Exam 2- Jarvis 6700 Questions With Complete Solutions
A 13-year-old girl is visiting the clinic for a sports physical
examination. The nurse should remember to include which of
these tests in the examination?
a. Testing for occult blood
b. Valsalva maneuver
c. Internal palpation of the anus
d. Inspection of the perianal area Correct Answers d.
Inspection of the perianal area
A 14-year-old boy who has been diagnosed with Osgood-
Schlatter disease reports painful swelling just below the knee for
the past 5 months. Which response by the nurse is appropriate?
a. "If these symptoms persist, you may need arthroscopic
surgery."
b. "You are experiencing degeneration of your knee, which may
not resolve."
c... "Your disease is due to repeated stress on the patellar tendon.
It is usually
self-limited, and your symptoms should resolve with rest."
d. "Increasing your activity and performing knee-strengthening
exercises will help decrease the inflammation and maintain
mobility in the knee." Correct Answers c... "Your disease is
due to repeated stress on the patellar tendon. It is usually self-
limited, and your symptoms should resolve with rest."
A 15-year-old boy is seen in the clinic for complaints of "dull
pain and pulling" in the scrotal area. On examination, the nurse
palpates a soft, irregular mass posterior to and above the testis
,on the left. This mass collapses when the patient is supine and
refills when he is upright. This description is consistent with:
a. Epididymitis.
b. Spermatocele.
c. Testicular torsion.
d... Varicocele. Correct Answers d... Varicocele.
A 16-year-old boy is brought to the clinic for a problem that he
refused to let his mother see. The nurse examines him, and finds
that he has scrotal swelling on the left side. He had the mumps
the previous week, and the nurse suspects that he has orchitis.
Which of the following assessment findings support this
diagnosis? Select all that apply.
a. Swollen testis
b.. Mass that transilluminates
c. Mass that does not transilluminate
d. Scrotum that is nontender upon palpation
e. Scrotum that is tender upon palpation
f. Scrotal skin that is reddened Correct Answers a. Swollen
testis
c. Mass that does not transilluminate
e. Scrotum that is tender upon palpation
f. Scrotal skin that is reddened
A 2-month-old uncircumcised infant has been brought to the
clinic for a well-baby checkup. How would the nurse proceed
with the genital examination?
a. Eliciting the cremasteric reflex is recommended.
b. The glans is assessed for redness or lesions.
c. Retracting the foreskin should be avoided until the infant is 3
months old.
,d. Any dirt or smegma that has collected under the foreskin
should be noted. Correct Answers c. Retracting the foreskin
should be avoided until the infant is 3 months old.
A 2-year-old boy has been diagnosed with physiologic
cryptorchidism. Considering this diagnosis, during assessment
the nurse will most likely observe:
a. Testes that are hard and painful to palpation.
b. Atrophic scrotum and a bilateral absence of the testis.
c. Absence of the testis in the scrotum, but the testis can be
milked down.
d. Testes that migrate into the abdomen when the child squats or
sits cross-legged. Correct Answers c. Absence of the testis in
the scrotum, but the testis can be milked down.
A 21-year-old patient has a head injury resulting from trauma
and is unconscious. There are no other injuries. During the
assessment what would the nurse expect to find when testing the
patient's deep tendon reflexes?
a. Reflexes will be normal.
b. Reflexes cannot be elicited.
c. All reflexes will be diminished but present.
d. Some reflexes will be present, depending on the area of
injury. Correct Answers a. Reflexes will be normal.
A 22-year-old man comes to the clinic for an examination after
falling off his motorcycle and landing on his left side on the
handle bars. The nurse suspects that he may have injured his
spleen. Which of these statements is true regarding assessment
of the spleen in this situation?
a. The spleen can be enlarged as a result of trauma.
, b. The spleen is normally felt on routine palpation.
c. If an enlarged spleen is noted, then the nurse should
thoroughly palpate to
determine its size.
d. An enlarged spleen should not be palpated because it can
easily rupture. Correct Answers d. An enlarged spleen should
not be palpated because it can easily rupture.
A 22-year-old woman has been considering using oral
contraceptives. As a part of her health history, the nurse should
ask:
a. "Do you have a history of heart murmurs?"
b. "Will you be in a monogamous relationship?"
c. "Have you carefully thought this choice through?"
d. "If you smoke, how many cigarettes do you smoke per day?"
Correct Answers d. "If you smoke, how many cigarettes do you
smoke per day?"
A 22-year-old woman is being seen at the clinic for problems
with vulvar pain, dysuria, and fever... On physical examination,
the nurse notices clusters of small, shallow vesicles with
surrounding erythema on the labia. Inguinal lymphadenopathy
present is also present.. The most likely cause of these lesions is:
a. Pediculosis pubis.
b. Contact dermatitis.
c. HPV.
d. Herpes simplex virus type 2. Correct Answers d. Herpes
simplex virus type 2.
A 25-year-old woman comes to the emergency department with
a sudden fever of 38.3° C and abdominal pain. Upon
A 13-year-old girl is visiting the clinic for a sports physical
examination. The nurse should remember to include which of
these tests in the examination?
a. Testing for occult blood
b. Valsalva maneuver
c. Internal palpation of the anus
d. Inspection of the perianal area Correct Answers d.
Inspection of the perianal area
A 14-year-old boy who has been diagnosed with Osgood-
Schlatter disease reports painful swelling just below the knee for
the past 5 months. Which response by the nurse is appropriate?
a. "If these symptoms persist, you may need arthroscopic
surgery."
b. "You are experiencing degeneration of your knee, which may
not resolve."
c... "Your disease is due to repeated stress on the patellar tendon.
It is usually
self-limited, and your symptoms should resolve with rest."
d. "Increasing your activity and performing knee-strengthening
exercises will help decrease the inflammation and maintain
mobility in the knee." Correct Answers c... "Your disease is
due to repeated stress on the patellar tendon. It is usually self-
limited, and your symptoms should resolve with rest."
A 15-year-old boy is seen in the clinic for complaints of "dull
pain and pulling" in the scrotal area. On examination, the nurse
palpates a soft, irregular mass posterior to and above the testis
,on the left. This mass collapses when the patient is supine and
refills when he is upright. This description is consistent with:
a. Epididymitis.
b. Spermatocele.
c. Testicular torsion.
d... Varicocele. Correct Answers d... Varicocele.
A 16-year-old boy is brought to the clinic for a problem that he
refused to let his mother see. The nurse examines him, and finds
that he has scrotal swelling on the left side. He had the mumps
the previous week, and the nurse suspects that he has orchitis.
Which of the following assessment findings support this
diagnosis? Select all that apply.
a. Swollen testis
b.. Mass that transilluminates
c. Mass that does not transilluminate
d. Scrotum that is nontender upon palpation
e. Scrotum that is tender upon palpation
f. Scrotal skin that is reddened Correct Answers a. Swollen
testis
c. Mass that does not transilluminate
e. Scrotum that is tender upon palpation
f. Scrotal skin that is reddened
A 2-month-old uncircumcised infant has been brought to the
clinic for a well-baby checkup. How would the nurse proceed
with the genital examination?
a. Eliciting the cremasteric reflex is recommended.
b. The glans is assessed for redness or lesions.
c. Retracting the foreskin should be avoided until the infant is 3
months old.
,d. Any dirt or smegma that has collected under the foreskin
should be noted. Correct Answers c. Retracting the foreskin
should be avoided until the infant is 3 months old.
A 2-year-old boy has been diagnosed with physiologic
cryptorchidism. Considering this diagnosis, during assessment
the nurse will most likely observe:
a. Testes that are hard and painful to palpation.
b. Atrophic scrotum and a bilateral absence of the testis.
c. Absence of the testis in the scrotum, but the testis can be
milked down.
d. Testes that migrate into the abdomen when the child squats or
sits cross-legged. Correct Answers c. Absence of the testis in
the scrotum, but the testis can be milked down.
A 21-year-old patient has a head injury resulting from trauma
and is unconscious. There are no other injuries. During the
assessment what would the nurse expect to find when testing the
patient's deep tendon reflexes?
a. Reflexes will be normal.
b. Reflexes cannot be elicited.
c. All reflexes will be diminished but present.
d. Some reflexes will be present, depending on the area of
injury. Correct Answers a. Reflexes will be normal.
A 22-year-old man comes to the clinic for an examination after
falling off his motorcycle and landing on his left side on the
handle bars. The nurse suspects that he may have injured his
spleen. Which of these statements is true regarding assessment
of the spleen in this situation?
a. The spleen can be enlarged as a result of trauma.
, b. The spleen is normally felt on routine palpation.
c. If an enlarged spleen is noted, then the nurse should
thoroughly palpate to
determine its size.
d. An enlarged spleen should not be palpated because it can
easily rupture. Correct Answers d. An enlarged spleen should
not be palpated because it can easily rupture.
A 22-year-old woman has been considering using oral
contraceptives. As a part of her health history, the nurse should
ask:
a. "Do you have a history of heart murmurs?"
b. "Will you be in a monogamous relationship?"
c. "Have you carefully thought this choice through?"
d. "If you smoke, how many cigarettes do you smoke per day?"
Correct Answers d. "If you smoke, how many cigarettes do you
smoke per day?"
A 22-year-old woman is being seen at the clinic for problems
with vulvar pain, dysuria, and fever... On physical examination,
the nurse notices clusters of small, shallow vesicles with
surrounding erythema on the labia. Inguinal lymphadenopathy
present is also present.. The most likely cause of these lesions is:
a. Pediculosis pubis.
b. Contact dermatitis.
c. HPV.
d. Herpes simplex virus type 2. Correct Answers d. Herpes
simplex virus type 2.
A 25-year-old woman comes to the emergency department with
a sudden fever of 38.3° C and abdominal pain. Upon
