NURS 5220 Exam 2: NURS 5220 Exam 2 Practice Exam: 150 Questions & Answers:Latest Updated A+ Guide Solution

Mrs. Tucker brings her infant daughter in for a newborn visit. On examination, you are able to express a clear to milky white fluid from the breast bud. You explain to Mrs. Tucker that this is an expected finding for an infant at which age? • A. Up to 2 months • B. Up to 3 months • C. Up to 4 months • D. Up to 6 months Correct Answer: B Rationale: Expressing a clear to milky white fluid from an infant's breast bud is a normal developmental finding that is expected up to 3 months of age. 2. Palpation of the Vas Deferens When examining the testes, it is important to palpate the vas deferens. How should a normal vas deferens feel? • A. Spongy • B. Beaded • C. Rugated • D. Smooth Correct Answer: D Rationale: On clinical palpation of the testes, a normal vas deferens should feel smooth. 3. Management of Unresolved Adolescent Gynecomastia Mrs. Venin brings her 18-year-old son in for a follow-up examination. You have examined him before due to his enlarged breast tissue, which has not resolved spontaneously. Which action is most appropriate? • A. Refer him to a surgeon for removal • B. Explain that it may still resolve spontaneously • C. Ask about history of sexual activity • D. Ask about illicit or prescription drug use Correct Answer: D Rationale: When adolescent enlarged breast tissue fails to resolve spontaneously, the examiner should assess for secondary causes, such as the use of illicit or prescription drugs. 4. Severe Rectal Pain and Fever Mr. Mills, a 38-year-old patient, presents with severe rectal pain and fever. Which condition might be the cause of the symptoms? • A. An imperforate anus • B. A perianal abscess • C. Benign prostatic hypertrophy • D. An anorectal fistula Correct Answer: B Rationale: Severe rectal pain accompanied by a fever in a 38-year-old male is characteristic of a perianal abscess. 5. Penile Ulceration with Rolled Edges Mr. Taper is a 50-year-old man who presents to your clinic with a deep ulceration with rolled edges on his penis. What do you suspect is occurring in this patient? • A. Epididymitis • B. Herpes simplex virus infection • C. Penile carcinoma • D. Hydrocele Correct Answer: C Rationale: A deep penile ulceration presenting with rolled edges in a 50-year-old man is highly suspicious for penile carcinoma. 6. Mammography Screening Guidelines Mrs. Yates is a 58-year-old patient who presents to your office for her yearly physical examination. She asks you how often a mammogram is recommended. The best response by the examiner is: • A. "every year." • B. "every 3 years." • C. "every 5 years." • D. "every year if you have a family history of cancer." Correct Answer: A Rationale: For a 58-year-old woman undergoing a routine annual physical examination, mammograms are recommended to be performed every year. 7. Clinical Signs of Fibrocystic Changes