BRAINSCAPE1
NUR 634 Final Exam with complete
solutions latest version
72-year-old M pt complains of bilateral knee pain. the NP assess stumbling during heel
strike suggestive of? - CORRECT 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? - CORRECT ANSWER-wheezing
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? - CORRECT 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? -
CORRECT ANSWER-varicocele-varicose vein of spermatic cord
Kyphosis is a late sign of? - CORRECT ANSWER-?
Parents generally bring children for health. At what age should the provider begin to
question the child him or herself regarding presenting symptoms? - CORRECT
ANSWER->6 ?
The bulge sign and the balloon sign may be present where there is a/an? - CORRECT
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: - CORRECT 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.
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Stimulation of moro reflex? - CORRECT 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? - CORRECT
ANSWER-I think: motility, hirschberg light reflex. use toys and make it fun.
Indication of crepitus - CORRECT ANSWER-common sign of bone fx or RA. in lungs-
subcutaneous emphysema (trapped air under skin)
Retention Cysts - CORRECT 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 - CORRECT ANSWER-measures LOC, eye opening, motor response, verbal
response. 3-15
Assessment of CN XI - CORRECT ANSWER-Spinal accessory nerve, shrug shoulders
Assessment of egophony? - CORRECT 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? - CORRECT
ANSWER-2nd ICS L sternal boarder
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? - CORRECT ANSWER-accurate by high false positive rate
Assessment of PAD - CORRECT ANSWER-pain with walking but better at rest
Evaluation of corneal abrasion - CORRECT ANSWER-Slit lamp exam= stain in eye.
Assessment of urine analysis of UTI - CORRECT ANSWER-there would NOT be
proteins
assessment of stereognosis and graphesthesia - CORRECT 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 - CORRECT ANSWER-ABCDE
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
BRAINSCAPE1
NUR 634 Final Exam with complete
solutions latest version
72-year-old M pt complains of bilateral knee pain. the NP assess stumbling during heel
strike suggestive of? - CORRECT 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? - CORRECT ANSWER-wheezing
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? - CORRECT 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? -
CORRECT ANSWER-varicocele-varicose vein of spermatic cord
Kyphosis is a late sign of? - CORRECT ANSWER-?
Parents generally bring children for health. At what age should the provider begin to
question the child him or herself regarding presenting symptoms? - CORRECT
ANSWER->6 ?
The bulge sign and the balloon sign may be present where there is a/an? - CORRECT
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: - CORRECT 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.
BRAINSCAPE1
, BRAINSCAPE1
Stimulation of moro reflex? - CORRECT 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? - CORRECT
ANSWER-I think: motility, hirschberg light reflex. use toys and make it fun.
Indication of crepitus - CORRECT ANSWER-common sign of bone fx or RA. in lungs-
subcutaneous emphysema (trapped air under skin)
Retention Cysts - CORRECT 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 - CORRECT ANSWER-measures LOC, eye opening, motor response, verbal
response. 3-15
Assessment of CN XI - CORRECT ANSWER-Spinal accessory nerve, shrug shoulders
Assessment of egophony? - CORRECT 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? - CORRECT
ANSWER-2nd ICS L sternal boarder
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? - CORRECT ANSWER-accurate by high false positive rate
Assessment of PAD - CORRECT ANSWER-pain with walking but better at rest
Evaluation of corneal abrasion - CORRECT ANSWER-Slit lamp exam= stain in eye.
Assessment of urine analysis of UTI - CORRECT ANSWER-there would NOT be
proteins
assessment of stereognosis and graphesthesia - CORRECT 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 - CORRECT ANSWER-ABCDE
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
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