NSG 351 TEST BANK EXAM 3 QUESTIONS WITH
COMPLETE SOLUTIONS
A 13-year-old girl is visiting the clinic for a sports physical
examination. The nurse should remember to include which of
these tests in the examination?
a. Testing for occult blood
b. Valsalva maneuver
c. Internal palpation of the anus
d. Inspection of the perianal area Correct Answer d. Inspection
of the perianal area
A 14-year-old girl is anxious about not having reached
menarche. When taking the health history, the nurse should
ascertain which of the following? The age that:
a. The girl began to develop breasts.
b. Her mother developed breasts.
c. She began to develop pubic hair.
d. She began to develop axillary hair. Correct Answer a. The
girl began to develop breasts.
A 15-year-old boy is seen in the clinic for complaints of dull
pain and pulling in the scrotal area. On examination, the nurse
palpates a soft, irregular mass posterior to and above the testis
on the left. This mass collapses when the patient is supine and
refills when he is upright. This description is consistent with:
a. Epididymitis.
b. Spermatocele.
c. Testicular torsion.
d. Varicocele. Correct Answer d. Varicocele.
,A 16-year-old boy is brought to the clinic for a problem that he
refused to let his mother see. The nurse examines him, and finds
that he has scrotal swelling on the left side. He had the mumps
the previous week, and the nurse suspects that he has orchitis.
Which of the following assessment findings support this
diagnosis? Select all that apply.
a. Swollen testis
b. Mass that transilluminates
c. Mass that does not transilluminate
d. Scrotum that is nontender upon palpation
e. Scrotum that is tender upon palpation
f. Scrotal skin that is reddened Correct Answer a. Swollen
testis
c. Mass that does not transilluminate
e. Scrotum that is tender upon palpation
f. Scrotal skin that is reddened
A 2-month-old uncircumcised infant has been brought to the
clinic for a well-baby checkup. How would the nurse proceed
with the genital examination?
a. Eliciting the cremasteric reflex is recommended.
b. The glans is assessed for redness or lesions.
c. Retracting the foreskin should be avoided until the infant is 3
months old.
d. Any dirt or smegma that has collected under the foreskin
should be noted. Correct Answer c. Retracting the foreskin
should be avoided until the infant is 3 months old.
A 2-year-old boy has been diagnosed with physiologic
cryptorchidism. Considering this diagnosis, during assessment
the nurse will most likely observe:
,a. Testes that are hard and painful to palpation.
b. Atrophic scrotum and a bilateral absence of the testis.
c. Absence of the testis in the scrotum, but the testis can be
milked down.
d. Testes that migrate into the abdomen when the child squats or
sits cross-legged. Correct Answer c. Absence of the testis in the
scrotum, but the testis can be milked down.
A 22-year-old woman has been considering using oral
contraceptives. As a part of her health history, the nurse should
ask:
a. Do you have a history of heart murmurs?
b. Will you be in a monogamous relationship?
c. Have you carefully thought this choice through?
d. If you smoke, how many cigarettes do you smoke per day?
Correct Answer d. If you smoke, how many cigarettes do you
smoke per day?
A 22-year-old woman is being seen at the clinic for problems
with vulvar pain, dysuria, and fever. On physical examination,
the nurse notices clusters of small, shallow vesicles with
surrounding erythema on the labia. Inguinal lymphadenopathy
present is also present. The most likely cause of these lesions is:
a. Pediculosis pubis.
b. Contact dermatitis.
c. HPV.
d. Herpes simplex virus type 2. Correct Answer d. Herpes
simplex virus type 2.
A 25-year-old woman comes to the emergency department with
a sudden fever of 38.3 C and abdominal pain. Upon
, examination, the nurse notices that she has rigid, boardlike
lower abdominal musculature. When the nurse tries to perform a
vaginal examination, the patient has severe pain when the uterus
and cervix are moved. The nurse knows that these signs and
symptoms are suggestive of:
a. Endometriosis.
b. Uterine fibroids.
c. Ectopic pregnancy.
d. Pelvic inflammatory disease. Correct Answer d. Pelvic
inflammatory disease.
A 25-year-old woman is in the clinic for her first prenatal visit.
The nurse will prepare to obtain which laboratory screening test
at this time?
a. Urine toxicology
b. Complete blood cell count
c. Alpha-fetoprotein
d. Carrier screening for cystic fibrosis Correct Answer b.
Complete blood cell count
A 30-year-old woman is visiting the clinic because of pain in my
bottom when I have a bowel movement. The nurse should assess
for which problem?
a. Pinworms
b. Hemorrhoids
c. Colon cancer
d. Fecal incontinence Correct Answer b. Hemorrhoids
A 35-year-old woman is at the clinic for a gynecologic
examination. During the examination, she asks the nurse, How
COMPLETE SOLUTIONS
A 13-year-old girl is visiting the clinic for a sports physical
examination. The nurse should remember to include which of
these tests in the examination?
a. Testing for occult blood
b. Valsalva maneuver
c. Internal palpation of the anus
d. Inspection of the perianal area Correct Answer d. Inspection
of the perianal area
A 14-year-old girl is anxious about not having reached
menarche. When taking the health history, the nurse should
ascertain which of the following? The age that:
a. The girl began to develop breasts.
b. Her mother developed breasts.
c. She began to develop pubic hair.
d. She began to develop axillary hair. Correct Answer a. The
girl began to develop breasts.
A 15-year-old boy is seen in the clinic for complaints of dull
pain and pulling in the scrotal area. On examination, the nurse
palpates a soft, irregular mass posterior to and above the testis
on the left. This mass collapses when the patient is supine and
refills when he is upright. This description is consistent with:
a. Epididymitis.
b. Spermatocele.
c. Testicular torsion.
d. Varicocele. Correct Answer d. Varicocele.
,A 16-year-old boy is brought to the clinic for a problem that he
refused to let his mother see. The nurse examines him, and finds
that he has scrotal swelling on the left side. He had the mumps
the previous week, and the nurse suspects that he has orchitis.
Which of the following assessment findings support this
diagnosis? Select all that apply.
a. Swollen testis
b. Mass that transilluminates
c. Mass that does not transilluminate
d. Scrotum that is nontender upon palpation
e. Scrotum that is tender upon palpation
f. Scrotal skin that is reddened Correct Answer a. Swollen
testis
c. Mass that does not transilluminate
e. Scrotum that is tender upon palpation
f. Scrotal skin that is reddened
A 2-month-old uncircumcised infant has been brought to the
clinic for a well-baby checkup. How would the nurse proceed
with the genital examination?
a. Eliciting the cremasteric reflex is recommended.
b. The glans is assessed for redness or lesions.
c. Retracting the foreskin should be avoided until the infant is 3
months old.
d. Any dirt or smegma that has collected under the foreskin
should be noted. Correct Answer c. Retracting the foreskin
should be avoided until the infant is 3 months old.
A 2-year-old boy has been diagnosed with physiologic
cryptorchidism. Considering this diagnosis, during assessment
the nurse will most likely observe:
,a. Testes that are hard and painful to palpation.
b. Atrophic scrotum and a bilateral absence of the testis.
c. Absence of the testis in the scrotum, but the testis can be
milked down.
d. Testes that migrate into the abdomen when the child squats or
sits cross-legged. Correct Answer c. Absence of the testis in the
scrotum, but the testis can be milked down.
A 22-year-old woman has been considering using oral
contraceptives. As a part of her health history, the nurse should
ask:
a. Do you have a history of heart murmurs?
b. Will you be in a monogamous relationship?
c. Have you carefully thought this choice through?
d. If you smoke, how many cigarettes do you smoke per day?
Correct Answer d. If you smoke, how many cigarettes do you
smoke per day?
A 22-year-old woman is being seen at the clinic for problems
with vulvar pain, dysuria, and fever. On physical examination,
the nurse notices clusters of small, shallow vesicles with
surrounding erythema on the labia. Inguinal lymphadenopathy
present is also present. The most likely cause of these lesions is:
a. Pediculosis pubis.
b. Contact dermatitis.
c. HPV.
d. Herpes simplex virus type 2. Correct Answer d. Herpes
simplex virus type 2.
A 25-year-old woman comes to the emergency department with
a sudden fever of 38.3 C and abdominal pain. Upon
, examination, the nurse notices that she has rigid, boardlike
lower abdominal musculature. When the nurse tries to perform a
vaginal examination, the patient has severe pain when the uterus
and cervix are moved. The nurse knows that these signs and
symptoms are suggestive of:
a. Endometriosis.
b. Uterine fibroids.
c. Ectopic pregnancy.
d. Pelvic inflammatory disease. Correct Answer d. Pelvic
inflammatory disease.
A 25-year-old woman is in the clinic for her first prenatal visit.
The nurse will prepare to obtain which laboratory screening test
at this time?
a. Urine toxicology
b. Complete blood cell count
c. Alpha-fetoprotein
d. Carrier screening for cystic fibrosis Correct Answer b.
Complete blood cell count
A 30-year-old woman is visiting the clinic because of pain in my
bottom when I have a bowel movement. The nurse should assess
for which problem?
a. Pinworms
b. Hemorrhoids
c. Colon cancer
d. Fecal incontinence Correct Answer b. Hemorrhoids
A 35-year-old woman is at the clinic for a gynecologic
examination. During the examination, she asks the nurse, How
