NSG 6020 EVALUATION TEST QUESTIONS AND
ANSWERS SURE A+
✔✔The most common cause of cancer deaths in males is: - ✔✔Colon cancer
✔✔Important techniques in performing the rectal examination include which of the
following? - ✔✔All of the above
✔✔Jim is a 47-year-old man who is having difficulties with sexual function. He is
recently separated from his wife of 20 years. He notes that he has early morning
erections but otherwise cannot function. Which of the following is a likely cause for his
problem? - ✔✔Psychological issues
✔✔Which of the following is true of human papilloma virus (HPV) infection? - ✔✔It
commonly resolves spontaneously in one to two years.
✔✔Which of the following is the most effective pattern of palpation for breast cancer? -
✔✔Beginning at the nipple, make an ever-enlarging spiral.
✔✔A 14-year-old junior high school student is brought in by his mother and father
because he seems to be developing breasts. The mother is upset because she read on
the Internet that smoking marijuana leads to breast enlargement in males. The young
man adamantly denies using any tobacco, alcohol, or drugs. He has recently noticed
changes in his penis, testicles, and pubic hair pattern. Otherwise, his past medical
history is unremarkable. His parents are both in good health. He has two older brothers
who never had this problem. On examination, you see a mildly overweight teenager with
enlarged breast tissue that is slightly tender on both sides. Otherwise, his examination
is normal. He is agreeable to taking a drug test. What is the most likely cause of his
gynecomastia? - ✔✔Imbalance of hormones of puberty
✔✔Which of the following represents metrorrhagia? - ✔✔Bleeding between periods
, ✔✔What does a KOH (potassium hydroxide) prep help the nurse practitioner diagnose?
- ✔✔Yeast infections
✔✔Abby is a newly married woman who is unable to have intercourse because of
vaginismus. Which of the following is true? - ✔✔Psychosocial reasons may cause this
condition.
✔✔A 30-year-old man notices a firm, 2-cm mass under his areola. He has no other
symptoms and no diagnosis of breast cancer in his first-degree relatives. What is the
most likely diagnosis? - ✔✔Breast tissue
✔✔Which of the following is true regarding breast self-examination? - ✔✔A high
proportion of breast masses are detected by breast self-examination.
✔✔A 23-year-old computer programmer comes to your office for an annual
examination. She has recently become sexually active and wants to be placed on birth
control. Her only complaint is that the skin in her armpits has become darker. She states
it looks like dirt, and she scrubs her skin nightly with soap and water but the color stays.
Her past medical symptoms consist of acne and mild obesity. Her periods have been
irregular for 3 years. Her mother has type 2 diabetes, and her father has high blood
pressure. The patient denies using tobacco but has four to five drinks on Friday and
Saturday nights. She denies any illegal drug use. On examination, you see a mildly
obese female who is breathing comfortably. Her vital signs are unremarkable. Looking
under her axilla, you see dark, velvet-like skin. Her annual examination is otherwise
unremarkable. What disorder of the breast or axilla is she most likely to have? -
✔✔Acanthosis nigricans
✔✔Which of the following is true of women who have had a unilateral mastectomy? -
✔✔They should be examined carefully along the surgical scar for masses.
✔✔A 76-year-old retired farmer comes to your office complaining of abdominal pain,
constipation, and a low-grade fever for about three days. He denies any nausea,
vomiting, or diarrhea. The only unusual thing he remembers eating is two bags of
popcorn at the movies with his grandson, three days before his symptoms began. He
denies any other recent illnesses. His past medical history is significant for coronary
artery disease and high blood pressure. He has been married for over fifty years. He
denies any tobacco, alcohol, or drug use. His mother died of colon cancer and his father
had a stroke. On examination, he appears his stated age and is in no acute distress. His
temperature is 100.9 degrees and his other vital signs are unremarkable. His head,
cardiac, and pulmonary examinations are normal. He has normal bowel sounds and is
tender over the left lower quadrant. He has no rebound or guarding. His rectal
examination - ✔✔Acute diverticulitis
ANSWERS SURE A+
✔✔The most common cause of cancer deaths in males is: - ✔✔Colon cancer
✔✔Important techniques in performing the rectal examination include which of the
following? - ✔✔All of the above
✔✔Jim is a 47-year-old man who is having difficulties with sexual function. He is
recently separated from his wife of 20 years. He notes that he has early morning
erections but otherwise cannot function. Which of the following is a likely cause for his
problem? - ✔✔Psychological issues
✔✔Which of the following is true of human papilloma virus (HPV) infection? - ✔✔It
commonly resolves spontaneously in one to two years.
✔✔Which of the following is the most effective pattern of palpation for breast cancer? -
✔✔Beginning at the nipple, make an ever-enlarging spiral.
✔✔A 14-year-old junior high school student is brought in by his mother and father
because he seems to be developing breasts. The mother is upset because she read on
the Internet that smoking marijuana leads to breast enlargement in males. The young
man adamantly denies using any tobacco, alcohol, or drugs. He has recently noticed
changes in his penis, testicles, and pubic hair pattern. Otherwise, his past medical
history is unremarkable. His parents are both in good health. He has two older brothers
who never had this problem. On examination, you see a mildly overweight teenager with
enlarged breast tissue that is slightly tender on both sides. Otherwise, his examination
is normal. He is agreeable to taking a drug test. What is the most likely cause of his
gynecomastia? - ✔✔Imbalance of hormones of puberty
✔✔Which of the following represents metrorrhagia? - ✔✔Bleeding between periods
, ✔✔What does a KOH (potassium hydroxide) prep help the nurse practitioner diagnose?
- ✔✔Yeast infections
✔✔Abby is a newly married woman who is unable to have intercourse because of
vaginismus. Which of the following is true? - ✔✔Psychosocial reasons may cause this
condition.
✔✔A 30-year-old man notices a firm, 2-cm mass under his areola. He has no other
symptoms and no diagnosis of breast cancer in his first-degree relatives. What is the
most likely diagnosis? - ✔✔Breast tissue
✔✔Which of the following is true regarding breast self-examination? - ✔✔A high
proportion of breast masses are detected by breast self-examination.
✔✔A 23-year-old computer programmer comes to your office for an annual
examination. She has recently become sexually active and wants to be placed on birth
control. Her only complaint is that the skin in her armpits has become darker. She states
it looks like dirt, and she scrubs her skin nightly with soap and water but the color stays.
Her past medical symptoms consist of acne and mild obesity. Her periods have been
irregular for 3 years. Her mother has type 2 diabetes, and her father has high blood
pressure. The patient denies using tobacco but has four to five drinks on Friday and
Saturday nights. She denies any illegal drug use. On examination, you see a mildly
obese female who is breathing comfortably. Her vital signs are unremarkable. Looking
under her axilla, you see dark, velvet-like skin. Her annual examination is otherwise
unremarkable. What disorder of the breast or axilla is she most likely to have? -
✔✔Acanthosis nigricans
✔✔Which of the following is true of women who have had a unilateral mastectomy? -
✔✔They should be examined carefully along the surgical scar for masses.
✔✔A 76-year-old retired farmer comes to your office complaining of abdominal pain,
constipation, and a low-grade fever for about three days. He denies any nausea,
vomiting, or diarrhea. The only unusual thing he remembers eating is two bags of
popcorn at the movies with his grandson, three days before his symptoms began. He
denies any other recent illnesses. His past medical history is significant for coronary
artery disease and high blood pressure. He has been married for over fifty years. He
denies any tobacco, alcohol, or drug use. His mother died of colon cancer and his father
had a stroke. On examination, he appears his stated age and is in no acute distress. His
temperature is 100.9 degrees and his other vital signs are unremarkable. His head,
cardiac, and pulmonary examinations are normal. He has normal bowel sounds and is
tender over the left lower quadrant. He has no rebound or guarding. His rectal
examination - ✔✔Acute diverticulitis
