NURS 612 Maryville Best Final Exam 2025

A patient’s inability to follow simple instructions could indicate with of the following findings. A. Dysphonia B. Amnesia C. Aphasia D. Depression - correct answer-d. Depression A patient scores a 3 on a mini-cog assessment instrument for dementia, what does this score indicate? A. Advanced dementia B. Early dementia C. Need for further evaluation D. Negative screen for dementia - correct answer-d. Negative screen for dementia The examiner asks the patient to complete this statement: "a bird is to air as a fish is to _________." this is an example of what type of testing? A calculation B analogies C judgment D mood and feelings - correct answer-b. Analogies Assume that the patients response to the examiner in question 3 is scales. What does this response likely reflect? A. Left cerebral hemisphere lesion B. Depression C. Eating disorder D. Aphasia - correct answer-a. Left cerebral hemisphere lesion Which type of assessment should be used to evaluate the mental status of a patient with head trauma? A. Phq B. Perceptual distortion assessment C. Glasgow coma scale D. Functional assessment - correct answer-c. Glasgow coma scale Which of the following indicates possible cognitive impairment? A. Ability to complete personal care without assistance B. Suspiciousness or inappropriate affect NURS 612 NURS 612 C. Articulate communication D. Prudent behavior and calm demeanor - correct answer-b. Suspiciousness or inappropriate affect A 65-year old woman is brought to the clinic by family. They report thieve have noticed a change in her mental abilities over the past 2 weeks. Normally they say she is independent, intelligent and very socially oriented. Medical history is unremarkable except for congestive heart failure, for which she takes digoxin. She has had no major changes in her health. What questions would be most important for the examiner to ask the woman's family? A. Is there a family hx of alzheimers? B. How much alcohol does she drink in an average week? C. When was her digoxin level last checked? D. Did you know that the mental function begins to decline after the age of 60 ? - correct answer-c. When was her digoxin level last checked? A patient who has difficulty writing or drawing is most likely to have what condition? A. Temporal lobe damage B. Peripheral neuropathy C. Organic brain syndrome D. Psyciatric hallucinations - correct answer-b. Peripheral neuropathy A mother brings her 18 month old to the clinic. The child rarely talks or smiles or makes eye contact. She has also notice he does not like to be held. She says his motor development seems to be normal. What are these symptoms consistent with? A. Dementia B. Autistic disorder C. Adhd D. Delirium - correct answer-b. Autistic disorder A patient with alzheimers disease classically displays which of the following? A. Alternating periods of mania and stupor B. Hallucinations and decorticate posturing C. Disintegration of personality D. Rapid onset of symptoms - correct answer-c. Disintegration of personality While examining a newborn male infant, the examiner palpates a testicle in the inguinal canal that cannot be pushed into the scrotum. This finding is consistent with what? A. A retractile testi B. Ambiguous genitalia C. Inguinal hernia D. Undescended testicle - correct answer-d. Undescended testicle Genital self examination should be taught to patients who are at risk for? A. Testicular cancer B. Peyronie disease NURS 612 NURS 612 C. Std D. Prostate enlargement - correct answer-c. Std On exam of a patients scrotum you note the it is unusually thickened and it pits. What is one type of problem suggested by these findings? A. Std B. Squamous cell skin cancer C. Liver disease D. Autoimmune disease - correct answer-c. Liver disease While examining the genitalia of a 2 yr old boy the examiner should be aware. A. Scrotum has edema until age 4 B. Foreskin of uncircumcised penis is not fully retractable until age 3-4yrs C. Testicles typically do not descend into the scrotum until age 5 D. Cremasteric reflex does not become evident until age 6-7. - correct answer-b. Foreskin of uncircumcised penis is not fully retractable until age 3-4yrs. Which item in the patient history is considered a risk factor for cancer of the penis? A. Circumcised at birth B. History of condyloma acuminatum infections C. Had congenital hydrocele D. History of untreated epispadius - correct answer-b. History of condyloma acuminatum infections In which of the following situations is transillumination of the scrotum indicated? A. Presence of syphillis chancre is noted B. Indirect hernia is palpated C. The examiner suspects a mass D. The examiners palpates the testes. - correct answer-c. The examiner suspects a mass The patient is asked to bear down while the examiner palpates the inguinal ring. The examiner feels a soft swelling sensation on the fingertip. The patient complains of pain while straining. These findings are consistent with which of the following? A. Indirect hernia B. Direct hernia C. Femoral hernia D. Rectal hernia - correct answer-a. Indirect hernia The examiner inspects the scrotum of 43 yr old man. Which of the following requires further evaluation? A. Left teticle hangs lower than the right B. Scrotum is darker than general skin color C. Skin on scrotum is shiny and smooth D. Scrotum has a midline raphe. - correct answer-c. Skin on scrotum is shiny and smooth NURS 612 NURS 612 Which finding may indicate diabetes? A. The vas deferens feels lumpy or beaded B. The testicle feels hard with a lump C. Sebaceous cysts are present on the scrotal skin D. The urethra has a slit like orifice - correct answer-a. The vas deferens feels lumpy or beaded. During an examination for a hernia and adult male should: A. Be asked to stand B. Be in a supine position C. Sit on the table with heels together D. Assume a knee-chest position on the exam table. - correct answer-a. Be asked to stand Which of the following testicular characteristics is associated with syphilis or diabetic neuropathy? A. Asymmetry or drooping B. Bilateral enlargement C. Insensitivity to pain D. Migration to abdomen - correct answer-c. Insensitivity to pain What type of hernia would you typically see in a 15 year old male? A. Femoral B. Umbilical C. Direct inguinal D. Indirect inguinal - correct answer-c. Direct inguinal hernia Which patient characteristics is associated with smegma as an expected finding? A. Uncircumcised B. Prepubertal C. Sexually active D. Transgender - correct answer-a. Uncircumcised A 24 year old male has scrotal pain and marked erythema. The examiner considers epidydimitis. Which other finding is most consistent with this finding? A. Absent cremasteric reflex B. Anorexia and nausea C. Acute onset of severe pain D. Urethral discharge - correct answer-d. Urethral discharge Hypospadias is a congenital defect in which the urethra meatus is located on the ventral surface of the glans penis. This is thought to occur embryologically during urethral development during which stage of gestation? A. 4-6 weeks B. 8-20 weeks NURS 612 NURS 612 C. 15-25 weeks D. 20-30 weeks - correct answer-b. 8-20 weeks Which of the following hernias occur more often in females and is the least common of all hernias? A. Indirect B. Direct C. Femoral D. Ventral - correct answer-c. Femoral Which finding on exam of a scrotal mass which is neither a testicle or spermatic cord, suggests a problem with an incarcerated hernia? A. Mass does not transilluminate or change in size when reduction is attempted. B. Mass doe not transilluminate but decreased in size when reduction is attempted. C. Mass does transilluminate but does not change in size when reduction is attempted D. Mass does transilluminate and change size when reduction is attempted. - correct answer-a. Mass does not transilluminate or change in size when reduction is attempted. You examine mr. Lacosta 22 year old male. Cc is penile pain and swelling. On exam you notice a constricting band of tissue directly behind the head of the penis. You diagnosis this as: A. Paraphimosis B. Hypospadius C. Orchitis D. Torsion - correct answer-a. Paraphimosis You examine a patient and note pearly gray, smooth umbilicated lesions. The most common cause of these is: A. Syphilis B. Condyloma acuminata C. Molluscum contagasioum D. Lymphogranuloma venereum - correct answer-c. Molloscum contagious Which finding indicates a normal cremasteric reflex? A. Penile erection in response to light touch B. Descent of testicle into scrotum in response to pressure on abdominal wall C. Drop of urine appearing at urethral meatus in response to pressing glans D. Elevation of left testicle and scrotum in response to stroking left inner thigh. - correct answer-d. Elevation of left testicle and scrotum in response to stroking left inner thigh. Which characteristics suggests that a lesion on a patients breast is paget disease and not eczema? A. Itchy predominantly at night B. Erythemtous and crusty C. Confined to nipple and areola of one breast D. Does not respond to steroids - correct answer-d. Does not response to steroids NURS 612 NURS 612 How should a breast examination on a patient who had a lumpectomy for breast cancer differ from a breast examination on one who has not had breast cancer? A. Supraclavicular and infraclavicular lymph nodes are palplated B. Lateral position with hands over head is used for palpation C. Area of scar is palpated using a circular motion D. Fingertips are used to palpate for intercostal breast tissue - correct answer-c. Are of scar is palpated using a circular motion While palpating the axilla it is best to place the patient in a A. Sitting position with arm flexed at elbow B. Sitting position with arm at side C. Supine position with arms on hips D. Lateral position with arms at sides. - correct answer-a. Sitting position with arm flexed at elbow Nipple compression should be included as part of the breast examination for which of the following patients? A. 23 year old concerned about lumps and tenderness B. 35 year old lactating with very sore nipples C. 48 year old reporting 2 episodes of bloody discharge from the right nipple D. 60 year old with gynecomastia - correct answer-c. 48 year old reporting 2 episodes of bloody discharge from the right nipple A supernumerary nipple is found on a white newborn infant girl. Which of the following may accompany this finding? A. Increased risk for breast cancer as adult B. Increased lactation volume as adult C. Congenital renal and cardiac anomolies D. Mental retardation - correct answer-c. Congenital renal and cardiac anomolies Which are typical of fibroadenomas? A. Bilateral, stellate, rubber, nontender B. Multiple, unilateral, tender, well defined C. Single, discoid, firm, nontender D. Unilateral, hard, stellate, fixed - correct answer-c. Single, discoid, firm, nontender What is the correct position in which to place a patient for breast palpation? - correct answer-supine, arm over head, and small pillow under shoulder of side being assessed Which statement made by a 37 year old would make the examiner suspect fibrocystic disease? A. Lump in my breast that is nontender B. Right breast is larger than left C. Nipples are darker than before baby was born NURS 612 NURS 612 D. I feel a lump in my breast right before my period. - correct answer-d. I feel a lump in my breast right before my period. A patient 3 weeks postpartum reports sore nipples and is breastfeeding. The examiner observes dry, cracked nipples, which question would b