NR 509 Midterm Exam Latest 2023 - 2024

NR 509 Midterm Exam (Latest 2023 - 2024) New Full Questions and Answers ( Included ) 100% Correct

1. Cause of saddle numbness and urinary retention: Cauda equina syndrome

• Presentation of retinal detachment: If sudden visual loss is unilateral andpainless,

• Obtunded: patient opens the eyes and looks at you but responds slowly and issomewhat confused.

Alertness and interest in the environment are decreased.

• Cranial nerve for lateral gaze: CN6: Abducens

• Adult Illnesses: Medical: Illnesses such as diabetes, hypertension, hepatitis, asthma, and human

immunodeficiency virus (HIV); hospitalizations; number and gender of sexual partners; and risk- taking sexual practices

Surgical: Dates, indications, and types of operations

Obstetric/Gynecologic: Obstetric history, menstrual history, methods of contraception, and sexual function Psychiatric: Illness and time frame, diagnoses, hospitalizations, and treatments

• Present Illness: chronologic description of the problems prompting the patient's visit, including the

onset of the problem, the setting in which it developed, its manifestations, and any treatments to date.Each problem/symptom needs: (1) location; (2) quality; (3) quantity or severity; (4) timing, including onset, duration, and frequency; (5) the setting in which it occurs; (6) factors that have aggravated -meds, allergies, tobacco use, ETOH and drug use

• Absence of red reflex: an opacity of the lens (cataract) or, possibly, the vitreous(or even an artificial

eye). Less commonly, a detached retina or, in children, a retinoblastoma may obscure this reflex.

• S/S of seasonal allergies: Itching, watery eyes, sneezing, ear congestion, post-nasal drainage

• Presentation of optic neuritis: Enlarged blind spot, vision loss in 1 eye, loss ofcolor vision, hole in

center of vision, trouble seeing to the side, eye pain

• pityriasis rosea: Multiple round to oval scaling violaceous plaques on abdomenand back

11. Acromion: tip of shoulder 1 / 2

• What to do for + finding on physical exam, but - workup: continue using test,but less lab and

diagnostics

13. Cause of falsely high BP: -too small of a BP cuff

• if the brachial artery is below heart level
• loose cuff
• bladder that balloons outside the cuff

• Check for nystagmus: -involuntary jerking movement of the eyes with quick andslow components.
• It is named for the direction of the quick component
• seen in cerebellar disease and vestibular disorders and in internuclear ophthalmoplegia

15. Jaundice: yellow sclera

• how do get a patient to open up when upset: effective reassurance is simplyidentifying and

acknowledging the patient's feelings.-Partnering -Summarizing -Transitions

• Empowering the pt

• s/s of degenerative pain: -Slowly progressive, with temporary exacerbationsafter periods of

overuse -usually insidious

• flexion and deviation deformities

• How otosclerosis presents with Weber and Rinne test: - Weber: Sound lateralizes to impaired

ear. Room noise not well heard, so detection of vibrationsimproves

• Rinne: BC longer than or equal to AC. While air conduction through the external or middle ear is

impaired, vibrations through bone bypass the problem to reach thecochlea.

19. Cherry angiomas: Benign

• Interpreting visual acuity test: Vision of 20/200 means that at 20 feet the patient can read print that

a person with normal vision could read at 200 feet. The larger the second number, the worse the vision."20/40 corrected" means the patientcould read the 20/40 line with glasses (a correction).

• Sequence of the interview: Preparation. Then, Greeting the patient and es- tablishing rapport.

Establishing the agenda for the interview. Inviting the patient's story. Exploring the patient's perspective. Identifying and responding to emotional cues. Expand-ing and clarifying the patient's story.Generating and testing diagnostichypotheses. Sharing the treatment plan. Closing the interview and the

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