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NUR 634 Midterm Exam 2024 Questions and Verified Answers, 100% Guarantee Pass
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Nur-634 Midterm.pdf file:///C:/Users/HP/Desktop/New%20folder/Nur-634%20MidtermNUR-634 MIDTERM EXAM
1. For which of the following patients would a comprehensive health history be
appropriate?
A. A new patient with the chief complaint of "I sprained my ankle"
B. An established patient with the chief complaint of "I have an upper respira- tory
infection"
C. A new patient with the chief complaint of "I am here to establish care"
D. A new patient with the chief complaint of "I cut my hand":
ANSWER C
Feedback: This patient is here to establish care, and because she is new to you, a comprehensive
health history is appropriate.
2. The following information is recorded in the health history: "The patient completed
8th grade. He currently lives with his wife and two children. He works on old cars on
the weekend. He works in a glass factory during the week." Which category does it
belong to?
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A. Chief complaint
B. Present illness
C. Personal and social history
D. Review of systems:
ANSWER C
Feedback: Personal and social history information includes educational level, family of origin,
current household status, personal interests, employment, religious beliefs, military history, and
lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual
preferences and history). All of this information is documented in this example
3. Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you press on
the rash, it doesn't blanch. What would you tell her regarding her rash?
A. It is likely to be related to her lupus.
B. It is likely to be related to an exposure to a chemical.
C. It is likely to be related to an allergic reaction.
D. It should not cause any problems.:
ANSWER A
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Feedback: A "palpable purpura" is usually associated with a vasculitis. This is an
inflammatory condition of the blood vessels often associated with systemic
rheumatic disease. It can cut off circulation to any portion of the body and can mimic
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many other diseases in this manner. While allergic and chemical exposures may be a possible
cause of the rash, this patient's SLE should make you consider vasculitis
4. Two weeks ago, Mary started a job which requires carrying 40-pound buck- ets. She
presents with elbow pain worse on the right. On examination, it hurts her elbows to
dorsiflex her hands against resistance when her palms face the floor. What condition does
she have?
A. Medial epicondylitis (golfer's elbow)
B. Olecranon bursitis
C. Lateral epicondylitis (tennis elbow)
D. Supracondylar fracture:
ANSWER C
Feedback: Mary's injury probably occurred by lifting heavy buckets with her palms down
(toward the bucket). This caused her chronic overuse injury at the lateral epicondyle. Medial
epicondylitis has reproducible pain when palmar flexion against resistance is performed and also
features tenderness over the involved epicondyle. Olecranon bursitis produces erythema and
swelling over the olecranon process. A supracondylar fracture of the humerus is a major injury
and would present more acutely.
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