NUR 634 MIDTERM EXAM 2024-2025
ACTUAL EXAM 2 VERSIONS (VERSION
A AND B) COMPLETE ACCURATE
EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS AND
RATIONALES /ALREADY GRADED A+
A 55-year-old truck driver with obstructive sleep
apnea has diastolic heart failure. An echocardiogram
demonstrates significant bi-atrial enlargement. What
portion of his electrocardiogram would likely be
abnormal?
A. QRS complex
B. T wave
C. S wave
D. P wave
ANS: D
The P wave is the result of atrial depolarization and
would therefore have changes associated with atrial
enlargement.
,A 20-year-old college student is experiencing
dyspnea on exertion and palpitations. On cardiac
auscultation, the second heart sound is split and
fixed on both inspiration and expiration. What is the
most likely cardiac condition associated with this
finding?
A. Pulmonic stenosis
B. Left Bundle branch block
C. Right Bundle branch block
D. Atrial septal defect
E. Tricuspid stenosis
ANS: D
Patients with an atrial septal defect often experience
dyspnea as well as atrial arrhythmias. Fixed splitting
of the second heart sound occurs in atrial septal
defects and right heart failure and does not vary
with respiration.
How do you obtain the most accurate blood
pressures for a patient with atrial fibrillation?
A. Checking both arms twice in five minutes; take the
average
B. Ambulatory monitoring over time is best
C. Automated equipment is more accurate than
manual readings
D. Standard procedure; no different than other
cardiac rhythms
,ANS: B
What are the elements of the FIFE model for
interviewing a patient?
A. Feelings, idea, function, and expectation
B. Open ended questioning, re-direction
C. Focus, intensity, function, and evaluation
D. Focus, intensity, function, and emotion
ANS: A
Unilateral blurred and eye pain may be symptoms of
(Select all that apply)
A. Corneal ulcer
B. Acute glaucoma
C. Uveitis
D. Macular degeneration
E. Retinal detachment
ANS: A, B, C
Feedback: Corneal ulcer, acute glaucoma, and uveitis
are almost always accompanied by pain. Retinal
detachment is generally painless, as is chronic
glaucoma.
A 15-year-old high school sophomore presents to
the emergency room with his mother for evaluation
of an area of blood in the left eye. He denies trauma
or injury but has been coughing forcefully with a
recent cold. He denies visual disturbances, eye pain,
or discharge from the eye. On physical examination,
, the pupils are equal, round, and reactive to light,
with a visual acuity of 20/20 in each eye and 20/20
bilaterally. There is a homogeneous, sharply
demarcated area at the lateral aspect of the base of
the left eye. The cornea is clear. Based on this
description, what is the most likely diagnosis?
A. Conjunctivitis
B. Acute iritis
C. Corneal abrasion
D. Subconjunctival hemorrhage
ANS: D
Feedback: A subconjunctival hemorrhage is a
leakage of blood outside of the vessels, which
produces a homogenous, sharply demarcated bright
red area; it fades over several days, turning yellow,
then disappears. There is no associated eye pain,
ocular discharge, or changes in visual acuity; the
cornea is clear. Many times it is associated with
severe cough, choking, or vomiting, which increase
venous pressure. It is rarely caused by a serious
condition, so reassurance is usually the only
treatment necessary
What can make symptoms of GERD worse?
A. Coffee and carbonated drinks
B. Sleeping with HOB elevated
ACTUAL EXAM 2 VERSIONS (VERSION
A AND B) COMPLETE ACCURATE
EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS AND
RATIONALES /ALREADY GRADED A+
A 55-year-old truck driver with obstructive sleep
apnea has diastolic heart failure. An echocardiogram
demonstrates significant bi-atrial enlargement. What
portion of his electrocardiogram would likely be
abnormal?
A. QRS complex
B. T wave
C. S wave
D. P wave
ANS: D
The P wave is the result of atrial depolarization and
would therefore have changes associated with atrial
enlargement.
,A 20-year-old college student is experiencing
dyspnea on exertion and palpitations. On cardiac
auscultation, the second heart sound is split and
fixed on both inspiration and expiration. What is the
most likely cardiac condition associated with this
finding?
A. Pulmonic stenosis
B. Left Bundle branch block
C. Right Bundle branch block
D. Atrial septal defect
E. Tricuspid stenosis
ANS: D
Patients with an atrial septal defect often experience
dyspnea as well as atrial arrhythmias. Fixed splitting
of the second heart sound occurs in atrial septal
defects and right heart failure and does not vary
with respiration.
How do you obtain the most accurate blood
pressures for a patient with atrial fibrillation?
A. Checking both arms twice in five minutes; take the
average
B. Ambulatory monitoring over time is best
C. Automated equipment is more accurate than
manual readings
D. Standard procedure; no different than other
cardiac rhythms
,ANS: B
What are the elements of the FIFE model for
interviewing a patient?
A. Feelings, idea, function, and expectation
B. Open ended questioning, re-direction
C. Focus, intensity, function, and evaluation
D. Focus, intensity, function, and emotion
ANS: A
Unilateral blurred and eye pain may be symptoms of
(Select all that apply)
A. Corneal ulcer
B. Acute glaucoma
C. Uveitis
D. Macular degeneration
E. Retinal detachment
ANS: A, B, C
Feedback: Corneal ulcer, acute glaucoma, and uveitis
are almost always accompanied by pain. Retinal
detachment is generally painless, as is chronic
glaucoma.
A 15-year-old high school sophomore presents to
the emergency room with his mother for evaluation
of an area of blood in the left eye. He denies trauma
or injury but has been coughing forcefully with a
recent cold. He denies visual disturbances, eye pain,
or discharge from the eye. On physical examination,
, the pupils are equal, round, and reactive to light,
with a visual acuity of 20/20 in each eye and 20/20
bilaterally. There is a homogeneous, sharply
demarcated area at the lateral aspect of the base of
the left eye. The cornea is clear. Based on this
description, what is the most likely diagnosis?
A. Conjunctivitis
B. Acute iritis
C. Corneal abrasion
D. Subconjunctival hemorrhage
ANS: D
Feedback: A subconjunctival hemorrhage is a
leakage of blood outside of the vessels, which
produces a homogenous, sharply demarcated bright
red area; it fades over several days, turning yellow,
then disappears. There is no associated eye pain,
ocular discharge, or changes in visual acuity; the
cornea is clear. Many times it is associated with
severe cough, choking, or vomiting, which increase
venous pressure. It is rarely caused by a serious
condition, so reassurance is usually the only
treatment necessary
What can make symptoms of GERD worse?
A. Coffee and carbonated drinks
B. Sleeping with HOB elevated
