NUR 634 Midterm Examination

Answers

NUR 634 Midterm

Is the following information subjective or objective?

Mr. M. has a respiratory rate of 32 and a pulse rate of 120.

1. A) Subjective

2. B) Objective

Which is the proper sequence of examination for the abdomen?

1. A) Auscultation, inspection, palpation, percussion

2. B) Inspection, percussion, palpation, auscultation

3. C) Inspection, auscultation, percussion, palpation

4. D) Auscultation, percussion, inspection, palpation

Mrs. R. is a 92-year-old retired teacher who comes to your clinic accompanied

by her daughter. You ask Mrs. R. why she came to your clinic today. She looks

at her daughter and doesn’t say anything in response to your question. This is

an example of which type of challenging patient?

1. A) Talkative patient

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2. B) Angry patient

3. C) Silent patient

4. D) Hearing-impaired patient

Which of the following is a clinical identifier of metabolic syndrome?

1. A) Waist circumference of 38 inches for a male

2. B) Waist circumference of 34 inches for a female

3. C) BP of 134/88 for a male

4. D) BP of 128/84 for a female

Bill, a 55-year-old man, presents with pain in his epigastrium which lasts for 30

minutes or more at a time and has started recently. Which of the following

should be considered?

1. A) Peptic ulcer

2. B) Pancreatitis

3. C) Myocardial ischemia

4. D) All of the above

A 75-year-old retired teacher presents to your clinic, complaining of severe,

unrelenting anterior chest pain radiating to her back. She describes it as if

someone is “ripping out her heart.” It began less than an hour ago. She states

she is feeling very nauseated and may pass out. She denies any trauma or

recent illnesses. She states she has never had pain like this before. Nothing

seems to make the pain better or worse. Her medical history consists of

difficult-to-control hypertension and coronary artery disease requiring two

stents in the past. She is a widow. She denies any alcohol, tobacco, or illegal

drug use. Her mother died of a stroke and her father died of a heart attack.

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She has one younger brother who has had bypass surgery. On examination

you see an elderly female in a great deal of distress. She is lying on the table,

curled up, holding her left and right arms against her chest and is restless,

trying to find a comfortable position. Her blood pressure is 180/110 in the

right arm and 130/60 in the left arm, and her pulse is 120. Her right carotid

pulse is bounding but the left carotid pulse is weak. She is afebrile but her

respirations are 24 times a minute. On auscultation her lungs are clear and

her cardiac examination is unremarkable. You call EMS and have her taken to

the hospital’s ER for further evaluation.

What disorder of the chest best describes her symptoms?

1. A) Angina pectoris

2. B) Pericarditis

3. C) Dissecting aortic aneurysm

4. D) Pleural pain

A patient is assigned a visual acuity of 20/100 in her left eye. Which of the

following is true?

1. A) She obtains a 20% correct score at 100 feet.

2. B) She can accurately name 20% of the letters at 20 feet.

3. C) She can see at 20 feet what a normal person could see at 100 feet.

4. D) She can see at 100 feet what a normal person could see at 20 feet.

A 46-year-old former salesman presents to the ER, complaining of black

stools for the past few weeks. His past medical history is significant for

cirrhosis. He has gained weight recently, especially around his abdomen. He

has smoked two packs of cigarettes a day for 30 years and has drunk

approximately 10 alcoholic beverages a day for 25 years. He has used IV

heroin and smoked crack in the past. He denies any recent use. He is currently

unemployed and has never been married. On examination you find a man

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