GRAND CANYON NUR 634 MIDTERM
REVIEW SUMMER 2025 QUESTIONS
& ANSWERS(RATED A+)
Where is the Point of Maximal Impulse (PMI) - ANSWER5th intercostal space, left
mid-clavicular line
What are Korotkoff sounds? - ANSWERthe sounds heard in the stethoscope while
taking blood pressure
Where is the aortic area of ausculation? - ANSWERR sternal border, 2nd intercostal
space
Where is the pulmonic area of ausculation? - ANSWERL sternal border, 2nd
intercostal space
Where is Erb's point? - ANSWERL sternal border, 3rd intercostal space
Where is the tricuspid area of auscultation? - ANSWERL sternal border, 4th
intercostal space
Where is the mitral area of auscultation? - ANSWERmidclavicular line, 5th intercostal
space
What is a normal PR interval? - ANSWER0.12-0.20 seconds
What is a normal QRS complex width? - ANSWER0.12 seconds
What is a normal QTC in females? - ANSWER460
What is a normal QTC for males? - ANSWER440
You see a Left Bundle Branch Block (LBBB) on EKG. You know it is a LBBB
because of which EKG abnormality? - ANSWERWide QRS (Greater than 0.12
seconds)
What is the order of assessment for the respiratory system? - ANSWERInspect,
Palpate, Percuss, Auscultate
What is the order of assessment for the GI system? - ANSWERInspect, Auscultate,
Percuss, Palpate
A patient states he has multiple readings of SBP in the 140s and is 145/80 in clinic.
You know you need two consecutive readings of HTN before initiating pharmacologic
treatment. Should you use the home readings, correlate them with your office
reading, and begin to treat for HTN? - ANSWERYES, home blood pressures count
, When interviewing a patient, you suspect a number of different diagnoses. You have
only gotten briefly into the interview and don't think the patient is in distress. How
should you figure out how to guide your assessment? - ANSWERContinue your
interview, ask for further symptoms and clarification
What 3 things stop an interview and require immediate referral to emergency
services? - ANSWERSuspected threat to life, limb, or eyesight
An erratic patient comes in complaining that "my hands are cold, my back hurts, my
nose runs, and my left pinky toe is bugging me." What should you do? -
ANSWERHelp guide her in the interview and narrow the focus
The USPSTF recommends colon cancer screening for adults between ages 45-75.
What would warrant screening starting at age 40? - ANSWERA patient with 1st
degree relative with colon CA
Who finds most melanomas: patients, patient spouses, or providers? -
ANSWERPatients do, often when looking in the mirror after a shower
Why has primary care been imperative in early detection of melanoma? -
ANSWERPrimary care providers need to educate patients on signs of melanoma
and encouraged to make an appointment for any new or suspicious leisons
The patient is having a hard time expressing her needs after a stroke. What does
she have? - ANSWERAphasia
In the NIH Stroke Exam, what is the purpose of having the patient repeat syllables
such as "Tip Top" or "Mama," what is it testing for? - ANSWERDysarthria
Patient presents with gait disturbances, nystagmus, and dysarthria. Where is the
leison? - ANSWERCerebellum
Are cranial nerves part of the central or peripheral nervous system? -
ANSWERPeripheral Nervous System
Patient complains of orthopnea in the review of symptoms. Where is it placed, CV or
respiratory? - ANSWERCV
Patient is having 10/10 pain all over and all physical causes have been ruled out.
What else may be causing her pain? - ANSWERPsychiatric issues
What is the first step in all provider exams? - ANSWERIntroduce oneself
What are the 5 A's? - ANSWERAsk, Assess, Advise, Assist, Arrange
REVIEW SUMMER 2025 QUESTIONS
& ANSWERS(RATED A+)
Where is the Point of Maximal Impulse (PMI) - ANSWER5th intercostal space, left
mid-clavicular line
What are Korotkoff sounds? - ANSWERthe sounds heard in the stethoscope while
taking blood pressure
Where is the aortic area of ausculation? - ANSWERR sternal border, 2nd intercostal
space
Where is the pulmonic area of ausculation? - ANSWERL sternal border, 2nd
intercostal space
Where is Erb's point? - ANSWERL sternal border, 3rd intercostal space
Where is the tricuspid area of auscultation? - ANSWERL sternal border, 4th
intercostal space
Where is the mitral area of auscultation? - ANSWERmidclavicular line, 5th intercostal
space
What is a normal PR interval? - ANSWER0.12-0.20 seconds
What is a normal QRS complex width? - ANSWER0.12 seconds
What is a normal QTC in females? - ANSWER460
What is a normal QTC for males? - ANSWER440
You see a Left Bundle Branch Block (LBBB) on EKG. You know it is a LBBB
because of which EKG abnormality? - ANSWERWide QRS (Greater than 0.12
seconds)
What is the order of assessment for the respiratory system? - ANSWERInspect,
Palpate, Percuss, Auscultate
What is the order of assessment for the GI system? - ANSWERInspect, Auscultate,
Percuss, Palpate
A patient states he has multiple readings of SBP in the 140s and is 145/80 in clinic.
You know you need two consecutive readings of HTN before initiating pharmacologic
treatment. Should you use the home readings, correlate them with your office
reading, and begin to treat for HTN? - ANSWERYES, home blood pressures count
, When interviewing a patient, you suspect a number of different diagnoses. You have
only gotten briefly into the interview and don't think the patient is in distress. How
should you figure out how to guide your assessment? - ANSWERContinue your
interview, ask for further symptoms and clarification
What 3 things stop an interview and require immediate referral to emergency
services? - ANSWERSuspected threat to life, limb, or eyesight
An erratic patient comes in complaining that "my hands are cold, my back hurts, my
nose runs, and my left pinky toe is bugging me." What should you do? -
ANSWERHelp guide her in the interview and narrow the focus
The USPSTF recommends colon cancer screening for adults between ages 45-75.
What would warrant screening starting at age 40? - ANSWERA patient with 1st
degree relative with colon CA
Who finds most melanomas: patients, patient spouses, or providers? -
ANSWERPatients do, often when looking in the mirror after a shower
Why has primary care been imperative in early detection of melanoma? -
ANSWERPrimary care providers need to educate patients on signs of melanoma
and encouraged to make an appointment for any new or suspicious leisons
The patient is having a hard time expressing her needs after a stroke. What does
she have? - ANSWERAphasia
In the NIH Stroke Exam, what is the purpose of having the patient repeat syllables
such as "Tip Top" or "Mama," what is it testing for? - ANSWERDysarthria
Patient presents with gait disturbances, nystagmus, and dysarthria. Where is the
leison? - ANSWERCerebellum
Are cranial nerves part of the central or peripheral nervous system? -
ANSWERPeripheral Nervous System
Patient complains of orthopnea in the review of symptoms. Where is it placed, CV or
respiratory? - ANSWERCV
Patient is having 10/10 pain all over and all physical causes have been ruled out.
What else may be causing her pain? - ANSWERPsychiatric issues
What is the first step in all provider exams? - ANSWERIntroduce oneself
What are the 5 A's? - ANSWERAsk, Assess, Advise, Assist, Arrange
