NSG6020 Final Exam Detailed Questions with
Correct Verified Answers | Advanced Nursing
Study Guide |100% Guarantee Pass Verified and
Updated| Latest Exam and Brand new Version!!!
Heberden's nodes are commonly found in which one of the following
diseases?
CORRECT ANSWER:
Degenerative joint disease
You are beginning the examination of the skin on a 25-year-old
teacher. You have previously elicited that she came to the office for
evaluation of fatigue, weight gain, and hair loss. You strongly
suspect that she has hypothyroidism. What is the expected moisture
and texture of the skin of the patient with hypothyroidism
CORRECT ANSWER:
dry and rough
You are assessing a patient with joint pain and are trying to decide
whether it is inflammatory or noninflammatory in nature. Which one
of the following symptoms is consistent with an inflammatory
process?
CORRECT ANSWER:
tenderness
A 68-year-old retired farmer comes to your office for evaluation of a
skin lesion. On the right temporal area of the forehead, you see a
flattened papule the same color as his skin, covered by a dry scale
,that is round and feels hard. He has several more of these scattered
on the forehead, arms and legs. Based on this description, what is
your most likely diagnosis?
CORRECT ANSWER:
actinic keratosis
A 28-year-old graduate student comes to your clinic for evaluation of
pain "all over." With further questioning, she is able to relate that the
pain is worse in the neck, shoulders, hands, low back and knees.
She denies swelling in her joints. She states that the pain is worse in
the morning. There is no limitation in her range of motion. On
physical examination, she has several points on the muscles of the
neck, shoulders and back that are tender to palpation. Muscle
strength and range of motion are normal. Which one of the following
is likely the cause of her pain?
CORRECT ANSWER:
fibromyalgia
A new patient is complaining of severe pruritus that is worse at
night. Several family members also have the same symptoms. Upon
examination, areas of excoriated papules are noted on some of the
interdigital webs of both hands and on the axillae. This finding is
most consistent with:
CORRECT ANSWER:
Scabies
An obese 55-year-old woman went through menarche at age 16 and
menopause 2 years ago. She is concerned because an aunt had
severe osteoporosis. Which one of the following is a risk factor for
osteoporosis?
CORRECT ANSWER:
Delayed menarche
,Ms. Whiting is a 68-year-old female who comes in for her usual
follow-up visit. You notice a few flat red and purple lesions, about 6
centimeters in diameter, on the ulnar aspect of her forearms but
nowhere else. She doesn't mention them. They are tender when you
examine them. What should you do?
CORRECT ANSWER:
Ask how she acquired them.
A 58-year-old man comes to your office complaining of bilateral back
pain that now awakens him at night. This has been steadily
increasing for the past 2 months. Which one of the following is the
most reassuring in this patient with back pain?
CORRECT ANSWER:
Pain that is bilateral
The Phalen's test is used to evaluate:
CORRECT ANSWER:
inflammation of the median nerve
Which of the following would lead you to suspect a hydrocele versus
other causes of scrotal swelling?
CORRECT ANSWER:
A positive transillumination test
You are examining a newborn and note that the right testicle is not in
the scrotum. What should you do next?
CORRECT ANSWER:
Attempt to bring down the testis from the inguinal canal
A 50-year-old truck driver comes to your clinic for a work physical.
He has had no upper respiratory, cardiac, pulmonary,
gastrointestinal, urinary, or musculoskeletal system complaints. His
past medical history is significant for mild arthritis and prior knee
, surgery in college. He is married and just changed jobs, working for
a different trucking company. He smokes one pack of cigarettes a
day, drinks less than six beers a week, and denies using any illegal
drugs. His mother has high blood pressure and arthritis and his
father died of lung cancer in his sixties. On examination, his blood
pressure is 130/80 and his pulse is 80. His cardiac, lung, and
abdominal examinations are normal. He has no inguinal hernia, but
on his digital rectal examination you palpate a soft, smooth, and
nontender pedunculated mass on the posterior wall of the rectum.
What anal, rectal, or prostate disorder best fits his presentation?
CORRECT ANSWER:
Rectal polyp
A 15-year-old high school football player is brought to your office by
his mother. He is complaining of severe testicular pain since exactly
8:00 this morning. He denies any sexual activity and states that he
hurts so bad he can't even urinate. He is nauseated and is throwing
up. He denies any recent illness or fever. His past medical history is
unremarkable. He denies any tobacco, alcohol, or drug use. His
parents are both in good health. On examination, you see a young
teenager lying on the bed with an emesis basin. He is very
uncomfortable and keeps shifting his position. His blood pressure is
150/100, his pulse is 110, and his respirations are 24. On
visualization of the penis, he is circumcised and there are no lesions
and no discharge from the meatus. His scrotal skin is tense and red.
Palpation of the left testicle causes severe pain and the patient
begins to cry. His prostate examination is unremarkable. His
cremasteric reflex is absent on the left but is normal on the right. By
catheter you get a urine sample and the analysis is unremarkable.
You send the boy with his mother to the emergency room for further
workup.
CORRECT ANSWER:
Torsion of the spermatic cord
Correct Verified Answers | Advanced Nursing
Study Guide |100% Guarantee Pass Verified and
Updated| Latest Exam and Brand new Version!!!
Heberden's nodes are commonly found in which one of the following
diseases?
CORRECT ANSWER:
Degenerative joint disease
You are beginning the examination of the skin on a 25-year-old
teacher. You have previously elicited that she came to the office for
evaluation of fatigue, weight gain, and hair loss. You strongly
suspect that she has hypothyroidism. What is the expected moisture
and texture of the skin of the patient with hypothyroidism
CORRECT ANSWER:
dry and rough
You are assessing a patient with joint pain and are trying to decide
whether it is inflammatory or noninflammatory in nature. Which one
of the following symptoms is consistent with an inflammatory
process?
CORRECT ANSWER:
tenderness
A 68-year-old retired farmer comes to your office for evaluation of a
skin lesion. On the right temporal area of the forehead, you see a
flattened papule the same color as his skin, covered by a dry scale
,that is round and feels hard. He has several more of these scattered
on the forehead, arms and legs. Based on this description, what is
your most likely diagnosis?
CORRECT ANSWER:
actinic keratosis
A 28-year-old graduate student comes to your clinic for evaluation of
pain "all over." With further questioning, she is able to relate that the
pain is worse in the neck, shoulders, hands, low back and knees.
She denies swelling in her joints. She states that the pain is worse in
the morning. There is no limitation in her range of motion. On
physical examination, she has several points on the muscles of the
neck, shoulders and back that are tender to palpation. Muscle
strength and range of motion are normal. Which one of the following
is likely the cause of her pain?
CORRECT ANSWER:
fibromyalgia
A new patient is complaining of severe pruritus that is worse at
night. Several family members also have the same symptoms. Upon
examination, areas of excoriated papules are noted on some of the
interdigital webs of both hands and on the axillae. This finding is
most consistent with:
CORRECT ANSWER:
Scabies
An obese 55-year-old woman went through menarche at age 16 and
menopause 2 years ago. She is concerned because an aunt had
severe osteoporosis. Which one of the following is a risk factor for
osteoporosis?
CORRECT ANSWER:
Delayed menarche
,Ms. Whiting is a 68-year-old female who comes in for her usual
follow-up visit. You notice a few flat red and purple lesions, about 6
centimeters in diameter, on the ulnar aspect of her forearms but
nowhere else. She doesn't mention them. They are tender when you
examine them. What should you do?
CORRECT ANSWER:
Ask how she acquired them.
A 58-year-old man comes to your office complaining of bilateral back
pain that now awakens him at night. This has been steadily
increasing for the past 2 months. Which one of the following is the
most reassuring in this patient with back pain?
CORRECT ANSWER:
Pain that is bilateral
The Phalen's test is used to evaluate:
CORRECT ANSWER:
inflammation of the median nerve
Which of the following would lead you to suspect a hydrocele versus
other causes of scrotal swelling?
CORRECT ANSWER:
A positive transillumination test
You are examining a newborn and note that the right testicle is not in
the scrotum. What should you do next?
CORRECT ANSWER:
Attempt to bring down the testis from the inguinal canal
A 50-year-old truck driver comes to your clinic for a work physical.
He has had no upper respiratory, cardiac, pulmonary,
gastrointestinal, urinary, or musculoskeletal system complaints. His
past medical history is significant for mild arthritis and prior knee
, surgery in college. He is married and just changed jobs, working for
a different trucking company. He smokes one pack of cigarettes a
day, drinks less than six beers a week, and denies using any illegal
drugs. His mother has high blood pressure and arthritis and his
father died of lung cancer in his sixties. On examination, his blood
pressure is 130/80 and his pulse is 80. His cardiac, lung, and
abdominal examinations are normal. He has no inguinal hernia, but
on his digital rectal examination you palpate a soft, smooth, and
nontender pedunculated mass on the posterior wall of the rectum.
What anal, rectal, or prostate disorder best fits his presentation?
CORRECT ANSWER:
Rectal polyp
A 15-year-old high school football player is brought to your office by
his mother. He is complaining of severe testicular pain since exactly
8:00 this morning. He denies any sexual activity and states that he
hurts so bad he can't even urinate. He is nauseated and is throwing
up. He denies any recent illness or fever. His past medical history is
unremarkable. He denies any tobacco, alcohol, or drug use. His
parents are both in good health. On examination, you see a young
teenager lying on the bed with an emesis basin. He is very
uncomfortable and keeps shifting his position. His blood pressure is
150/100, his pulse is 110, and his respirations are 24. On
visualization of the penis, he is circumcised and there are no lesions
and no discharge from the meatus. His scrotal skin is tense and red.
Palpation of the left testicle causes severe pain and the patient
begins to cry. His prostate examination is unremarkable. His
cremasteric reflex is absent on the left but is normal on the right. By
catheter you get a urine sample and the analysis is unremarkable.
You send the boy with his mother to the emergency room for further
workup.
CORRECT ANSWER:
Torsion of the spermatic cord
