NUR 634 FINAL EXAM 2024 ACTUAL EXAM COMPLETE
200 QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
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
• 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
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)
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)
A spot between the wrist and thumb has palpation tenderness, what bone is
suspected to have an injury? - ANSWER: Scaphoid injury
Landmarks for Point of Maximal Impulse (PMI) - ANSWER: 5th ICS and mid clavicular
line
What questions should be asked when a patient presents with jaw pain? - ANSWER:
• Does it hurt when you open your mouth?
• Is there clicking?
• Is it bilateral or one side?
• Facial tenderness? (TMJ goes all the way to scalp)
Pain in the TMJ are is known as - ANSWER: TMJD
You're taking a patient's history and they have a nursing degree, what section would
you document that under? - ANSWER: Social
A young elementary school girl has hair falling out. What questions are you asking? -
ANSWER: • Are they stressed?
• Family history?
• Malnourished?
• Alopecia (if all other areas are normal)
A patient has spiderweb veins going up the neck, what is this indicative of? -
ANSWER: Esophageal varices
Which physical exam finding is consistent with meningitis? - ANSWER: Nuchal rigidity
200 QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
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
• 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
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)
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)
A spot between the wrist and thumb has palpation tenderness, what bone is
suspected to have an injury? - ANSWER: Scaphoid injury
Landmarks for Point of Maximal Impulse (PMI) - ANSWER: 5th ICS and mid clavicular
line
What questions should be asked when a patient presents with jaw pain? - ANSWER:
• Does it hurt when you open your mouth?
• Is there clicking?
• Is it bilateral or one side?
• Facial tenderness? (TMJ goes all the way to scalp)
Pain in the TMJ are is known as - ANSWER: TMJD
You're taking a patient's history and they have a nursing degree, what section would
you document that under? - ANSWER: Social
A young elementary school girl has hair falling out. What questions are you asking? -
ANSWER: • Are they stressed?
• Family history?
• Malnourished?
• Alopecia (if all other areas are normal)
A patient has spiderweb veins going up the neck, what is this indicative of? -
ANSWER: Esophageal varices
Which physical exam finding is consistent with meningitis? - ANSWER: Nuchal rigidity
