NR509 Week 6 Quiz (2 Versions, New-2023) / NR 509 Week 6 Quiz: Advanced Physical Assessment: Chamberlain College of Nursing |100% Correct Q & A|
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... [Show More] Week 6 Advanced Physical Assessment Quiz (2 Versions, New-2023) / NR509 Advanced Physical Assessment Quiz 6: Chamberlain College of Nursing |100% Correct Q & A|
NR 509 Week 6 Quiz / NR509 Week 6 Quiz (Latest): Advanced Physical Assessment: Chamberlain
NR 509 Advanced Physical Assessment Quiz 6 / NR509 Advanced Physical Assessment Quiz 6 (Latest): Chamberlain
NR 509 Week 6 Advanced Physical Assessment Quiz / NR509 Week 6 Advanced Physical Assessment Quiz (Latest): Chamberlain
Question 1. During a health history, a patient tells the nurse that he has trouble in starting his urine stream. This problem is known as
urgency.
dribbling.
frequency.
hesitancy.
Question 2. Which of these statements is most appropriate when the nurse is obtaining a genitourinary history from an elderly man?
“Do you need to get up at night to urinate?”
“Do you experience nocturnal emissions, or ‘wet dreams’?”
“Do you know how to perform a testicular self-examination?”
“Has anyone ever touched your genitals when you did not want them to?”
Question 3. When performing a genitourinary assessment on a 16-year-old boy, the nurse notices a swelling in the scrotum that increases with increased intra-abdominal pressure and decreases when he is lying down. The patient complains of pain when straining. The nurse knows that this description is most consistent with a(n) _____ hernia.
femoral
incisional
direct inguinal
indirect inguinal
Question 4. A 45-year-old mother of two children is seen at the clinic for complaints of “losing my urine when I sneeze.” The nurse documents that she is experiencing
urinary frequency.
enuresis.
stress incontinence.
urge incontinence.
Question 5. Which of these statements is true regarding the penis?
The urethral meatus is located on the ventral side of the penis.
The prepuce is the fold of foreskin covering the shaft of the penis.
The penis is composed of two cylindrical columns of erectile tissue.
The corpus spongiosum expands into a cone of erectile tissue called the glans.
Question 6. Which of these statements about the testes is true?
The lymphatics of the testes drain into the abdominal lymph nodes.
The vas deferens is located along the inferior portion of each testis.
The right testis is lower than the left because the right spermatic cord is longer.
The cremaster muscle contracts in response to cold and draws the testicles closer to the body.
Question 7. The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The nurse should reply by saying
“Puberty usually begins at about age fifteen.”
“The first sign of puberty is enlargement of the testes.”
“Penis size does not increase until about the age of sixteen.”
“The development of pubic hair precedes testicular or penis enlargement.”
Question 8. A 62-year-old man states that his doctor told him that he has an “inguinal hernia.” He asks the nurse to explain what a hernia is. The nurse should
tell him not to worry and that most men his age develop hernias.
explain that a hernia is often the result of prenatal growth abnormalities.
refer him to his physician for additional consultation because the physician made the initial diagnosis.
explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles.
Question 9. During an examination, the nurse notices that a male patient has a red, round, superficial ulcer with a yellowish serous discharge on his penis. On palpation, the nurse finds a nontender base that feels like a small button between the thumb and fingers. At this point, the nurse suspects that this patient has
genital warts.
a herpes infection.
a syphilitic chancre.
a carcinoma lesion.
Question 10. The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer. On examination, the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine. These findings are most consistent with a(n) _____ hernia.
scrotal
femoral
direct inguinal
indirect inguinal
Question 11. The nurse is performing a genital examination on a male patient and notices urethral drainage. When collecting urethral discharge for microscopic examination and culture, the nurse should
ask the patient to urinate into a sterile cup.
ask the patient to obtain a specimen of semen.
insert a cotton-tipped applicator into the urethra.
compress the glans between the examiner’s thumb and forefinger and collect any discharge.
Question 12. A 59-year-old patient has been diagnosed with prostatitis and is being seen at the clinic for complaints of burning and pain during urination. He is experiencing
dysuria.
nocturia.
polyuria.
hematuria.
Question 13. A 2-month-old uncircumcised infant has been brought to the clinic for a well-baby checkup. How would the nurse proceed with the genital examination?
Elicit the cremasteric reflex.
Assess the glans for redness or lesions.
Avoid retracting the foreskin until the infant is 3 months old.
Note any dirt or smegma that has collected under the foreskin.
Question 14. During a health history of a patient who complains of chronic constipation, the patient asks the nurse about high-fiber foods. The nurse relates that an example of a high-fiber food would be
broccoli.
hamburger.
iceberg lettuce.
yogurt.
Question 15. The nurse is examining only the rectal area of a woman and should place the woman in what position?
Lithotomy position
Prone position
Left lateral decubitus position
Bending over the table while standing
Question 16. The nurse notices that a patient has had a pale, yellow, greasy stool, or steatorrhea, and recalls that this is caused by
occult bleeding.
absent bile pigment.
increased fat content.
ingestion of bismuth preparations.
Question 17. The nurse is performing an examination of the anus and rectum. Which of these statements is correct and important to remember during this examination?
The rectum is about 8 cm long.
The anorectal junction cannot be palpated.
Above the anal canal, the rectum turns anteriorly.
There are no sensory nerves in the anal canal or rectum.
Question 18. During a history, the patient states, “It really hurts back there, and sometimes it itches, too. I have even seen blood on the tissue when I have a bowel movement. Is there something there?” The nurse should expect to see which of these upon examination of the anus?
Rectal prolapse
Internal hemorrhoid
External hemorrhoid that has resolved
External hemorrhoid that is thrombosed
Question 19. After completing an assessment of a 60-year-old man with a family history of colon cancer, the nurse discusses with him early detection measures for colon cancer. The nurse should mention the need for a(n)
annual proctoscopy.
colonoscopy every 10 years.
fecal test for blood every 6 months.
digital rectal examinations every 2 years.
Question 20. While performing a rectal examination, the nurse notices a firm, irregularly shaped mass. What should the nurse do next?
Continue with the examination and document the finding in the chart.
Instruct patient to return for repeat assessment in 1 month.
Tell the patient that a mass was felt but it is nothing to worry about.
Report the finding and refer the patient to a specialist for further examination.
Question 21. A 30-year-old woman is visiting the clinic because of “pain in my bottom when I have a bowel movement.” The nurse should assess for which problem?
Pinworms
Hemorrhoids
Colon cancer
Fecal incontinence
Question 22. During an assessment of a 20-year-old man, the nurse finds a small palpable lesion with a tuft of hair located directly over the coccyx. The nurse knows that this lesion would most likely be a
polyp.
pruritus ani.
carcinoma.
pilonidal cyst.
Question 23. A 46-year-old man requires assessment of his sigmoid colon. The nurse is aware that which of these is most appropriate for this examination?
Proctoscope
Ultrasound
Colonoscope
Rectal exam with an examining finger
Question 24. During an assessment of the newborn, the nurse expects to see which finding when the anal area is slightly stroked?
A jerking of the legs
Flexion of the knees
A quick contraction of the sphincter
Relaxation of the external sphincter
Question 25. A 70-year-old man is visiting the clinic for difficulty in passing urine. In the history, he indicates he has to urinate frequently, especially at night. He has burning when he urinates and has noticed pain in his back. Given this history, what might the nurse expect to find during the physical assessment?
Asymmetric, hard, fixed prostate gland
Occult blood and perianal pain to palpation
Symmetrically enlarged, soft prostate gland
A soft nodule protruding from rectal mucosa
NR 509 Week 6 Quiz / NR509 Week 6 Quiz (Latest): Advanced Physical Assessment: Chamberlain
NR 509 Advanced Physical Assessment Quiz 6 / NR509 Advanced Physical Assessment Quiz 6 (Latest): Chamberlain
NR 509 Week 6 Advanced Physical Assessment Quiz / NR509 Week 6 Advanced Physical Assessment Quiz (Latest): Chamberlain
1. A woman has come to the clinic to seek help with a substance-abuse problem. She admits to using cocaine just before arrival. Which of these assessment findings would the FNP expect to find when examining the woman?
2. A 63-year-old Chinese American man enters the office with complaints of chest pain, shortness of breath, and palpitations. Which statement most accurately reflect the FNPs best course of action?
3. The FNP is planning to assess new memory with the patient. The best way for the FNP to do this would be
4. During the health history the FNP asks a female patient “how many alcoholic drinks do you have a week?” Which answer by the patient would indicate at risk drinking?
5. Symptoms such as pain are often influenced by a person’s cultural heritage. Which of the following is a true statement regarding pain?
6. The FNP suspect abuse when a 10-year-old child is taken to the urgent care center for leg injury. The best way to document the history and physical findings is to
7. During a mental status assessment, which question by the FNP would best assess a persons judgment?
8. The FNP is performing a mental status assessment on a five-year-old girl. Her parents are undergoing a bitter divorce and are worried about the effect it is having on their daughter. Which action or statement might leave FNP to be concerned about the girls mental status?
9. During mental status examination, the FNP wants to assess a patient’s affect. The FNP should ask the patient which question?
10. During an examination FNP notices a patterned injury on a patients back. Which of these would cause such an injury?
11. The FNP is aware that intimate partner violence screening should occur with which situation?
12. Which statement is best for the FNP to use when preparing to administer the abuse assessment screen?
13. The FNP is conducting a class on alcohol and the effects of alcohol on the body. How many standard drinks (each containing 12 g alcohol) Per day are associated with increased deaths from cirrhosis, cancers of the mouth, esophagus and injuries in men?
14. A woman who has just discovered that she is pregnant is in the clinic for her first obstetric visit. She asked the FNP how many drinks a day safe for my baby? The FNP‘s best response is
15. The FNP is performing the Denver II screen test on a 12 month old infant during a routine well child visit. The FNP should tell the infants parents that the Denver II
16. Which term refers to a one produced by tearing or splitting of body tissue usually from blunt impact of a bony surface
17. When reviewing the use of alcohol by older adults the FNP notes that the older adults have several characteristics that can increase the risk of alcohol use which would increase the bioavailability of alcohol in the blood for longer periods of time in the older adult?
18. The FNP is reviewing concepts of cultural aspects of pain. Which statement is
true regarding pain?
19. The FNP is planning to assess a child using behavioral checklist. This tool is most appropriate for a(an)
20. The FNP is assessing orientation in a 79-year-old patient. Which of these responses … leave the FNP to … that the patient is … ?
21. As a mandatory reporter of elder abuse, which of these must be present before an FNP notifies the authorities?
22. A 30-year-old female patient is describing feelings of hopelessness and depression. She has attempted self-mutilation and has a history of prior suicide attempts. She describes difficulty sleeping at night and has lost 10 pounds in the past month. Which of these statements or questions is the FNP‘s best response in this situation?
23. For persons age 12 years and older which of these illicit substances was one of the most commonly used?
24. Which of these individuals would the FNP consider at highest risk for suicide attempt?
25. The FNP is …. a patient who has … for cirrhosis of the liver secondary to chronic alcohol use. During the physical … the FNP looks for cardiac problems that are … with chronic heavy use of alcohol such as [Show Less]