NUR 634 Advanced Health Assessment Midterm

NUR 634 Advanced Health Assessment Midterm Latest Update - Actual Exam325 Questions and 100% Verified Correct Answers Verified by Professor

ABCDE - CORRECT ANSWER: asymmetry, border, color, diameter, evolution; risk

assessment for melanoma

Actinic keratosis - CORRECT ANSWER: a precancerous skin growth; precursor to SCC

Alopecia areata - CORRECT ANSWER: Clearly demarcated, round patch of hair loss

without scaling/inflammation

Aortic stenosis - CORRECT ANSWER: Causes a high pitched non radiating murmur at

the 2nd right intercostal space, during systole

Arterial emboli - CORRECT ANSWER: Diminished radial pulses may be seen

articular joint - CORRECT ANSWER: Full PROM of a joint without pain, swelling,

tenderness or redness indicates a normal exam of the

Asthma - CORRECT ANSWER: Decreased air movement and a high pitched whistling

on expiration in all fields is associated with

atrial septal defect - CORRECT ANSWER: Second heart sound that is split and fixed on both inspiration and expiration

Cardiac tamponade - CORRECT ANSWER: Pulsus alternans (alternating strong and

weak pulse) is exhibited with

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Chalazion - CORRECT ANSWER: a nodule or cyst, usually on the upper eyelid, caused by obstruction in meibomian gland

Cholecystitis - CORRECT ANSWER: Associated with R shoulder pain, + Murphy sign

Chronic arterial insufficiency - CORRECT ANSWER: Pallor of the foot when raised to 90 degrees for up to 2 mins

Coffee and carbonated drinks - CORRECT ANSWER: Symptoms of GERD may be

worsened by

Consensual reaction - CORRECT ANSWER: contraction of the pupil of one eye when

the other retina is stimulated. It is a normal reflex and a test to evaluate the second and third cranial nerves.

Depression - CORRECT ANSWER: Vague somatic c/o headaches, muscle aches and

fatigue may be associated with

DIAPERS mnemonic - CORRECT ANSWER: For urinary incontinence; Delerium,

Infection, Atrophy, Pharmaceuticals, Excess urine output, Restricted mobility, Stool impaction

Dorsalis pedis - CORRECT ANSWER: A pulse felt in the dorsum of the foot, lateral to the extensor tendon at the big toe

erector spinae - CORRECT ANSWER: Muscle group responsible for extension of the

spine

Esophageal varices - CORRECT ANSWER: Spider angiomas, epigastric abdominal

tenderness, positive OB, enlarged liver are physical signs of

FIFE model - CORRECT ANSWER: Feelings, Ideas, Function, Expectation 2 / 4

Giant Cell Arteritis (Temporal Arteritis) - CORRECT ANSWER:

Hepatitis A - CORRECT ANSWER: fecal-oral

Hordeolum - CORRECT ANSWER: stye; red, raised area at the margin of an eye lid,

tender to palpation Slow growing infected lump that forms d/t blockage and swelling of an oil gland in the eyelid

Lateral epicondylitis - CORRECT ANSWER: Tennis elbow, caused by repetitive wrist extension

Levine's sign - CORRECT ANSWER: The gesture a patient makes when they have

angina pectoris- able to point specifically where CP is

Lupus - CORRECT ANSWER: butterfly rash; discoid rash that is raised, dark-red, scaly on lower extremities

macular degeneration - CORRECT ANSWER: Slow progressive vision loss in the

elderly that is focused on the center of vision

McBurney's sign - CORRECT ANSWER: appendicitis (McBurney's Point is 2/3 of the

way from the umbilicus to anterior superior iliac spine)

Medial epicondylitis - CORRECT ANSWER: golfer's elbow; will elicit pain with resisted flexion of the wrist

Murphy's sign - CORRECT ANSWER: pain with palpation of the RUQ during inspiration, indicative of cholecystitis

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Optic neuritis - CORRECT ANSWER: Sudden, painful, unilateral, early sign of MS,

associated with autoimmune disease

otitis media - CORRECT ANSWER: Swimmers ear

P wave - CORRECT ANSWER: In diastolic HF the portion of the EKG to be abnormal is

pectus excavatum - CORRECT ANSWER: Depression of the sternum

Pericarditis - CORRECT ANSWER: Left side sharp/knife like CP worse with inspiration and a scratching noise on systole at the LL sternal border

Pityriasis rosea - CORRECT ANSWER: Rash in a "christmas tree" pattern, single patch followed by a diffused rash on the back/torso

PMI location - CORRECT ANSWER: 5th ICS left midclavicular line; 7-9cm from mid-

sternal line

pneumonia - CORRECT ANSWER: A differential to consider with symptoms of fever,

SOB, productive cough and hemoptysis

presbyopia - CORRECT ANSWER: impairment of vision as a result of old age

Psoriasis - CORRECT ANSWER: Itchy rash at the knees and elbows, silvery scale,

pitting nails

Pterygium - CORRECT ANSWER: triangular thickening of the bulbar conjunctiva across the outer surface of the cornea

Retinal detachment - CORRECT ANSWER: Sudden loss of vision without pain,

unilateral, flashes of light, can be traumatic

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