NUR 634 Midterm Examina on Answers
NUR 634 Midterm Examina on Answers
NUR 634 Midterm
Is the following informa on subjec ve or objec ve?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
1. A) Subjec ve
2. B) Objec ve
Which is the proper sequence of examina on for the abdomen?
1. A) Ausculta on, inspec on, palpa on, percussion
2. B) Inspec on, percussion, palpa on, ausculta on
3. C) Inspec on, ausculta on, percussion, palpa on
4. D) Ausculta on, percussion, inspec on, palpa on
Mrs. R. is a 92-year-old re red teacher who comes to your clinic accompanied by her
daughter. You ask Mrs. R. why she came to your clinic today. She looks at her
daughter and doesn’t say anything in response to your ques on. This is an example
of which type of challenging pa ent?
,1. A) Talka ve pa ent
2. B) Angry pa ent
3. C) Silent pa ent
4. D) Hearing-impaired pa ent
Which of the following is a clinical iden fier of metabolic syndrome?
1. A) Waist circumference of 38 inches for a male
2. B) Waist circumference of 34 inches for a female
3. C) BP of 134/88 for a male
4. D) BP of 128/84 for a female
Bill, a 55-year-old man, presents with pain in his epigastrium which lasts for 30
minutes or more at a me and has started recently.
Which of the following should be considered?
1. A) Pep c ulcer
2. B) Pancrea s
3. C) Myocardial ischemia
4. D) All of the above
A 75-year-old re red teacher presents to your clinic, complaining of severe,
unrelen ng anterior chest pain radia ng to her back. She describes it as if someone
is “ripping out her heart.” It began less than an hour ago. She states she is feeling
very nauseated and may pass out. She denies any trauma or recent illnesses. She
states she has never had pain like this before. Nothing seems to make the pain beAer
or worse. Her medical history consists of difficult-to-control hypertension and
coronary artery disease requiring two stents in the past. She is a widow. She denies
, any alcohol, tobacco, or illegal drug use. Her mother died of a stroke and her father
died of a heart aAack. She has one younger brother who has had bypass surgery. On
examina on you see an elderly female in a great deal of distress. She is lying on the
table, curled up, holding her leC and right arms against her chest and is restless,
trying to find a comfortable posi on. Her blood pressure is 180/110 in the right arm
and 130/60 in the leC arm, and her pulse is 120. Her right caro d pulse is bounding
but the leC caro d pulse is weak. She is afebrile but her respira ons are 24 mes a
minute. On ausculta on her lungs are clear and her cardiac examina on is
unremarkable. You call EMS and have her taken to the hospital’s ER for further
evalua on. What disorder of the chest best describes her symptoms?
1. A) Angina pectoris
2. B) Pericardi s
3. C) Dissec ng aor c aneurysm
4. D) Pleural pain
A pa ent is assigned a visual acuity of 20/100 in her leC eye. Which of the following
is true?
1. A) She obtains a 20% correct score at 100 feet.
2. B) She can accurately name 20% of the leAers at 20 feet.
3. C) She can see at 20 feet what a normal person could see at 100 feet.
4. D) She can see at 100 feet what a normal person could see at 20 feet.
A 46-year-old former salesman presents to the ER, complaining of black stools for the
past few weeks. His past medical history is significant for cirrhosis. He has gained
weight recently, especially around his abdomen. He has smoked two packs of
cigareAes a day for 30 years and has drunk approximately 10 alcoholic beverages a
day for 25 years. He has used IV heroin and smoked crack in the past. He denies any
recent use. He is currently unemployed and has never been married. On examina on
you find a man appearing older than his stated age. His skin has a yellowish nt and
NUR 634 Midterm Examina on Answers
NUR 634 Midterm
Is the following informa on subjec ve or objec ve?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
1. A) Subjec ve
2. B) Objec ve
Which is the proper sequence of examina on for the abdomen?
1. A) Ausculta on, inspec on, palpa on, percussion
2. B) Inspec on, percussion, palpa on, ausculta on
3. C) Inspec on, ausculta on, percussion, palpa on
4. D) Ausculta on, percussion, inspec on, palpa on
Mrs. R. is a 92-year-old re red teacher who comes to your clinic accompanied by her
daughter. You ask Mrs. R. why she came to your clinic today. She looks at her
daughter and doesn’t say anything in response to your ques on. This is an example
of which type of challenging pa ent?
,1. A) Talka ve pa ent
2. B) Angry pa ent
3. C) Silent pa ent
4. D) Hearing-impaired pa ent
Which of the following is a clinical iden fier of metabolic syndrome?
1. A) Waist circumference of 38 inches for a male
2. B) Waist circumference of 34 inches for a female
3. C) BP of 134/88 for a male
4. D) BP of 128/84 for a female
Bill, a 55-year-old man, presents with pain in his epigastrium which lasts for 30
minutes or more at a me and has started recently.
Which of the following should be considered?
1. A) Pep c ulcer
2. B) Pancrea s
3. C) Myocardial ischemia
4. D) All of the above
A 75-year-old re red teacher presents to your clinic, complaining of severe,
unrelen ng anterior chest pain radia ng to her back. She describes it as if someone
is “ripping out her heart.” It began less than an hour ago. She states she is feeling
very nauseated and may pass out. She denies any trauma or recent illnesses. She
states she has never had pain like this before. Nothing seems to make the pain beAer
or worse. Her medical history consists of difficult-to-control hypertension and
coronary artery disease requiring two stents in the past. She is a widow. She denies
, any alcohol, tobacco, or illegal drug use. Her mother died of a stroke and her father
died of a heart aAack. She has one younger brother who has had bypass surgery. On
examina on you see an elderly female in a great deal of distress. She is lying on the
table, curled up, holding her leC and right arms against her chest and is restless,
trying to find a comfortable posi on. Her blood pressure is 180/110 in the right arm
and 130/60 in the leC arm, and her pulse is 120. Her right caro d pulse is bounding
but the leC caro d pulse is weak. She is afebrile but her respira ons are 24 mes a
minute. On ausculta on her lungs are clear and her cardiac examina on is
unremarkable. You call EMS and have her taken to the hospital’s ER for further
evalua on. What disorder of the chest best describes her symptoms?
1. A) Angina pectoris
2. B) Pericardi s
3. C) Dissec ng aor c aneurysm
4. D) Pleural pain
A pa ent is assigned a visual acuity of 20/100 in her leC eye. Which of the following
is true?
1. A) She obtains a 20% correct score at 100 feet.
2. B) She can accurately name 20% of the leAers at 20 feet.
3. C) She can see at 20 feet what a normal person could see at 100 feet.
4. D) She can see at 100 feet what a normal person could see at 20 feet.
A 46-year-old former salesman presents to the ER, complaining of black stools for the
past few weeks. His past medical history is significant for cirrhosis. He has gained
weight recently, especially around his abdomen. He has smoked two packs of
cigareAes a day for 30 years and has drunk approximately 10 alcoholic beverages a
day for 25 years. He has used IV heroin and smoked crack in the past. He denies any
recent use. He is currently unemployed and has never been married. On examina on
you find a man appearing older than his stated age. His skin has a yellowish nt and
