NU 518 EXAM 3 AND PRACTICE EXAM NEWEST ACTUAL EXAM COMPLETE 400 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

NU 518 EXAM 3 AND PRACTICE EXAM NEWEST ACTUAL EXAM COMPLETE 400 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin check-up. She has just returned from her annual dig site in Greece. She has fair skin and reddish-blonde hair. She has a family history of melanoma. She has many freckles scattered across her skin. From this description, which of the following is not a risk factor for melanoma in this patient? A) Age B) Hair color C) Actinic lentigines D) Heavy sun exposure - Correct Answer A" "A 35-year-old pregnant woman comes to the clinic for a monthly appointment. During the assessment, the nurse notices that she has a brown patch of hyperpigmentation on her face. The nurse continues the skin assessment aware that another finding may be: a Keratoses. b Xerosis. c Chloasma. d Acrochordons. - Correct Answer C" "A man has come in to the clinic for a skin assessment because he is worried he might have skin cancer. During the skin assessment the nurse notices several areas of pigmentation that look greasy, dark, and stuck on his skin. Which is the best prediction? a Senile lentigines, which do not become cancerous b Actinic keratoses, which are precursors to basal cell carcinoma c Acrochordons, which are precursors to squamous cell carcinoma d Seborrheic keratoses, which do not become cancerous - Correct Answer D" "You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABCDEs of melanoma. Which of the following descriptions correctly defines the ABCDEs? A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E =evolution B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E = evolution - Correct Answer B" "You are beginning the examination of the skin on a 25-year-old teacher. You have previously elicited that she came to the office for evaluation of fatigue, weight gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the expected moisture and texture of the skin of a patient with hypothyroidism? A) Moist and smooth B) Moist and rough C) Dry and smooth D) Dry and rough - Correct Answer D" "A 28-year-old patient comes to the office for evaluation of a rash. At first there was only one large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of erythematous papules and macules on the cleavage lines of the back. Based on this description, what is the most likely diagnosis? A) Pityriasis rosea B) Tinea versicolor C) Psoriasis D) Atopic eczema - Correct Answer A" "A 19-year-old construction worker presents for evaluation of a rash. He notes that it started on his back with a multitude of spots and is also on his arms, chest, and neck. It itches a lot. He does sweat more than before because being outdoors is part of his job. On physical examination, you note dark tan patches with a reddish cast that has sharp borders and fine scales, scattered more prominently around the upper back, chest, neck, and upper arms as well as under the arms. Based on this description, what is your most likely diagnosis? A) Pityriasis rosea B) Tinea versicolor C) Psoriasis D) Atopic eczema - Correct Answer B" "A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right temporal area of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale that is round and feels hard. He has several more of these scattered on the forehead, arms, and legs. Based on this description, what is your most likely diagnosis? A) Actinic keratosis B) Seborrheic keratosis C) Basal cell carcinoma D) Squamous cell carcinoma - Correct Answer A" "A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper chest. The lesion appears to be "stuck on" and is oval, brown, and slightly elevated with a flat surface. It has a rough, wartlike texture on palpation. Based on this description, what is your most likely diagnosis? A) Actinic keratosis B) Seborrheic keratosis C) Basal cell carcinoma D) Squamous cell carcinoma - Correct Answer B" "A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to be on the ventilator for 3 weeks. You are completing your initial assessment and are evaluating her skin condition. On her sacrum there is full-thickness skin loss that is 5 cm in diameter, with damage to the subcutaneous tissue. The underlying muscle is not affected. You diagnose this as a pressure ulcer. What is the stage of this ulcer? A) Stage 1 B) Stage 2 C) Stage 3 D) Stage 4 - Correct Answer C" "An 8-year-old girl comes with her mother for evaluation of hair loss. She denies pulling or twisting her hair, and her mother has not noted this behavior at all. She does not put her hair in braids. On physical examination, you note a clearly demarcated, round patch of hair loss without visible scaling or inflammation. There are no hair shafts visible. Based on this description, what is your most likely diagnosis? A) Alopecia areata B) Trichotillomania C) Tinea capitis D) Traction alopecia - Correct Answer A" "A mother brings her 11 month old to you because her mother-in-law and others have told her that her baby is jaundiced. She is eating and growing well and performing the developmental milestones she should for her age. On examination you indeed notice a yellow tone to her skin from head to toe. Her sclerae are white. To which area should your next questions be related? A) Diet B) Family history of liver diseases C) Family history of blood diseases D) Ethnicity of the child - Correct Answer A" "A new mother is concerned that her child occasionally "turns blue." On further questioning, she mentions that this is at her hands and feet. She does not remember the child's lips turning blue. She is otherwise eating and growing well. What would you do now? A) Reassure her that this is normal B) Obtain an echocardiogram to check for structural heart disease and consult cardiology C) Admit the child to the hospital for further observation D) Question the validity of her story - Correct Answer A" "You are examining an unconscious patient from another region and notice Beau's lines, a transverse groove across all of her nails, about 1 cm from the proximal nail fold. What would you do next? A) Conclude this is caused by a cultural practice. B) Conclude this finding is most likely secondary to trauma. C) Look for information from family and records regarding any problems which occurred 3 months ago. D) Ask about dietary intake. - Correct Answer C" "Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no history of exposure to ill people or other agents in the environment. He has a slight fever in the office. The rash consists of small, bright red marks. When they are pressed, the red color remains. What should you do? A) Prescribe a steroid cream to decrease inflammation. B) Consider admitting the patient to the hospital. C) Reassure the parents and the patient that this should resolve within a week. D) Tell him not to scratch them, and follow up in 3 days. - Correct Answer B" "Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus). She has noticed a raised, dark red rash on her legs. When you press on the rash, it doesn't blanch. What would you tell her regarding her rash? A) It is likely to be related to her lupus. B) It is likely to be related to an exposure to a chemical. C) It is likely to be related to an allergic reaction. D) It should not cause any problems. - Correct Answer A" "Jacob, a 33-year-old construction worker, complains of a "lump on his back" over his scapula. It has been there for about a year and is getting larger. He says his wife has been able to squeeze out a cheesy-textured substance on occasion. He worries this may be cancer. When gently pinched from the side, a prominent dimple forms in the middle of the mass. What is most likely? A) An enlarged lymph node B) A sebaceous cyst C) An actinic keratosis D) A malignant lesion - Correct Answer B" "A young man comes to you with an extremely pruritic rash over his knees and elbows which has come and gone for several years. It seems to be worse in the winter and improves with some sun exposure. On examination, you notice scabbing and crusting with some silvery scale, and you are observant enough to notice small "pits" in his nails. What would account for these findings? A) Eczema B) Pityriasis rosea C) Psoriasis D) Tinea infection - Correct Answer C" "Mrs. Anderson presents with an itchy rash which is raised and appears and disappears in various locations. Each lesion lasts for many minutes. What most likely accounts for this rash? A) Insect bites B) Urticaria, or hives C) Psoriasis D) Purpura - Correct Answer B" "Ms. Whiting is a 68-year-old who comes in for her usual follow-up visit. You notice a few flat red and purple lesions, about 6 centimeters in diameter, on the ulnar aspect of her forearms but nowhere else. She doesn't mention them. They are tender when you examine them. What should you do? A) Conclude that these are lesions she has had for a long time. B) Wait for her to mention them before asking further questions. C) Ask how she acquired them. D) Conduct the visit as usual for the patient. - Correct Answer C" "A middle-aged man comes in because he has noticed multiple small, blood-red, raised lesions over his anterior chest and abdomen for the past several months. They are not painful and he has not noted any bleeding or bruising. He is concerned this may be consistent with a dangerous condition. What should you do? A) Reassure him that there is nothing to worry about. B) Do laboratory work to check for platelet problems. C) Obtain an extensive history regarding blood problems and bleeding disorders. D) Do a skin biopsy in the office. - Correct Answer A" "The nurse educator is preparing an education module for the nursing staff on the epidermal layer of skin. Which of these statements would be included in the module? The epidermis is: a Highly vascular. B Thick and tough. C Thin and nonstratified D Replaced every 4 weeks. - Correct Answer D" "The nurse educator is preparing an education module for the nursing staff on the dermis layer of skin. Which of these statements would be included in the module? The dermis: a Contains mostly fat cells. b Consists mostly of keratin. c Is replaced every 4 weeks. d Contains sensory receptors. - Correct Answer D" "The nurse is examining a patient who tells the nurse, I sure sweat a lot, especially on my face and feet but it doesnt have an odor. The nurse knows that this condition could be related to: a Eccrine glands. b Apocrine glands. c Disorder of the stratum corneum. d Disorder of the stratum germinativum. - Correct Answer A" "A newborn infant is in the clinic for a well-baby checkup. The nurse observes the infant for the possibility of fluid loss because of which of these factors? a Subcutaneous fat deposits are high in the newborn. b Sebaceous glands are overproductive in the newborn. c The newborns skin is more permeable than that of the adult. d The amount of vernix caseosa dramatically rises in the newborn. - Correct Answer C" "The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This finding would be related to which factor in the older adult? a Increased vascularity of the skin b Increased numbers of sweat and sebaceous glands c An increase in elastin and a decrease in subcutaneous fat d An increased loss of elastin and a decrease in subcutaneous fat - Correct Answer D" "During the aging process, the hair can look gray or white and begin to feel thin and fine. The nurse knows that this occurs because of a decrease in the number of functioning: a Metrocytes. b Fungacytes. c Phagocytes. d Melanocytes. - Correct Answer D" "During an examination, the nurse finds that a patient has excessive dryness of the skin. The best term to describe this condition is: a Xerosis. b Pruritus. c Alopecia. d Seborrhea. - Correct Answer A" "A 22-year-old woman comes to the clinic because of severe sunburn and states, I was out in the sun for just a couple of minutes. The nurse begins a medication review with her, paying special attention to which medication class? a Nonsteroidal antiinflammatory drugs for pain b Tetracyclines for acne c Proton pump inhibitors for heartburn d Thyroid replacement hormone for hypothyroidism - Correct Answer B" "A woman is leaving on a trip to Hawaii and has come in for a checkup. During the examination the nurse learns that she has diabetes and takes oral hypoglycemic agents. The patient needs to be concerned about which possible effect of her medications? a Increased possibility of bruising b Skin sensitivity as a result of exposure to salt water c Lack of availability of glucose-monitoring supplies d Importance of sunscreen and avoiding direct sunlight - Correct Answer D" "A 13-year-old girl is interested in obtaining information about the cause of her acne. The nurse should share with her that acne: a Is contagious. b Has no known cause. c Is caused by increased sebum production. d Has been found to be related to poor hygiene. - Correct Answer C" "A 75-year-old woman who has a history of diabetes and peripheral vascular disease has been trying to remove a corn on the bottom of her foot with a pair of scissors. The nurse will encourage her to stop trying to remove the corn with scissors because: a The woman could be at increased risk for infection and lesions because of her chronic disease. b With her diabetes, she has increased circulation to her foot, and it could cause severe bleeding. c She is 75 years old and is unable to see; consequently, she places herself at greater risk for self-injury with the scissors. d With her peripheral vascular disease, her range of motion is limited and she may not be able to reach the corn safely. - Correct Answer A" "The nurse keeps in mind that a thorough skin assessment is extremely important because the skin holds information about a persons: a Support systems. b Circulatory status. c Socioeconomic status. d Psychological wellness. - Correct Answer B" "A patient comes in for a physical examination and complains of freezing to death while waiting for her examination. The nurse notes that her skin is pale and cool and attributes this finding to: a Venous pooling. b Peripheral vasodilation. c Peripheral vasoconstriction. d Decreased arterial perfusion. - Correct Answer C" "A patient comes to the clinic and tells the nurse that he has been confined to his recliner chair for approximately 3 days with his feet down and he asks the nurse to evaluate his feet. During the assessment, the nurse might expect to find: a Pallor b Coolness c Distended veins d Prolonged capillary filling time - Correct Answer C" "A patient is especially worried about an area of skin on her feet that has turned white. The health care provider has told her that her condition is vitiligo. The nurse explains to her that vitiligo is: a Caused by an excess of melanin pigment b Caused by an excess of apocrine glands in her feet c Caused by the complete absence of melanin pigment d Related to impetigo and can be treated with an ointment - Correct Answer C" "A patient tells the nurse that he has noticed that one of his moles has started to burn and bleed. When assessing his skin, the nurse pays special attention to the danger signs for pigmented lesions and is concerned with which additional finding? a Color variation b Border regularity c Symmetry of lesions d Diameter of less than 6 mm - Correct Answer A" "A patient comes to the clinic and states that he has noticed that his skin is redder than normal. The nurse understands that this condition is due to hyperemia and knows that it can be caused by: a Decreased amounts of bilirubin in the blood b Excess blood in the underlying blood vessels c Decreased perfusion to the surrounding tissues d Excess blood in the dilated superficial capillaries - Correct Answer D" "During a skin assessment, the nurse notices that a Mexican-American patient has skin that is yellowish-brown; however, the skin on the hard and soft palate is pink and the patients scleras are not yellow. From this finding, the nurse could probably rule out: a Pallor b Jaundice c Cyanosis d Iron deficiency - Correct Answer B" "A black patient is in the intensive care unit because of impending shock after an accident. The nurse expects to find what characteristics in this patients skin? a Ruddy blue. b Generalized pallor. c Ashen, gray, or dull. d Patchy areas of pallor. - Correct Answer C" "An older adult woman is brought to the emergency department after being found lying on the kitchen floor for 2 days; she is extremely dehydrated. What would the nurse expect to see during the examination? a Smooth mucous membranes and lips b Dry mucous membranes and cracked lips c Pale mucous membranes d White patches on the mucous membranes - Correct Answer B" "A 42-year-old woman complains that she has noticed several small, slightly raised, bright red dots on her chest. On examination, the nurse expects that the spots are probably: a Anasarca. b Scleroderma. c Senile angiomas. d Latent myeloma. - Correct Answer C" "A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment. On assessment, the nurse might expect to see which finding? A Anasarca B Scleroderma C Pedal erythema d Clubbing of the nails - Correct Answer D" "A newborn infant has Down syndrome. During the skin assessment, the nurse notices a transient mottling in the trunk and extremities in response to the cool temperature in the examination room. The infants mother also notices the mottling and asks what it is. The nurse knows that this mottling is called: a Caf au lait. B Carotenemia. C Acrocyanosis. D Cutis marmorata. - Correct Answer D" "A 72-year-old retired saleswoman comes to your office, complaining of a bloody discharge from her left breast for 3 months. She denies any trauma to her breast. Her past medical history includes high blood pressure and abdominal surgery for colon cancer. Her aunt died of ovarian cancer and her father died of colon cancer. Her mother died of a stroke. The patient denies tobacco, alcohol, or drug use. She is a widow and has three healthy children. On examination her breasts are symmetric, with no skin changes. You are able to express bloody discharge from her left nipple. You feel no discrete masses, but her left axilla has a hard, 1-cm fixed node. The remainder of her heart, lung, abdominal, and pelvic examinations are unremarkable. What cause of nipple discharge is the most likely in her circumstance? A) Benign breast abnormality B) Breast cancer C) Galactorrhea - Correct Answer B" "A 44-year-old female comes to your clinic, complaining of severe dry skin in the area over her right nipple. She denies any trauma to the area. She noticed the skin change during a selfexamination 2 months ago. She also admits that she had felt a lump under the nipple but kept putting off making an appointment. She does admit to 6 months of fatigue but no weight loss, weight gain, fever, or night sweats. Her past medical history is significant for hypothyroidism. She does not have a history of eczema or allergies. She denies any tobacco, alcohol, or drug use. On examination you find a middle-aged woman appearing her stated age. Inspection of her right breast reveals a scaly eczema-like crust around her nipple. Underneath you palpate a nontender 2-cm mass. The axilla contains only soft, moveable nodes. The left breast and axilla examination findings are unremarkable. What visible skin change of the breast does she hav - Correct Answer B" "A 56-year-old female comes to your clinic, complaining of her left breast looking unusual. She says that for 2 months the angle of the nipple has changed direction. She does not do selfexaminations, so she doesn't know if she has a lump. She has no history of weight loss, weight gain, fever, or night sweats. Her past medical history is significant for high blood pressure. She smokes two packs of cigarettes a day and has three to four drinks per weekend night. Her paternal aunt died of breast cancer in her forties. Her mother is healthy but her father died of prostate cancer. On examination you find a middle-aged woman appearing older than her stated age. Inspection of her left breast reveals a flattened nipple deviating toward the lateral side. On palpation the nipple feels thickened. Lateral to the areola you palpate a nontender 4-cm mass. The axilla contains several fixed nodes. The right breast and axilla examinat - Correct Answer A" "A 19-year-old female comes to your office, complaining of a clear discharge from her right breast for 2 months. She states that she noticed it when she and her boyfriend were "messing around" and he squeezed her nipple. She continues to have this discharge anytime she squeezes that nipple. She denies any trauma to her breasts. Her past medical history is unremarkable. She denies any pregnancies. Both of her parents are healthy. She denies using tobacco or illegal drugs and drinks three to four beers a week. On examination her breasts are symmetric with no skin changes. You are able to express clear discharge from her right nipple. You feel no discrete masses and her axillae are normal. The remainder of her heart, lung, abdominal, and pelvic examinations are unremarkable. A urine pregnancy test is negative. What cause of nipple discharge is the most likely in her circumstance? A) Benign breast abnormality B) Breast ca - Correct Answer A" "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? A) Peau d - Correct Answer B" "A 43-year-old store clerk comes to your office upset because she has found an enlarged lymph node under her left arm. She states she found it yesterday when she was feeling pain under her arm during movement. She states the lymph node is about an inch long and is very painful. She checks her breasts monthly and gets a yearly mammogram (her last was 2 months ago), and until now everything has been normal. She states she is so upset because her mother died in her 50s of breast cancer. The patient does not smoke, drink, or use illegal drugs. Her father is in good health. On examination you see a tense female appearing her stated age. On visual inspection of her left axilla you see a tense red area. There is no scarring around the axilla. Palpating this area, you feel a 2-cm tender, movable lymph node underlying hot skin. Other shotty nodes are also in the area. Visualization of both breasts is normal. Palpation of her r - Correct Answer B" "A 63-year-old nurse comes to your office, upset because she has found an enlarged lymph node under her right arm. She states she found it last week while taking a shower. She isn't sure if she has any breast lumps because she doesn't know how to do self-exams. She states her last mammogram was 5 years ago and it was normal. Her past medical history is significant for high blood pressure and chronic obstructive pulmonary disease. She quit smoking 2 years ago after a 55-packs/year history. She denies using any illegal drugs and drinks alcohol rarely. Her mother died of a heart attack and her father died of a stroke. She has no children. On examination you see an older female appearing her stated age. On visual inspection of her right axilla you see nothing unusual. Palpating this area, you feel a 2-cm hard, fixed lymph node. She denies any tenderness. Visualization of both breasts is normal. Palpation of her left axill - Correct Answer A" "A 40-year-old mother of two presents to your office for consultation. She is interested in knowing what her relative risks are for developing breast cancer. She is concerned because her sister had unilateral breast cancer 6 years ago at age 38. The patient reports on her history that she began having periods at age 11 and has been fairly regular ever since, except during her two pregnancies. Her first child arrived when she was 26 and her second at age 28. Otherwise she has had no health problems. Her father has high blood pressure. Her mother had unilateral breast cancer in her 70s. The patient denies tobacco, alcohol, or drug use. She is a family law attorney and is married. Her examination is essentially unremarkable. Which risk factor of her personal and family history most puts her in danger of getting breast cancer? A) First-degree relative with premenopausal breast cancer B) Age at menarche of less than 12 C) - Correct Answer A" "A 51-year-old cook comes to your office for consultation. She recently found out that her 44- year-old sister with premenopausal breast cancer is positive for the BRCA1 gene. Your patient has been doing research on the Internet and saw that her chance of having also inherited the BRCA1 gene is 50%. She is interested in knowing what her risk of developing breast cancer would be if she were positive for the gene. She denies any lumps in her breasts and has had normal mammograms. She has had no weight loss, fever, or night sweats. Her mother is healthy and her father has prostate cancer. Two of her paternal aunts died of breast cancer. She is married. She denies using tobacco or illegal drugs and rarely drinks alcohol. Her breast and axilla examinations are unremarkable. At her age, what is her risk of getting breast cancer if she has the BRCA1 gene? A) 10% B) 50% C) 80% - Correct Answer B" "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? A) Breast cancer B) Imbalance of hormones of puberty C) Drug use - Correct Answer B" "A patient is concerned about a dark skin lesion on her anterolateral abdomen. It has not changed, and there is no discharge or bleeding. On examination there is a medium brown circular lesion on the anterolateral wall of the abdomen. It is soft, has regular borders, is evenly pigmented, and is about 7 mm in diameter. What is this lesion? A) Melanoma B) Dysplastic nevus C) Supernumerary nipple D) Dermatofibroma - Correct Answer C" "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? A) Breast tissue B) Fibrocystic disease C) Breast cancer D) Lymph node - Correct Answer A" "Which of the following lymph node groups is most commonly involved in breast cancer? A) Lateral B) Subscapular C) Pectoral D) Central - Correct Answer D" "When should a woman conduct breast self-examination with respect to her menses? A) Five to seven days following her menses B) Midcycle C) Immediately prior to menses D) During her menses - Correct Answer A" "Mrs. Patton, a 48-year-old woman, comes to your office with a complaint of a breast mass. Without any other information, what is the risk of this mass being cancerous? A) About 10% B) About 20% C) About 30% D) About 40% - Correct Answer A" "How often, according to American Cancer Society recommendations, should a woman undergo a screening breast examination by a skilled clinician? A) Every year B) Every 2 years C) Every 3 years D) Every 4 years - Correct Answer C" "Which of the following is most likely benign on breast examination? A) Dimpling of the skin resembling that of an orange B) One breast larger than the other C) One nipple inverted D) One breast with dimple when the patient leans forward - Correct Answer B" "Which is the most effective pattern of palpation for breast cancer? A) Beginning at the nipple, make an ever-enlarging spiral. B) Divide the breast into quadrants and inspect each systematically. C) Examine in lines resembling the back and forth pattern of mowing a lawn. D) Beginning at the nipple, palpate outward in a stripe pattern. - Correct Answer C" "Which is true of women who have had a unilateral mastectomy? A) They no longer require breast examination. B) They should be examined carefully along the surgical scar for masses. C) Lymphedema of the ipsilateral arm usually suggests recurrence of breast cancer. D) Women with breast reconstruction over their mastectomy site no longer require examination. - Correct Answer B" "Which of the following is true regarding breast self-examination? A) It has been shown to reduce mortality from breast cancer. B) It is recommended unanimously by organizations making screening recommendations. C) A high proportion of breast masses are detected by breast self-examination. D) The undue fear caused by finding a mass justifies omitting instruction in breast selfexamination. - Correct Answer C" "Which of the following statements is true regarding the internal structures of the breast? The breast is made up of: a Primarily muscle with very little fibrous tissue. B Fibrous, glandular, and adipose tissues. C Primarily milk ducts, known as lactiferous ducts. D Glandular tissue, which supports the breast by attaching to the chest wall. - Correct Answer B" "In performing a breast examination, the nurse knows that examining the upper outer quadrant of the breast is especially important. The reason for this is that the upper outer quadrant is: a The largest quadrant of the breast. b The location of most breast tumors. c Where most of the suspensory ligaments attach. d More prone to injury and calcifications than other locations in the breast. - Correct Answer B" "In performing an assessment of a womans axillary lymph system, the nurse should assess which of these nodes? a Central, axillary, lateral, and sternal b Pectoral, lateral, anterior, and sternal c Central, lateral, pectoral, and subscapular d Lateral, pectoral, axillary, and suprascapular - Correct Answer C" "If a patient reports a recent breast infection, then the nurse should expect to find node enlargement. a Nonspecific b Ipsilateral axillary c Contralateral axillary d Inguinal and cervical - Correct Answer B" "A 9-year-old girl is in the clinic for a sport physical examination. After some initial shyness she finally asks, Am I normal? I dont seem to need a bra yet, but I have some friends who do. What if I never get breasts? The nurses best response would be: A Dont worry, you still have plenty of time to develop. B I know just how you feel, I was a late bloomer myself. Just be patient, and they will grow. C You will probably get your periods before you notice any significant growth in your breasts. d I understand that it is hard to feel different from your friends. Breasts usually develop between 8 and 10 years of age. - Correct Answer D" "A patient contacts the office and tells the nurse that she is worried about her 10-year-old daughter having breast cancer. She describes a unilateral enlargement of the right breast with associated tenderness. She is worried because the left breast is not enlarged. What would be the nurses best response? Tell the mother that: a Breast development is usually fairly symmetric and that the daughter should be examined right away. B She should bring in her daughter right away because breast cancer is fairly common in preadolescent girls. C Although an examination of her daughter would rule out a problem, her breast development is most likely normal. D It is unusual for breasts that are first developing to feel tender because they havent developed much fibrous tissue. - Correct Answer C" "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" "A woman is in the family planning clinic seeking birth control information. She states that her breasts change all month long and that she is worried that this is unusual. What is the nurses best response? The nurse should tell her that: a Continual changes in her breasts are unusual. The breasts of nonpregnant women usually stay pretty much the same all month long. B Breast changes in response to stress are very common and that she should assess her life for stressful events. C Because of the changing hormones during the monthly menstrual cycle, cyclic breast changes are common. D Breast changes normally occur only during pregnancy and that a pregnancy test is needed at this time. - Correct Answer C" "A woman has just learned that she is pregnant. What are some things the nurse should teach her about her breasts? A She can expect her areolae to become larger and darker in color. B Breasts may begin secreting milk after the fourth month of pregnancy. C She should inspect her breasts for visible veins and immediately report these. d During pregnancy, breast changes are fairly uncommon; most of the changes occur after the birth. - Correct Answer A" "The nurse is teaching a pregnant woman about breast milk. Which statement by the nurse is correct? A Your breast milk is immediately present after the delivery of your baby. B Breast milk is rich in protein and sugars (lactose) but has very little fat. C The colostrum, which is present right after birth, does not contain the same nutrients as breast milk. D You may notice a thick, yellow fluid expressed from your breasts as early as the fourth month of pregnancy. - Correct Answer D" "A 65-year-old patient remarks that she just cannot believe that her breasts sag so much. She states it must be from a lack of exercise. What explanation should the nurse offer her? After menopause: a Only women with large breasts experience sagging. b Sagging is usually due to decreased muscle mass within the breast. c A diet that is high in protein will help maintain muscle mass, which keeps the breasts from sagging. d The glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breasts that sag. - Correct Answer D" "In examining a 70-year-old male patient, the nurse notices that he has bilateral gynecomastia. Which of the following describes the nurses best course of action? a Recommend that he make an appointment with his physician for a mammogram. b Ignore it. Benign breast enlargement in men is not unusual. c Explain that this condition may be the result of hormonal changes, and recommend that he see his physician. d Explain that gynecomastia in men is usually associated with prostate enlargement and recommend that he be thoroughly screened. - Correct Answer C" "During an examination of a 7-year-old girl, the nurse notices that the girl is showing breast budding. What should the nurse do next? A Ask the young girl if her periods have started. B Assess the girls weight and body mass index (BMI). C Ask the girls mother at what age she started to develop breasts. d Nothing; breast budding is a normal finding. - Correct Answer B" "The nurse is reviewing statistics regarding breast cancer. Which woman, aged 40 years in the United States, has the highest risk for developing breast cancer? a Black b White c Asian d American Indian - Correct Answer A" "The nurse is preparing for a class in early detection of breast cancer. Which statement is true with regard to breast cancer in black women in the United States? A Breast cancer is not a threat to black women. B Black women have a lower incidence of regional or distant breast cancer than white women. C Black women are more likely to die of breast cancer at any age. D Breast cancer incidence in black women is higher than that of white women after age 45. - Correct Answer C" "During a breast health interview, a patient states that she has noticed pain in her left breast. The nurses most appropriate response to this would be: A Dont worry about the pain; breast cancer is not painful. B I would like some more information about the pain in your left breast. C Oh, I had pain like that after my son was born; it turned out to be a blocked milk duct. D Breast pain is almost always the result of benign breast disease. - Correct Answer B" "During a health history interview, a female patient states that she has noticed a few drops of clear discharge from her right nipple. What should the nurse do next? A Immediately contact the physician to report the discharge. B Ask her if she is possibly pregnant. C Ask the patient some additional questions about the medications she is taking. D Immediately obtain a sample for culture and sensitivity testing. - Correct Answer C" "During a physical examination, a 45-year-old woman states that she has had a crusty, itchy rash on her breast for approximately 2 weeks. In trying to find the cause of the rash, which question would be important for the nurse to ask? A Is the rash raised and red? B Does it appear to be cyclic? C Where did the rash first appearon the nipple, the areola, or the surrounding skin? D What was she doing when she first noticed the rash, and do her actions make it worse? - Correct Answer C" "During the interview with a female patient, the nurse gathers data that indicate the patient is perimenopausal. Which of these statements made by this patient leads to this conclusion? a I have noticed that my muscles ache at night when I go to bed. b I will be very happy when I can stop worrying about having a period. c I have been noticing that I sweat a lot more than I used to, especially at night. d I have only been pregnant twice, but both times I had breast tenderness as my first symptom. - Correct Answer C" "A 50-year-old woman calls the clinic because she has noticed some changes in her body and breasts and wonders if these changes could be attributable to the hormone replacement therapy (HRT) she started 3 months earlier. The nurse should tell her: a HRT is at such a low dose that side effects are very unusual. b HRT has several side effects, including fluid retention, breast tenderness, and vaginal bleeding. c Vaginal bleeding with HRT is very unusual; I suggest you come into the clinic immediately to have this evaluated. d It sounds as if your dose of estrogen is too high; I think you may need to decrease the amount you are taking and then call back in a week. - Correct Answer B" "A patient is newly diagnosed with benign breast disease. The nurse recognizes which statement about benign breast disease to be true? The presence of benign breast disease: a Makes it hard to examine the breasts. B Frequently turns into cancer in a womans later years. C Is easily reduced with hormone replacement therapy. D Is usually diagnosed before a woman reaches childbearing age. - Correct Answer A" "During an annual physical examination, a 43-year-old patient states that she does not perform monthly breast self-examinations (BSEs). She tells the nurse that she believes that mammograms do a much better job than I ever could to find a lump. The nurse should explain to her that: a BSEs may detect lumps that appear between mammograms. B BSEs are unnecessary until the age of 50 years. C She is correctmammography is a good replacement for BSE. D She does not need to perform BSEs as long as a physician checks her breasts annually. - Correct Answer A" "During an interview, a patient reveals that she is pregnant. She states that she is not sure whether she will breastfeed her baby and asks for some information about this. Which of these statements by the nurse is accurate? A Breastfed babies tend to be more colicky. B Breastfeeding provides the perfect food and antibodies for your baby. C Breastfed babies eat more often than infants on formula. D Breastfeeding is second nature, and every woman can do it. - Correct Answer B" "The nurse is reviewing risk factors for breast cancer. Which of these women have risk factors that place them at a higher risk for breast cancer? A 37 year old who is slightly overweight B 42 year old who has had ovarian cancer C 45 year old who has never been pregnant D 65 year old whose mother had breast cancer - Correct Answer D" "During an examination of a woman, the nurse notices that her left breast is slightly larger than her right breast. Which of these statements is true about this finding? A Breasts should always be symmetric. B Asymmetry of breast size and shape is probably due to breastfeeding and is nothing to worry about. C Asymmetry is not unusual, but the nurse should verify that this change is not new. D Asymmetry of breast size and shape is very unusual and means she may have an inflammation or growth. - Correct Answer C" "The nurse is assisting with a BSE clinic. Which of these women reflect abnormal findings during the inspection phase of breast examination? A Woman whose nipples are in different planes (deviated). B Woman whose left breast is slightly larger than her right. C Nonpregnant woman whose skin is marked with linear striae. D Pregnant woman whose breasts have a fine blue network of veins visible under the skin. - Correct Answer A" "During the physical examination, the nurse notices that a female patient has an inverted left nipple. Which statement regarding this is most accurate? A Normal nipple inversion is usually bilateral. B Unilateral inversion of a nipple is always a serious sign. C Whether the inversion is a recent change should be determined. D Nipple inversion is not significant unless accompanied by an underlying palpable mass. - Correct Answer C" "A 28-year-old musician comes to your clinic, complaining of a "spot" on his penis. He states his partner noticed it 2 days ago and it hasn't gone away. He says it doesn't hurt. He has had no burning with urination and no pain during intercourse. He has had several partners in the last year and uses condoms occasionally. His past medical history consists of nongonococcal urethritis from Chlamydia and prostatitis. He denies any surgeries. He smokes two packs of cigarettes a day, drinks a case of beer a week, and smokes marijuana and occasionally crack. He has injected IV drugs before but not in the last few years. He is single and currently unemployed. His mother has rheumatoid arthritis and he doesn't know anything about his father. On examination you see a young man appearing deconditioned but pleasant. His vital signs are unremarkable. On visualization of his penis there is a 6-mm red, oval ulcer with an indurated b - Correct Answer C" "A 20-year-old part-time college student comes to your clinic, complaining of growths on his penile shaft. They have been there for about 6 weeks and haven't gone away. In fact, he thinks there may be more now. He denies any pain with intercourse or urination. He has had three former partners and has been with his current girlfriend for 6 months. He says that because she is on the pill they don't use condoms. He denies any fever, weight loss, or night sweats. His past medical history is unremarkable. In addition to college, he works part-time for his father in construction. He is engaged to be married and has no children. His father is healthy, and his mother has hypothyroidism. On examination the young man appears healthy. His vital signs are unremarkable. On visualization of his penis you see several moist papules along all sides of his penile shaft and even two on the corona. He has been circumcised. On palpation o - Correct Answer A" "A 29-year-old married computer programmer comes to your clinic, complaining of "something strange" going on in his scrotum. Last month while he was doing his testicular selfexamination he felt a lump in his left testis. He waited a month and felt the area again, but the lump was still there. He has had some aching in his left testis but denies any pain with urination or sexual intercourse. He denies any fever, malaise, or night sweats. His past medical history consists of groin surgery when he was a baby and a tonsillectomy as a teenager. He eats a healthy diet and works out at the gym five times a week. He denies any tobacco or illegal drugs and drinks alcohol occasionally. His parents are both healthy. On examination you see a muscular, healthy, young-appearing man with unremarkable vital signs. On visualization the penis is circumcised with no lesions; there is a scar in his right inguinal region. There is no lymp - Correct Answer B" "A 32-year-old white male comes to your clinic, complaining of aching on the right side of his testicle. He has felt this aching for several months. He states that as the day progresses the aching increases, but when he wakes up in the morning he is pain-free. He denies any pain with urination and states that the pain doesn't change with sexual activity. He denies any fatigue, weight gain, weight loss, fever, or night sweats. His past medical history is unremarkable. He is a married hospital administrator with two children. He notes that he and his wife have been trying to have another baby this year but have so far been unsuccessful despite frequent intercourse. He denies using tobacco, alcohol, or illegal drugs. His father has high blood pressure but his mother is healthy. On examination you see a young man appearing his stated age with unremarkable vital signs. On visualization of his penis, he is circumcised with - Correct Answer D" "A 48-year-old policeman comes to your clinic, complaining of a swollen scrotum. He states it began a couple of weeks ago and has steadily worsened. He says the longer he stands up the worse it gets, but when he lies down it improves. He denies any pain with urination. Because he is impotent he doesn't know if intercourse would hurt. He states he has become more tired lately and has also gained 10 pounds in the last month. He denies any fever or weight loss. He has had some shortness of breath with exertion. His past medical history consists of type 2 diabetes for 20 years, high blood pressure, and coronary artery disease. He is on insulin, three high blood pressure pills, and a water pill. He has had his gallbladder removed. He is married and has five children. He is currently on disability because of his health problems. Both of his parents died of complications of diabetes. On examination you see a pleasant male ap - Correct Answer C" "A 36-year-old security officer comes to your clinic, complaining of a painless mass in his scrotum. He found it 3 days ago during a testicular self-examination. He has had no burning with urination and no pain during sexual intercourse. He denies any weight loss, weight gain, fever, or night sweats. His past medical history is notable for high blood pressure. He is married and has three healthy children. He denies using illegal drugs, smokes two to three cigars a week, and drinks six to eight alcoholic beverages per week. His mother is in good health and his father had high blood pressure and coronary artery disease. On physical examination he appears anxious but in no pain. His vital signs are unremarkable. On visualization of his penis, he is circumcised and has no lesions. His inguinal region has no lymphadenopathy. Palpation of his scrotum shows a soft cystic-like lesion measuring 2 cm over his right testicle. Th - Correct Answer A" "A 22-year-old unemployed roofer presents to your clinic, complaining of pain in his testicle and penis. He states the pain began last night and has steadily become worse. He states it hurts when he urinates and he has not attempted intercourse since the pain began. He has tried Tylenol and ibuprofen without improvement. He denies any fever or night sweats. His past medical history is unremarkable. He has had four previous sexual partners and has had a new partner for the last month. She is on oral contraceptives so he has not used condoms. His parents are both in good health. On examination you see a young man lying on his side. He appears mildly ill. His temperature is 100.2 and his blood pressure, respirations, and pulse are normal. On visualization of the penis he is circumcised, with no lesions or discharge from the meatus. Visualization of the scrotal skin appears unremarkable. Palpation of the testes shows seve - Correct Answer B" "A 15-year-old high school football player is brought to your office by his mother. He is complaining of severe testicular pain since exactly 8:00 this morning. He denies any sexual activity and states that he hurts so bad he can't even urinate. He is nauseated and is throwing up. He denies any recent illness or fever. His past medical history is unremarkable. He denies any tobacco, alcohol, or drug use. His parents are both in good health. On examination you see a young teenager lying on the bed with an emesis basin. He is very uncomfortable and keeps shifting his position. His blood pressure is 150/100, his pulse is 110, and his respirations are 24. On visualization of the penis he is circumcised and there are no lesions and no discharge from the meatus. His scrotal skin is tense and red. Palpation of the left testicle causes severe pain and the patient begins to cry. His prostate examination is unremarkable. His cr - Correct Answer C" "A 16-year-old high school junior is brought to your clinic by his father. The teenager was taught in his health class at school to do monthly testicular self-examinations. Yesterday when he felt his left testicle it was enlarged and tender. He isn't sure if he has had burning with urination and he says he has never had sexual intercourse. He has had a sore throat, cough, and runny nose for the last 3 days. His past medical history is significant for a tonsillectomy as a small child. His father has high blood pressure and his mother is healthy. On examination you see a teenager in no acute distress. His temperature is 100.8 and his blood pressure and pulse are unremarkable. On visualization of his penis, he is uncircumcised and has no lesions or discharge. His scrotum is red and tense on the left and normal appearing on the right. Palpating his left testicle reveals a mildly sore swollen testicle. The right testicle i - Correct Answer A" "A 45-year-old electrical engineer presents to your clinic, complaining of spots on his scrotum. He first noticed the spots several months ago, and they have gotten bigger. He denies any pain with urination or with sexual intercourse. He has had no fever, night sweats, weight gain, or weight loss. His past medical history consists of a vasectomy 10 years ago and mild obesity. He is on medication for hyperlipidemia. He denies any tobacco or illegal drug use and drinks alcohol socially. His mother has Alzheimer's disease and his father died of leukemia. On examination he appears relaxed and has unremarkable vital signs. On visualization of his penis, he is circumcised and has no lesions on his penis. Visualization of his scrotum shows three yellow nodules 2-3 millimeters in diameter. During palpation they are firm and nontender. What abnormality of the male genitalia is this most likely to be? A) Condylomata acuminata B - Correct Answer D" "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? A) Decreased testosterone levels B) Psychological issues C) Abnormal hypogastric arterial circulation D) Impaired neural innervation - Correct Answer B" "Which of the following conditions involves a tight prepuce which, once retracted, cannot be returned? A) Phimosis B) Paraphimosis C) Balanitis D) Balanoposthitis - Correct Answer B" "Induration along the ventral surface of the penis suggests which of the following? A) Urethral stricture B) Testicular carcinoma C) Peyronie's disease D) Epidermoid cysts - Correct Answer A" "A tender, painful swelling of the scrotum should suggest which of the following? A) Acute epididymitis B) Strangulated inguinal hernia C) Torsion of the spermatic cord D) All of the above - Correct Answer D" "A young man feels something in his scrotum and comes to you for clarification. On your examination, you note what feels like a "bag of worms" in the left scrotum, superior to the testicles. Which of the following is most likely? A) Hydrocele of the spermatic cord B) Varicocele C) Testicular carcinoma D) A normal vas deferens - Correct Answer B" "Which of the following would lead you to suspect a hydrocele versus other causes of scrotal swelling? A) The presence of bowel sounds in the scrotum B) Being unable to palpate superior to the mass C) A positive transillumination test D) Normal thickness of the skin of the scrotum - Correct Answer C" "You are examining a newborn and note that the right testicle is not in the scrotum. What should you do next? A) Refer to urology B) Recheck in 6 months C) Tell the parent the testicle is absent but that this should not affect fertility D) Attempt to bring down the testis from the inguinal canal - Correct Answer D" "Francis is a middle-aged man who noted right-sided lower abdominal pain after straining with yard work. Which of the following would make a hernia more likely? A) Absence of pain with straining B) Absence of bowel sounds in the scrotum C) Absence of a varicocele D) Absence of symmetry of the inguinal areas with straining - Correct Answer D" "Frank is a 24-year-old man who presents with multiple burning erosions on the shaft of his penis and some tender inguinal adenopathy. Which of the following is most likely? A) Primary syphilis B) Herpes simplex C) Chancroid D) Gonorrhea - Correct Answer B" "The external male genital structures include the: a Testis. B Scrotum. C Epididymis. D Vas deferens. - Correct Answer B" "An accessory glandular structure for the male genital organs is the: a Testis. b Scrotum. c Prostate. d Vas deferens. - Correct Answer C" "Which of these statements is true regarding the penis? a The urethral meatus is located on the ventral side of the penis. b The prepuce is the fold of foreskin covering the shaft of the penis. c The penis is made up of two cylindrical columns of erectile tissue. d The corpus spongiosum expands into a cone of erectile tissue called the glans. - Correct Answer D" "When performing a genital examination on a 25-year-old man, the nurse notices deeply pigmented, wrinkled scrotal skin with large sebaceous follicles. On the basis of this information, the nurse would: a Squeeze the glans to check for the presence of discharge. b Consider this finding as normal, and proceed with the examination. c Assess the testicles for the presence of masses or painless lumps. d Obtain a more detailed history, focusing on any scrotal abnormalities the patient has noticed. - Correct Answer B" "Which statement concerning the testes is true? a The lymphatic vessels of the testes drain into the abdominal lymph nodes. b The vas deferens is located along the inferior portion of each testis. c The right testis is lower than the left because the right spermatic cord is longer. d The cremaster muscle contracts in response to cold and draws the testicles closer to the body. - Correct Answer D" "A male patient with possible fertility problems asks the nurse where sperm is produced. The nurse knows that sperm production occurs in the: a Testes. b Prostate. c Epididymis. d Vas deferens. - Correct Answer A" "A 62-year-old man states that his physician told him that he has an inguinal hernia. He asks the nurse to explain what a hernia is. The nurse should: a Tell him not to worry and that most men his age develop hernias. b Explain that a hernia is often the result of prenatal growth abnormalities. c Refer him to his physician for additional consultation because the physician made the initial diagnosis. d Explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles. - Correct Answer D" "The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The nurse should reply by saying: a Puberty usually begins around 15 years of age. b The first sign of puberty is an enlargement of the testes. c The penis size does not increase until about 16 years of age. d The development of pubic hair precedes testicular or penis enlargement. - Correct Answer B" "During an examination of an aging man, the nurse recognizes that normal changes to expect would be: a Enlarged scrotal sac. b Increased pubic hair. c Decreased penis size. d Increased rugae over the scrotum. - Correct Answer C" "An older man is concerned about his sexual performance. The nurse knows that in the absence of disease, a withdrawal from sexual activity later in life may be attributable to: a Side effects of medications. b Decreased libido with aging. c Decreased sperm production. d Decreased pleasure from sexual intercourse. - Correct Answer A" "A 59-year-old patient has been diagnosed with prostatitis and is being seen at the clinic for complaints of burning and pain during urination. He is experiencing: a Dysuria. b Nocturia. c Polyuria. d Hematuria. - Correct Answer A" "A 45-year-old mother of two children is seen at the clinic for complaints of losing my urine when I sneeze. The nurse documents that she is experiencing: a Urinary frequency. B Enuresis. C Stress incontinence. D Urge incontinence. - Correct Answer C" "When the nurse is conducting sexual history from a male adolescent, which statement would be most appropriate to use at the beginning of the interview? a Do you use condoms? b You dont masturbate, do you? c Have you had sex in the last 6 months? d Often adolescents your age have questions about sexual activity. - Correct Answer D" "Which of these statements is most appropriate when the nurse is obtaining a genitourinary history from an older man? a Do you need to get up at night to urinate? b Do you experience nocturnal emissions, or wet dreams? c Do you know how to perform a testicular self-examination? d Has anyone ever touched your genitals when you did not want them to? - Correct Answer A" "When the nurse is performing a genital examination on a male patient, the patient has an erection. The nurses most appropriate action or response is to: a Ask the patient if he would like someone else to examine him. b Continue with the examination as though nothing has happened. c Stop the examination, leave the room while stating that the examination will resume at a later time. d Reassure the patient that this is a normal response and continue with the examination. - Correct Answer D" "The nurse is examining the glans and knows which finding is normal for this area? A The meatus may have a slight discharge when the glans is compressed. B Hair is without pest inhabitants. C The skin is wrinkled and without lesions. d Smegma may be present under the foreskin of an uncircumcised male. - Correct Answer D" "When performing a genitourinary assessment, the nurse notices that the urethral meatus is ventrally positioned. This finding is: a Called hypospadias. B A result of phimosis. C Probably due to a stricture. D Often associated with aging. - Correct Answer A" "The nurse is performing a genital examination on a male patient and notices urethral drainage. When collecting urethral discharge for microscopic examination and culture, the nurse should: a Ask the patient to urinate into a sterile cup. B Ask the patient to obtain a specimen of semen. C Insert a cotton-tipped applicator into the urethra. D Compress the glans between the examiners thumb and forefinger, and collect any discharge. - Correct Answer D" "When assessing the scrotum of a male patient, the nurse notices the presence of multiple firm, nontender, yellow 1-cm nodules. The nurse knows that these nodules are most likely: a From urethritis. B Sebaceous cysts. C Subcutaneous plaques. D From an inflammation of the epididymis. - Correct Answer B" "When performing a scrotal assessment, the nurse notices that the scrotal contents show a red glow with transillumination. On the basis of this finding the nurse would: a Assess the patient for the presence of a hernia. B Suspect the presence of serous fluid in the scrotum. C Consider this finding normal, and proceed with the examination. D Refer the patient for evaluation of a mass in the scrotum. - Correct Answer B" "When the nurse is performing a genital examination on a male patient, which action is correct? A Auscultating for the presence of a bruit over the scrotum B Palpating for the vertical chain of lymph nodes along the groin, inferior to the inguinal ligament c Palpating the inguinal canal only if a bulge is present in the inguinal region during inspection d Having the patient shift his w