Page 1 of 45
2025/2026 NUR634 – MIDTERM EXAM CURRENTLY
TESTING QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED) /GUARANTEED PASS/ TOP-
RATED A+.
NUR634
Ace your NUR634 Midterm Exam with this targeted guide,
designed to master advanced health assessment, diagnostic
reasoning, and clinical decision-making for primary care
settings. This resource delivers scenario-based practice
questions that build competency in patient evaluation and
management.
Upon auscultating someone's lungs there is decreased air
movement and high pitch expiratory whistling. What
diagnosis is at the top of the list? ...... ANSWER .......
Asthma
What can you do if someone comes in, is distracted, and
needs redirecting ...... ANSWER ....... Summarize why
the patient is here and the plan
A patient presents with a bloody left eye. What questions
should you ask? ...... ANSWER ....... • Injury or trauma?
No
, Page 2 of 45
• Sneezing or coughing? No
• BP? Normal
• Changes in vision, double vision, visual disturbances?
No
• Blood thinners? No
• Headaches? No
• Eye hemorrhage from vomiting after drinking alcohol =
subconjunctival hemorrhage
What eye disorders are normal in geriatric patients? ......
ANSWER ....... • Cataracts: no
• Glaucoma: no
• Macular degeneration: no (common but not expected)
• Presbyopia (near sighted): yes
The proper way to start an initial consult ...... ANSWER
....... 1. Introduce yourself
2. Establish rapport
3. Ask for the chief complaint
, Page 3 of 45
Which lymph nodes are behind the sternoclavicular
mastoid? ...... ANSWER ....... Posterior cervical lymph
nodes
A woman comes in with vague complaints: muscle ache, not
sleeping well. What diagnosis is probable? ...... ANSWER
....... Depression (always have a psych differential for
vague symptoms)
A patient with a history of GERD is being assessed. What
education should be provided? ...... ANSWER ....... •
Eliminate spicy food
• Eliminate acid foods
• They should avoid eating late at night
If a patient has blurred vision while covering one eye, what
CN is involved? ...... ANSWER ....... CN III - Oculomotor
(blurred vision or double vision = CN III)
Medial epicondyle and lateral epicondyle, what are the two
disorders that happen with the elbow? ...... ANSWER .......
• Lateral: swinging back (tennis)
• Medial: swinging forward (golf)
, Page 4 of 45
Percussion on lungs sound dull, what are differentials? ......
ANSWER ....... • Consolidation (pneumonia)
• Could be bilateral, depending on location
If a patient has a large lump on the back and the I&D has
cheesy like substance. What is it? ...... ANSWER .......
Sebaceous cyst
What is the normal cup to disk ratio in a normal eye exam?
...... ANSWER ....... 1:3
If the cup to disk ratio is 1:2, what is suspected? ......
ANSWER ....... Glaucoma
One differential to diagnose chest pain that does not radiate
...... ANSWER ....... Angina
A patient losses all vision in one eye, differentials? ......
ANSWER ....... • Retinal detachment (painless)
• Optic neuritis (painful)
2025/2026 NUR634 – MIDTERM EXAM CURRENTLY
TESTING QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED) /GUARANTEED PASS/ TOP-
RATED A+.
NUR634
Ace your NUR634 Midterm Exam with this targeted guide,
designed to master advanced health assessment, diagnostic
reasoning, and clinical decision-making for primary care
settings. This resource delivers scenario-based practice
questions that build competency in patient evaluation and
management.
Upon auscultating someone's lungs there is decreased air
movement and high pitch expiratory whistling. What
diagnosis is at the top of the list? ...... ANSWER .......
Asthma
What can you do if someone comes in, is distracted, and
needs redirecting ...... ANSWER ....... Summarize why
the patient is here and the plan
A patient presents with a bloody left eye. What questions
should you ask? ...... ANSWER ....... • Injury or trauma?
No
, Page 2 of 45
• Sneezing or coughing? No
• BP? Normal
• Changes in vision, double vision, visual disturbances?
No
• Blood thinners? No
• Headaches? No
• Eye hemorrhage from vomiting after drinking alcohol =
subconjunctival hemorrhage
What eye disorders are normal in geriatric patients? ......
ANSWER ....... • Cataracts: no
• Glaucoma: no
• Macular degeneration: no (common but not expected)
• Presbyopia (near sighted): yes
The proper way to start an initial consult ...... ANSWER
....... 1. Introduce yourself
2. Establish rapport
3. Ask for the chief complaint
, Page 3 of 45
Which lymph nodes are behind the sternoclavicular
mastoid? ...... ANSWER ....... Posterior cervical lymph
nodes
A woman comes in with vague complaints: muscle ache, not
sleeping well. What diagnosis is probable? ...... ANSWER
....... Depression (always have a psych differential for
vague symptoms)
A patient with a history of GERD is being assessed. What
education should be provided? ...... ANSWER ....... •
Eliminate spicy food
• Eliminate acid foods
• They should avoid eating late at night
If a patient has blurred vision while covering one eye, what
CN is involved? ...... ANSWER ....... CN III - Oculomotor
(blurred vision or double vision = CN III)
Medial epicondyle and lateral epicondyle, what are the two
disorders that happen with the elbow? ...... ANSWER .......
• Lateral: swinging back (tennis)
• Medial: swinging forward (golf)
, Page 4 of 45
Percussion on lungs sound dull, what are differentials? ......
ANSWER ....... • Consolidation (pneumonia)
• Could be bilateral, depending on location
If a patient has a large lump on the back and the I&D has
cheesy like substance. What is it? ...... ANSWER .......
Sebaceous cyst
What is the normal cup to disk ratio in a normal eye exam?
...... ANSWER ....... 1:3
If the cup to disk ratio is 1:2, what is suspected? ......
ANSWER ....... Glaucoma
One differential to diagnose chest pain that does not radiate
...... ANSWER ....... Angina
A patient losses all vision in one eye, differentials? ......
ANSWER ....... • Retinal detachment (painless)
• Optic neuritis (painful)
