NURS 634 FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2023 A+ SUCCESS ASSUARED
Question Points: 1..0
A 26-year-old flight attendant presents in for a third trimester prenatal visit.
She has had prenatal care since her sixth week of pregnancy. She has no
complaints today and her prenatal course has been unremarkable. Today her
blood pressure and weight gain are appropriate, and her urine is unremarkable.
You have a first- year medical student shadowing you, so you ask the student to
get Doptones and measure the patient's uterus in centimeters. The nurse
practitioner student promptly reports fetal heart tones of 140, but he is having
difficulty obtaining the correct measurement. He knows one end of the tape goes
over the uterine fundus. From what inferior anatomic position should the tape be
placed?
• Vagina
• Clitoris
• Pubic symphysis
• Umbilicus
Question Points: 0..0
Which of the following represents age-related changes in the lungs?
• Decrease in chest wall compliance
• Speed of expiration increases
• Increase in respiratory muscle strength
• Increased elastic recoil of lung tissue
Question Points: 1..0
A 15-month-old is brought to you for a fever of 38.6 degrees Celsius and fussiness.
, NURS 634 FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2023 A+ SUCCESS ASSUARED
The ear examination is as follows: external ear, normal appearance and no
tenderness with manipulation; canal, normal diameter without evidence of
inflammation; tympanic membrane, bulging, erythematous, and opaque. Insufflation
is deferred due to pain. What is the most likely condition here?
• Otitis externa
• Cholesteatoma
• Ruptured tympanic membrane
• Otitis media
, NURS 634 FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2023 A+ SUCCESS ASSUARED
Question Points: 1..0
A 28-year-old musician presents to your clinic, complaining of a “spot” on his
penis. He states his partner noticed it 2 days ago and it hasn't gone away. He says it
doesn't hurt. He has had no burning with urination and no pain during intercourse.
He has had several partners in the last year and uses condoms occasionally. His past
medical history consists of nongonococcal urethritis from Chlamydia and
prostatitis. He denies any surgeries. He smokes two packs of cigarettes a day, drinks
a case of beer a week, and smokes marijuana and occasionally crack. He has injected
IV drugs before but not in the last few years. He is single and currently unemployed.
His mother has rheumatoid arthritis, and he doesn't know anything about his
father. On examination, you see a young man appearing deconditioned but pleasant.
His vital signs are unremarkable. On visualization of his penis, there is a 6-mm red,
oval ulcer with an indurated base just proximal to the corona. There is no prepuce
because of neonatal circumcision. On palpation, the ulcer is nontender. In the
inguinal region, there is nontender lymphadenopathy.
What disorder of the penis is most likely the diagnosis?
• Condylomata acuminata
• Genital herpes
• Syphilitic chancre
• Penile carcinoma
Question Points: 1..0
A 22-year-old law student presents to your office complaining of severe
abdominal pain radiating to his back. He states it began last night after hours of
heavy drinking. He has had abdominal pain and vomiting in the past after drinking
but never as bad as this. He cannot keep any food or water down, and these
symptoms have been going on for almost 12 hours. He has had no recent illnesses
or injuries. His past medical history is unremarkable. He denies smoking or using
, NURS 634 FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2023 A+ SUCCESS ASSUARED
illegal drugs but admits to drinking 6 to 10 beers per weekend night. He admits
that last night he drank something like 14 drinks. On examination you find a young
male appearing his stated age in some distress. He is leaning over on the
examination table and holding his abdomen with his arms. His blood pressure is
90/60 and his pulse is 120. He is afebrile. His abdominal examination reveals
normal bowel sounds, but he is very tender in the left upper quadrant and
epigastric area. He has no Murphy's sign or tenderness in the right lower quadrant.
The remainder of his abdominal examination is normal. His rectal, prostate, penile,
and testicular examinations are normal. He has no inguinal hernias or tenderness
with that examination. Blood work is pending.
What etiology of abdominal pain is most likely causing his symptoms?
• Peptic ulcer disease
• Biliary colic
• Acute cholecystitis
• Acute pancreatitis
• Question Points: 1..0
• A 56-year-old female presents to your clinic complaining that her left breast
looks unusual. She says that for 2 months the angle of the nipple has changed
direction. She does not do self-examinations, so she doesn't know if she has a lump.
She has no history of weight loss, weight gain, fever, or night sweats. Her past
medical history is significant for high blood pressure. She smokes two packs of
cigarettes a day and has three to four drinks per weekend night. Her paternal aunt
died of breast cancer in her forties. Her mother is healthy, but her father died of
prostate cancer. On examination, you find a middle-aged woman appearing older
than her stated age. Inspection of her left breast reveals a flattened nipple deviating
toward the lateral side. On palpation, the nipple feels thickened. Lateral to the
areola you palpate a nontender 4-cm mass. The axilla contains several fixed nodes.
The right breast and axilla examinations are unremarkable.
What visible skin change of the breast does she have?
• Nipple retraction
• Paget's disease
COMPLETE SOLUTIONS 2023 A+ SUCCESS ASSUARED
Question Points: 1..0
A 26-year-old flight attendant presents in for a third trimester prenatal visit.
She has had prenatal care since her sixth week of pregnancy. She has no
complaints today and her prenatal course has been unremarkable. Today her
blood pressure and weight gain are appropriate, and her urine is unremarkable.
You have a first- year medical student shadowing you, so you ask the student to
get Doptones and measure the patient's uterus in centimeters. The nurse
practitioner student promptly reports fetal heart tones of 140, but he is having
difficulty obtaining the correct measurement. He knows one end of the tape goes
over the uterine fundus. From what inferior anatomic position should the tape be
placed?
• Vagina
• Clitoris
• Pubic symphysis
• Umbilicus
Question Points: 0..0
Which of the following represents age-related changes in the lungs?
• Decrease in chest wall compliance
• Speed of expiration increases
• Increase in respiratory muscle strength
• Increased elastic recoil of lung tissue
Question Points: 1..0
A 15-month-old is brought to you for a fever of 38.6 degrees Celsius and fussiness.
, NURS 634 FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2023 A+ SUCCESS ASSUARED
The ear examination is as follows: external ear, normal appearance and no
tenderness with manipulation; canal, normal diameter without evidence of
inflammation; tympanic membrane, bulging, erythematous, and opaque. Insufflation
is deferred due to pain. What is the most likely condition here?
• Otitis externa
• Cholesteatoma
• Ruptured tympanic membrane
• Otitis media
, NURS 634 FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2023 A+ SUCCESS ASSUARED
Question Points: 1..0
A 28-year-old musician presents to your clinic, complaining of a “spot” on his
penis. He states his partner noticed it 2 days ago and it hasn't gone away. He says it
doesn't hurt. He has had no burning with urination and no pain during intercourse.
He has had several partners in the last year and uses condoms occasionally. His past
medical history consists of nongonococcal urethritis from Chlamydia and
prostatitis. He denies any surgeries. He smokes two packs of cigarettes a day, drinks
a case of beer a week, and smokes marijuana and occasionally crack. He has injected
IV drugs before but not in the last few years. He is single and currently unemployed.
His mother has rheumatoid arthritis, and he doesn't know anything about his
father. On examination, you see a young man appearing deconditioned but pleasant.
His vital signs are unremarkable. On visualization of his penis, there is a 6-mm red,
oval ulcer with an indurated base just proximal to the corona. There is no prepuce
because of neonatal circumcision. On palpation, the ulcer is nontender. In the
inguinal region, there is nontender lymphadenopathy.
What disorder of the penis is most likely the diagnosis?
• Condylomata acuminata
• Genital herpes
• Syphilitic chancre
• Penile carcinoma
Question Points: 1..0
A 22-year-old law student presents to your office complaining of severe
abdominal pain radiating to his back. He states it began last night after hours of
heavy drinking. He has had abdominal pain and vomiting in the past after drinking
but never as bad as this. He cannot keep any food or water down, and these
symptoms have been going on for almost 12 hours. He has had no recent illnesses
or injuries. His past medical history is unremarkable. He denies smoking or using
, NURS 634 FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2023 A+ SUCCESS ASSUARED
illegal drugs but admits to drinking 6 to 10 beers per weekend night. He admits
that last night he drank something like 14 drinks. On examination you find a young
male appearing his stated age in some distress. He is leaning over on the
examination table and holding his abdomen with his arms. His blood pressure is
90/60 and his pulse is 120. He is afebrile. His abdominal examination reveals
normal bowel sounds, but he is very tender in the left upper quadrant and
epigastric area. He has no Murphy's sign or tenderness in the right lower quadrant.
The remainder of his abdominal examination is normal. His rectal, prostate, penile,
and testicular examinations are normal. He has no inguinal hernias or tenderness
with that examination. Blood work is pending.
What etiology of abdominal pain is most likely causing his symptoms?
• Peptic ulcer disease
• Biliary colic
• Acute cholecystitis
• Acute pancreatitis
• Question Points: 1..0
• A 56-year-old female presents to your clinic complaining that her left breast
looks unusual. She says that for 2 months the angle of the nipple has changed
direction. She does not do self-examinations, so she doesn't know if she has a lump.
She has no history of weight loss, weight gain, fever, or night sweats. Her past
medical history is significant for high blood pressure. She smokes two packs of
cigarettes a day and has three to four drinks per weekend night. Her paternal aunt
died of breast cancer in her forties. Her mother is healthy, but her father died of
prostate cancer. On examination, you find a middle-aged woman appearing older
than her stated age. Inspection of her left breast reveals a flattened nipple deviating
toward the lateral side. On palpation, the nipple feels thickened. Lateral to the
areola you palpate a nontender 4-cm mass. The axilla contains several fixed nodes.
The right breast and axilla examinations are unremarkable.
What visible skin change of the breast does she have?
• Nipple retraction
• Paget's disease
