GRANDCANYON UNIVERSITY NUR 634 MIDTERM
EXAMANATION WITH COMPLETE QUESTIONS WITH
ANSWERS
NUR 634 Midterm Examination
Answers
NUR 634 Midterm
1.Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective
2. Which is the proper sequence of examination for the abdomen?
, A) Auscultation, inspection, palpation, percussion
B) Inspection, percussion, palpation, auscultation
C) Inspection, auscultation, percussion, palpation
D) Auscultation, percussion, inspection, palpation
3. Mrs. R. is a 92-year-old retired 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 question. This is an example of which type of challenging patient?
A) Talkative patient
B) Angry patient
C) Silent patient
D) Hearing-impaired patient
3. Which of the following is a clinical identifier of metabolic syndrome?
A) Waist circumference of 38 inches for a male
B) Waist circumference of 34 inches for a female
C) BP of 134/88 for a male
D) BP of 128/84 for a female
4. Bill, a 55-year-old man, presents with pain in his epigastrium which lasts
for 30 minutes or more at a time and has started recently.
Which of the following should be considered?
, A) Peptic ulcer
B) Pancreatitis
C) Myocardial ischemia
D) All of the above
5. A 75-year-old retired teacher presents to your clinic, complaining of
severe, unrelenting anterior chest pain radiating 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 better 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 attack. She has one younger brother who has had
bypass surgery.
On examination you see an elderly female in a great deal of distress. She is
lying on the table, curled up, holding her left and right arms against her
chest and is restless, trying to find a comfortable position. Her blood
pressure is 180/110 in the right arm and 130/60 in the left arm, and her
pulse is 120. Her right carotid pulse is bounding but the left carotid pulse is
weak. She is afebrile but her respirations are 24 times a minute. On
auscultation her lungs are clear and her cardiac examination is
unremarkable. You call EMS and have her taken to the hospital’s ER for
further evaluation.
What disorder of the chest best describes her symptoms?
A) Angina pectoris
B) Pericarditis
C) Dissecting aortic aneurysm
D) Pleural pain
EXAMANATION WITH COMPLETE QUESTIONS WITH
ANSWERS
NUR 634 Midterm Examination
Answers
NUR 634 Midterm
1.Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective
2. Which is the proper sequence of examination for the abdomen?
, A) Auscultation, inspection, palpation, percussion
B) Inspection, percussion, palpation, auscultation
C) Inspection, auscultation, percussion, palpation
D) Auscultation, percussion, inspection, palpation
3. Mrs. R. is a 92-year-old retired 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 question. This is an example of which type of challenging patient?
A) Talkative patient
B) Angry patient
C) Silent patient
D) Hearing-impaired patient
3. Which of the following is a clinical identifier of metabolic syndrome?
A) Waist circumference of 38 inches for a male
B) Waist circumference of 34 inches for a female
C) BP of 134/88 for a male
D) BP of 128/84 for a female
4. Bill, a 55-year-old man, presents with pain in his epigastrium which lasts
for 30 minutes or more at a time and has started recently.
Which of the following should be considered?
, A) Peptic ulcer
B) Pancreatitis
C) Myocardial ischemia
D) All of the above
5. A 75-year-old retired teacher presents to your clinic, complaining of
severe, unrelenting anterior chest pain radiating 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 better 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 attack. She has one younger brother who has had
bypass surgery.
On examination you see an elderly female in a great deal of distress. She is
lying on the table, curled up, holding her left and right arms against her
chest and is restless, trying to find a comfortable position. Her blood
pressure is 180/110 in the right arm and 130/60 in the left arm, and her
pulse is 120. Her right carotid pulse is bounding but the left carotid pulse is
weak. She is afebrile but her respirations are 24 times a minute. On
auscultation her lungs are clear and her cardiac examination is
unremarkable. You call EMS and have her taken to the hospital’s ER for
further evaluation.
What disorder of the chest best describes her symptoms?
A) Angina pectoris
B) Pericarditis
C) Dissecting aortic aneurysm
D) Pleural pain
