NR 509 MIDTERM EXAM QUESTIONS AND CORRECT
ANSWERS ACTUAL UPDATED 2024/2025 QUESTIONS
AND ANSWERS GRADED A+ CHAMBERLAIN
Cause of saddle numbness and urinary retention
Cauda equina syndrome
Presentation of retinal detachment
If sudden visual loss is unilateral and painless,
Obtunded
patient opens the eyes and looks at you but responds slowly and is somewhat
confused. Alertness and interest in the environment are decreased.
Cranial nerve for lateral gaze
CN6: Abducens
Adult Illnesses
Medical: Illnesses such as diabetes, hypertension, hepatitis, asthma, and human
immunodeficiency virus (HIV); hospitalizations; number and gender of sexual partners;
and risk-taking sexual practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of contraception,
and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and treatments
Present Illness
chronologic description of the problems prompting the patient's visit, including the onset
of the problem, the setting in which it developed, its manifestations, and any treatments
to date.Each problem/symptom needs: (1) location; (2) quality; (3) quantity or severity;
(4) timing, including onset, duration, and frequency; (5) the setting in which it occurs; (6)
factors that have aggravated
-meds, allergies, tobacco use, ETOH and drug use
Absence of red reflex
, an opacity of the lens (cataract) or, possibly, the vitreous (or even an artificial eye). Less
commonly, a detached retina or, in children, a retinoblastoma may obscure this reflex.
S/S of seasonal allergies
Itching, watery eyes, sneezing, ear congestion, postnasal drainage
Presentation of optic neuritis
Enlarged blind spot, vision loss in 1 eye, loss of color vision, hole in center of vision,
trouble seeing to the side, eye pain
pityriasis rosea
Multiple round to oval scaling violaceous plaques on abdomen and back
Acromion
tip of shoulder
What to do for + finding on physical exam, but - workup
continue using test, but less lab and diagnostics
Cause of falsely high BP
-too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
Check for nystagmus
-involuntary jerking movement of the eyes with quick and slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in internuclear
ophthalmoplegia
Jaundice
yellow sclera
how do get a patient to open up when upset
effective reassurance is simply identifying and acknowledging the patient's feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
ANSWERS ACTUAL UPDATED 2024/2025 QUESTIONS
AND ANSWERS GRADED A+ CHAMBERLAIN
Cause of saddle numbness and urinary retention
Cauda equina syndrome
Presentation of retinal detachment
If sudden visual loss is unilateral and painless,
Obtunded
patient opens the eyes and looks at you but responds slowly and is somewhat
confused. Alertness and interest in the environment are decreased.
Cranial nerve for lateral gaze
CN6: Abducens
Adult Illnesses
Medical: Illnesses such as diabetes, hypertension, hepatitis, asthma, and human
immunodeficiency virus (HIV); hospitalizations; number and gender of sexual partners;
and risk-taking sexual practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of contraception,
and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and treatments
Present Illness
chronologic description of the problems prompting the patient's visit, including the onset
of the problem, the setting in which it developed, its manifestations, and any treatments
to date.Each problem/symptom needs: (1) location; (2) quality; (3) quantity or severity;
(4) timing, including onset, duration, and frequency; (5) the setting in which it occurs; (6)
factors that have aggravated
-meds, allergies, tobacco use, ETOH and drug use
Absence of red reflex
, an opacity of the lens (cataract) or, possibly, the vitreous (or even an artificial eye). Less
commonly, a detached retina or, in children, a retinoblastoma may obscure this reflex.
S/S of seasonal allergies
Itching, watery eyes, sneezing, ear congestion, postnasal drainage
Presentation of optic neuritis
Enlarged blind spot, vision loss in 1 eye, loss of color vision, hole in center of vision,
trouble seeing to the side, eye pain
pityriasis rosea
Multiple round to oval scaling violaceous plaques on abdomen and back
Acromion
tip of shoulder
What to do for + finding on physical exam, but - workup
continue using test, but less lab and diagnostics
Cause of falsely high BP
-too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
Check for nystagmus
-involuntary jerking movement of the eyes with quick and slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in internuclear
ophthalmoplegia
Jaundice
yellow sclera
how do get a patient to open up when upset
effective reassurance is simply identifying and acknowledging the patient's feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
