NUR-634 Final Exam Questions and Correct
Answers Updated 20267/2027 | Graded A+ |
GCU
1. A 68-year-old retired postman presents to your clinic,
complaining of dull, intermittent left-sided chest pain over the last
few weeks. The pain occurs after he mows his lawn or chops wood.
He says that the pain radiates to the left side of his jaw but nowhere
else. He has felt light-headed and nauseated with the pain but has
had no other symptoms. He states when he sits down for several
minutes the pain goes away. Ibuprofen, Tylenol, and antacids have
not improved his symptoms. He reports no recent weight gain,
weight loss, fever, or night sweats. He has a past medical history of
high blood pressure and arthritis which he takes medications for. He
quit smoking 10 years ago after smoking one pack a day for 40
years. He denies any recent alcohol use and reports no drug use. He
is married and has two healthy children. His mother died of breast
cancer and his father died of a stroke. His younger brother has had
bypass surgery. On examination you find him healthy-appearing and
breathing comfortably. His blood pressure is 140/90 and he has a
pulse of 80. His head, eyes, ears, nose, and throat examinations are
unremarkable. His lungs have normal breath sounds and there are no
abnormalities with percussion and palpation of the chest. His heart
has a regular S1 and S2 and no S3 or S4. Further workup is pending.
Which disorder of the chest best describes these symptoms?
• Angina pectoris
• Pericarditis
,• Dissecting aortic aneurysm
• Pleural pain
• Question Points: 1..0
• How should you determine whether a murmur is systolic or
diastolic?
• Palpate the carotid pulse.
• Palpate the radial pulse.
• Judge the relative length of systole and diastole by auscultation.
• Correlate the murmur with a bedside heart monitor.
• Question Points: 0..0
• A 26-year-old white female presents to your clinic at 38 weeks,
complaining of intermittent contractions. They last for 30 seconds
and are coming every 10 minutes. Her prenatal course has so far
been uneventful. You send her to labor and delivery for a labor
assessment. On vaginal examination, she has effaced 4 cm, but you
cannot feel a presenting part. You admit her for active labor;
however, you wish to assess if she is vertex (baby's head is down),
so you do the Leopold's maneuver. Palpating the upper pole with
, your hands, you feel a firm round mass. Placing your hand along the
right side of her abdomen, you feel a smooth firmness. Palpating
your other hand along the left side of her abdomen, you feel
irregular bumps. Above the pelvic brim you feel a firm irregular
mass. While awaiting ultrasound to confirm your diagnosis, you
write the pertinent orders.
How is this fetus presenting?
• Vertex
• Breech
• Transverse
• Anteverted
• Question Points: 1..0
• A 29-year-old homemaker who is G4P3 presents to your clinic for
her first
prenatal check. Her last period was 2 months ago. She has had three
previous pregnancies and deliveries with no complications. She has
no medical problems and has had no surgeries. Her only current
complaint is of severe reflux that occurs in the mornings and
evenings. On examination she is in no acute distress. Her vitals are
110/70 with a pulse of 88. Her respirations are 16. Her head, eyes,
ears, nose, throat, thyroid, cardiac, pulmonary, and abdominal
examinations are unremarkable. On bimanual examination her cervix
is soft and her uterus is 10 weeks in size. Pap smear, cultures, and
blood work are pending.
, What is the most likely cause of her first-trimester reflux?
• Increasing prolactin levels
• Increasing ADH (antidiuretic hormone) levels
• Increasing progesterone
• Enlarged gravid uterus
• Question Points: 0..0
• A patient is assigned a visual acuity of 20/100 in her left eye.
Which of the following is true?
• She obtains a 20% correct score at 100 feet.
• She can accurately name 20% of the letters at 20 feet.
• She can see at 20 feet what a normal person could see at 100 feet.
• She can see at 100 feet what a normal person could see at 20 feet.
• Question Points: 1..0
• A 50-year-old realtor presents to your office for evaluation of neck
pain. She
Answers Updated 20267/2027 | Graded A+ |
GCU
1. A 68-year-old retired postman presents to your clinic,
complaining of dull, intermittent left-sided chest pain over the last
few weeks. The pain occurs after he mows his lawn or chops wood.
He says that the pain radiates to the left side of his jaw but nowhere
else. He has felt light-headed and nauseated with the pain but has
had no other symptoms. He states when he sits down for several
minutes the pain goes away. Ibuprofen, Tylenol, and antacids have
not improved his symptoms. He reports no recent weight gain,
weight loss, fever, or night sweats. He has a past medical history of
high blood pressure and arthritis which he takes medications for. He
quit smoking 10 years ago after smoking one pack a day for 40
years. He denies any recent alcohol use and reports no drug use. He
is married and has two healthy children. His mother died of breast
cancer and his father died of a stroke. His younger brother has had
bypass surgery. On examination you find him healthy-appearing and
breathing comfortably. His blood pressure is 140/90 and he has a
pulse of 80. His head, eyes, ears, nose, and throat examinations are
unremarkable. His lungs have normal breath sounds and there are no
abnormalities with percussion and palpation of the chest. His heart
has a regular S1 and S2 and no S3 or S4. Further workup is pending.
Which disorder of the chest best describes these symptoms?
• Angina pectoris
• Pericarditis
,• Dissecting aortic aneurysm
• Pleural pain
• Question Points: 1..0
• How should you determine whether a murmur is systolic or
diastolic?
• Palpate the carotid pulse.
• Palpate the radial pulse.
• Judge the relative length of systole and diastole by auscultation.
• Correlate the murmur with a bedside heart monitor.
• Question Points: 0..0
• A 26-year-old white female presents to your clinic at 38 weeks,
complaining of intermittent contractions. They last for 30 seconds
and are coming every 10 minutes. Her prenatal course has so far
been uneventful. You send her to labor and delivery for a labor
assessment. On vaginal examination, she has effaced 4 cm, but you
cannot feel a presenting part. You admit her for active labor;
however, you wish to assess if she is vertex (baby's head is down),
so you do the Leopold's maneuver. Palpating the upper pole with
, your hands, you feel a firm round mass. Placing your hand along the
right side of her abdomen, you feel a smooth firmness. Palpating
your other hand along the left side of her abdomen, you feel
irregular bumps. Above the pelvic brim you feel a firm irregular
mass. While awaiting ultrasound to confirm your diagnosis, you
write the pertinent orders.
How is this fetus presenting?
• Vertex
• Breech
• Transverse
• Anteverted
• Question Points: 1..0
• A 29-year-old homemaker who is G4P3 presents to your clinic for
her first
prenatal check. Her last period was 2 months ago. She has had three
previous pregnancies and deliveries with no complications. She has
no medical problems and has had no surgeries. Her only current
complaint is of severe reflux that occurs in the mornings and
evenings. On examination she is in no acute distress. Her vitals are
110/70 with a pulse of 88. Her respirations are 16. Her head, eyes,
ears, nose, throat, thyroid, cardiac, pulmonary, and abdominal
examinations are unremarkable. On bimanual examination her cervix
is soft and her uterus is 10 weeks in size. Pap smear, cultures, and
blood work are pending.
, What is the most likely cause of her first-trimester reflux?
• Increasing prolactin levels
• Increasing ADH (antidiuretic hormone) levels
• Increasing progesterone
• Enlarged gravid uterus
• Question Points: 0..0
• A patient is assigned a visual acuity of 20/100 in her left eye.
Which of the following is true?
• She obtains a 20% correct score at 100 feet.
• She can accurately name 20% of the letters at 20 feet.
• She can see at 20 feet what a normal person could see at 100 feet.
• She can see at 100 feet what a normal person could see at 20 feet.
• Question Points: 1..0
• A 50-year-old realtor presents to your office for evaluation of neck
pain. She
