NUR634 MIDTERM ACTUAL EXAM
BRAND NEW EXAM QUESTIONS
AND CORRECT ANSWERS ALL
GRADED A+|GUARANTEED
SUCCESS|LATEST UPDATE 2024-
2025|DR. TYLER’S REVIEW
Someone comes in c/o unintentional weight loss & fatigue. What do you assess? -
ANSWER-✅Assess for liver enlargement
What is this? What is this? What is this? (Pt keeps repeating over and over again)
What is this called? - ANSWER-✅Perseveration
On abdominal exam, NP feels mass midline and pt c/o tenderness. Upon percussion,
it's very dull in MLQ. What is it? - ANSWER-✅Superpubic enlarged mass (full or
enlarged bladder)
Per mom, kiddo keeps starring off into space, what are you thinking? - ANSWER-
✅Absent seizures
How can you verify if the patient has claudication (arterial insufficiency)? - ANSWER-
✅Pain first thing when they walk and when they stop, pallor of the foot when raised
to 90 degrees for up to 2 min & diminished pulses
Upon exam, pt has soft abdomen, tender in RUQ, especially on inspiration. What are
you thinking? - ANSWER-✅Cholecystitis, Murphy's sign
Why do pt's develop ulcerative lesions on their feet? - ANSWER-✅Diabetes, Venous
insufficiency
What is it called when you see an object, and you are steady until you get close to it?
- ANSWER-✅Intention tremor
, What's happening anatomically at the START of diastole? - ANSWER-✅Closure of
the aortic valve
What is the difference between hallucination vs delusion? - ANSWER-
✅Hallucination is hearing or seeing things and delusion is believing (I see God vs I
am God)
How would you stage a full thickness, damage to the sub-Q tissue, muscle is NOT
affected? - ANSWER-✅Stage 3
What is the first thing to assess when pt states, "I've lost all interest in normal
activities"? - ANSWER-✅Assess suicide risk
Weird thickening over the eyeball is called? - ANSWER-✅Pterygium
Pt is coming in with dizziness & a spinning sensation. What is your differential? -
ANSWER-✅Vertigo
Who would you do an extensive hour-long head to toe assessment on? - ANSWER-
✅A new patient
Is hyper resonance over the abdominal area on percussion a normal finding? -
ANSWER-✅No
Is tympany over the abdominal area on percussion a normal finding? - ANSWER-
✅Yes
What is swimmer's ear? - ANSWER-✅Otitis Externa (red, draining, inflammation,
debris in the canal)
What are risk factors for coronary artery disease? - ANSWER-✅Smoking,
hypertension, diabetes, sleep apnea, obesity sedentary lifestyle
What is ecchymosis of the forearms for several months with no history of trauma
indicate? - ANSWER-✅Actinic Purpura
What am I assessing when I do Tinnel's sign? - ANSWER-✅Media Nerve
Compression
"Help me! Help me! I need help in here" describes which personality disorder? -
ANSWER-✅Histrionic Disorder
If I am checking pulses, and once is more faint than the other, what is your
differential? - ANSWER-✅Any emboli
What is OPQRST - ANSWER-✅(multiple choice, which one does not belong)
,One thing you do NOT want want to bring in while you are seeing a provider? -
ANSWER-✅No computer; instead talk to the patient and develop rapport with
patients
Which type of patient will you see their pulses switching from very strong, to very
thready, then back to strong then to thready? - ANSWER-✅This is seen in SEVERE
heart patients
What test am I using to confirm an appy? - ANSWER-✅Rebound tenderness
Webber & Rinne test came back abnonormal. What is the next step? - ANSWER-
✅Examine the ear canal and refer to specialist
Old, fat dude c/o voice hoarseness. What is your differential list? - ANSWER-
✅Laryngeal cancer, GERD
A depression of the sternum area is called? - ANSWER-✅Pectus Excavatum
What does a Left BBB do to your EKG? - ANSWER-✅Widens QRS (normal is <0.4 secs)
How does the USPST recommend screening for prostate cancer with fecal occult
blood? - ANSWER-✅Do not screen routinely using FOB
Where do you palpate a femoral pulse? - ANSWER-✅Below inguinal ligament and
between anterior superior iliac spine (ASIS) & symphysis pubis
What happens to blood pressure in the normal aging process? - ANSWER-✅An
increase in SYSTOLIC blood pressure (if both go up, that's HTN)
If a pt came in saying she had a nevi on her arm, what would she tell me to make me
think it's malignant? - ANSWER-✅ABCDE changes
If I had a young, healthy person with sudden onset SOB, and I sent them for an EKG,
the EKG comes back with a resting HR of 30 and an excercise HR of 100, how would
you feel? - ANSWER-✅I would have a concern for who did this EKG!!!
If I am auscultation someone's lungs, and I hear decreased air movement with high
pitched whistling on expiration, what is at the top of your differential list? - ANSWER-
✅Asthma
What do I do at the end of the visit with a patient who is talkative and needs
redirection? - ANSWER-✅Summarize the visit, confirm why we are here, confirm
what we are doing, the plan, and alternatives
What are questions to ask a patient who presents with blood in the left eye? -
ANSWER-✅Any trauma? Sneezing/coughing, HA, changes in vision, any pain? (If pt is
, young and has no health problems, they may say "I might have been hung over and
puked all night") indicating a subconjuctival hemorrhage
Is cataracts a normal finding in the aging process? - ANSWER-✅No
Is glaucoma a normal finding in the aging process? - ANSWER-✅Common but not
normal
Is macular degeneration a normal finding in the aging process? - ANSWER-✅No, it is
not expected
Is presbyopia "nearsightedness" a normal finding in the aging process? - ANSWER-
✅Yes, it is an expected finding
How do you start an initial patient interview? - ANSWER-✅Introduce yourself,
sitting eye level, creat a rapport, ask why they are there (CC), and what are you
hoping to accomplish today?
What lymph nodes live BEHIND the sternocleiodomastoid? - ANSWER-✅Posterior
cervical lymph nodes
A woman comes in with vague complaints, muscle pain, not sleeping well. What
would be the differentials? - ANSWER-✅ALWAYS have a psych differential (anxiety,
fatigue, depression)
What education should you give your GERD patient? - ANSWER-✅Diet: limit spicy
food, avoid tomato base, avoid acidic food, do not eat at least 4 hours prior to bed
(you should have full digestion before laying flat)
If I have blurred vision while covering up 1 eye, what CN is affected? - ANSWER-
✅CNIII (CN3) Occulomotor
Medial and lateral epicondyle: What are the 2 disorders that will happen with the
elbow? - ANSWER-✅Medial = Golfers (think of how you golf) elbow & Lateral=
Tennis elbow
Lung sounds are dull when percussion, what are the differentials? - ANSWER-
✅Consolidation (ie: PNA), could be bilateral depending on where it affects
If there is a giant lump a patient's back, and from the I&D comes a CHEESY like
substance, what is it? - ANSWER-✅Sebaceous cyst
What is the normal cup to disc ratio when doing an eye exam? - ANSWER-✅1:3
What if the cup to disc ratio is smaller than 1:3? - ANSWER-✅Pt has glaucoma (Cup
to disc ratio is 1:2)
