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NUR 634 Midterm Study Guide 2025–2026 | Advanced Clinical Assessment | Complete Review + Practice Rationales

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This NUR 634 Midterm Study Guide (2025–2026 Updated Edition) provides a complete, professionally structured review of the most critical clinical concepts required for success in advanced nursing practice. Designed for graduate-level nursing students, this guide includes clear explanations, clinical decision-making strategies, and high-yield summaries based on real-world patient scenarios. Topics include: Advanced patient assessment techniques Respiratory and cardiac symptom interpretation GI disorders and evidence-based management Communication strategies for complex or erratic patients Ocular findings and differential diagnosis Clinical reasoning and prioritization Provider–patient interaction and therapeutic communication Safety-based decision-making Pathophysiology applied to clinical practice This study guide is perfect for students preparing for the NUR 634 Midterm, clinical rotations, or advanced assessment courses. Written in concise, exam-focused language to ensure maximum retention and strong exam performance. Ideal for: Nurse Practitioner students, MSN programs, clinical assessment learners, and anyone wanting a clear, organized, and highly effective review tool.

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NUR 634 MIDTERM TEST EXAM COMPLETELY
UPDATED 2025–2026 EDITION | VERIFIED
QUESTIONS & 100% ACCURATE ANSWERS |
GUARANTEED A+ PERFORMANCE
erratic patient telling you all personal information; what should you do?

summarize what the patient is here for to clarify her needs




Pt complains of SOB and coughing at night. Upon examination you hear wheezing
upon expiration?

asthma




Patient presents with blood around the eyes, denies pain, trauma. Starting this
morning, nothing makes it better or worse. Coughed all night long.

subconjunctival hemorrhage




patient diagnosed with GERD. what education do you provide about foods?

avoid spicy, fatty, acidic, sweets and caffeine

,2|Page


what type of meal should you have with GERD?

reduced meal size




what should you avoid with GERD?

tight clothing, avoid bending/stooping after meals, avoid recumbence until 2 hours
after meal




how should you sleep with GERD

HOB elevated with entire chest up




what lifestyle choices to make with GERD

smoking cessation and reduce alcohol




dull lung sound on percussion

consolidated pneumonia, unilateral or bilateral




what is the normal physiological change in vision in the elderly?

,3|Page


presbyopia (near sited?)




patient complains of being sick, upon physical examination, nodules behind the
sternocleidomatoid. what lymph nodes are inflamed?

posterior cervical lymph nodes




female c/o being tiredness, and body has been hurting for two months. what do you
suspect?

depression




patient c/o double vision out of one eye. what CN is affected?

CN 3




patient c/o elbow pain that runs along medial epicondylitis and pain increases
when wrist is extended. What do you suspect?

golfer's elbow

, 4|Page


pain at lateral epicondyle. what do you suspect?

tennis elbow




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




disc to cup ratio?

1:3




if your patient has a cup to disc ratio of 1:2, what DDX would you consider?

glaucoma




patient c/o chest pain, sharp, intermittent, pain increases with breathing. Tylenol
not relieving pain, tightness that does not radiate. Patient is smoker. what is your
DDX?

angina

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