NUR245 exam 4 Accurate Exam
Questions with Detailed Answers
|2024/2025 latest
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.
During an external genitalia examination of a woman, the nurse notices several lesions around the vulva. The lesions are
pink, moist, soft, and pointed papules. The patient states that she is not aware of any problems in that area. The nurse
recognizes that these lesions may be:
a. Syphilitic chancre. NURSINGTB.COM
b. Herpes simplex virus type 2 (herpes genitalis).
c. HPV or genital warts.
d. Pediculosis pubis (crab lice).
c
During an examination, the nurse would expect the cervical os of a woman who has never had children to appear:
a. Stellate.
b. Small and round.
c. As a horizontal irregular slit.
d. Everted.
b
,A woman has just been diagnosed with HPV or genital warts. The nurse should counsel her to receive regular examinations
because this virus makes her at a higher risk for _______ cancer.
a. Uterine
b. Cervical
c. Ovarian
d. Endometrial
b
During an internal examination, the nurse notices that the cervix bulges outside the introitus when the patient is asked to
strain. The nurse will document this as:
a. Uterine prolapse, graded first degree.
b. Uterine prolapse, graded second degree.
c. Uterine prolapse, graded third degree.
d. A normal finding.
b
A 35-year-old woman is at the clinic for a gynecologic examination. During the examination, she asks the nurse, How often
do I need to have this Pap test done? Which reply by the nurse is correct?
a. It depends. Do you smoke?
b. A Pap test needs to be performed annually until you are 65 years of age.
c. If you have two consecutive normal Pap tests, then you can wait 5 years between tests.
d. After age 30 years, if you have three consecutive normal Pap tests, then you may be screened every 2 to 3 years.
d
The nurse is palpating an ovarian mass during an internal examination of a 63-year-old woman. Which findings of the masss
characteristics would suggest the presence of an ovarian cyst? Select all that apply.
a. Heavy and solid
b. Mobile and fluctuant
c. Mobile and solid
d. Fixed
e. Smooth and round
,f. Poorly defined
be
A patient is being assessed for range-of-joint movement. The nurse asks him to move his arm in toward the center of his
body. This movement is called: a. Flexion. b. Abduction. c. Adduction. d. Extension
c
.
A patient tells the nurse that she is having a hard time bringing her hand to her mouth when she eats or tries to brush her
teeth. The nurse knows that for her to move her hand to her mouth, she must perform which movement? a. Flexion b.
Abduction c. Adduction d. Extension
a
.
The functional units of the musculoskeletal system are the: a. Joints. b. Bones. c. Muscles. d. Tendons.
a
When reviewing the musculoskeletal system, the nurse recalls that hematopoiesis takes place in the: a. Liver. b. Spleen. c.
Kidneys. d. Bone marrow.
d
.
Fibrous bands running directly from one bone to another that strengthen the joint and help prevent movement in
undesirable directions are called: a. Bursa. b. Tendons. c. Cartilage. d. Ligaments.
d
The nurse notices that a woman in an exercise class is unable to jump rope. The nurse is aware that to jump rope, ones
shoulder has to be capable of: a. Inversion. b. Supination. c. Protraction. d. Circumduction.
d
, The articulation of the mandible and the temporal bone is known as the: a. Intervertebral foramen. b. Condyle of the
mandible. c. Temporomandibular joint. d. Zygomatic arch of the temporal bone.
c
To palpate the temporomandibular joint, the nurses fingers should be placed in the depression __________ of the ear. a.
Distal to the helix b. Proximal to the helix c. Anterior to the tragus d. Posterior to the tragus
c
Of the 33 vertebrae in the spinal column, there are: a. 5 lumbar. b. 5 thoracic. c. 7 sacral. d. 12 cervical.
a
An imaginary line connecting the highest point on each iliac crest would cross the __________ vertebra. a. First sacral b.
Fourth lumbar c. Seventh cervical d. Twelfth thoracic
b
.
The nurse is explaining to a patient that there are shock absorbers in his back to cushion the spine and to help it move. The
nurse is referring to his: a. Vertebral column. b. Nucleus pulposus. c. Vertebral foramen. d. Intervertebral disks.
d
The nurse is providing patient education for a man who has been diagnosed with a rotator cuff injury. The nurse knows that
a rotator cuff injury involves the: a. Nucleus pulposus. b. Articular processes. c. Medial epicondyle. d. Glenohumeral joint.
d
.
Questions with Detailed Answers
|2024/2025 latest
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.
During an external genitalia examination of a woman, the nurse notices several lesions around the vulva. The lesions are
pink, moist, soft, and pointed papules. The patient states that she is not aware of any problems in that area. The nurse
recognizes that these lesions may be:
a. Syphilitic chancre. NURSINGTB.COM
b. Herpes simplex virus type 2 (herpes genitalis).
c. HPV or genital warts.
d. Pediculosis pubis (crab lice).
c
During an examination, the nurse would expect the cervical os of a woman who has never had children to appear:
a. Stellate.
b. Small and round.
c. As a horizontal irregular slit.
d. Everted.
b
,A woman has just been diagnosed with HPV or genital warts. The nurse should counsel her to receive regular examinations
because this virus makes her at a higher risk for _______ cancer.
a. Uterine
b. Cervical
c. Ovarian
d. Endometrial
b
During an internal examination, the nurse notices that the cervix bulges outside the introitus when the patient is asked to
strain. The nurse will document this as:
a. Uterine prolapse, graded first degree.
b. Uterine prolapse, graded second degree.
c. Uterine prolapse, graded third degree.
d. A normal finding.
b
A 35-year-old woman is at the clinic for a gynecologic examination. During the examination, she asks the nurse, How often
do I need to have this Pap test done? Which reply by the nurse is correct?
a. It depends. Do you smoke?
b. A Pap test needs to be performed annually until you are 65 years of age.
c. If you have two consecutive normal Pap tests, then you can wait 5 years between tests.
d. After age 30 years, if you have three consecutive normal Pap tests, then you may be screened every 2 to 3 years.
d
The nurse is palpating an ovarian mass during an internal examination of a 63-year-old woman. Which findings of the masss
characteristics would suggest the presence of an ovarian cyst? Select all that apply.
a. Heavy and solid
b. Mobile and fluctuant
c. Mobile and solid
d. Fixed
e. Smooth and round
,f. Poorly defined
be
A patient is being assessed for range-of-joint movement. The nurse asks him to move his arm in toward the center of his
body. This movement is called: a. Flexion. b. Abduction. c. Adduction. d. Extension
c
.
A patient tells the nurse that she is having a hard time bringing her hand to her mouth when she eats or tries to brush her
teeth. The nurse knows that for her to move her hand to her mouth, she must perform which movement? a. Flexion b.
Abduction c. Adduction d. Extension
a
.
The functional units of the musculoskeletal system are the: a. Joints. b. Bones. c. Muscles. d. Tendons.
a
When reviewing the musculoskeletal system, the nurse recalls that hematopoiesis takes place in the: a. Liver. b. Spleen. c.
Kidneys. d. Bone marrow.
d
.
Fibrous bands running directly from one bone to another that strengthen the joint and help prevent movement in
undesirable directions are called: a. Bursa. b. Tendons. c. Cartilage. d. Ligaments.
d
The nurse notices that a woman in an exercise class is unable to jump rope. The nurse is aware that to jump rope, ones
shoulder has to be capable of: a. Inversion. b. Supination. c. Protraction. d. Circumduction.
d
, The articulation of the mandible and the temporal bone is known as the: a. Intervertebral foramen. b. Condyle of the
mandible. c. Temporomandibular joint. d. Zygomatic arch of the temporal bone.
c
To palpate the temporomandibular joint, the nurses fingers should be placed in the depression __________ of the ear. a.
Distal to the helix b. Proximal to the helix c. Anterior to the tragus d. Posterior to the tragus
c
Of the 33 vertebrae in the spinal column, there are: a. 5 lumbar. b. 5 thoracic. c. 7 sacral. d. 12 cervical.
a
An imaginary line connecting the highest point on each iliac crest would cross the __________ vertebra. a. First sacral b.
Fourth lumbar c. Seventh cervical d. Twelfth thoracic
b
.
The nurse is explaining to a patient that there are shock absorbers in his back to cushion the spine and to help it move. The
nurse is referring to his: a. Vertebral column. b. Nucleus pulposus. c. Vertebral foramen. d. Intervertebral disks.
d
The nurse is providing patient education for a man who has been diagnosed with a rotator cuff injury. The nurse knows that
a rotator cuff injury involves the: a. Nucleus pulposus. b. Articular processes. c. Medial epicondyle. d. Glenohumeral joint.
d
.
