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

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. 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

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