MSN 572 Quiz 3 Questions & Answers
1. Which signs and symptoms does the nurse practitioner expect to find in a patient with
prostate cancer? All could be symptoms of prostate CA
2. Which test does the examiner use to assess a patient with suspected appendicitis pain?
Iliopsoas muscle test
3. A 19-year-old sexually active college student presents for evaluation of a vaginal discharge. She
has been in a monogamous relationship since becoming sexually active. She denies that he has
been unfaithful. She denies fever or chills. She states that the discharge is thick white and
curdlike and although there is no bad odor she does experience some itching. Upon physical
examination of the vagina you see an inflamed vulva with a slightly red vaginal mucosa. The
discharge is thick and white. There is no cervical motion tenderness. The uterus is normal in
size without adnexal masses. Based on this information what is your most likely diagnosis?
Candida vaginitis
4. An 80-year-old retired secretary presents to the emergency room because of difficulty having a
bowel movement stating that "it feels like something is coming out." She denies fever or chills
and weight loss. She has a history of urinary incontinence. She has recently had constipation
and has used an over-the-counter stool softener and increased her water intake. She denies
pain with defecation. On physical examination of the anus you see a doughnut of red tissue with
concentrically circular folds where the anus should be. What is your most likely diagnosis?
Rectal prolapse
5. While doing an assessment of the external genitalia the provider finds that the patient has a
posteriorly swollen labia tenderness and a palpable mass on the labia. Which condition
should the provider expect to find in the patient? Abscess on the Bartholin gland
6. While palpating the anus of a patient the NP notes increased muscle tone. What should the
NP infer from this finding? The patient has anxiety.
7. A 35-year-old truck driver presents to the emergency room for evaluation of pain in his left
groin. He has noticed that the pain increases after lifting several boxes to load his truck each
weighing more than 100 pounds. He has had this pain intermittently over the past 5 years but it
has always gone away on its own. He is here because the pain has not gone away and he is
becoming nauseated. He denies fever chills constipation or diarrhea. He denies urethral
discharge; he is married and states that he is faithful to his spouse. On physical examination of
the left testicular area you note that there is a bulge when you palpate the inguinal canal as you
ask the patient to strain. You listen to the left testicular area and hear bowel sounds. Your most
likely diagnosis is: Hernia
8. Which patients are most susceptible to developing a fecal impaction? A patient
with hypothyroidism
9. What is the preferred order for examination of the abdomen? Inspection auscultation
percussion palpation
10. Which risk factors places a patient at higher risk for developing candidiasis? Prolonged use
of antibiotics diabetes mellitus and vaginal douching
11. Which intervention is used to determine Murphy sign? Ask the patient to take a deep breath
, while holding the fingers under the liver border.
12. What assessment finding will the nurse practitioner document in a patient with an
aortic aneurysm? Presence of bruit on auscultation
1. Which signs and symptoms does the nurse practitioner expect to find in a patient with
prostate cancer? All could be symptoms of prostate CA
2. Which test does the examiner use to assess a patient with suspected appendicitis pain?
Iliopsoas muscle test
3. A 19-year-old sexually active college student presents for evaluation of a vaginal discharge. She
has been in a monogamous relationship since becoming sexually active. She denies that he has
been unfaithful. She denies fever or chills. She states that the discharge is thick white and
curdlike and although there is no bad odor she does experience some itching. Upon physical
examination of the vagina you see an inflamed vulva with a slightly red vaginal mucosa. The
discharge is thick and white. There is no cervical motion tenderness. The uterus is normal in
size without adnexal masses. Based on this information what is your most likely diagnosis?
Candida vaginitis
4. An 80-year-old retired secretary presents to the emergency room because of difficulty having a
bowel movement stating that "it feels like something is coming out." She denies fever or chills
and weight loss. She has a history of urinary incontinence. She has recently had constipation
and has used an over-the-counter stool softener and increased her water intake. She denies
pain with defecation. On physical examination of the anus you see a doughnut of red tissue with
concentrically circular folds where the anus should be. What is your most likely diagnosis?
Rectal prolapse
5. While doing an assessment of the external genitalia the provider finds that the patient has a
posteriorly swollen labia tenderness and a palpable mass on the labia. Which condition
should the provider expect to find in the patient? Abscess on the Bartholin gland
6. While palpating the anus of a patient the NP notes increased muscle tone. What should the
NP infer from this finding? The patient has anxiety.
7. A 35-year-old truck driver presents to the emergency room for evaluation of pain in his left
groin. He has noticed that the pain increases after lifting several boxes to load his truck each
weighing more than 100 pounds. He has had this pain intermittently over the past 5 years but it
has always gone away on its own. He is here because the pain has not gone away and he is
becoming nauseated. He denies fever chills constipation or diarrhea. He denies urethral
discharge; he is married and states that he is faithful to his spouse. On physical examination of
the left testicular area you note that there is a bulge when you palpate the inguinal canal as you
ask the patient to strain. You listen to the left testicular area and hear bowel sounds. Your most
likely diagnosis is: Hernia
8. Which patients are most susceptible to developing a fecal impaction? A patient
with hypothyroidism
9. What is the preferred order for examination of the abdomen? Inspection auscultation
percussion palpation
10. Which risk factors places a patient at higher risk for developing candidiasis? Prolonged use
of antibiotics diabetes mellitus and vaginal douching
11. Which intervention is used to determine Murphy sign? Ask the patient to take a deep breath
, while holding the fingers under the liver border.
12. What assessment finding will the nurse practitioner document in a patient with an
aortic aneurysm? Presence of bruit on auscultation
