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NUR 634 MIDTERM EXAM NEWEST ACTUAL EXAM COMPLETE ALL 100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ $27.49
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NUR 634 MIDTERM EXAM NEWEST 2024-
2025 ACTUAL EXAM COMPLETE ALL 100
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
NUR 634 MIDTERM EXAM
If a patient has splenomegaly, what sound would be heard when
percussing the left side of the abdomen?
A. Dullness
B. Tympany
C. Fremitus
D. Hyperactive bowel sounds - ANSWER- ANS: A
Which of the following percussion notes would you obtain over
the gastric bubble?
A. Resonance
B. Tympany
C. Hyperresonance
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D. Flatness - ANSWER- ANS: B
Rationale; : The gastric bubble produces one of the longest
percussion notes. A patient with COPD may have
hyperresonance over his chest, while a normal person would
have resonance. Dullness is heard over a normal liver, and
flatness is heard if one percusses a large muscle
Where is the point of maximal impulse (PMI) normally located?
A. In the left 5th intercostal space, 7 to 9 cm lateral to the
sternum
B. In the left 5th intercostal space, 10 to 12 cm lateral to the
sternum
C. In the left 5th intercostal space, in the anterior axillary line
D. In the left 5th intercostal space, in the midaxillary line -
ANSWER- ANS: A
Rationale; The PMI is usually located in the left 5th
intercostal space, 7 to 9 centimeters lateral to the sternal
border. If it is located more laterally, it usually represents
cardiac enlargement. Its size should not be greater than the
size of a US quarter, or about an inch. Left ventricular
enlargement should be suspected if it is larger. The PMI is
often the best place to listen for mitral valve murmurs as
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well as S3 and S4. The PMI is often difficult to feel in normal
patients.
A 62-year-old smoker complains of "coughing up small amounts
of blood," so you consider hemoptysis. Which of the following
should you also consider?
A. Intestinal bleeding
B. Hematoma of the nasal septum
C. Epistaxis
D. Bruising of the tongue - ANSWER- ANS: C
A patient complaining of hemoptysis what may warrant
consideration?
A. Upper GI Beed
B. Oral Bruising
C. Hematoma of nasal septum
D. Periungual infection - ANSWER- ANS: A
A 46-year-old executive who is obese and otherwise healthy
presents to a family medicine clinic with a 3-month course of
recurrent severe abdominal pain that usually resolves on its own
after a few hours. Her last episode was prolonged lasting 6
, 4|Page
hours, and she is frustrated that she has had to leave or miss
work on three separate occasions. She would like a diagnosis
and the problem fixed. Which symptoms or signs would be most
suggestive of a diagnosis of biliary colic?
A. Vomiting of bile
B. Poorly localized periumbilical pain
C. Associated right shoulder pain
D. Positive McBurney point tenderness
E. Exacerbating factor includes alcohol intake - ANSWER-
ANS: C
Rationale; Pain with biliary colic can produce referred pain
to the right shoulder or scapula due to irritation of the right
hemidiaphragm. Alcohol is not an exacerbating factor for
biliary colic. Positive McBurney point tenderness is
associated with acute appendicitis. The Murphy sign is
associated with acute cholecystitis. Vomiting bile is
associated with small bowel obstruction
A 37-year-old nurse comes for evaluation of colicky right upper
quadrant abdominal pain. The pain is associated with nausea and
vomiting and occurs 1 to 2 hours after eating greasy foods.
Which one of the following physical examination descriptions
would be most consistent with the diagnosis of cholecystitis?
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