NURS 502 MIDTERM EXAM LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
An 82-year-old African-American woman presents to clinic for a
regular check-up. She reports a gradual loss of vision over the
past year. She is basically healthy and has no major chronic
conditions. She states that early on she felt that she was "looking
down a tunnel." Now, she reports "having a hard time making
things focus." She reports that many women in her family have
had visual problems. On careful examination of the fundi, you
observe an enlarged optic cup that appears to cover much of the
optic disc. The remainder of the fundoscopic examination is
unremarkable. Which of the following is the best next step in
management?
Tell the patient she has cataracts and there is nothing to do.
Refer to a diabetes subspecialist.
Tell the patient she most likely has macular degeneration.
Refer to an ophthalmologist for likely primary open-angle
glaucoma.
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Reassure her that this is normal aging. - ANSWER-Refer to an
ophthalmologist for likely primary open-angle glaucoma.
A 21-year-old man complains of flashing lights in his right eye,
and also moving shadows that cross his visual field he thinks also
in his right eye. His eye examination is normal although he has
some visual loss (myopia) in his right eye. What is the next best
step in management?
Refer to an optometrist for glasses.
Refer to an ophthalmologist appointment immediately for potential
newly detached vitreous or another urgent pathology.
Make an appointment to see him again in a month.
Schedule him for a mental health evaluation.
Re-examine his eyes after giving him some time to calm down. -
ANSWER-Refer to an ophthalmologist appointment immediately
for potential newly detached vitreous or another urgent pathology.
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A college student with no significant past medical history presents
to a university clinic for a routine wellness visit. Which of the
following is a critical step in the examination of the eye?
1. Holding the ophthalmoscope with your right hand to examine
the patient's right eye, and with your left hand to examine the
patient's left eye.
2. Lying the patient down to minimize movements.
3. Turning the ophthalmoscope lens disc to the maximum number.
4. Dilating the eyes.
5. Keeping the lights on to mimic the natural situation. -
ANSWER-1. Holding the ophthalmoscope with your right hand to
examine the patient's right eye, and with your left hand to
examine the patient's left eye
A 16-year-old girl presents to clinic with an earache. Which of the
following is a useful maneuver to optimize visualization of the ear
canal and ear drum?
1. Pull the tragus downward.
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2. Hold the otoscope between your thumb and forefingers and
brace your hand against the patient's face.
3. Brush against the ear canal with your speculum as you insert it,
so that the patient suspects what is going on.
4. Have the patient lie down.
5. Insert the speculum rapidly in and out of the ear to minimize the
time it is sitting in the ear canal. - ANSWER-2. Hold the otoscope
between your thumb and forefingers and brace your hand against
the patient's face.
A 62-year-old male attending physician presents for evaluation of
a three-day rash on the right anterior chest wall. The rash is
associated with intermittent sharp, lightning-like pain that is not
caused or relieved by position or activity and ranks as an 8 on a
scale of 10. Past medical history includes tonsillectomy at age
three for recurrent strep throat, chicken pox at age eight, and an
uncomplicated appendectomy at age 19. He is otherwise healthy
and takes no medications. As the patient and provider are both in
agreement that this is most likely shingles, which of the following
rashes are expected on this patient?