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NUR634 Midterm: Dr. Tyler’s Review Exam Questions and Answers
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NUR634 Midterm: Dr. Tyler’s Review Exam Questions and Answers
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NUR634 Midterm: Dr. Tyler’s ReviewExam Questions and Answers
Someone comes in c/o unintentional weight loss & fatigue. What do you
assess? - -Assess for liver enlargement
-What is this? What is this? What is this? (Pt keeps repeating over and over
again) What is this called? - -Perseveration
-On abdominal exam, NP feels mass midline and pt c/o tenderness. Upon
percussion, it's very dull in MLQ. What is it? - -Superpubic enlarged mass
(full or enlarged bladder)
-Per mom, kiddo keeps starring off into space, what are you thinking? - -
Absent seizures
-How can you verify if the patient has claudication (arterial insufficiency)? -
-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? - -Cholecystitis, Murphy's sign
-Why do pt's develop ulcerative lesions on their feet? - -Diabetes, Venous
insufficiency
-What is it called when you see an object, and you are steady until you get
close to it? - -Intention tremor
-What's happening anatomically at the START of diastole? - -Closure of the
aortic valve
-What is the difference between hallucination vs delusion? - -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? - -Stage 3
-What is the first thing to assess when pt states, "I've lost all interest in
normal activities"? - -Assess suicide risk
-Weird thickening over the eyeball is called? - -Pterygium
, -Pt is coming in with dizziness & a spinning sensation. What is your
differential? - -Vertigo
-Who would you do an extensive hour-long head to toe assessment on? - -A
new patient
-Is hyper resonance over the abdominal area on percussion a normal
finding? - -No
-Is tympany over the abdominal area on percussion a normal finding? - -Yes
-What is swimmer's ear? - -Otitis Externa (red, draining, inflammation,
debris in the canal)
-What are risk factors for coronary artery disease? - -Smoking,
hypertension, diabetes, sleep apnea, obesity sedentary lifestyle
-What is ecchymosis of the forearms for several months with no history of
trauma indicate? - -Actinic Purpura
-What am I assessing when I do Tinnel's sign? - -Media Nerve Compression
-"Help me! Help me! I need help in here" describes which personality
disorder? - -Histrionic Disorder
-If I am checking pulses, and once is more faint than the other, what is your
differential? - -Any emboli
-What is OPQRST - -(multiple choice, which one does not belong)
-One thing you do NOT want want to bring in while you are seeing a
provider? - -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? - -This is seen in
SEVERE heart patients
-What test am I using to confirm an appy? - -Rebound tenderness
-Webber & Rinne test came back abnonormal. What is the next step? - -
Examine the ear canal and refer to specialist
-Old, fat dude c/o voice hoarseness. What is your differential list? - -
Laryngeal cancer, GERD
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