NU 518 Exam 3 Study Questions and Correct
Answers
Question 1
A young woman comes in for a routine wellness examination. You notice that her
vaginal
walls have deep rugae and are slightly bluish in color. She also has a thicker white
discharge.
What should you suspect?
A) Hypoxia
B) Varicosities
C) Pregnancy
D) Sexually transmitted infection
Correct Answer
C
Question 2
The nurse is palpating the uterus of a woman who is 8 weeks pregnant. Which finding
would
be considered to be most consistent with this stage of pregnancy?
A The uterus seems slightly enlarged and softened.
B It reaches the pelvic brim and is approximately the size of a grapefruit.
C The uterus rises above the pelvic brim and is approximately the size of a
cantaloupe.
D It is about the size of an avocado, approximately 8 cm across the fundus.
Correct Answer
D
Page 1 of 152
,Question 3
Mrs. Stanton is a 79-year-old widow who presents to your office for a routine BP visit.
You
note a new pulsatile mass in the right neck at the carotid artery. Which of the
following is the
most likely cause for this?
A) Anxiety
B) Carotid artery aneurysm
C) Kinking of the artery
D) Tortuous aorta
Correct Answer
C
Question 4
A 42-year-old house painter comes to your clinic, complaining of pain with defecation
and profuse bleeding in the toilet after a bowel movement. He was in his usual state
of health until 2 weeks ago, when he was injured in a car accident. After the accident
he began taking prescription narcotics for the pain in his shoulder. Since then he has
had very few bowel movements. His
stool is hard and pebble-like. He states he has always been "regular" in the past, with
easy bowel movements. His diet has not changed but he states that he is exercising
less since the accident. His past medical history includes hypertension and he is on a
low-dose diuretic. He has had no other chronic illnesses or surgeries. He has a family
history of hypertension, coronary heart
disease, and diabetes but no cancer. He is divorced and has three children. He smokes
two packs of cigarettes per day and quit drinking more than 10 years ago. He has
Correct Answer
B
Question 5
Which of the following represents age-related changes in the lungs?
A) Decrease in chest wall compliance
B) Speed of expiration increases
C) Increase in respiratory muscle strength
D) Increased elastic recoil of lung tissue
Correct Answer
A
Page 2 of 152
,Question 6
A woman who is 8 weeks pregnant is in the clinic for a checkup. The nurse reads on
her chart that her cervix is softened and looks cyanotic. The nurse knows that the
woman is exhibiting sign and sign.
a Tanner; Hegar
b Hegar; Goodell
c Chadwick; Hegar
d Goodell; Chadwick
Correct Answer
D
Question 7
A 45-year-old electrical engineer presents to your clinic, complaining of spots on his
scrotum. He first noticed the spots several months ago, and they have gotten bigger.
He denies any pain with urination or with sexual intercourse. He has had no fever,
night sweats, weight gain, or weight loss. His past medical history consists of a
vasectomy 10 years ago and mild obesity. He is on medication for hyperlipidemia. He
denies any tobacco or illegal drug use and drinks alcohol socially. His mother has
Alzheimer's disease and his father died of leukemia. On examination he appears
relaxed and has unremarkable vital signs. On visualization of his penis, he is
circumcised and has no lesions on his penis. Visualization of his scrotum shows three
yellow nodules 2-3 millimeters in diameter. During palpation they are firm and
nontender. What abnormality of the male genitalia is this most likely to be?
A) Condylomata acuminata
B
Correct Answer
D
Page 3 of 152
, Question 8
A 22-year-old architecture major comes to your office, complaining of severe burning
with urination, a fever of 101 degrees, and aching all over. She denies any upper
respiratory, gastrointestinal, cardiac, or pulmonary symptoms. Her past medical
history consists of severe acne. She is currently on an oral contraceptive. She has had
no pregnancies or surgeries. She reports one new partner within the last month. She
does not smoke but does drink occasionally. Her parents are both in good health. On
examination you see a young woman appearing slightly ill. Her temperature is 100.3
and her pulse and blood pressure are unremarkable. Her head, ears, eyes, nose,
throat, cardiac, pulmonary, and abdominal examinations are unremarkable. Palpation
of the inguinal nodes shows lymphadenopathy bilaterally. On visualization of the
perineum there are more than 10 shallow ulcers along each side of the vulva.
Speculum and bimanual ex
Correct Answer
A
Question 9
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?
A) Tenderness
B) Cool temperature
C) Ecchymosis
D) Nodules
Correct Answer
A
Question 10
A high school football player injured his wrist in a game. He is tender between the
two tendons at the base of the thumb. Which of the following should be considered?
A) DeQuervain's tenosynovitis
B) Scaphoid fracture
C) Wrist sprain
D) Rheumatoid arthritis
Correct Answer
B
Page 4 of 152
Answers
Question 1
A young woman comes in for a routine wellness examination. You notice that her
vaginal
walls have deep rugae and are slightly bluish in color. She also has a thicker white
discharge.
What should you suspect?
A) Hypoxia
B) Varicosities
C) Pregnancy
D) Sexually transmitted infection
Correct Answer
C
Question 2
The nurse is palpating the uterus of a woman who is 8 weeks pregnant. Which finding
would
be considered to be most consistent with this stage of pregnancy?
A The uterus seems slightly enlarged and softened.
B It reaches the pelvic brim and is approximately the size of a grapefruit.
C The uterus rises above the pelvic brim and is approximately the size of a
cantaloupe.
D It is about the size of an avocado, approximately 8 cm across the fundus.
Correct Answer
D
Page 1 of 152
,Question 3
Mrs. Stanton is a 79-year-old widow who presents to your office for a routine BP visit.
You
note a new pulsatile mass in the right neck at the carotid artery. Which of the
following is the
most likely cause for this?
A) Anxiety
B) Carotid artery aneurysm
C) Kinking of the artery
D) Tortuous aorta
Correct Answer
C
Question 4
A 42-year-old house painter comes to your clinic, complaining of pain with defecation
and profuse bleeding in the toilet after a bowel movement. He was in his usual state
of health until 2 weeks ago, when he was injured in a car accident. After the accident
he began taking prescription narcotics for the pain in his shoulder. Since then he has
had very few bowel movements. His
stool is hard and pebble-like. He states he has always been "regular" in the past, with
easy bowel movements. His diet has not changed but he states that he is exercising
less since the accident. His past medical history includes hypertension and he is on a
low-dose diuretic. He has had no other chronic illnesses or surgeries. He has a family
history of hypertension, coronary heart
disease, and diabetes but no cancer. He is divorced and has three children. He smokes
two packs of cigarettes per day and quit drinking more than 10 years ago. He has
Correct Answer
B
Question 5
Which of the following represents age-related changes in the lungs?
A) Decrease in chest wall compliance
B) Speed of expiration increases
C) Increase in respiratory muscle strength
D) Increased elastic recoil of lung tissue
Correct Answer
A
Page 2 of 152
,Question 6
A woman who is 8 weeks pregnant is in the clinic for a checkup. The nurse reads on
her chart that her cervix is softened and looks cyanotic. The nurse knows that the
woman is exhibiting sign and sign.
a Tanner; Hegar
b Hegar; Goodell
c Chadwick; Hegar
d Goodell; Chadwick
Correct Answer
D
Question 7
A 45-year-old electrical engineer presents to your clinic, complaining of spots on his
scrotum. He first noticed the spots several months ago, and they have gotten bigger.
He denies any pain with urination or with sexual intercourse. He has had no fever,
night sweats, weight gain, or weight loss. His past medical history consists of a
vasectomy 10 years ago and mild obesity. He is on medication for hyperlipidemia. He
denies any tobacco or illegal drug use and drinks alcohol socially. His mother has
Alzheimer's disease and his father died of leukemia. On examination he appears
relaxed and has unremarkable vital signs. On visualization of his penis, he is
circumcised and has no lesions on his penis. Visualization of his scrotum shows three
yellow nodules 2-3 millimeters in diameter. During palpation they are firm and
nontender. What abnormality of the male genitalia is this most likely to be?
A) Condylomata acuminata
B
Correct Answer
D
Page 3 of 152
, Question 8
A 22-year-old architecture major comes to your office, complaining of severe burning
with urination, a fever of 101 degrees, and aching all over. She denies any upper
respiratory, gastrointestinal, cardiac, or pulmonary symptoms. Her past medical
history consists of severe acne. She is currently on an oral contraceptive. She has had
no pregnancies or surgeries. She reports one new partner within the last month. She
does not smoke but does drink occasionally. Her parents are both in good health. On
examination you see a young woman appearing slightly ill. Her temperature is 100.3
and her pulse and blood pressure are unremarkable. Her head, ears, eyes, nose,
throat, cardiac, pulmonary, and abdominal examinations are unremarkable. Palpation
of the inguinal nodes shows lymphadenopathy bilaterally. On visualization of the
perineum there are more than 10 shallow ulcers along each side of the vulva.
Speculum and bimanual ex
Correct Answer
A
Question 9
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?
A) Tenderness
B) Cool temperature
C) Ecchymosis
D) Nodules
Correct Answer
A
Question 10
A high school football player injured his wrist in a game. He is tender between the
two tendons at the base of the thumb. Which of the following should be considered?
A) DeQuervain's tenosynovitis
B) Scaphoid fracture
C) Wrist sprain
D) Rheumatoid arthritis
Correct Answer
B
Page 4 of 152
