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NURS 634 Midterm Exam/100 Questions and answers A+ Rated
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NURS 634 Midterm Exam/100 Questions and answers A+ Rated
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NURS 634 Midterm Exam/100 Questionsand answers A+ Rated
Upon auscultating someone's lungs there is decreased air movement and
high pitch expiratory whistling. What diagnosis is at the top of the list? - -
Asthma
-What can you do if someone comes in, is distracted, and needs redirecting -
-Summarize why the patient is here and the plan
-A patient presents with a bloody left eye. What questions should you ask? -
-• 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? - -• Cataracts: no
• Glaucoma: no
• Macular degeneration: no (common but not expected)
• Presbyopia (near sighted): yes
-The proper way to start an initial consult - -1. Introduce yourself
2. Establish rapport
3. Ask for the chief complaint
-Which lymph nodes are behind the sternoclavicular mastoid? - -Posterior
cervical lymph nodes
-A woman comes in with vague complaints: muscle ache, not sleeping well.
What diagnosis is probable? - -Depression (always have a psych differential
for vague symptoms)
-A patient with a history of GERD is being assessed. What education should
be provided? - -• 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?
- -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? - -• Lateral: swinging back (tennis)
• Medial: swinging forward (golf)
-Percussion on lungs sound dull, what are differentials? - -• 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? - -Sebaceous cyst
-What is the normal cup to disk ratio in a normal eye exam? - -1:3
-If the cup to disk ratio is 1:2, what is suspected? - -Glaucoma
-One differential to diagnose chest pain that does not radiate - -Angina
-A patient losses all vision in one eye, differentials? - -• Retinal detachment
(painless)
• Optic neuritis (painful)
-A spot between the wrist and thumb has palpation tenderness, what bone is
suspected to have an injury? - -Scaphoid injury
-Landmarks for Point of Maximal Impulse (PMI) - -5th ICS and mid clavicular
line
-What questions should be asked when a patient presents with jaw pain? - -
• 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 - -TMJD
-You're taking a patient's history and they have a nursing degree, what
section would you document that under? - -Social
-A young elementary school girl has hair falling out. What questions are you
asking? - -• 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?
- -Esophageal varices
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