CORRECT ANSWERS - - CORRECT ANSWERS - GRADED A+ Which of the follow...

NR 509 Midterm ACTUAL EXAM 200 QUESTIONS AND

CORRECT ANSWERS -

GRADED A+

Which of the following best describes the purpose of the FIFE model in patient interviewing?

• A tool for assessing a patient's physical exam findings
• A framework for documenting patient symptoms
• A method for understanding the patient's perspective

D. A classification system for disease staging - CORRECT ANSWER-Answer: C

Rationale: The FIFE model (Feelings, Ideas, Function, Expectations) helps clinicians understand the patient's perspective regarding their illness.

Which of the following is considered subjective data during a patient assessment?A. Blood pressure reading

• Patient states, "I feel dizzy"
• Temperature of 101.2°F

D. Physician notes "rales in lungs" - CORRECT ANSWER-Answer: B

Rationale: Subjective data is what the patient reports; objective data includes measurable or observable findings.

A patient reports hearing loss in the right ear. The Weber test lateralizes to the right side. What does this suggest?

• Right-sided sensorineural hearing loss
• Right-sided conductive hearing loss
• Left-sided conductive hearing loss

D. Normal hearing - CORRECT ANSWER-Answer: B

Rationale: In conductive loss, sound lateralizes to the affected ear.

A 45-year-old male presents with calf pain while walking that is relieved by rest. The likely cause is:

• Deep vein thrombosis (DVT)
• Chronic venous insufficiency
• Acute arterial occlusion

D. Claudication due to peripheral artery disease - CORRECT ANSWER-Answer: D

Rationale: Claudication is a classic symptom of PAD—pain on exertion relieved by rest. 1 / 4

A patient with COPD presents with dyspnea and distant breath sounds on exam. Percussion is hyperresonant. Which condition is most likely?

• Asthma
• Pneumonia
• Pleural effusion

D. Emphysema - CORRECT ANSWER-Answer: D

Rationale: Hyperresonant percussion and distant breath sounds are common in emphysema.

A 42-year-old woman presents with fatigue, hair thinning, dry skin, and weight gain. Which lab value would support your suspected diagnosis?

• Elevated T3
• Low TSH
• Elevated TSH

D. High glucose - CORRECT ANSWER-Answer: C

Rationale: Elevated TSH with symptoms suggests hypothyroidism

A 28-year-old male presents with a sore throat. His tonsils are enlarged and touch the uvula. What grade should be assigned to his tonsils?

• 1+
• 2+
• 3+

D. 4+ - CORRECT ANSWER-Answer: C

Rationale: 3+ indicates tonsils that touch the uvula.

A 70-year-old patient is disoriented and has a fluctuating level of consciousness. What is the most likely cause?

• Dementia
• Depression
• Delirium

D. Schizophrenia - CORRECT ANSWER-Answer: C

Rationale: Delirium is acute and fluctuating, often related to underlying illness or medication. 2 / 4

A patient's eye exam reveals loss of central vision. Which condition is this most consistent with?

• Glaucoma
• Retinal detachment
• Cataract

D. Macular degeneration - CORRECT ANSWER-Answer: D

Rationale: Macular degeneration affects the macula, causing central vision loss.

During an exam, you note a mid-systolic click followed by a late systolic murmur at the apex. What is this likely associated with?

• Aortic stenosis
• Mitral valve prolapse
• Pulmonic stenosis

D. Tricuspid regurgitation - CORRECT ANSWER-Answer: B

Rationale: This murmur pattern is classic for mitral valve prolapse.

A 60-year-old man has new swelling and redness in his left leg. What is your priority concern?

• Chronic venous insufficiency
• Deep vein thrombosis
• Lymphedema

D. Cellulitis - CORRECT ANSWER-Answer: B

Rationale: Sudden unilateral leg swelling and redness raise concern for DVT.

A patient has clear rhinorrhea and sneezing without fever. On exam, nasal mucosa is pale and boggy.What is the most likely diagnosis?

• Bacterial sinusitis
• Allergic rhinitis
• Viral upper respiratory infection

D. Nasal polyp - CORRECT ANSWER-Answer: B

Rationale: Pale, boggy mucosa with clear discharge suggests allergies.

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A patient presents with confusion, fever, nuchal rigidity, and photophobia. What diagnosis is most concerning?

• Sinusitis
• Cluster headache
• Meningitis

D. Migraine - CORRECT ANSWER-Answer: C

Rationale: This triad is classic for meningitis

You auscultate a murmur best heard with the bell at the apex in the left lateral decubitus position.What murmur is this likely?

• Aortic regurgitation
• Mitral stenosis
• Mitral regurgitation

D. Pulmonic stenosis - CORRECT ANSWER-Answer: B

Rationale: Mitral stenosis is best heard in this position with the bell.

A patient presents with wheezing and prolonged expiration. What is the most likely cause?

• Bronchitis
• Asthma
• Pneumonia

D. Heart failure - CORRECT ANSWER-Answer: B

Rationale: Wheezing with prolonged expiration suggests airway narrowing typical of asthma.

During an eye exam, you note papilledema. What condition must be ruled out immediately?

• Glaucoma
• Intracranial hypertension
• Cataracts

D. Retinopathy - CORRECT ANSWER-Answer: B

Rationale: Papilledema indicates increased intracranial pressure, which is a medical emergency.

A 30-year-old presents with depression, anhedonia, poor sleep, and low energy for over two weeks.What is the best initial step?

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