NURS 5220 EXAM #2 QUESTION BANK WITH
RATIONALES | 2025 ACCURATE REAL
QUESTIONS WITH DETAILED ANSWERS
GRADED A+ | GUARANTEED EXCELLENCE PASS
Mrs. Harris presents to your office with a complaint of a red rash on her breast
suggestive of either Paget disease or eczema. Which is a distinguishing factor
between these two problems?
A. Location of the lesion on the nipple
B. Presence or absence of crust
C. Response to cortisone
D. Pattern of fever - ✔✔✔ Correct Answer > C: CorrectPaget disease is a surface
manifestation of underlying ductal carcinoma. Unlike eczema, it does not respond
to steroids. Cortisone is a steroid.
Mrs. Ulman is a 56-year-old patient who presents to your office for her routine
follow-up after having a mastectomy of the right breast 2 years ago. Which
statement applies to your examination of this patient?
A. Swelling, thickening, and small lumps at the mastectomy site are expected.
B. The mastectomy site is inspected but not palpated because of pain.
C. If malignancy recurs, it may be at the scar site.
,D. There is no need to examine the mastectomy site. - ✔✔✔ Correct Answer > C:
CorrectThe patient who has had a mastectomy has special examination needs. In
addition to examining the unaffected breast in the usual manner, you must
examine the mastectomy site, with particular attention to the scar. If malignancy
recurs, it may be at the scar site. Be aware that a woman who has had a
mastectomy may feel uncomfortable removing her bra and prosthesis if she
wears one.
Mrs. Yates is a 58-year-old patient who presents to your office for her yearly
physical examination. She asks you if she really needs to have mammograms.
Which is a correct response?
A. Breast cancer mortality is reduced with mammography screening.
B. After age 63, there is no benefit from mammography.
C. You don't need mammograms unless you have a family history of breast
cancer.
D. If you have fewer than three risk factors, you are safe to stop having
mammograms after age 60. - ✔✔✔ Correct Answer > A; CorrectBreast cancer
screening recommendations for women at average risk vary by authority. Breast
cancer mortality is reduced with mammography screening, although estimates
are of borderline statistical significance. The magnitudes of effect are small for
younger ages, with most of the benefit of mammography resulting from screening
during ages 50 to 74 years.
In which age group does abdominal palpation become easier and more accurate?
A. Young children
B. Adolescents
C. Young adults
,D. Older adults - ✔✔✔ Correct Answer > D: CorrectThe techniques of examination are
the same as those used for younger adults. The abdominal wall of the older adult
becomes thinner and less firm as a result of the loss of connective tissue and
muscle mass that accompanies aging. Palpation, therefore, may be relatively
easier and yield more accurate findings.
Mr. Frank is a 32-year-old patient who presents to your office with a complaint of
a penile lesion. On examination, you note a painless lesion with a clear base and
indurated borders located on the glans penis. What do you conclude this lesion
is?
A. Syphilitic chancre
B. Lymphogranuloma
C. Genital warts
D. Herpes simplex - ✔✔✔ Correct Answer > A: CorrectSyphilitic chancre is a lesion with
indurated
Mr. Allen is a 56-year-old patient who presents for a routine physical
examination. Before palpating his prostate, you should tell him, "You may feel an
urge to _______."
A. urinate
B. defecate
C. vomit
D. faint - ✔✔✔ Correct Answer > A: CorrectIn men, you can palpate the posterior
surface of the prostate gland on the anterior wall. Tell the patient that he may
feel the urge to urinate but that he will not.
, How is the anal ring assessed?
A. Inspection of the anus
B. External palpation of the anus
C. Use of a sigmoidoscope
D. Rotation of a finger within the anal sphincter - ✔✔✔ Correct Answer > D:
CorrectRotate your finger to examine the muscular anal ring.
Which example best describes how firm you expect a healthy prostate gland to
feel?
A. It feels like a soft olive or grape.
B. It feels like the topside of a plastic LEGO piece.
C. It feels like a small baseball.
D. It feels like a pencil eraser - ✔✔✔ Correct Answer > D: . CorrectThe gland should feel
like a pencil eraser—firm, smooth, and slightly movable—and it should be
nontender.
What is the best method of verifying anal patency in a newborn?
A. Inserting a lubricated thermometer through the anus and into the rectum
B. Inserting the fifth digit through the anus and into the rectum
C. Checking for the passage of meconium in the first 24 to 48 hours after birth
RATIONALES | 2025 ACCURATE REAL
QUESTIONS WITH DETAILED ANSWERS
GRADED A+ | GUARANTEED EXCELLENCE PASS
Mrs. Harris presents to your office with a complaint of a red rash on her breast
suggestive of either Paget disease or eczema. Which is a distinguishing factor
between these two problems?
A. Location of the lesion on the nipple
B. Presence or absence of crust
C. Response to cortisone
D. Pattern of fever - ✔✔✔ Correct Answer > C: CorrectPaget disease is a surface
manifestation of underlying ductal carcinoma. Unlike eczema, it does not respond
to steroids. Cortisone is a steroid.
Mrs. Ulman is a 56-year-old patient who presents to your office for her routine
follow-up after having a mastectomy of the right breast 2 years ago. Which
statement applies to your examination of this patient?
A. Swelling, thickening, and small lumps at the mastectomy site are expected.
B. The mastectomy site is inspected but not palpated because of pain.
C. If malignancy recurs, it may be at the scar site.
,D. There is no need to examine the mastectomy site. - ✔✔✔ Correct Answer > C:
CorrectThe patient who has had a mastectomy has special examination needs. In
addition to examining the unaffected breast in the usual manner, you must
examine the mastectomy site, with particular attention to the scar. If malignancy
recurs, it may be at the scar site. Be aware that a woman who has had a
mastectomy may feel uncomfortable removing her bra and prosthesis if she
wears one.
Mrs. Yates is a 58-year-old patient who presents to your office for her yearly
physical examination. She asks you if she really needs to have mammograms.
Which is a correct response?
A. Breast cancer mortality is reduced with mammography screening.
B. After age 63, there is no benefit from mammography.
C. You don't need mammograms unless you have a family history of breast
cancer.
D. If you have fewer than three risk factors, you are safe to stop having
mammograms after age 60. - ✔✔✔ Correct Answer > A; CorrectBreast cancer
screening recommendations for women at average risk vary by authority. Breast
cancer mortality is reduced with mammography screening, although estimates
are of borderline statistical significance. The magnitudes of effect are small for
younger ages, with most of the benefit of mammography resulting from screening
during ages 50 to 74 years.
In which age group does abdominal palpation become easier and more accurate?
A. Young children
B. Adolescents
C. Young adults
,D. Older adults - ✔✔✔ Correct Answer > D: CorrectThe techniques of examination are
the same as those used for younger adults. The abdominal wall of the older adult
becomes thinner and less firm as a result of the loss of connective tissue and
muscle mass that accompanies aging. Palpation, therefore, may be relatively
easier and yield more accurate findings.
Mr. Frank is a 32-year-old patient who presents to your office with a complaint of
a penile lesion. On examination, you note a painless lesion with a clear base and
indurated borders located on the glans penis. What do you conclude this lesion
is?
A. Syphilitic chancre
B. Lymphogranuloma
C. Genital warts
D. Herpes simplex - ✔✔✔ Correct Answer > A: CorrectSyphilitic chancre is a lesion with
indurated
Mr. Allen is a 56-year-old patient who presents for a routine physical
examination. Before palpating his prostate, you should tell him, "You may feel an
urge to _______."
A. urinate
B. defecate
C. vomit
D. faint - ✔✔✔ Correct Answer > A: CorrectIn men, you can palpate the posterior
surface of the prostate gland on the anterior wall. Tell the patient that he may
feel the urge to urinate but that he will not.
, How is the anal ring assessed?
A. Inspection of the anus
B. External palpation of the anus
C. Use of a sigmoidoscope
D. Rotation of a finger within the anal sphincter - ✔✔✔ Correct Answer > D:
CorrectRotate your finger to examine the muscular anal ring.
Which example best describes how firm you expect a healthy prostate gland to
feel?
A. It feels like a soft olive or grape.
B. It feels like the topside of a plastic LEGO piece.
C. It feels like a small baseball.
D. It feels like a pencil eraser - ✔✔✔ Correct Answer > D: . CorrectThe gland should feel
like a pencil eraser—firm, smooth, and slightly movable—and it should be
nontender.
What is the best method of verifying anal patency in a newborn?
A. Inserting a lubricated thermometer through the anus and into the rectum
B. Inserting the fifth digit through the anus and into the rectum
C. Checking for the passage of meconium in the first 24 to 48 hours after birth
