NUR 634 FINAL EXAM STUDY GUIDE / 180 + ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS 2025/2026 GRADED A+ BEST FOR REVISION !!!

NUR 634 FINAL EXAM STUDY GUIDE / 180 + ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS 2025/2026 GRADED A+ BEST FOR REVISION !!! 2 / 15 1. 72-year-old M pt complains of bilateral knee pain. the NP assess stumbling during heel strike suggestive of? ANSWERS quadracep weakness or abnormal patellar tracking 2. 14 y/o student comes to clinical for a 3-month hx of dyspnea when playing basketball. the dyspnea resolves shortly after resting. There is no fever, chills, cough sputum, chest pain, or serious illness. Asthma is suspected. Which of the following sounds heard on exhalation would suggest asthma? ANSWERS wheezing 3. 75 y/o F in good health presents to a NP.she takes no medications but has been told in the past herBPis high. which one of the following findingsis con- sistent with normal aging process and is not a sign of CV disease? ANSWERS murmur, stiffened ventricles (valvular changes) 4. An older adult M complains of feeling something in his L scrotum. On palpitation,soft, and moveable blood vesselsthat feel like a bag of warms are noted underneath the scrotal skin. the testicles are not swollen or red; what is likely the diagnosis? ANSWERS varicocele-varicose vein of spermatic cord 5. Kyphosis is a late sign of? ANSWERS ? 6. Parents generally bring children for health. At what age should the provider begin to question the child him or herself regarding presenting symptoms? ANSWERS - 6 ? 7. The bulge sign and the balloon sign may be present where there is a/an?- ANSWERS Patellar effusion-fluid in the knee. Swelling in suprapatellar pouch, bulge confirms presence of fluid as you move join from side to side. 8. The cremasteric reflex is elicited by ANSWERS ANSWERS Cremasteric reflex is a superficial reflex seen in males, light stroking or poking the medical part of thigh regardless of the direction of the stroke. 9. Stimulation of moro reflex? ANSWERS Scare in baby. Spread of arms (abduct), fingers spread, legs extend. Gently lift head and release babv so that they feel like they are falling. Absence of this suggest damage to brain or spinal cord. one side absent-brachial plexus injury. 10. The two most important components of the eye exam for young child? ANSWERS I think ANSWERS motility, hirschberg light reflex. use toys and make it fun. 11. Indication of crepitus ANSWERS common sign of bone fx or RA. in lungs-subcutaneous emphysema (trapped 3 / 15 air under skin) 12. Retention Cysts ANSWERS tumor like accumulation of secretions formed when the outlet of secreting gland is obstructed. can develop in breast, pancreas, kidney, mucus membrane. Small sac of mucus that forms when mucus duct becomes blocked. yellowish blge and should be drained 13. GCS ANSWERS measures LOC, eye opening, motor response, verbal response. 3-15 14. Assessment of CN XI ANSWERS Spinal accessory nerve, shrug shoulders 15. Assessment of egophony? ANSWERS Say "e" and soundslike "a"= egophony.Suggests consolidation, pleural effusion, pneumonia. 16. The FNP will be able to assess the splitting of s2 in which location? ANSWERS 2nd ICS L sternal boarder 17. A 42 y/o healthy F requests an MRI rather than mammogram. no hx of family ca. which of the following is true about MRI as a screening modality for breast ca in the general population? ANSWERS accurate by high false positive rate 18. Assessment of PAD ANSWERS pain with walking but better at rest 19. Evaluation of corneal abrasion ANSWERS Slit lamp exam= stain in eye. 20. Assessment of urine analysis of UTI ANSWERS there would NOT be proteins 21. assessment of stereognosis and graphesthesia ANSWERS stereognosis ANSWERS identify ob- ject without seeing or hearing but by touch graphesthesia ANSWERS draw figure 8 on hand and can identify what was written 22. Assessment of risk factors for melanoma ANSWERS ABCDE 23. A 35 y/o soccer player presents to urgent care with complain of swelling and pain on medial aspect of right knee. on exam the knee is swollen and tender on the assessfor possible injury to meniscus,which maneuver will yield the best information for the NP. ANSWERS mcMurrarystest, fully bend leg and pull outward bow legged while externally rotating as you extend knee. Click or pain=+ 24. The NP begins the exam of a 29 y/o fema