Midterm Exam: NUR634/ NUR 634 (Latest 2023/ 2024 Update) Advanced Health Assessment and Diagnostic Reasoning Study Guide | Questions and Verified Answers| 100% Correct – GCU

Midterm Exam: NUR634/ NUR 634 (Latest

2023/ 2024 Update) Advanced Health

Assessment and Diagnostic Reasoning Study

Guide | Questions and Verified Answers|

100% Correct – 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?