GCU NUR-634 Final Test EXAM
BEST GRADED A+ FOR
STUDENTS 2021/2022
• You are examining an elderly man and notice the
following: Decreased vibration sense in the feet and ankles,
diminished gag reflex, right patellar reflex less than the left,
and diminished abdominal reflexes. Which of these is
abnormal?
• Decreased vibration sense
• Diminished gag reflex
• Diminished right patellar reflex compared to the left
• Diminished abdominal reflexes
• A 68-year-old retired postman presents to your clinic,
complaining of dull, intermittent left-sided chest pain over
the last few weeks. The pain occurs after he mows his lawn
or chops wood. He says that the pain radiates to the left
side of his jaw but nowhere else. He has felt light-headed
GCU NUR-634 Final Test EXAM
BEST GRADED A+ FOR
STUDENTS 2021/2022
,GCU NUR-634 Final Test EXAM
BEST GRADED A+ FOR
STUDENTS 2021/2022
and nauseated with the pain but has had no other symptoms.
He states when he sits down for several minutes the pain
goes away. Ibuprofen, Tylenol, and antacids have not
improved his symptoms. He reports no recent weight gain,
weight loss, fever, or night sweats. He has a past medical
history of high blood pressure and arthritis which he takes
medications for. He quit smoking 10 years ago after smoking
one pack a day for 40 years. He denies any recent alcohol
use and reports no drug use. He is married and has two
healthy children. His mother died of breast cancer and his
father died of a stroke. His younger brother has had bypass
surgery. On examination you find him healthy-appearing and
breathing comfortably. His blood pressure is 140/90 and he
has a pulse of 80. His head, eyes, ears, nose, and throat
examinations are unremarkable. His lungs have normal
breath sounds and there are no abnormalities with percussion
and palpation of the chest. His heart has a regular S1 and S2
and no S3 or S4. Further workup is pending.
Which disorder of the chest best describes these symptoms?
• Angina pectoris
GCU NUR-634 Final Test EXAM
BEST GRADED A+ FOR
STUDENTS 2021/2022
,GCU NUR-634 Final Test EXAM
BEST GRADED A+ FOR
STUDENTS 2021/2022
• Pericarditis
• Dissecting aortic aneurysm
• Pleural pain
•
Question Points: 1..0
• How should you determine whether a murmur is systolic or
diastolic?
• Palpate the carotid pulse.
• Palpate the radial pulse.
• Judge the relative length of systole and diastole by
auscultation.
GCU NUR-634 Final Test EXAM
BEST GRADED A+ FOR
STUDENTS 2021/2022
, GCU NUR-634 Final Test EXAM
BEST GRADED A+ FOR
STUDENTS 2021/2022
• Correlate the murmur with a bedside heart monitor.
GCU NUR-634 Final Test EXAM
BEST GRADED A+ FOR
STUDENTS 2021/2022
BEST GRADED A+ FOR
STUDENTS 2021/2022
• You are examining an elderly man and notice the
following: Decreased vibration sense in the feet and ankles,
diminished gag reflex, right patellar reflex less than the left,
and diminished abdominal reflexes. Which of these is
abnormal?
• Decreased vibration sense
• Diminished gag reflex
• Diminished right patellar reflex compared to the left
• Diminished abdominal reflexes
• A 68-year-old retired postman presents to your clinic,
complaining of dull, intermittent left-sided chest pain over
the last few weeks. The pain occurs after he mows his lawn
or chops wood. He says that the pain radiates to the left
side of his jaw but nowhere else. He has felt light-headed
GCU NUR-634 Final Test EXAM
BEST GRADED A+ FOR
STUDENTS 2021/2022
,GCU NUR-634 Final Test EXAM
BEST GRADED A+ FOR
STUDENTS 2021/2022
and nauseated with the pain but has had no other symptoms.
He states when he sits down for several minutes the pain
goes away. Ibuprofen, Tylenol, and antacids have not
improved his symptoms. He reports no recent weight gain,
weight loss, fever, or night sweats. He has a past medical
history of high blood pressure and arthritis which he takes
medications for. He quit smoking 10 years ago after smoking
one pack a day for 40 years. He denies any recent alcohol
use and reports no drug use. He is married and has two
healthy children. His mother died of breast cancer and his
father died of a stroke. His younger brother has had bypass
surgery. On examination you find him healthy-appearing and
breathing comfortably. His blood pressure is 140/90 and he
has a pulse of 80. His head, eyes, ears, nose, and throat
examinations are unremarkable. His lungs have normal
breath sounds and there are no abnormalities with percussion
and palpation of the chest. His heart has a regular S1 and S2
and no S3 or S4. Further workup is pending.
Which disorder of the chest best describes these symptoms?
• Angina pectoris
GCU NUR-634 Final Test EXAM
BEST GRADED A+ FOR
STUDENTS 2021/2022
,GCU NUR-634 Final Test EXAM
BEST GRADED A+ FOR
STUDENTS 2021/2022
• Pericarditis
• Dissecting aortic aneurysm
• Pleural pain
•
Question Points: 1..0
• How should you determine whether a murmur is systolic or
diastolic?
• Palpate the carotid pulse.
• Palpate the radial pulse.
• Judge the relative length of systole and diastole by
auscultation.
GCU NUR-634 Final Test EXAM
BEST GRADED A+ FOR
STUDENTS 2021/2022
, GCU NUR-634 Final Test EXAM
BEST GRADED A+ FOR
STUDENTS 2021/2022
• Correlate the murmur with a bedside heart monitor.
GCU NUR-634 Final Test EXAM
BEST GRADED A+ FOR
STUDENTS 2021/2022
