NUR 634 FINAL EXAM NEWEST ACTUAL EXAM COMPLETE ALL
200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Question 1
A 72-year-old male patient complains of bilateral knee pain. During assessment, the nurse
practitioner observes stumbling specifically during the heel strike phase of gait. This finding is
most suggestive of which of the following?
A) Hamstring tightness
B) Meniscal tear
C) Iliotibial band syndrome
D) Quadriceps weakness or abnormal patellar tracking
E) Ankle instability
Correct Answer: D) Quadriceps weakness or abnormal patellar tracking
Rationale: Stumbling during heel strike, particularly in an older adult with knee pain, indicates
difficulty with knee extension and stability during weight-bearing. This often points to
quadriceps weakness, which compromises the ability to control knee flexion upon heel strike,
or abnormal patellar tracking, which can lead to instability and pain in the anterior knee during
gait.
Question 2
A 14-year-old student presents to the clinic with a 3-month history 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 strongly suggest asthma?
A) Rhonchi
B) Crackles
, C) Stridor
D) Wheezing
E) Pleural rub
Correct Answer: D) Wheezing
Rationale: Wheezing is a high-pitched, whistling sound produced by air flowing through
narrowed airways, which is characteristic of asthma during exacerbations, especially on
exhalation.
Question 3
A 75-year-old female in good health presents to a nurse practitioner. She takes no medications
but has been told in the past her blood pressure is high. Which one of the following findings is
consistent with the normal aging process and is NOT a sign of cardiovascular disease?
A) New onset angina
B) Aortic stenosis murmur
C) Stiffened ventricles (valvular changes)
D) Significant decrease in exercise tolerance
E) Unexplained syncope
Correct Answer: C) Stiffened ventricles (valvular changes)
Rationale: While significant valvular disease is pathological, age-related changes such as mild
stiffening of the ventricles and some valvular degeneration (e.g., sclerosis) can occur as part of
the normal aging process without necessarily indicating overt cardiovascular disease. Other
options like angina, significant exercise intolerance, and syncope are signs of disease.
200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Question 1
A 72-year-old male patient complains of bilateral knee pain. During assessment, the nurse
practitioner observes stumbling specifically during the heel strike phase of gait. This finding is
most suggestive of which of the following?
A) Hamstring tightness
B) Meniscal tear
C) Iliotibial band syndrome
D) Quadriceps weakness or abnormal patellar tracking
E) Ankle instability
Correct Answer: D) Quadriceps weakness or abnormal patellar tracking
Rationale: Stumbling during heel strike, particularly in an older adult with knee pain, indicates
difficulty with knee extension and stability during weight-bearing. This often points to
quadriceps weakness, which compromises the ability to control knee flexion upon heel strike,
or abnormal patellar tracking, which can lead to instability and pain in the anterior knee during
gait.
Question 2
A 14-year-old student presents to the clinic with a 3-month history 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 strongly suggest asthma?
A) Rhonchi
B) Crackles
, C) Stridor
D) Wheezing
E) Pleural rub
Correct Answer: D) Wheezing
Rationale: Wheezing is a high-pitched, whistling sound produced by air flowing through
narrowed airways, which is characteristic of asthma during exacerbations, especially on
exhalation.
Question 3
A 75-year-old female in good health presents to a nurse practitioner. She takes no medications
but has been told in the past her blood pressure is high. Which one of the following findings is
consistent with the normal aging process and is NOT a sign of cardiovascular disease?
A) New onset angina
B) Aortic stenosis murmur
C) Stiffened ventricles (valvular changes)
D) Significant decrease in exercise tolerance
E) Unexplained syncope
Correct Answer: C) Stiffened ventricles (valvular changes)
Rationale: While significant valvular disease is pathological, age-related changes such as mild
stiffening of the ventricles and some valvular degeneration (e.g., sclerosis) can occur as part of
the normal aging process without necessarily indicating overt cardiovascular disease. Other
options like angina, significant exercise intolerance, and syncope are signs of disease.
