NUR 634 Midterm Examination Answers
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NUR 634 Midterm Examination Answers
NUR 634 Midterm Examination
Answers
NUR 634 Midterm
Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
1. A) Subjective
2. B) Objective
Which is the proper sequence of examination for the abdomen?
,1. A) Auscultation, inspection, palpation, percussion
2. B) Inspection, percussion, palpation, auscultation
3. C) Inspection, auscultation, percussion, palpation
4. D) Auscultation, percussion, inspection, palpation
Mrs. R. is a 92-year-old retired teacher who comes to your clinic
accompanied by her daughter. You ask Mrs. R. why she came to your
clinic today. She looks at her daughter and doesn’t say anything in
response to your question. This is an example of which type of
challenging patient?
1. A) Talkative patient
2. B) Angry patient
3. C) Silent patient
4. D) Hearing-impaired patient
Which of the following is a clinical identifier of metabolic syndrome?
1. A) Waist circumference of 38 inches for a male
2. B) Waist circumference of 34 inches for a female
3. C) BP of 134/88 for a male
4. D) BP of 128/84 for a female
Bill, a 55-year-old man, presents with pain in his epigastrium which
lasts for 30 minutes or more at a time and has started recently.
Which of the following should be considered?
, 1. A) Peptic ulcer
2. B) Pancreatitis
3. C) Myocardial ischemia
4. D) All of the above
A 75-year-old retired teacher presents to your clinic, complaining of
severe, unrelenting anterior chest pain radiating to her back. She
describes it as if someone is “ripping out her heart.” It began less
than an hour ago. She states she is feeling very nauseated and may
pass out. She denies any trauma or recent illnesses. She states she
has never had pain like this before. Nothing seems to make the pain
better or worse. Her medical history consists of difficult-to-control
hypertension and coronary artery disease requiring two stents in the
past. She is a widow. She denies any alcohol, tobacco, or illegal drug
use. Her mother died of a stroke and her father died of a heart
attack. She has one younger brother who has had bypass surgery.
On examination you see an elderly female in a great deal of distress.
She is lying on the table, curled up, holding her left and right arms
against her chest and is restless, trying to find a comfortable
position. Her blood pressure is 180/110 in the right arm and 130/60
in the left arm, and her pulse is 120. Her right carotid pulse is
bounding but the left carotid pulse is weak. She is afebrile but her
respirations are 24 times a minute. On auscultation her lungs are
clear and her cardiac examination is unremarkable. You call EMS and
have her taken to the hospital’s ER for further evaluation.
What disorder of the chest best describes her symptoms?
1. A) Angina pectoris
2. B) Pericarditis
3. C) Dissecting aortic aneurysm
4. D) Pleural pain
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NUR 634 Midterm Examination Answers
NUR 634 Midterm Examination
Answers
NUR 634 Midterm
Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
1. A) Subjective
2. B) Objective
Which is the proper sequence of examination for the abdomen?
,1. A) Auscultation, inspection, palpation, percussion
2. B) Inspection, percussion, palpation, auscultation
3. C) Inspection, auscultation, percussion, palpation
4. D) Auscultation, percussion, inspection, palpation
Mrs. R. is a 92-year-old retired teacher who comes to your clinic
accompanied by her daughter. You ask Mrs. R. why she came to your
clinic today. She looks at her daughter and doesn’t say anything in
response to your question. This is an example of which type of
challenging patient?
1. A) Talkative patient
2. B) Angry patient
3. C) Silent patient
4. D) Hearing-impaired patient
Which of the following is a clinical identifier of metabolic syndrome?
1. A) Waist circumference of 38 inches for a male
2. B) Waist circumference of 34 inches for a female
3. C) BP of 134/88 for a male
4. D) BP of 128/84 for a female
Bill, a 55-year-old man, presents with pain in his epigastrium which
lasts for 30 minutes or more at a time and has started recently.
Which of the following should be considered?
, 1. A) Peptic ulcer
2. B) Pancreatitis
3. C) Myocardial ischemia
4. D) All of the above
A 75-year-old retired teacher presents to your clinic, complaining of
severe, unrelenting anterior chest pain radiating to her back. She
describes it as if someone is “ripping out her heart.” It began less
than an hour ago. She states she is feeling very nauseated and may
pass out. She denies any trauma or recent illnesses. She states she
has never had pain like this before. Nothing seems to make the pain
better or worse. Her medical history consists of difficult-to-control
hypertension and coronary artery disease requiring two stents in the
past. She is a widow. She denies any alcohol, tobacco, or illegal drug
use. Her mother died of a stroke and her father died of a heart
attack. She has one younger brother who has had bypass surgery.
On examination you see an elderly female in a great deal of distress.
She is lying on the table, curled up, holding her left and right arms
against her chest and is restless, trying to find a comfortable
position. Her blood pressure is 180/110 in the right arm and 130/60
in the left arm, and her pulse is 120. Her right carotid pulse is
bounding but the left carotid pulse is weak. She is afebrile but her
respirations are 24 times a minute. On auscultation her lungs are
clear and her cardiac examination is unremarkable. You call EMS and
have her taken to the hospital’s ER for further evaluation.
What disorder of the chest best describes her symptoms?
1. A) Angina pectoris
2. B) Pericarditis
3. C) Dissecting aortic aneurysm
4. D) Pleural pain
