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Midterm Exam: NUR634/ NUR 634 ( 2026/2027 Update) Advanced Health Assessment and Diagnostic Reasoning Study Guide Questions and Answers – GCU
Midterm Exam: NUR634/ NUR 634 (
2026/2027 Update) Advanced Health
Assessment and Diagnostic Reasoning Study
Guide Questions and Answers
– GCU
Q: Patient with asthma complains of
Answer:
SOB, wheezing, tightness to the chest, coughing with exertion or nocturnal cough that is
nonproductive, sounds like high pitched whistling on expiration auscultation, decreased air
motion.
Q: Asthma Atopy TRIAD:
Answer:
Any family hx of allergies, asthma, or eczema.
Q: Decreased air movement and a high-pitched whistling on expiration in all fields is associated
with?
Answer:
Asthma: problems with expiration (getting air out, it is trapped).
Q: Acute cough vs chronic cough
Answer:
Acute cough < 3> 8 weeks.
Q: Normal sound over lungs:
Answer:
Resonance
Q: Sound heard over hyperinflated lungs:
Answer:
hyper-resonance.
Q: What is the sequence of doing a lung exam
Answer:
inspect, palpate, percuss, and auscultate.
Q: COPD: What is the patient going to complain about prior to diagnosis?
Answer:
Productive chronic cough in the morning, occasional SOB
Q: COPD Diagnosis
Answer:
Look for smoking hx or exposure to noxious environment. No chest pain. Barrel chest on
physical exam, assess AP diameter (increased), decreased breath sounds (rhonchi), tactile
phremitis with increased vibration.
Q: PNA presents as
Answer:
chest pain, fever (maybe), cough, sputum production, crackles in lower bases, dullness on
percussion, egophony on auscultation.
Q: What does dull percussion of the lungs indicate?
Answer:
Consolidations, PNA
Q: A patient presents with with symptoms of fever, SOB, productive cough, and hemoptysis.
What ddx do you consider?
Answer:
PNA
Q: Acid Reflux S/S
Answer:
reflux described as heart burn, sore throat, abdominal discomfort (upper epigastric).
Q: Risk factors for acid reflux
Answer:
laying flat, eating before bed, age, stress, ETOH, high BMI, spicy foods, caffeine, anything
citrus, chocolate, diary, carbonated beverages.
Q: GERD education
Answer:
Limit spicy food, tomato/acidic, caffeine, carbonated beverages, don't eat before bed.
Q: Old fat guy complains of hoarse/forced voice, ddx?
Answer:
GERD
Q: Order of abdomen examination:
Answer:
inspection > auscultation > percussion > palpation.
Q: Abnormal sound over abdomen:
Answer:
tympany
abdominal auscultatio requires listening with the bell in all four quadrants at least 2 places in
each quadrant.
Q: Where would you listen for bruits in the abdominal aorta?
Answer:
above the umbilicus below xiphoid process just left of the midline.
Q: What does CVA tenderness assess for?
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