NURS 6512N Week 10 Quiz 2 Sets
Walden University NURS 6512N Week 10 Quiz 2 Sets – Question and Answers (Graded A).
A 23-year-old female presents
... [Show More] with severe right lower quadrant tenderness. All of the following should be considered in the differential except:
Ruptured ovarian cyst
Appendicitis
Pelvic inflammatory disease
Classic diverticulitis
What is the initial diagnostic radiology test that should be ordered if you suspect a ruptured ovarian cyst?
Abdominal and transvaginal ultrasound
Flat and upright abdominal x-ray
CT of the abdomen
CT of the abdomen and pelvis
A 17-year-old male was brought into the emergency room with testicular/scrotal pain. The differential diagnosis should include all except:
Testicular cancer
Testicular torsion
Inguinal herniation
Epididymitis
A nursing mother complains that her breasts are tender. You assess hard, shiny, and erythremic breasts bilaterally. You should advise the patient to:
massage gently and continue nursing.
apply warm compresses and stop nursing.
monitor her temperature and restrict fluids.
sleep with a bra and wash her breasts with antibacterial soap.
stop nursing and restrict fluids.
A normal vas deferens should feel:
tender.
smooth.
rugated.
spongy.
beaded.
In a woman complaining of a breast lump, it is most important to ask about:
its relationship to menses.
weight gain.
sleep patterns.
immunization status.
alcohol consumption.
The finding of a painless indurated lesion on the glans penis is most consistent with:
herpes simplex.
herpes zoster.
warts.
chancre.
molluscum contagiosum.
Thrombosed hemorrhoids are:
flabby skin sacs.
red, inflamed, and painful.
fluctuant soft papules.
blue, shiny painful masses.
pink to whitish.
Pregnancy-related cervical changes include:
flattening and lengthening.
thinning and reddening.
hardening and pallor.
shortening and reddening.
softening and bluish coloring.
You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should:
chart the finding as paraphimosis.
inquire about previous penile infections.
retract the foreskin firmly.
transilluminate the glans.
chart the finding as balanitis.
An adolescent male is being seen for acute onset of left testicular pain. The pain started 3 hours ago. He complains of nausea and denies dysuria or fever. Your prioritized assessment should be to:
obtain urine and DNA probe urethral samples.
lift the left scrotum to confirm epididymitis.
establish absent cremasteric reflex.
transilluminate the left and right scrotum.
have the patient stand and observe the scrotum for a bag of worms.
A 23-year-old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to:
instruct her that this is a side effect of birth control injection therapy.
suggest pregnancy testing.
question her use of tanning beds.
schedule an appointment with a surgeon.
recommend she remove caffeine from her diet.
During a pelvic examination for a postmenopausal woman you would expect to assess:
a wider and longer vaginal vault.
absence of vaginal wall rugation.
a nonpalpable cervical os.
a more mobile cervix.
palpable ovaries.
While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:
history of medication allergies.
alcohol, tobacco, and caffeine use.
level of personal education.
amount of personal income.
menstrual history.
Your patient s chief complaint is repeated pencil-like stools. Further examination should include:
stool culture.
parasite testing.
digital rectal examination (DRE).
prostate examination.
cellulose tape test.
Which one of the following is a proper technique for use of a speculum during a vaginal examination?
Allow labia to spread; insert speculum slightly open.
Press introitus upward; insert closed speculum horizontally.
Press introitus downward; insert closed speculum obliquely.
Spread labia; insert closed speculum horizontally.
Insert one finger; insert opened speculum.
A cervical polyp usually appears as a:
grainy appearance at the ectocervical junction.
bright-red soft protrusion from the endocervical canal.
transverse or stellate scar.
hard granular surface at or near the os.
flesh colored firm protrusion at the cervical os.
Asking the woman to close the introitus during a pelvic examination is a test for:
endometriosis.
rectocele.
cervical polyps.
muscle tone.
cystocele.
Male gynecomastia associated with illicit or prescription drug use can be expected to:
lessen when the body becomes accustomed to the drug.
resolve after the drug is discontinued.
leave permanent breast enlargement when the drug is discontinued.
cause purulent drainage if left untreated.
lead to an increased risk of breast cancer.
A cremasteric reflex should result in:
the scrotum appear to contain a bag of worms.
penile deviation to the left side.
scrotum to elevate bilaterally.
immediate erection of the penis.
testicle and scrotal rise on the stroked side.
QUIZ 2
• Question 1
3 out of 3 points
A 23-year-old female presents with severe right lower quadrant tenderness. All of the following should be considered in the differential except:
• Question 2
3 out of 3 points
What is the initial diagnostic radiology test that should be ordered if you suspect a ruptured ovarian cyst?
• Question 3
3 out of 3 points
A 17-year-old male was brought into the emergency room with testicular/scrotal pain. The differential diagnosis should include all except:
• Question 4
3 out of 3 points
A nursing mother complains that her breasts are tender. You assess hard, shiny, and erythremic breasts bilaterally. You should advise the patient to:
Response Feedback: This patient has mastitis. The aim of treatment is to promote breast drainage. Stopping nursing will increase the risk of a breast infection turning into a breast abscess. The other choices do not encourage breast milk flow. Only mild soaps are advised; harsh soaps can dry and crack the nipple and compound infection.
• Question 5
3 out of 3 points
A normal vas deferens should feel:
Response Feedback: Vas deferens should normally feel smooth, discrete, and nontender.
• Question 6
3 out of 3 points
In a woman complaining of a breast lump, it is most important to ask about:
Response Feedback: Hormonal changes of menstruation can result in breast tenderness, swelling, and enlarged nodes that can be felt upon palpation.
• Question 7
3 out of 3 points
The finding of a painless indurated lesion on the glans penis is most consistent with:
Response Feedback: Syphilitic chancre is a painless lesion with an indurated border and a clear base.
• Question 8
3 out of 3 points
Thrombosed hemorrhoids are:
Response Feedback: Thrombosed hemorrhoids appear as blue, shiny masses at the anus; they contain clotted blood and are edematous and painful. Flabby skin sacs describe a resolved hemorrhoid; red, inflamed, painful, and fluctuant describe a rectal abscess. Pink to whitish growths that occur on the anus describe the findings consistent with anal warts.
• Question 9
3 out of 3 points
Pregnancy-related cervical changes include:
Response Feedback: During pregnancy, the cervix softens (Goodell sign) and then appears bluish (Chadwick sign).
• Question 10
3 out of 3 points
You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should:
Response Feedback: This condition is phimosis and is usually congenital, or it may be related to recurrent infections or poorly controlled diabetes. Retracting the foreskin forcibly would lead to further adhesion formation and worsening phimosis. Transillumination is indicated for masses of the scrotum. Balanitis is inflammation of the glans that may occur with phimosis.
• Question 11
3 out of 3 points
An adolescent male is being seen for acute onset of left testicular pain. The pain started 3 hours ago. He complains of nausea and denies dysuria or fever. Your prioritized assessment should be to:
Response Feedback: The patient is displaying symptoms of testicular torsion. An absent cremasteric reflex is a supporting finding to differentiate torsion from epididymitis.
• Question 12
3 out of 3 points
A 23-year-old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to:
Response Feedback: In light-skinned women, pregnancy produces enlarged breasts with darker areola. Neither hormonal injections, caffeine, nor the use of tanning beds will change the color of the areola as pregnancy does. Surgical consultation is not necessary.
• Question 13
3 out of 3 points
During a pelvic examination for a postmenopausal woman you would expect to assess:
Response Feedback: Expected findings in the pelvic examination for an older woman include a narrower and shorter vagina, absence of rugation, less mobile cervix, and a palpable cervical os. The ovaries are rarely palpable because of atrophy.
• Question 14
3 out of 3 points
While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:
Response Feedback: The amount of alcohol, tobacco, and caffeine use is questioned because it affects the breast. For fibrocystic breasts, avoiding caffeine in coffee, tea, chocolate, and soft drinks may decrease water retention and discomfort. Women who consume two to five alcoholic drinks daily have 1 1/2 times the risk of developing breast cancer than do women who drink no alcohol. Smoking significantly increases the risk of breast cancer in women with a family history of breast and ovarian cancers. The menstrual history is part of the past medical history.
• Question 15
3 out of 3 points
Your patient s chief complaint is repeated pencil-like stools. Further examination should include:
Response Feedback: Persistent pencil-shaped stools are indicative of stenosis from scarring or pressures from a mass. DRE should be performed to assess for a mass.
• Question 16
3 out of 3 points
Which one of the following is a proper technique for use of a speculum during a vaginal examination?
Response Feedback: Use two fingers of one hand to push the introitus down to relax the pubococcygeal muscle, then hold the closed speculum with the other hand and insert the speculum past your fingers obliquely.
• Question 17
3 out of 3 points
A cervical polyp usually appears as a:
Response Feedback: Cervical polyps are bright red, soft, and fragile. They usually protrude from the endocervical canal.
• Question 18
3 out of 3 points
Asking the woman to close the introitus during a pelvic examination is a test for:
Response Feedback: Test for muscle tone is to have the woman squeeze the vaginal opening around your finger. A rectocele can be seen as a bulge on the posterior wall. A cystocele will be seen as bulge on the anterior wall. Endometriosis is suggested with tender nodules along the uterosacral ligaments. Cervical polyps can be inspected without squeezing.
• Question 19
3 out of 3 points
Male gynecomastia associated with illicit or prescription drug use can be expected to:
Response Feedback: Gynecomastia associated with illicit or prescription drug use (antihypertensive, estrogens, or steroids) usually resolves after the offending drug is discontinued and does not require further intervention.
• Question 20
3 out of 3 points
A cremasteric reflex should result in:
Response Feedback: Upon stroking the inner thigh with a blunt instrument or finger, the testicle and scrotum should rise on the stroked side. [Show Less]