NU673 Midterm || 100% Verified Solutions.
A 25-year old male presents for his annual exam. His BMI is 22.0, but he is concerned about his
weight. What is the most appropriate response?
A. Reassure the patient his weight is normal.
B. Refer the patient to a nutritionist because he is anorexic.
C. Provide the patient with information about weight loss because he is overweight.
D. Refer the patient to a nutritionist because he is obese. correct answers A. Reassure the patient
his weight is normal.
Normal BMI range 18.5-24.5.
In manual BP, which if the following provides the best estimate of the true diastolic BP?
A. Disappearance of Korotkoff sounds following initial muffling.
B. Average between highest and lowest points of auscultatory gap.
C. Point at which Korotkoff sounds first muffle after systolic BP is discerned
D. Recommencement of Korotkoff sounds following lower point of auscultatory gap. correct
answers A. Disappearance of Korotkoff sounds following initial muffling
In evaluating patients who are overweight, which of the following best defines obesity?
A. Patient consuming >1.5x recommended caloric intake
B. Patient with BMI less than 24
C. Patient with BMI greater than or equal to 30
D. Patient with waist-to-hip (WHR) ratio >1.75 correct answers C. Patient with BMI greater than
or equal to 30
20-24 normal, 25-29 overweight, over 30 obese
Which of the following is a normal finding when performing an exam with the otoscope?
A. Macula
B. Cone of light
C. Optic disc
D. Red reflex correct answers B. Cone of light
Other options are findings with an ophthalmoscope.
The APRN is reviewing a chart on a patient they are about to see. THe previous provider noted
the patient had otorrhea. The APRN knows this to mean the patient had:
A. ringing in ears
B. ear drainage
C. earache
, D. inflammation of ear correct answers B. Ear drainage
The APRN is examining a patient and feels a 1cm x 0.5cm non-tender mass in the
supraclavicular area. It is mobile in both the up-down and side-to-side directions. Which of the
following is most likely?
A. Cancer
B. Lymph node
C. Deep scar
D. Muscle correct answers B. Lymph node
Lymph nodes move in ALL directions.
A patient presents to the ER for evaluation of "blood in the left eye". The patient denies trauma
or injury, but has been coughing forcefully with a recent cold. The patient denies visual
disturbances, eye pain, or discharge from the eye. On exam, the APRN notes PERRLA, with
visual acuity of 20/20 in both eyes. There is a homogenous, sharply demarcated red area at the
lateral aspect of the base of the left eye. The cornea is clear. The most likely diagnosis is:
A. conjunctivitis
B. acute iritis
C. corneal abrasion
D. subconjunctival hemorrhage correct answers D. Subconjunctival hemorrhage
A college student comes to the urgent care center, having been hit in the right eye with a plastic
baseball during a family reunion. She complains of a painful, watery, red right eye and
sensitivity to light. She has normal visual acuity in both eyes, no diplopia, and can open and
close her eyes normally. The pupils are unequal in size - 3mm on left and 5mm on right. Which
CN would be implicated as the cause of photosensitivity and pupil asymmetry?
A. CN III
B. CN V
C. CN IV
D. CN II correct answers A. CN III (oculomotor)
The APRN is assessing cranial nerves during exam. Choose what the APRN will use from the
options below to test CN II.
A. Flashlight
B. Cotton swab
C. Snellen chart
D. Tuning fork correct answers C. Snellen chart
CN II = oculomotor
A positive Romberg test is best described as:
A 25-year old male presents for his annual exam. His BMI is 22.0, but he is concerned about his
weight. What is the most appropriate response?
A. Reassure the patient his weight is normal.
B. Refer the patient to a nutritionist because he is anorexic.
C. Provide the patient with information about weight loss because he is overweight.
D. Refer the patient to a nutritionist because he is obese. correct answers A. Reassure the patient
his weight is normal.
Normal BMI range 18.5-24.5.
In manual BP, which if the following provides the best estimate of the true diastolic BP?
A. Disappearance of Korotkoff sounds following initial muffling.
B. Average between highest and lowest points of auscultatory gap.
C. Point at which Korotkoff sounds first muffle after systolic BP is discerned
D. Recommencement of Korotkoff sounds following lower point of auscultatory gap. correct
answers A. Disappearance of Korotkoff sounds following initial muffling
In evaluating patients who are overweight, which of the following best defines obesity?
A. Patient consuming >1.5x recommended caloric intake
B. Patient with BMI less than 24
C. Patient with BMI greater than or equal to 30
D. Patient with waist-to-hip (WHR) ratio >1.75 correct answers C. Patient with BMI greater than
or equal to 30
20-24 normal, 25-29 overweight, over 30 obese
Which of the following is a normal finding when performing an exam with the otoscope?
A. Macula
B. Cone of light
C. Optic disc
D. Red reflex correct answers B. Cone of light
Other options are findings with an ophthalmoscope.
The APRN is reviewing a chart on a patient they are about to see. THe previous provider noted
the patient had otorrhea. The APRN knows this to mean the patient had:
A. ringing in ears
B. ear drainage
C. earache
, D. inflammation of ear correct answers B. Ear drainage
The APRN is examining a patient and feels a 1cm x 0.5cm non-tender mass in the
supraclavicular area. It is mobile in both the up-down and side-to-side directions. Which of the
following is most likely?
A. Cancer
B. Lymph node
C. Deep scar
D. Muscle correct answers B. Lymph node
Lymph nodes move in ALL directions.
A patient presents to the ER for evaluation of "blood in the left eye". The patient denies trauma
or injury, but has been coughing forcefully with a recent cold. The patient denies visual
disturbances, eye pain, or discharge from the eye. On exam, the APRN notes PERRLA, with
visual acuity of 20/20 in both eyes. There is a homogenous, sharply demarcated red area at the
lateral aspect of the base of the left eye. The cornea is clear. The most likely diagnosis is:
A. conjunctivitis
B. acute iritis
C. corneal abrasion
D. subconjunctival hemorrhage correct answers D. Subconjunctival hemorrhage
A college student comes to the urgent care center, having been hit in the right eye with a plastic
baseball during a family reunion. She complains of a painful, watery, red right eye and
sensitivity to light. She has normal visual acuity in both eyes, no diplopia, and can open and
close her eyes normally. The pupils are unequal in size - 3mm on left and 5mm on right. Which
CN would be implicated as the cause of photosensitivity and pupil asymmetry?
A. CN III
B. CN V
C. CN IV
D. CN II correct answers A. CN III (oculomotor)
The APRN is assessing cranial nerves during exam. Choose what the APRN will use from the
options below to test CN II.
A. Flashlight
B. Cotton swab
C. Snellen chart
D. Tuning fork correct answers C. Snellen chart
CN II = oculomotor
A positive Romberg test is best described as:
