NUR 225 FINAL UPDATED Exam
Questions and CORRECT Answers
What is the job of the nurse during a pelvic exam? - CORRECT ANSWER -to be a
-witness
-support the patient
-prepare the patient
What is the major thing that you want to know before a patient is prescribed birth control? -
CORRECT ANSWER -if they are a smoker:
it can cause a much higher incidence of blood clot
Testicular Cancer - CORRECT ANSWER -Rare in young men, 8000 new cases per year
Most common cancer in men 15-35
More common in male with un-descended testicle
Occurs 15-40 years
No early symptoms; Painless lump size of a pea
If detected early, survival 90-100%
Prostate Cancer - CORRECT ANSWER -hard, irregular, rolled edges
Incidence & mortality highest in Black men
Hematuria, urgency, continuous low back, thigh & pelvic pain
What is used to find cervical cancer? - CORRECT ANSWER -PAP: Screening method for
cervical cancer
Also evaluate infection, inflammation, hormonal changes
Bethesda System for cervical cells - CORRECT ANSWER -Normal
,ASCUS: atypical cervical cells , significance undetermined
Grade I: Low grade lesion, HPV
Grade II-III: Cancer
What does normal female genitalia look like? - CORRECT ANSWER -Labia majora &
minora: pink, moist, no lesions
Urethral meatus: Slit-like without redness or swelling
Normal vaginal os: pH 4.5, no odor; white to clear discharge
What does normal male genitalia look like? - CORRECT ANSWER -Penis: Shaft, glans -
distal end
Scrotum: Loose protective sac
Continuation of abdominal wall
Rugae - folds
Cremaster muscle: controls scrotal size to maintain temperature
Sebaceous cysts common:Firm, non-tender, yellow, 1 cm
Testicles: Ovoid, movable, firm, smooth, slightly sensitive to compression
Protected by fluid so each testicle can slide
Left hangs slightly lower than right
What is benign prostatic hyperplasia? - CORRECT ANSWER -prostate enlarges as the
man ages due to a testosterone decrease. It is not a precursor to cancer but there can be pain
associated
If an elderly patient has urinary retention and they are confused what may need to happen? -
CORRECT ANSWER -the patient may need to have a urinary catheter.
How can you tell if a patient is having urinary retention? - CORRECT ANSWER -palpate
the bladder in the hypogastric region to see if it is distended
, What is a hernia? - CORRECT ANSWER -the bowels are protruding through the
abdominal muscle
What is the most important screening for colon cancer? - CORRECT ANSWER -a
colonoscopy
What is rectum prolapse?
(also caused rectocele) - CORRECT ANSWER -Rectal tissue prolapses thru anus
Moist, red "donut" with radiating lines
Occurs with Valsalva, straining
What is uterine prolapse? - CORRECT ANSWER -uterine prolapses into the vagina
When performing range of motion what do you need to consider? - CORRECT
ANSWER -always stopping before a point of resistance or pain
How do you grade muscle strength? - CORRECT ANSWER -5 + : full rom and strength
4+ : full rom < normal strength
3+ : raise ext. but not against resistance
2+ : can move ext. but not lift it
1+ : slight movement
0: no movement
How do you assess for scoliosis? - CORRECT ANSWER -Have pt bend forward
Height of landmarks: look at the hips to be equal: iliac spine
How do you assess for lordosis? - CORRECT ANSWER -Look for the patient swaying
back and forth (obesity or pregnancy)
leaning forward
Questions and CORRECT Answers
What is the job of the nurse during a pelvic exam? - CORRECT ANSWER -to be a
-witness
-support the patient
-prepare the patient
What is the major thing that you want to know before a patient is prescribed birth control? -
CORRECT ANSWER -if they are a smoker:
it can cause a much higher incidence of blood clot
Testicular Cancer - CORRECT ANSWER -Rare in young men, 8000 new cases per year
Most common cancer in men 15-35
More common in male with un-descended testicle
Occurs 15-40 years
No early symptoms; Painless lump size of a pea
If detected early, survival 90-100%
Prostate Cancer - CORRECT ANSWER -hard, irregular, rolled edges
Incidence & mortality highest in Black men
Hematuria, urgency, continuous low back, thigh & pelvic pain
What is used to find cervical cancer? - CORRECT ANSWER -PAP: Screening method for
cervical cancer
Also evaluate infection, inflammation, hormonal changes
Bethesda System for cervical cells - CORRECT ANSWER -Normal
,ASCUS: atypical cervical cells , significance undetermined
Grade I: Low grade lesion, HPV
Grade II-III: Cancer
What does normal female genitalia look like? - CORRECT ANSWER -Labia majora &
minora: pink, moist, no lesions
Urethral meatus: Slit-like without redness or swelling
Normal vaginal os: pH 4.5, no odor; white to clear discharge
What does normal male genitalia look like? - CORRECT ANSWER -Penis: Shaft, glans -
distal end
Scrotum: Loose protective sac
Continuation of abdominal wall
Rugae - folds
Cremaster muscle: controls scrotal size to maintain temperature
Sebaceous cysts common:Firm, non-tender, yellow, 1 cm
Testicles: Ovoid, movable, firm, smooth, slightly sensitive to compression
Protected by fluid so each testicle can slide
Left hangs slightly lower than right
What is benign prostatic hyperplasia? - CORRECT ANSWER -prostate enlarges as the
man ages due to a testosterone decrease. It is not a precursor to cancer but there can be pain
associated
If an elderly patient has urinary retention and they are confused what may need to happen? -
CORRECT ANSWER -the patient may need to have a urinary catheter.
How can you tell if a patient is having urinary retention? - CORRECT ANSWER -palpate
the bladder in the hypogastric region to see if it is distended
, What is a hernia? - CORRECT ANSWER -the bowels are protruding through the
abdominal muscle
What is the most important screening for colon cancer? - CORRECT ANSWER -a
colonoscopy
What is rectum prolapse?
(also caused rectocele) - CORRECT ANSWER -Rectal tissue prolapses thru anus
Moist, red "donut" with radiating lines
Occurs with Valsalva, straining
What is uterine prolapse? - CORRECT ANSWER -uterine prolapses into the vagina
When performing range of motion what do you need to consider? - CORRECT
ANSWER -always stopping before a point of resistance or pain
How do you grade muscle strength? - CORRECT ANSWER -5 + : full rom and strength
4+ : full rom < normal strength
3+ : raise ext. but not against resistance
2+ : can move ext. but not lift it
1+ : slight movement
0: no movement
How do you assess for scoliosis? - CORRECT ANSWER -Have pt bend forward
Height of landmarks: look at the hips to be equal: iliac spine
How do you assess for lordosis? - CORRECT ANSWER -Look for the patient swaying
back and forth (obesity or pregnancy)
leaning forward
