NUR 634 MIDTERM EXAM 150 QUESTIONS &
CORRECT ANSWERS LATEST 2025
erratic patient telling you all personal information; what should you do?
summarize what the patient is here for to clarify her needs
Pt complains of SOB and coughing at night. Upon examination you hear wheezing
upon expiration?
asthma
Patient presents with blood around the eyes, denies pain, trauma. Starting this
morning, nothing makes it better or worse. Coughed all night long.
subconjunctival hemorrhage
patient diagnosed with GERD. what education do you provide about foods?
avoid spicy, fatty, acidic, sweets and caffeine
what type of meal should you have with GERD?
reduced meal size
what should you avoid with GERD?
tight clothing, avoid bending/stooping after meals, avoid recumbence until 2
hours after meal
how should you sleep with GERD
HOB elevated with entire chest up
what lifestyle choices to make with GERD
smoking cessation and reduce alcohol
dull lung sound on percussion
,consolidated pneumonia, unilateral or bilateral
what is the normal physiological change in vision in the elderly?
presbyopia (near sited?)
patient complains of being sick, upon physical examination, nodules behind the
sternocleidomatoid. what lymph nodes are inflamed?
posterior cervical lymph nodes
female c/o being tiredness, and body has been hurting for two months. what do
you suspect?
depression
patient c/o double vision out of one eye. what CN is affected?
CN 3
patient c/o elbow pain that runs along medial epicondylitis and pain increases
when wrist is extended. What do you suspect?
golfer's elbow
pain at lateral epicondyle. what do you suspect?
tennis elbow
I&D performed on a lump found on patient back. Cheesy substance leeks out as
you cut incision. what dermatologic issue would you suspect?
sebaceous cyst
disc to cup ratio?
1:3
if your patient has a cup to disc ratio of 1:2, what DDX would you consider?
glaucoma
patient c/o chest pain, sharp, intermittent, pain increases with breathing. Tylenol
not relieving pain, tightness that does not radiate. Patient is smoker. what is your
DDX?
, angina
patient c/o painless loss of vision in one eye, what is DDX?
retinal detachment
patient c/o painful loss of vision in one eye. what is your DDX?
open angle glaucoma; optic neuritis
Patient c/o recent trauma to right hand. Upon assessment patient has pain in the
triangular depression on the dorsum of the hand at the base of the thumb, and x-
ray indicates fracture. what is this area called?
small box, scaphoid fracture
locate the PMI
left 5th intercostal space located 7 to 9 cm lateral to the sternum
patient c/o pain while chewing gum, you suspect?
TMJD
which part of your patient's assessment would you document occupation and
education?
social history
Your patient c/o an overwhelming sadness with a loss of interest for the past few
months, what would you DDX be?
major depression
patient c/o constipation for past several months, what would you ask in your
assessment about medications?
opioids/antidepressants, anticholinergic medications,, antihypertensives,
antihistamines, calcium or iron supplements. diuretics/anticonvulsants/antiacids
containing aluminum
patient c/o constipation for past several months, what would you ask in your
assessment about medical history?
CORRECT ANSWERS LATEST 2025
erratic patient telling you all personal information; what should you do?
summarize what the patient is here for to clarify her needs
Pt complains of SOB and coughing at night. Upon examination you hear wheezing
upon expiration?
asthma
Patient presents with blood around the eyes, denies pain, trauma. Starting this
morning, nothing makes it better or worse. Coughed all night long.
subconjunctival hemorrhage
patient diagnosed with GERD. what education do you provide about foods?
avoid spicy, fatty, acidic, sweets and caffeine
what type of meal should you have with GERD?
reduced meal size
what should you avoid with GERD?
tight clothing, avoid bending/stooping after meals, avoid recumbence until 2
hours after meal
how should you sleep with GERD
HOB elevated with entire chest up
what lifestyle choices to make with GERD
smoking cessation and reduce alcohol
dull lung sound on percussion
,consolidated pneumonia, unilateral or bilateral
what is the normal physiological change in vision in the elderly?
presbyopia (near sited?)
patient complains of being sick, upon physical examination, nodules behind the
sternocleidomatoid. what lymph nodes are inflamed?
posterior cervical lymph nodes
female c/o being tiredness, and body has been hurting for two months. what do
you suspect?
depression
patient c/o double vision out of one eye. what CN is affected?
CN 3
patient c/o elbow pain that runs along medial epicondylitis and pain increases
when wrist is extended. What do you suspect?
golfer's elbow
pain at lateral epicondyle. what do you suspect?
tennis elbow
I&D performed on a lump found on patient back. Cheesy substance leeks out as
you cut incision. what dermatologic issue would you suspect?
sebaceous cyst
disc to cup ratio?
1:3
if your patient has a cup to disc ratio of 1:2, what DDX would you consider?
glaucoma
patient c/o chest pain, sharp, intermittent, pain increases with breathing. Tylenol
not relieving pain, tightness that does not radiate. Patient is smoker. what is your
DDX?
, angina
patient c/o painless loss of vision in one eye, what is DDX?
retinal detachment
patient c/o painful loss of vision in one eye. what is your DDX?
open angle glaucoma; optic neuritis
Patient c/o recent trauma to right hand. Upon assessment patient has pain in the
triangular depression on the dorsum of the hand at the base of the thumb, and x-
ray indicates fracture. what is this area called?
small box, scaphoid fracture
locate the PMI
left 5th intercostal space located 7 to 9 cm lateral to the sternum
patient c/o pain while chewing gum, you suspect?
TMJD
which part of your patient's assessment would you document occupation and
education?
social history
Your patient c/o an overwhelming sadness with a loss of interest for the past few
months, what would you DDX be?
major depression
patient c/o constipation for past several months, what would you ask in your
assessment about medications?
opioids/antidepressants, anticholinergic medications,, antihypertensives,
antihistamines, calcium or iron supplements. diuretics/anticonvulsants/antiacids
containing aluminum
patient c/o constipation for past several months, what would you ask in your
assessment about medical history?
