NUR 634 midterm Exam with complete solutions
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1. erratic patient telling you all personal information; what should you do?: sum-
marize what the patient is here for to clarify her needs
2. Pt complains of SOB and coughing at night. Upon examination you hear
wheezing upon expiration?: asthma
3. Patient presents with blood around the eyes, denies pain, trauma. Starting
this morning, nothing makes it better or worse. Coughed all night long.: subcon-
junctival hemorrhage
4. patient diagnosed with GERD. what education do you provide about foods?-
: avoid spicy, fatty, acidic, sweets and catteine
5. what type of meal should you have with GERD?: reduced meal size
6. what should you avoid with GERD?: tight clothing, avoid bending/stooping after meals, avoid
recumbence until 2 hours after meal
7. how should you sleep with GERD: HOB elevated with entire chest up
8. what lifestyle choices to make with GERD: smoking cessation and reduce alcohol
9. dull lung sound on percussion: consolidated pneumonia, unilateral or bilateral
10. what is the normal physiological change in vision in the elderly?: presbyopia (near
sited?)
11. patient complains of being sick, upon physical examination, nodules behind
the sternocleidomatoid. what lymph nodes are inflamed?: posterior cervical lymph nodes
12. female c/o being tiredness, and body has been hurting for two months. what
do you suspect?: depression
13. patient c/o double vision out of one eye. what CN is affected?: CN 3
14. patient c/o elbow pain that runs along medial epicondylitis and pain increas-
es when wrist is extended. What do you suspect?: golfer's elbow
15. pain at lateral epicondyle. what do you suspect?: tennis elbow
, BRAINSCAPE1
16. 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
17. disc to cup ratio?: 1:3
18. if your patient has a cup to disc ratio of 1:2, what DDX would you consider?-
: glaucoma