Nur 634 Final Exam Version 1
NUR 634 FINAL EXAM VERSION 1 NEWEST 2025 EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
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 joint. to assess for possible
injury to meniscus, which maneuver will yield the best information for the NP. - ANSWER-
mcMurrarys test, fully bend leg and pull outward bow legged while externally rotating as you
extend knee. Click or pain=+
The NP begins the exam of a 29 y/o female presenting for cough. noted is depression of the
lower part of the sternum. Which of the following best describes the appearance of the chest. -
ANSWER-Pectus excavatum "sunken in appearance". birth defect, cup shaped.
When examining the cervix of a 20 y/o female you note that most of the cervix is pink but there
is a small ring of dark red tissue surrounding the os. This is most likely? - ANSWER-Strawberry
cervix- not linked to Ca. Causes: hormones, pregnancy, PO birth control, and age
(young,puberty)
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? -
ANSWER-accurate by high false positive rate
72-year-old M pt complains of bilateral knee pain. the NP assess stumbling during heel strike
suggestive of? - ANSWER-quadracep weakness or abnormal patellar tracking
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? - ANSWER-wheezing
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, Nur 634 Final Exam Version 1
75 y/o F in good health presents to a NP. she takes no medications but has been told in the past
her BP is high. which one of the following findings is consistent with normal aging process and is
not a sign of CV disease? - ANSWER-murmur, stiffened ventricles (valvular changes)
An older adult M complains of feeling something in his L scrotum. On palpitation, soft, and
moveable blood vessels that feel like a bag of warms are noted underneath the scrotal skin. the
testicles are not swollen or red; what is likely the diagnosis? - ANSWER-varicocele-varicose vein
of spermatic cord
Parents generally bring children for health. At what age should the provider begin to question
the child him or herself regarding presenting symptoms? - ANSWER->6 ?
The bulge sign and the balloon sign may be present where there is a/an? - ANSWER-Patellar
effusion-fluid in the knee. Swelling in suprapatellar pouch, bulge confirms presence of fluid as
you move join from side to side.
The cremasteric reflex is elicited by: - ANSWER-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.
Stimulation of moro reflex? - ANSWER-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.
The two most important components of the eye exam for young child? - ANSWER-I think:
motility, hirschberg light reflex. use toys and make it fun.
Indication of crepitus - ANSWER-common sign of bone fx or RA. in lungs-subcutaneous
emphysema (trapped air under skin)
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, Nur 634 Final Exam Version 1
Retention Cysts - ANSWER-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
GCS - ANSWER-measures LOC, eye opening, motor response, verbal response. 3-15
Assessment of CN XI - ANSWER-Spinal accessory nerve, shrug shoulders
Assessment of egophony? - ANSWER-Say "e" and sounds like "a"= egophony. Suggests
consolidation, pleural effusion, pneumonia.
The FNP will be able to assess the splitting of s2 in which location? - ANSWER-2nd ICS L sternal
boarder
Assessment of PAD - ANSWER-pain with walking but better at rest
Evaluation of corneal abrasion - ANSWER-Slit lamp exam= stain in eye.
Assessment of urine analysis of UTI - ANSWER-there would NOT be proteins
assessment of stereognosis and graphesthesia - ANSWER-stereognosis: identify object without
seeing or hearing but by touch
graphesthesia: draw figure 8 on hand and can identify what was written
Assessment of risk factors for melanoma - ANSWER-ABCDE
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NUR 634 FINAL EXAM VERSION 1 NEWEST 2025 EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
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 joint. to assess for possible
injury to meniscus, which maneuver will yield the best information for the NP. - ANSWER-
mcMurrarys test, fully bend leg and pull outward bow legged while externally rotating as you
extend knee. Click or pain=+
The NP begins the exam of a 29 y/o female presenting for cough. noted is depression of the
lower part of the sternum. Which of the following best describes the appearance of the chest. -
ANSWER-Pectus excavatum "sunken in appearance". birth defect, cup shaped.
When examining the cervix of a 20 y/o female you note that most of the cervix is pink but there
is a small ring of dark red tissue surrounding the os. This is most likely? - ANSWER-Strawberry
cervix- not linked to Ca. Causes: hormones, pregnancy, PO birth control, and age
(young,puberty)
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? -
ANSWER-accurate by high false positive rate
72-year-old M pt complains of bilateral knee pain. the NP assess stumbling during heel strike
suggestive of? - ANSWER-quadracep weakness or abnormal patellar tracking
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? - ANSWER-wheezing
1|Page
, Nur 634 Final Exam Version 1
75 y/o F in good health presents to a NP. she takes no medications but has been told in the past
her BP is high. which one of the following findings is consistent with normal aging process and is
not a sign of CV disease? - ANSWER-murmur, stiffened ventricles (valvular changes)
An older adult M complains of feeling something in his L scrotum. On palpitation, soft, and
moveable blood vessels that feel like a bag of warms are noted underneath the scrotal skin. the
testicles are not swollen or red; what is likely the diagnosis? - ANSWER-varicocele-varicose vein
of spermatic cord
Parents generally bring children for health. At what age should the provider begin to question
the child him or herself regarding presenting symptoms? - ANSWER->6 ?
The bulge sign and the balloon sign may be present where there is a/an? - ANSWER-Patellar
effusion-fluid in the knee. Swelling in suprapatellar pouch, bulge confirms presence of fluid as
you move join from side to side.
The cremasteric reflex is elicited by: - ANSWER-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.
Stimulation of moro reflex? - ANSWER-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.
The two most important components of the eye exam for young child? - ANSWER-I think:
motility, hirschberg light reflex. use toys and make it fun.
Indication of crepitus - ANSWER-common sign of bone fx or RA. in lungs-subcutaneous
emphysema (trapped air under skin)
2|Page
, Nur 634 Final Exam Version 1
Retention Cysts - ANSWER-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
GCS - ANSWER-measures LOC, eye opening, motor response, verbal response. 3-15
Assessment of CN XI - ANSWER-Spinal accessory nerve, shrug shoulders
Assessment of egophony? - ANSWER-Say "e" and sounds like "a"= egophony. Suggests
consolidation, pleural effusion, pneumonia.
The FNP will be able to assess the splitting of s2 in which location? - ANSWER-2nd ICS L sternal
boarder
Assessment of PAD - ANSWER-pain with walking but better at rest
Evaluation of corneal abrasion - ANSWER-Slit lamp exam= stain in eye.
Assessment of urine analysis of UTI - ANSWER-there would NOT be proteins
assessment of stereognosis and graphesthesia - ANSWER-stereognosis: identify object without
seeing or hearing but by touch
graphesthesia: draw figure 8 on hand and can identify what was written
Assessment of risk factors for melanoma - ANSWER-ABCDE
3|Page
