with a thickening of their conjunctiva on the
outer surface of the cornea; what do you suspect? Answer:
Pterygium
◉ What happens to the cup to disc ratio in glaucoma patients?
Answer: The cupping gets larger/deeper
◉ What kind of percussion would you expect to hear over the
abdomen? Answer: Tympany
◉ Pain and drainage in the left ear, pain especially when we go to
move around the tragus, what do you suspect? Answer: Otitis
externa/Swimmer's ear
◉ If a patient presents with a bulging tympanic membrane, what do
you suspect? Answer: Otitis media
◉ If a patient has numbness and tingling with the Tinel's or Phalen's
test, which nerve is affected? Answer: Median nerve
, ◉ You are palpating pulses and it's going from weak to strong, from
weak to strong, over and over; what do you suspect? Answer: Severe
left sided heart failure - pulsus paradoxus
◉ Where do you palpate if you think a patient has appendicitis?
Answer: McBurney's point (2/3 between the umbilicus and ileac
crest of the hip)
◉ Just below the sternum in the depressed area, how would you
document that? Answer: Pectus excavatum
◉ What would you expect to happen to the QRS on the EKG on
someone who has a left bundle branch block? Answer: a. Widened
b. Normal QRS interval is anything >.12 seconds
◉ Who do we screen routinely for colon cancer after the age of 75
Answer: No one (per US preventative service task force)
◉ If you had a patient complain of weakness in one arm, what
should you always test? Answer: The other arm
◉ What is the landmark for palpating the femoral pulse Answer:
Below the inguinal ligament
2026 VERIFIED SOLUTIONS
◉ The patient presents with a thickening of their conjunctiva on the
outer surface of the cornea; what do you suspect? Answer:
Pterygium
◉ What happens to the cup to disc ratio in glaucoma patients?
Answer: The cupping gets larger/deeper
◉ What kind of percussion would you expect to hear over the
abdomen? Answer: Tympany
◉ Pain and drainage in the left ear, pain especially when we go to
move around the tragus, what do you suspect? Answer: Otitis
externa/Swimmer's ear
◉ If a patient presents with a bulging tympanic membrane, what do
you suspect? Answer: Otitis media
◉ If a patient has numbness and tingling with the Tinel's or Phalen's
test, which nerve is affected? Answer: Median nerve
, ◉ You are palpating pulses and it's going from weak to strong, from
weak to strong, over and over; what do you suspect? Answer: Severe
left sided heart failure - pulsus paradoxus
◉ Where do you palpate if you think a patient has appendicitis?
Answer: McBurney's point (2/3 between the umbilicus and ileac
crest of the hip)
◉ Just below the sternum in the depressed area, how would you
document that? Answer: Pectus excavatum
◉ What would you expect to happen to the QRS on the EKG on
someone who has a left bundle branch block? Answer: a. Widened
b. Normal QRS interval is anything >.12 seconds
◉ Who do we screen routinely for colon cancer after the age of 75
Answer: No one (per US preventative service task force)
◉ If you had a patient complain of weakness in one arm, what
should you always test? Answer: The other arm
◉ What is the landmark for palpating the femoral pulse Answer:
Below the inguinal ligament
