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NUR 634 FINAL EXAM QUESTIONS WITH ACTUAL CORRECT DETAILED ANSWERS

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NUR 634 FINAL EXAM QUESTIONS WITH ACTUAL CORRECT DETAILED ANSWERS NUR 634 FINAL EXAM QUESTIONS WITH ACTUAL CORRECT DETAILED ANSWERS NUR 634 FINAL EXAM QUESTIONS WITH ACTUAL CORRECT DETAILED ANSWERS NUR 634 FINAL EXAM QUESTIONS WITH ACTUAL CORRECT DETAILED ANSWERS NUR 634 FINAL EXAM QU...

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CURRENTLY TESTING SOLUTIONS OF NUR 634 FINAL EXAM
QUESTIONS WITH ACTUAL CORRECT DETAILED ANSWERS

72-year-old M pt complains of bilateral knee pain. the NP assess stumbling during heel strike suggestive
of? - ANSWER-quadracep weakness or abnormal patellar tracking

14 y/o student comes to clinical for a 3-month hx of dyspnea when playing basketball. the dyspnea
resolves shortly after resting. There is no fever, chills, cough sputum, chest pain, or serious illness.
Asthma is suspected. Which of the following sounds heard on exhalation would suggest asthma? -
ANSWER-wheezing

75 y/o F in good health presents to a NP. she takes no medications but has been told in the past her BP is
high. which one of the following findings is consistent with normal aging process and is not a sign of CV
disease? - ANSWER-murmur, stiffened ventricles (valvular changes)

An older adult M complains of feeling something in his L scrotum. On palpitation, soft, and moveable
blood vessels that feel like a bag of warms are noted underneath the scrotal skin. the testicles are not
swollen or red; what is likely the diagnosis? - ANSWER-varicocele-varicose vein of spermatic cord

Kyphosis is a late sign of? - ANSWER-?

Parents generally bring children for health. At what age should the provider begin to question the child
him or herself regarding presenting symptoms? - ANSWER->6 ?

The bulge sign and the balloon sign may be present where there is a/an? - ANSWER-Patellar effusion-
fluid in the knee. Swelling in suprapatellar pouch, bulge confirms presence of fluid as you move join from
side to side.

The cremasteric reflex is elicited by: - ANSWER-Cremasteric reflex is a superficial reflex seen in males,
light stroking or poking the medical part of thigh regardless of the direction of the stroke.

,Stimulation of moro reflex? - ANSWER-Scare in baby. Spread of arms (abduct), fingers spread, legs
extend. Gently lift head and release babv so that they feel like they are falling. Absence of this suggest
damage to brain or spinal cord. one side absent-brachial plexus injury.

The two most important components of the eye exam for young child? - ANSWER-I think: motility,
hirschberg light reflex. use toys and make it fun.

Indication of crepitus - ANSWER-common sign of bone fx or RA. in lungs-subcutaneous emphysema
(trapped air under skin)

Retention Cysts - ANSWER-tumor like accumulation of secretions formed when the outlet of secreting
gland is obstructed. can develop in breast, pancreas, kidney, mucus membrane. Small sac of mucus that
forms when mucus duct becomes blocked. yellowish blge and should be drained

GCS - ANSWER-measures LOC, eye opening, motor response, verbal response. 3-15

Assessment of CN XI - ANSWER-Spinal accessory nerve, shrug shoulders

Assessment of egophony? - ANSWER-Say "e" and sounds like "a"= egophony. Suggests consolidation,
pleural effusion, pneumonia.

The FNP will be able to assess the splitting of s2 in which location? - ANSWER-2nd ICS L sternal boarder

A 42 y/o healthy F requests an MRI rather than mammogram. no hx of family ca. which of the following
is true about MRI as a screening modality for breast ca in the general population? - ANSWER-accurate by
high false positive rate

Assessment of PAD - ANSWER-pain with walking but better at rest

Evaluation of corneal abrasion - ANSWER-Slit lamp exam= stain in eye.

, Assessment of urine analysis of UTI - ANSWER-there would NOT be proteins

assessment of stereognosis and graphesthesia - ANSWER-stereognosis: identify object without seeing or
hearing but by touch

graphesthesia: draw figure 8 on hand and can identify what was written

Assessment of risk factors for melanoma - ANSWER-ABCDE

A 35 y/o soccer player presents to urgent care with complain of swelling and pain on medial aspect of
right knee. on exam the knee is swollen and tender on the joint. to assess for possible injury to meniscus,
which maneuver will yield the best information for the NP. - ANSWER-mcMurrarys test, fully bend leg
and pull outward bow legged while externally rotating as you extend knee. Click or pain=+

The NP begins the exam of a 29 y/o female presenting for cough. noted is depression of the lower part of
the sternum. Which of the following best describes the appearance of the chest. - ANSWER-Pectus
excavatum "sunken in appearance". birth defect, cup shaped.

When examining the cervix of a 20 y/o female you note that most of the cervix is pink but there is a
small ring of dark red tissue surrounding the os. This is most likely? - ANSWER-Strawberry cervix- not
linked to Ca. Causes: hormones, pregnancy, PO birth control, and age (young,puberty)

Testing CN IX and X for a child - ANSWER-swallow and gag

say "ah" and stick tongue out to observe uvula and soft palate.

Describe McMurray's test - ANSWER-Assess for meniscus tear.

Lateral: pt supine w. knee completely flexed, old joint with one hand and foot in the other. rotate foot
internally while extending knee. click/pain=positive

medial: hold knee and fully bend leg and pull outward bow legged while externally rotating and
extending knee.

Bell's Palsy (facial nerve paralysis) - ANSWER-lesion on CN VII

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