NR 304 COMPREHENSIVE EXAM ALL QUESTIONS
WITH CORRECT ANSWERS GRADED A+
Which instructions should be given to a woman before an appointment that
will include a Pap test?
a. Change the appointment if you are menstruating, or plan to return for the
Pap test at a later time.
b. Do not have sexual intercourse within the 12 hours before the appointment.
c. Do not douche for 3 days prior to the appointment.
d. Reschedule if you have vaginal itching or burning within the 24 hours prior
to the appointment.
A - specimens are not obtained during a menstraul cycle
Serum creatinine contributes to assessment of urinary system function by
providing information about which factor?
a. Ability of the kidney to concentrate urine
b. Exchange of sodium and potassium ions
c. Reabsorption of protein in the tubules
d. Glomerular filtration rate
D - creatinine, an end product of muscle metabolism, measures GFR and provides a
serum analysis
A 59-year-old client presents with painless hematuria. Which finding in the
patient's history would most support the possibility of bladder cancer as the
source of the problem?
a. Drinks 1 to 2 glasses of wine per day
b. Frequent childhood urinary tract infections
c. Works at a nuclear power plant
d. Smokes half a pack per day for 42 years
D. Bladder cancer is 4th most common cancer
On examination of a client who complains of difficulty urinating, you note that
the meatus has a pinpoint, constricted opening. What problem is suggested by
these findings?
a. Urethral stricture
, b. Urethritis
c. Phimosis
d. Genital warts
A - a pinpoint, constricted opening at the meatus or inside along the urethra is a
urethral stricture
Which occupation would increase a client's risk for carpal tunnel syndrome?
1. Salesclerk
2. House painter
3. Professional athlete
4. Computer programmer
Computer programmer
A 24-year-old man comes to the clinic with scrotal pain and marked erythema.
Which other finding supports your impression of epididymitis as the problem?
a. An uneven scrotal size and shape is observed.
b. The client has nausea and vomiting.
c. The client reports an acute onset of severe pain.
d. Urinalysis shows elevated white blood cells (WBCs) and bacteria.
D
Why is testicular torsion an emergency?
a. Life-threatening infection can rapidly ensue.
b. Gangrene can develop in a few hours.
c. Prolonged inflammation can result in infertility.
d. Reflux can result in kidney failure.
B - testicular torsion is the twisting of the spermatic cord, blood supply is cut off
resulting in ischemia and engorgement ... testes become gangrenous in a few hours
For which client would testicular self-examination (TSE) be most valuable?
a. A 34-year-old with human papillomavirus (HPV) infection
b. A 17-year-old with a spermatocele
c. A 22-year-old with a history of cryptorchidism
d. A 27-year-old with recurrent epididymitis
C - undescended testicles are a major risk factor for testicular cancer
Mr. Peyser is a 38-year-old client who presents to your office for a yearly
physical examination. On exam, you note that the foreskin of the penis is very
tight, preventing it from retracting over the glans. What term could be used to
WITH CORRECT ANSWERS GRADED A+
Which instructions should be given to a woman before an appointment that
will include a Pap test?
a. Change the appointment if you are menstruating, or plan to return for the
Pap test at a later time.
b. Do not have sexual intercourse within the 12 hours before the appointment.
c. Do not douche for 3 days prior to the appointment.
d. Reschedule if you have vaginal itching or burning within the 24 hours prior
to the appointment.
A - specimens are not obtained during a menstraul cycle
Serum creatinine contributes to assessment of urinary system function by
providing information about which factor?
a. Ability of the kidney to concentrate urine
b. Exchange of sodium and potassium ions
c. Reabsorption of protein in the tubules
d. Glomerular filtration rate
D - creatinine, an end product of muscle metabolism, measures GFR and provides a
serum analysis
A 59-year-old client presents with painless hematuria. Which finding in the
patient's history would most support the possibility of bladder cancer as the
source of the problem?
a. Drinks 1 to 2 glasses of wine per day
b. Frequent childhood urinary tract infections
c. Works at a nuclear power plant
d. Smokes half a pack per day for 42 years
D. Bladder cancer is 4th most common cancer
On examination of a client who complains of difficulty urinating, you note that
the meatus has a pinpoint, constricted opening. What problem is suggested by
these findings?
a. Urethral stricture
, b. Urethritis
c. Phimosis
d. Genital warts
A - a pinpoint, constricted opening at the meatus or inside along the urethra is a
urethral stricture
Which occupation would increase a client's risk for carpal tunnel syndrome?
1. Salesclerk
2. House painter
3. Professional athlete
4. Computer programmer
Computer programmer
A 24-year-old man comes to the clinic with scrotal pain and marked erythema.
Which other finding supports your impression of epididymitis as the problem?
a. An uneven scrotal size and shape is observed.
b. The client has nausea and vomiting.
c. The client reports an acute onset of severe pain.
d. Urinalysis shows elevated white blood cells (WBCs) and bacteria.
D
Why is testicular torsion an emergency?
a. Life-threatening infection can rapidly ensue.
b. Gangrene can develop in a few hours.
c. Prolonged inflammation can result in infertility.
d. Reflux can result in kidney failure.
B - testicular torsion is the twisting of the spermatic cord, blood supply is cut off
resulting in ischemia and engorgement ... testes become gangrenous in a few hours
For which client would testicular self-examination (TSE) be most valuable?
a. A 34-year-old with human papillomavirus (HPV) infection
b. A 17-year-old with a spermatocele
c. A 22-year-old with a history of cryptorchidism
d. A 27-year-old with recurrent epididymitis
C - undescended testicles are a major risk factor for testicular cancer
Mr. Peyser is a 38-year-old client who presents to your office for a yearly
physical examination. On exam, you note that the foreskin of the penis is very
tight, preventing it from retracting over the glans. What term could be used to
