Nr 509 /Nr509 Final Exam. Questions With 100% Correct Answers.

80. A 34-year-old female presents to the office with left elbow pain following rigorous training for a tennis match. Tenderness is noted with palpation in the area on the image marked by the red circle. What correlative diagnosis does this assessment finding indicate? ADA Description: Left elbow with emphasis on the small, tuberculated eminence, curved a little forward, about 1 cm from the joint. 81. A 35-year-old male presents to the clinic for a routine physical examination. His only complaint is a feeling of heaviness in his scrotum. He denies injury or trauma. After conducting a history and physical, the NP documents the following genitourinary (GU) findings: Uncircumcised penis; prepuce easily retractable. No penile discharge or lesions. No scrotal swelling or discoloration. Testes descended bilaterally; right testicle smooth; 1 × 1 cm firm, fixed, nontender, nodule on the left lateral testicle. Epididymis nontender. No inguinal or femoral hernias. Negative CVA tenderness. Which of the following is the most accurate interpretation of these findings? 82. A 26-year-old female presents to the Emergency Department with intense abdominal pain for 6 hours, light-headedness, and a fainting episode that finally prompted her to seek medical attention. She has a history of gallstones and is concerned that she is having another gallbladder attack. She denies nausea and vomiting, and her last normal bowel movement was this morning. She reports that her LMP was 10 weeks ago. Vital signs: pulse 118; blood pressure, 86/68; respiratory rate, 20/min; oxygen saturation, 99%; and temperature, 37.3ºC orally. A β-human chorionic gonadotropin (β-hCG) blood test is pending. The NP performs an abdominal exam prior to her pelvic exam and, on palpation of her abdomen, finds involuntary rigidity and rebound tenderness. Which of the following is the most likely etiology for these assessment findings? 83. A 42-year-old female presents to the office for her annual well-woman examination. She has a history of fibrocystic breast changes since her mid-20s, so she did not report any new issues except that her right breast feels "heavier" than usual. After a careful history and physical examination, the NP documents the following breast findings: Breasts pendulous with diffuse fibrocystic changes. Single firm 1 × 1 cm mass, mobile, and nontender, with overlying peau d'orange appearance in the right breast, upper outer quadrant at 11 o'clock, 2 cm from the nipple. Which of the following is the most accurate interpretation of these findings? 84. An NP student conducted a clinical breast examination on a 27-year-old female with a history of fibroadenomas. The NP palpated a rubbery, mobile, nontender mass in the right breast. The mass was located 3 cm proximal to and 3 cm to the left of the nipple. Which of the following would be the most appropriate way to document the physical assessment findings? 85. A 24-year-old male presents to the office for evaluation of a lump under his left nipple. He reports no other symptoms, denies trauma or injury, and reports no known family history of a first-degree relative with breast cancer. On examination, the NP notes a firm, 2-cm mass under his areola. What is the most likely etiology for these findings? 86. A 34-year-old female arrives at the clinic for a prenatal, second-trimester appointment. During the interview, her behavior is concerning for intoxication, and she smells of alcohol and cigarettes. She reveals a history of intravenous drug use "10-years ago". How should the NP counsel this patient? Select all that apply 87. A 27-year-old female presents to the outpatient clinic with acute abdominal pain and uterine bleeding. Her last menstrual period was 6-weeks ago. She and her husband have been trying to conceive for almost one year. On physical examination, the NP palpates an ill-defined, adnexal mass in the left lower quadrant. The urine pregnancy test results are pending. Based on the history and examination findings, what is the most likely etiology? 88. The NP knows measurement of growth is one of the most important indicators of infant health. Deviations may provide an early indication of an underlying problem. What is the minimum variation that indicates a more detailed evaluation is needed?