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NUR507 Module 4 Mid-Term Exam latest 

NUR507 Module 4 Mid-Term Exam latest

NUR507_module_4_midterm.docx (179.99 KB)

NUR507 Module 4 Mid-Term Exam latest.

Question 1

How should you determine whether a murmur is systolic or

Palpate the carotid pulse

Palpate the radial pulse

Judge the relative length of systole and diastole by

Correlate the murmur with a bedside heart monitor

Question 2

Common or concerning symptoms to inquire about in the
General Survey and vital signs include all of the following except

changes in weight

fatigue and weakness


fever and chills

Question 3

Mrs. Anderson presents with an itchy rash which is raised,
and which appears and disappears in various locations. Each lesion lasts for
many minutes. What most likely accounts for this rash?

Insect bite

Urticaria or hives



Question 4

Steve has just seen a 5-year-old girl who wheezes when
exposed to cats. The patient s family history is positive for asthma. You think
the child most likely has asthma. What have you accomplished?

You have tested your hypothesis

You have developed a plan

You have established a working diagnosis

You have created a hypothesis

Question 5

You note a painful ulcerative lesion near the medial
malleolus, with accompanying hyperpigmentation. Which of the following
etiologies is most likely?

Arterial insufficiency

Neuropathic ulcer

Venous insufficiency


Question 6

You notice a strong pulse and then a weak pulse. The pattern
continues. Which of the following is most likely?


Asthma exacerbation

Severe left heart failure

Cardiac tamponade

Question 7

Where is the point of maximal impulse (PMI) normally

In the left intercostal space, 7 to 9 cm lateral to the

In the 5th intercostal space, 10 to 12 cm lateral to the

In the 5th intercostal space, in the anterior axillary line

In the 5th intercostal space, in the mid-axillary line

Question 8

Sudden, painful unilateral loss of vision may be caused by
which of the following conditions?

Vitreous hemorrhage

Central retinal artery occlusion

Macular degeneration

Optic neuritis

Question 9

Which of the following lists the proper sequence of
examination for the abdomen?

Auscultation, inspection, palpation, percussion

Inspection, percussion, palpation, auscultation

Inspection, auscultation, percussion, palpation

Auscultation, percussion, inspection, palpation

Question 10

Which valve lesion typically produces a murmur of equal
intensity throughout systole?

Aortic stenosis

Mitral insufficiency

Pulmonic stenosis

Aortic insufficiency

Question 11

You are performing a thorough cardiac examination. Which of
the following chambers of the heart can you assess by palpation?

Left atrium

Right atrium

Right ventricle

Sinus node

Question 12

You are palpating the apical impulse in a patient with heart
disease and find that the amplitude is diffuse and increased. Which of the
following conditions could be a potential cause of an increase in the amplitude
of the impulse?


Aortic stenosis, with pressure overload of the left

Mitral stenosis, with volume overload of the left atrium


Question 13

Which of the following may be missed unless the patient is placed
in the left lateral decubitus position and auscultated with the bell of the

Mitral stenosis murmur

Opening sap of the mitral valve

S3 and S4 gallops

All the above

Question 14

You are conducting a workshop on the measurement of jugular
venous pulsation. As part of your instruction, you tell the students to make
sure that they can distinguish between jugular venous pulsations and the
carotid pulse. Which one of the following characteristics is typical of the carotid


Soft, rapid, undulating quality

Pulsation eliminated by light pressure on the vessel

Level of pulsation changes with changes in position

Question 15

Which area of the fundus is the central focal point for incoming

The fovea

The macula

The optic disk

The physiologic cup

Question 16

Asymmetric blood pressure results (left versus right sides
of the body) are seen in which of the following conditions?

Coronary Artery Disease

Congenital narrowing of the aorta

Diffuse atherosclerosis

Vasculitis as seen in systemic lupus erythematosus

Question 17

Which lung sound possesses the characteristics of being
louder and higher in pitch, with a short silence between inspiration and
expiration, and with expiration being longer than inspiration?





Question 18

Which of the following is true of a grade 4-intensity

It is moderately loud.

It can be heard with the stethoscope off the chest

It can be heard with the stethoscope partially off the chest

It is associated with a “thrill”

Question 19

What is responsible for the inspiratory splitting of S2?

Closure of aortic and then the pulmonic valves

Closure of mitral and then the tricuspid valves

Closure of aortic and then the tricuspid valves

Closure of mitral and then the pulmonic valves

Question 20

Which of the following events occurs at the start of

Closure of the tricuspid valve

Opening of the pulmonic valve

Closure of the aortic valve

Production of the first heart sound S1

Question 21

Which of the following is consistent with good percussion

Allow all of the fingers to touch the chest while performing

Maintain a stiff wrist

Leave the plexor finger on the pleximeter after each strike

Strike the pleximeter over the distal interphalangeal joint

Question 22

Which of the following is consistent with the obturator

Pain distant from the site used to check rebound tenderness

Right hypogastric pain with the right hip and knee flexed
and the hip internally rotated

Pain with extension of the right thigh while the patient is
on her left side or while pressing her knee against your hand with thigh

Pain that stops inhalation in the right upper quadrant

Question 23

A patient presents for evaluation of a sharp aching chest
pain which increases with breathing. Which anatomic area would you localize the
symptoms to?





Question 24

Which of the following occurs in respiratory distress?

Speaking in sentences of 10 to 20 words

Skin between the ribs moves inward with inspiration

Neck muscles relaxed

Patient torso leans posteriorly

Question 25

Which of the following conditions would produce a
hyperresonant percussion note?

Large pneumothorax

Lobar pneumonia

Pleural effusion


Question 26

The components of the health history include all of the
following except which one?

Review of systems

Thorax and lungs

Present illness

Personal and social items

Question 27

A patient comes to the emergency room for evaluation of
shortness of breath. To which anatomical region would you assign symptoms?





Question 28

You ask a patient to draw a clock. He fills in all the
numbers on the right half of the circle. What do you suspect?



Oppositional defiant disorder


Question 29

Cody is a teenager with a history of leukemia and an
enlarged spleen. Today, he presents with fairly significant left-upper quadrant
pain. On examination of this area, a rough grating noise is heard. What is this

It is a splenic rub.

It is a type of bowel noise.

It represents borborygmi.

It is a vascular noise.

Question 30

Which of the following is a “red flag” regarding
patients presenting with headache?

Unilateral headache

Pain over the sinuses

Age over 50

Phonophobia and photophobia