NUR-634 Advanced Physical Assessment
Midterm Study Guide Latest Update 2024-2025
Actual Exam Questions and 100% Verified
Correct Answers Verified by Professor
ABCDE-EFG - CORRECT ANSWER: -method used to screen moles for melanomas
-if >2 present risk of melanoma increases and biopsy should be considered
-Assymetry, Border irregularity, Color Variations, Diameter >6mm, Evolving
-EFG added to help detect aggressive nodular melanomas (Elevated, Firm to palpation,
growing progressively)
Actinic Keratosis - CORRECT ANSWER: -a rough, scaly patch on your skin that
develops from years of exposure to the sun. It's most commonly found on your face,
lips, ears, back of your hands, forearms, scalp or neck.
-precancerous skin growth
Angry Challenging Patient Intervention - CORRECT ANSWER: -acknowledge any
involvement you may have in their anger and make amends
-avoid reinforcing criticism of other clinicians
-validate their feelings without agreeing with their reasons
-ensure a safe environment, alert staff/security
-stay calm and avoid being confrontational
-keep a relaxed and nonthreatening posture
Appendicitis - CORRECT ANSWER: -acute inflammation of the appendix with distention
or obstruction
-s/s: poorly localized periumbilical pain that migrates to the RLQ, cramping steady then
more severe, anorexia, nausea, vomiting, low fever
, Assessment - CORRECT ANSWER: -the clinical reasoning process that interprets the
patient's history and physical examination, singles out identified problems, and
movement from each problems to its action plan
Asthma - CORRECT ANSWER: -A chronic allergic disorder characterized by episodes
of severe breathing difficulty, coughing, and wheezing.
-s/s: cough at times with thick mucoid sputum esp. near end of attack, episodic
wheezing and dyspnea, cough may occur alone, often with a hx of allergies, resonant to
diffusely hyper resonant percussion, decreased tactile fremitus, crackles/wheezes
Atopic Dermatosis - CORRECT ANSWER: -a condition that makes your skin red and
itchy. It's common in children but can occur at any age. Atopic dermatitis is long lasting
(chronic) and tends to flare periodically. It may be accompanied by asthma or hay fever.
Attributes of a Symptom - CORRECT ANSWER: -seven attributes
-OPQRST & Associated manifestations (anything else accompanying it)
-onset, provocative/palliative, quality, region/radiation, severity, timing
Basal Cell Carcinoma - CORRECT ANSWER: -Most common and least severe type of
skin cancer; often characterized by light or pearly nodules.
-superficial has a pink patch that does not heal and may have focal scaling
-nodular has a pink papule, pearly appearance overlying telangiectasis, focal
pigmentation, central depression
-ulcerated is non healing resulting in a rolled border
Bronchitis - CORRECT ANSWER: -inflammation of the bronchi
-acute s/s: cough that may be dry or productive, may have retrosternal discomfort
-chronic s/s: chronic cough, sputum mucoid to purulent, may be blood streaked or even
bloody, often with recurrent wheezing and dyspnea, and prolonged hx of tobacco abuse,
resonant percussion, normal tactile fremitus,possible scattered coarse crackles,
wheezing or rhonchi in early inspiration and expiration
