NURS 634 Final Latest 2024 – 2025 Complete
Actual Exam Questions with Correct Verified
Answers/ Rated A+
72-year-old M pt complains of bilateral knee pain. the NP assess stumbling during heel
strike suggestive of? - ANSWER - quadricep weakness or abnormal patellar tracking
14 y/o student comes to clinical for a 3-month hex of dyspnea when playing basketball.
the dyspnea resolves shortly after resting. There is no fever, chills, cough sputum, chest
pain, or serious illness. Asthma is suspected. Which of the following sounds heard on
exhalation would suggest asthma? - ANSWER - wheezing
75 y/o F in good health presents to a NP. she takes no medications but has been told in
the past her BP is high. which one of the following findings is consistent with normal
aging process and is not a sign of CV disease? - ANSWER - murmur, stiffened
ventricles (valvular changes)
An older adult M complains of feeling something in his L scrotum. On palpitation, soft,
and moveable blood vessels that feel like a bag of warms are noted underneath the
scrotal skin. the testicles are not swollen or red; what is likely the diagnosis? - ANSWER
- varicocele-varicose vein of spermatic cord
When do you complete a comprehensive visit? - ANSWER - Comprehensive visit
occurs at NEW patient encounters or if the last visit was >3 years ago.
Sequence of Interview - ANSWER - 1. introduce self
2. gather supplies/wash hands
3. establish rapport
4. what brings you in, CC: listen for 5 minutes
pg. 1
,5. summarize (establish agenda)
6. ask focused questions 7. collaborate/share decision making in plan.
How much time do you allow for the patient to tell you, their complaint? - ANSWER - 3-5
minutes
What to do if your patient is a talker? - ANSWER - give them 3-5 minutes, summarize
what you heard within those 5 minutes, then direct them to the complaint.
Your patient presents with a long erratic rant introducing themselves, what do you do? -
ANSWER - Summarize what they are here for.
What does CVA tenderness assess for? - ANSWER - pyelonephritis.
Findings of cirrhosis: - ANSWER - enlarged liver with irregular border, jaundice, ascites,
N/V, unintentional weight loss, fatigue.
Patient presents with cc of losing weight, fatigue, night sweats, low grade fever,
enlarged liver, what are you concerned for? - ANSWER - Liver Cancer
Normal sound over liver: - ANSWER - Dullness
In splenomegaly, percussion of the L side of the abdomen would reveal: - ANSWER -
Dullness
Findings of biliary colic: - ANSWER - Right shoulder pain.
Patient presents with a + Murphy's sign, pain that radiates from RUQ to shoulder, did? -
ANSWER - Cholecystitis
pg. 2
, Patients with cholecystitis should avoid - ANSWER - spicy, fatty, dairy, and anything in
the cabbage family.
Cholecystitis - ANSWER - Inflammation of the gallbladder
Patient complains of right upper quadrant pain that can radiate to right shoulder into
right back. Complains of nausea/vomiting 1-2hrs after eating fatty/greasy foods. did? -
ANSWER - cholecystitis
Parents generally bring children for health. At what age should the provider begin to
question the child him or herself regarding presenting symptoms? - ANSWER - >6?
The bulge sign and the balloon sign may be present where there is a/an? - ANSWER -
Patellar effusion-fluid in the knee. Swelling in suprapatellar pouch, bulge confirms
presence of fluid as you move join from side to side.
The cremasteric reflex is elicited by: - ANSWER - Cremasteric reflex is a superficial
reflex seen in males, light stroking or poking the medical part of thigh regardless of the
direction of the stroke.
Stimulation of moor reflex? - ANSWER - Scare in baby. Spread of arms (abduct), fingers
spread, legs extend. Gently lift head and release baby so that they feel like they are
falling. Absence of this suggest damage to brain or spinal cord. one side absent-brachial
plexus injury.
The two most important components of the eye exam for young child? - ANSWER - I
think: motility, Hirschberg light reflex. use toys and make it fun.
Indication of crepitus - ANSWER - common sign of bone fax or RA. in lungs-
subcutaneous emphysema (trapped air under skin)
pg. 3
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