Exam 4: NSG3160 / NSG 3160 (Latest 2026 / 2027) Health Assessment | 100% Correct Questions & Answers - Galen

Exam 4: NSG3160 / NSG 3160 (Latest 2026 / 2027) Health Assessment | 100% Correct Questions & Answers - Galen Question: Select the sequence of techniques used during an examination of the abdomen. A. percussion, inspection, palpation, auscultation B. inspection, palpation, percussion, auscultation C. inspection, auscultation, percussion, palpation D. auscultation, inspection, palpation, percussion C. inspection, auscultation, percussion, palpation Which of the following can be noted through inspection of a patient's abdomen? A. Fluid waves and abdominal rigidity. B. Umbilical eversion and Murphy sign. C. Venous pattern, peristaltic waves, and abdominal contour. D. Peritoneal irritation, general tympany, and peristaltic waves. C. Venous pattern, peristaltic waves, and abdominal contour. Right upper quadrant tenderness may indicate pathology in the: A. Liver, pancreas, or ascending colon. B. Liver and stomach. C. Sigmoid colon, spleen, or rectum. D. Appendix or ileocecal valves. A. Liver, pancreas, or ascending colon. Hyperactive bowel sounds are: A. High-pitched. B. Rushing. C. Tinkling. D. All of the above. D. All of the above. The absence of bowel sounds is established after listening for: A. 1 full minute. B. 3 full minutes. C. 5 full minutes. D. None of the above. C. 5 full minutes. Auscultation of the abdomen may reveal bruits of the ___________ arteries. A. Aortic, renal, iliac, and femoral. B. Jugular, aortic, carotid, and femoral. C. Pulmonic, aortic, and portal. D. Renal, iliac, internal jugular, and basilic. A. Aortic, renal, iliac, and femoral. The left upper quadrant (LUQ) contains the: A. Liver. B. Appendix. C. Left ovary. D. Spleen. D. Spleen. Auscultating the abdomen is begun in the right lower quadrant (RLQ) because: A. Bowel sounds are always normally present here. B. Peristalsis through the descending colon is usually active. C. This is the location of the pyloric sphincter. D. Vascular sounds are best heard in this area. A. Bowel sounds are always normally present here. Shifting dullness is a test for: A. Ascites. B. Splenic enlargement. C. Inflammation of the kidney. D. Hepatomegaly. A. Ascites. Tenderness during abdominal palpation is expected when palpating the: A. Lived edge. B. Spleen. C. Sigmoid colon. D. Kidneys. C. Sigmoid colon. A woman has striae on the abdomen. Which color indicates long-standing striae? A. Pink. B. Blue. C. Purple-blue. D. Silvery white. D. Silvery white. A positive Murphy sign is best described as: A. The pain felt when the examiner's hand is rapidly removed from an inflamed appendix. B. Pain felt when taking a deep breath when the examiner's fingers are on the approximate location of the inflamed gallbladder. C. A sharp pain felt by the patient when one hand of the examiner is used to thump the other at the costovertebral angle. D. This is not a valid examination technique. B. Pain felt when taking a deep breath when the examiner's fingers are on the approximate location of the inflamed gallbladder. A positive Blumberg sign indicates: A. Possible aortic aneurysm. B. Presence of renal artery stenosis. C. Enlarged nodular liver. D. Peritoneal inflammation. D. Peritoneal inflammation. The examiner is going to inspect and palpate for a hernia. During this examination, the man is instructed to: A. Hold his breath during palpation. B. Cough after the examiner has gently inserted the examination finger into the rectum. C. Bear down when the examiner's finger is at the inguinal canal. D. Relax in a supine position while the examination finger is inserted into the canal. C. Bear down when the examiner's finger is at the inguinal canal. During examination of the scrotum, a normal finding would be that: A. The left testicle is firmer to palpation than the right. B. The left testicle is larger than the right. C. The left testicle hangs lower than the right. D. The left testicle is more tender to palpation than the right. C. The left testicle hangs lower than the right. H.T. has come to the clinic for a follow-up visit. Six months ago, he was started on a new medication that may cause erectile dysfunction as a side effect; therefore medication classes explored by the nurse are: A. Antipyretics. B. Bronchodilators. C. Corticosteroids. D. Antihypertensives. D. Antihypertensives. Prostatic hypertrophy occurs frequently in older men. The symptoms that may indicate this problem are: A. Polyuria and urgency. B. Dysuria and oliguria. C. Straining, loss of force, and sense of residual urine. D. Foul-smelling urine and dysuria. C. Straining, loss of force, and sense of residual urine. A 74-year-old man has come for health examination. A normal age-related change in the scrotum would be: A. Testicular atrophy. B. Testicular hypertrophy. C. Pendulous scrotum. D. Increase in scrotal rugae. D. Increase in scrotal rugae. During palpation of the testes, the normal finding would be: A. Firm to hard and rough. B. Nodular. C. 2 to 3 cm long X 2 cm wide and firm. D. Firm, rubbery, and smooth. D. Firm, rubbery, and smooth. A 20-year-old man has indicated that he does not perform testicular self-examination. One of the facts that should be shared with him is the testicular cancer, although rare, does occur in men: A. Younger than 15 years. B. 15-34 years of age. C. 35-55 years of age. D. 55 years and older. B. 15-34 years of age. During the examination of a full-term male newborn, a finding requiring investigation would be: A. An absent testes. B. A meatus centered at the tip of the penis. C. A wrinkled scrotum. D. A penis 2 to 3 cm in length. A. An absent testes. During transillumination of a scrotum, you note a nontender mass that transilluminates with a red glow. This finding is suggestive of: A. Scrotal hernia. B. Scrotal edema. C. Orchitis. D. Hydrocele. D. Hydrocele. Which of the following would be a normal sensitivity to pressure for the testes? A. Somewhat. B. Not at all. C. Left more sensitive than right. D. Only when inflammation is present. A. Somewhat. The congenital displacement of the urethral meatus to the inferior surface of the penis is: A. Hypospadias. B. Epispadias. C. Hypoesthesia. D. Hypophysis. A. Hypospadias. An adhesion of the prepuce to the head of the penis, making it impossible to retract, is: A. Paraphimosis. B. Phimosis. C. Smegma. D. Dyschezia. B. Phimosis. You are assessing an adolescent boy. The first physical sign of puberty is: A. Height spurt. B. Penis lengthening. C. Sperm production. D. Pubic har development. E. Testes enlargement. E. Testes enlargement. An older man asks if he is able to father children. In the aging male, when does infertility occur? A. At age 60, with the sudden decline in sperm production. B. At approximately age 55 to 60. when testosterone levels are lower. C. When the male is no longer able to achieve an erection. D. There is no specific age; men may be fertile into their 80s and 90s. D. There is no specific age; men may be fertile into their 80s and 90s. A patient has soft, moist, fleshly, painless papules around the anus. The examiner suspects this condition is: A. HSV-2. B. HPV. C. Gonorrhea. D. Peyronie disease. B. HPV. The gastrocolic reflex is: A. A peristaltic wave. B. The passage of meconium in the newborn. C. Another term for borborygmi. D. Reverse peristalsis. A. A peristaltic wave. Which population has the highest incidence of benign prostatic hypertrophy (BPH)? A. European Americans. B. African Americans. C. Hispanics. D. Asians. B. African Americans. Select the best description of the anal canal. A. 12-cm-long portion of the large intestine. B. Involuntary control of the parasympathetic nervous system. C. 3.8-cm-long outlet of the gastrointestinal tract. D. S-shaped portion of the colon. C. 3.8-cm-long outlet of the gastrointestinal tract. Foods that may be beneficial to reduce the risk for colon cancer include: A. Foods high in fiber. B. Foods low in fat. C. Foods high in protein. D. Foods high in carbohydrates. A. Foods high in fiber. Which finding in the prostate gland suggests prostate cancer? A. Symmetric smooth enlargement. B. Extreme tenderness to palpation. C. Boggy soft enlargement. D. Diffuse hardness. D. Diffuse hardness. Which is true regarding the bulbourethral gland? A. It can be palpated during an examination of a female patient. B. It can be palpated during an examination of both male and female patients. C. It can be palpated during an examination of a male patient. D. It cannot be assessed with a rectal examination. C. It can be palpated during an examination of a male patient. Normal stool is described as: A. Black in color and tarry in consistency. B. It can be palpated during an examination of both male and female patients. C. It can be palpated during an examination of a male patient. D. It cannot be assessed with a rectal examination. C. It can be palpated during an examination of a male patient. Which symptoms suggest benign prostatic hypertrophy? A. Weight loss and bone pain. B. Fever, chills, urinary frequency, and urgency. C. Difficulty initiating urination and weak streams. D. Dark, tarry stools. C. Difficulty initiating urination and weak streams. A patient stats that he is frequently constipated, and when he has a bowel movement he has rectal bleeding and pain. He does not feel any mass at his anal opening. "Do I have hemorrhoids, or is there something else wrong with me?" The examiner completes a rectal examination and explains that: A. There is an indication of rectal prolapse. B. It appears to be a pilonidal cyst. C. The symptoms are consistent with internal hemorrhoids. D. The problem is probably encopresis C. The symptoms are consistent with internal hemorrhoids. A patient states that he has frothy foul-smelling stools that float on the surface of the water in the toilet bowl. What type of stool is the patient describing? A. Steatorrhea. B. Melena. C. Dyschezia. D. A parasitic infection. A. Steatorrhea. Which of these is the correct technique to assess patency of the anal sphincter. A. Inspect the anus and ask the patient to strain. B. Palpate the anus with a gloved finger to elicit sphincter control. C. Percuss above the anal canal for dull resonance. D. There are no sensory nerves in the anal canal or rectum. B. Palpate the anus with a gloved finger to elicit sphincter control. Which is a structure that secretes a thin, milky alkaline fluid to enhance the viability of the sperm? A. Cowper gland. B. Prostate gland. C. Median sulcus. D. Bulbourethral. B. Prostate gland. A newborn infant has a dark green stool 2 days after birth. How should you interpret this? A. This type of stool would indicate anal patency. B. The dark green color could indicated occult blood in the stool. C. Meconium stool can be reflective of distress in the newborn. D. The newborn should have passed the first stool within 12 hours after birth. A. This type of stool would indicate anal patency. Vaginal lubrication is provided during intercourse by: A. Labia minora. B. Sebaceous follicles. C. Skene glands. D. Bartholin glands. D. Bartholin glands. A young woman has come for her first gynecologic examination. Because she has not had any children, the examiner expects the cervical os to appear: A. Smooth and circular. B. Irregular and slitlike. C. Irregular and circular. D. Smooth and enlarged. A. Smooth and circular. A woman has come for an examination because of a missed menstrual period and a positive at home pregnancy test. Examination reveals a cervix that appears cyanotic. This is referred to as the: A. Goodell sign. B. Hegar sign. C. Tanner sign. D. Chadwick sign. D. Chadwick sign. During the examination of the genitalia of a 70-year-old woman, a normal finding would be: A. Hypertrophy of the mons pubis. B. Increase in vaginal secretions. C. Thin and sparse pubic hair. D. Bladder prolapse. C. Thin and sparse pubic hair. For a woman, history of her mother's health during pregnancy is important. A medication that requires frequent follow-up is: A. Corticosteroid. B. Theophylline. C. Diethylstilbestrol. D. Aminoglycoside. C. Diethylstilbestrol. A woman has come for health care reporting a thick white discharge with intense itching. These symptoms are suggestive of: A. Atrophic vaginitis. B. Trichomoniasis. C. Chlamydia. D. Candidiasis. D. Candidiasis. To insert the speculum as comfortably as possible, the examiner: A. Opens the speculum slightly and inserts it in an upward direction. B. Presses the introitus down with one hand and inserts the blades obliquely with the other. C. Spreads the labia with one hand and inserts the closed speculum horizontally with the other. D. Pushes down on the introitus and inserts the speculum in an upward direction. B. Presses the introitus down with one hand and inserts the blades obliquely with the other. Before withdrawing the speculum, the examiner may swab the cervix with a swab soaked in acetic acid. This examination is done to assess for: A. Herpes simplex virus. B. Contact dermatitis. C. Human papillomavirus. D. Carcinoma. C. Human papillomavirus. Select the best description of the uterus. A. Anteverted, round, asymmetric organ. B. Pear-shaped, thick-walled organ flattened anteroposteriorly. C. Retroverted, almond-shaped, asymmetric organ. D. Mid-position, thick-walled, oval organ. B. Pear-shaped, thick-walled organ flattened anteroposteriorly. In placing a finger on either side of the cervix and moving it side to side, you are assessing: A. The diameter of the fallopian tube. B. Cervical motion tenderness. C. The ovaries. D. The uterus. B. Cervical motion tenderness. Which of the following is (are) normal, common finding(s) on inspection and palpation of the vulva and perineum? A. Labia majora that are wide apart and gaping. B. Palpable Bartholin glands. C. Clear, thin discharge from paraurethral glands. D. Bulging at introitus during Valsalva maneuver. A. Labia majora that are wide apart and gaping. Which is the most common bacterial sexually transmitted infection in the United States? A. Chlamydia. B. Gonorrhea. C. Trichomoniasis. D. Syphilis. E. Bacterial Vaginosis. A. Chlamydia. What does the notation in a health record indicating the patient is a "G2 P3 Ab0" mean? A. The woman has delivered 3 children, 2 of whom are living; her blood type is Ab0. B. The woman has been pregnant twice with 3 children (twins and another child), and all her children are living. C. The woman has been pregnant 3 times, has delivered 2 children, and has had no abortions. D. The woman has been pregnant 3 times, has 2 living children, and has had no spontaneous abortions. B. The woman has been pregnant twice with 3 children (twins and another child), and all her children are living. What problems are associated with smoking and the use of oral contraceptives? A. Increased risk for alcoholism and cirrhosis of the liver. B. Thrombophlebitis and pulmonary emboli. C. Infertility and weight gain. D. Urinary tract infections and skin cancer. B. Thrombophlebitis and pulmonary emboli. During the assessment of the spine, the patient would be asked to: A. Adduct and external. B. Supinate, evert, and retract. C. Extend, adduct, invert, and rotate. D. Flex, extend, abduct, and rotate. D. Flex, extend, abduct, and rotate. Pronation and supination of the hand and forearm are the result of the articulation of the: A. Scapula and clavicle. B. Radius, and ulna. C. Patella and condyle of fibula. D. Femur and acetabulum. B. Radius, and ulna. Anterior and posterior stability are provided to the knee joint by the: A. Medial and lateral menisci. B. Patellar tendon and ligament. C. Medial collateral ligament and quadriceps muscle. D. Anterior and posterior cruciate ligaments. D. Anterior and posterior cruciate ligaments. A 70-year-old woman has come for a health examination. Which of the following is a common age-related change in the curvature of the spinal column? A. Lordosis. B. Scoliosis. C. Kyphosis. D. Lateral scoliosis. C. Kyphosis. Examination of the shoulder includes 4 motions. These are: A. Forward flexion, internal rotation, abduction, and external rotation. B. Abduction, adduction, pronation, and supination. C. Circumduction, inversion, eversion, and rotation. D. Elevation, retraction, protraction, and circumduction. A. Forward flexion, internal rotation, abduction, and external rotation. The bulge sign is test for: A. Swelling in the suprapatellar pouch. B. Carpal tunnel syndrome. C. Heberden nodes. D. Olecranon bursa inflammation. A. Swelling in the suprapatellar pouch. The examiner measures a patient's legs for length discrepancy. Which is a normal finding? A. No difference in measurements. B. 0.5 cm difference. C. Within 1 cm of each other. D. 2 cm difference. C. Within 1 cm of each other. A 2-year-old child comes to the clinic for a health examination. A common finding for this age group is: A. Kyphosis. B. Lordosis. C. Scoliosis. D. No deviation is normal. B. Lordosis. A positive Phalen test and Tinel sign are found in a patient with: A. A torn meniscus. B. Hallux valgus. C. Carpal tunnel syndrome. D. Tennis elbow. C. Carpal tunnel syndrome. When assessing an infant, the examiner completes the Ortolani maneuver by: A. Lifting the newborn and noting a C-shaped curvature of the spine. B. Gently lifting and abducting the infant's flexed knees while palpating the greater trochanter with the fingers. C. Comparing the height of the tops of the knees when the knees are flexed up. D. Palpating the length of the clavicles. B. Gently lifting and abducting the infant's flexed knees while palpating the greater trochanter with the fingers. Hematopoiesis takes place in which of the following? A. Liver. B. Spleen. C. Kidneys. D. Bone marrow. D. Bone marrow. Fibrous bands running directly from one bone to another that strengthen the joint and help prevent movement in undesirable directions are known as: A. Bursa. B. Tendons. C. Cartilage. D. Ligaments. D. Ligaments. Flexion: Bending a limb at a joint. Extention: Straightening a limb at a joint. Abduction: Moving a limb away from the midline of the body. Adduction: Moving a limb toward the midline of the body. Pronation: Turning the forearm so that the palm is down. Supination: Turning the forearm so that the palm is up. Circumduction: Moving the arm in a circle around the shoulder. Inversion: Moving the sole of the foot inward at the ankle. Eversion: Moving the sole of the foot outward at the ankle. Rotation: Moving the head around a central axis. Protraction: Moving the body part forward and parallel to the ground. Retraction: Moving a body part backward and parallel to the ground. Elevation: Raising a body part. Depression: Lowering a body part what is not an age related change of GI symptoms decreased peristalsis causing increased risk of aspiration 3 multiple choice options what are foods that help in digestion apples, yogurt, multi/whole grain bread, wheat germ, beans, high fiber 2 multiple choice options How does age effect the liver? decreased liver size causing increase in gall stones and impaired drug metabolism 3 multiple choice options Disease Risk factors for colon cancer Family history, Chronic chrons disease, IBS, type 2 diabetes 2 multiple choice options genetic Risk factors for developing colon cancer hereditary/genetic Lynch syndrome, older age 45+, Powel disease 1 multiple choice option What are not a modifiable risk factor for colon cancer depression, and anxiety 3 multiple choice options Correct auscultation technique for abdomen RLQ RUQ LUQ LLQ 3 multiple choice options Describe proper technique for abdominal assessment. Inspect auscultate percuss and palpate 3 multiple choice options What should nurse do if they suspect a spleen injury? do not palpate can be easily ruptured due to swelling 3 multiple choice options what may cause costovertebral angle tenderness? inflammation of the kidneys (pyelonephritis) 3 multiple choice options Describe normal bowel sounds high pitched gurgling cascading sounds, 5-30/min 3 multiple choice options What factors do not cause pain with bowel movements? increased salt intake 3 multiple choice options What notably decreases in normal male aging process? level of testosterone, sex drive, sperm production, pubic hair, penis/testes size, ejaculation Normal findings during palpation of the testes oval, firm and rubbery, smooth and equal bilaterally, and freely moveable. tender to immediate pressure 2 multiple choice options Name the position used for vaginal examination? Lithotomy- supine w/feet in stirrups and knees apart 3 multiple choice options Dyspareunia genital pain before, during, or after intercourse 3 multiple choice options dysmenorrhea painful menstrual flow 3 multiple choice options menopause cessation of menstruation 3 multiple choice options menorrhagia excessive bleeding during menstruation 3 multiple choice options urge incontinence strong urge to urinate that cannot be controlled 3 multiple choice options stress incontinence the inability to control the voiding of urine under physical stress such as running, sneezing, laughing, or coughing 3 multiple choice options Phimosis unable to retract foreskin 3 multiple choice options Paraphimosis foreskin retracted and fixed behind the glans penis 3 multiple choice options hypospadias the urethral meatus opens on ventral side of glans or shaft epispadias congenital defect in which the urinary meatus is located on the upper surface of the penis polyuria excessive urination oliguria scanty urination what is normal for meatus positioned just about centrally what are benefits of circumcision? elective removal of the foreskin that reduces infection risk and cleaning What is smegma; where is it usually found? normal combo of shed skin cells, oils, and moisture found under foreskin 80 y.o. male patient presents with symptoms of a UTI and an obstructed urine stream. The nurse understands that this age-related condition is called. Benign prostrate hyperplasia Tea colored urine? liver disease, especially with pale stools and jaundice; myoglobinuria; some medications and food dyes; blood in urine pink colored urine w/ menses, foods(beets, berries), laxatives, kidney stones, UTI Red colored urine -blood in urine -nephritis, cystitis -cancer (prostate, bladder) -following prostate surgery Orange colored urine * Medication side effect: Rifampin for meningitis, Pyridium, Warfarin (Coumadin) *Some foods, food dyes, laxatives * Dehydration * Jaundice (bilirubinemia) Inspecting a penis the nurse notes the meatus dorsally located epispadias 3 multiple choice options T/F teaching good colon health involves notifying patients about high fiber diets True 1 multiple choice option All of the following are GI age-related changes EXCEPT Increased saliva 3 multiple choice options T/F if a patient has a spleen injury you should palpate it to assess if it is enlarged? False 1 multiple choice option A pt involved in an MVA presents w/ LUQ and pain, referred shoulder, & rigid and, Which organ is most likely? Spleen 3 multiple choice options Eating a lot of beets and berries can change the color of urine T/F True 1 multiple choice option What is the best position to assess the inguinal nodes? lay flat 3 multiple choice options The lower the BMD, the greater the risk for fractures T/F True 1 multiple choice option How do you assess the range of motion of a client's cervical spine Asking the patient to turn their chin toward each shoulder 3 multiple choice options the patient notices a clicking sound when they chew. What is the best joint to assess? Temporomandibular 3 multiple choice options to test cerebellar function to lower extremities you should use the finger to nose test. T/F false 1 multiple choice option Test visual fields by confrontation 3 multiple choice options How does nurse test a patients hearing whispered voice test 3 multiple choice options What is dyspareunia? painful sexual intercourse 3 multiple choice options The nurse should wear gloves when performing head to toe assessment on what? mouth and tongue 3 multiple choice options MS assessments should be assessed proximal to distal T/F True 1 multiple choice option When there is evidence of redness, to assess temp, what is the best surface to assess with? the dorsa surface of the hand 3 multiple choice options when doing a MS assessment the nurse should palpate joints on both sides to compare 3 multiple choice options 1. The nurse is percussing the seventh right intercostal space at the midclavicular line over theliver. Which sound should thenurse expect to hear? Dullness 3 multiple choice options 2. Which structure is located in the left lower quadrant of the abdomen? Sigmoid colon 3 multiple choice options 3. A patient is having difficulty swallowing medications and food. the nurse would document that this patient has: Dysphagia. 3 multiple choice options 4. The nurse suspects that a patient has a distended bladder. How should thenurse assess for this condition? percuss and palpate the midline area above thesuprapubic bone. 3 multiple choice options 5. The nurse is aware that one change that may occur in thegastrointestinal system of an aging adult is: Decreased gastric acid secretion. 3 multiple choice options 6. A 22-year-old man comes to theclinic for an examination after falling off his motorcycle and landing on his left side on thehandle bars. thenurse suspects that he may have injured his spleen. Which of these statements is true regarding assessment of thespleen in this situation? An enlarged spleen should not be palpated because it can easily rupture. 3 multiple choice options 7. A patients abdomen is bulging and stretched in appearance. thenurse should describe this finding as: Protuberant. 3 multiple choice options 8. The nurse is describing a scaphoid abdomen. To thehorizontal plane, a scaphoid contour of theabdomen depicts a ______ profile Concave 3 multiple choice options 9. While examining a patient, thenurse observes abdominal pulsations between thexiphoid process and umbilicus. thenurse would suspect that these are: Normal abdominal aortic pulsations. 3 multiple choice options 10. A patient has hypoactive bowel sounds. thenurse knows that a potential cause of hypoactive bowel sounds is: Peritonitis. 3 multiple choice options 11. The nurse is watching a new graduate nurse perform auscultation of a patients abdomen. Which statement by thenew graduate shows a correct understanding of thereason auscultation precedes percussion and palpation of theabdomen? Auscultation prevents distortion of bowel sounds that might occur after percussion and palpation. 3 multiple choice options 12. The nurse is listening to bowel sounds. Which of these statements is true of bowel sounds? Bowel sounds: Are usually high-pitched, gurgling, and irregular sounds. 3 multiple choice options 13. The physician comments that a patient has abdominal borborygmi. thenurse knows that this term refers to: Hyperactive bowel sounds. 3 multiple choice options 14. During an abdominal assessment, thenurse would consider which of these findings as normal? Tympanic percussion note in the umbilical region 3 multiple choice options 15. The nurse is assessing theabdomen of a pregnant woman who is complaining of having acid indigestion all thetime. thenurse knows that esophageal reflux during pregnancy can cause: Pyrosis. 3 multiple choice options 16. The nurse is performing percussion during an abdominal assessment. Percussion notes heard during theabdominal assessment may include: Tympany, hyperresonance, and dullness. 3 multiple choice options 17. An older patient has been diagnosed with pernicious anemia. thenurse knows that this condition could be related to: Decreased gastric acid secretion. 3 multiple choice options 18. A patient is complaining of a sharp pain along thecostovertebral angles. thenurse is aware that this symptom is most often indicative of: Kidney inflammation. 3 multiple choice options 19. A nurse notices that a patient has ascites, which indicates thepresence of: Fluid. 3 multiple choice options 20. The nurse knows that during an abdominal assessment, deep palpation is used to determine: Enlarged organs. 3 multiple choice options 21. The nurse notices that a patient has had a black, tarry stool and recalls that a possible cause would be: Gastrointestinal bleeding. 3 multiple choice options 22. During an abdominal assessment, thenurse elicits tenderness on light palpation in theright lower quadrant. thenurse interprets that this finding could indicate a disorder of which of these structures? Appendix 3 multiple choice options 23. The nurse is assessing theabdomen of an older adult. Which statement regarding theolder adult and abdominal assessment is true? Abdominal musculature is thinner. 3 multiple choice options 24. During an assessment of a newborn infant, thenurse recalls that pyloric stenosis would be exhibited by: Projectile vomiting. 3 multiple choice options 25. The nurse is reviewing theassessment of an aortic aneurysm. Which of these statements istrue regarding an aortic aneurysm? A pulsating mass is usually present. 3 multiple choice options 26. During an abdominal assessment, thenurse is unable to hear bowel sounds in a patients abdomen. Before reporting this finding as silent bowel sounds, thenurse should listen for at least: 5 minutes. 3 multiple choice options 27. A patient is suspected of having inflammation of thegallbladder, or cholecystitis. thenurse should conduct which of these techniques to assess for this condition? Test for Murphy sign 3 multiple choice options 28. Just before going home, a new mother asks thenurse about theinfants umbilical cord. Which of these statements is correct? It should fall off in 10 to 14 days. 3 multiple choice options 29. Which of these percussion findings would thenurse expect to find in a patient with a large amount of ascites? Dullness across the abdomen 3 multiple choice options 30. A 40-year-old man states that his physician told him that he has a hernia. He asks thenurse to explain what a hernia is. Which response by thenurse is appropriate? A hernia is a loop of bowel protruding through a weak spot in theabdominal muscles. 3 multiple choice options 31. A 45-year-old man is in theclinic for a physical examination. During theabdominal assessment, thenurse percusses theabdomen and notices an area of dullness above theright costal margin of approximately 11 cm. thenurse should: Consider this finding as normal, and proceed with the examination. 3 multiple choice options 32. When palpating theabdomen of a 20-year-old patient, thenurse notices thepresence of tenderness in theleft upper quadrant with deep palpation. Which of these structures is most likely to be involved? Spleen 3 multiple choice options 33. The nurse is reviewing statistics for lactose intolerance. In theUnited States, theincidence of lactose intolerance is higher in adults of which ethnic group? Blacks 3 multiple choice options 34. The nurse is assessing a patient for possible peptic ulcer disease. Which condition or history often causes this problem? Frequent use of nonsteroidal anti inflammatory drugs 3 multiple choice options 35. During reporting, thestudent nurse hears that a patient has hepatomegaly and recognizes that this term refers to: Enlarged liver. 3 multiple choice options 36. During an assessment, thenurse notices that a patients umbilicus is enlarged and everted. It is positioned midline with no change in skin color. thenurse recognizes that thepatient may have which condition? Umbilical hernia 3 multiple choice options 37. During an abdominal assessment, thenurse tests for a fluid wave. A positive fluid wave test occurs with: Ascites. 3 multiple choice options 38. The nurse is preparing to examine a patient who has been complaining of right lower quadrant pain. Which technique is correct during the assessment? Examine the tender area last. 3 multiple choice options 39. During a health history, thepatient tells thenurse, I have pain all thetime in my stomach. Its worse 2 hours after I eat, but it gets better if I eat again! Based on these symptoms, thenurse suspects that thepatient has which condition? Duodenal ulcer 3 multiple choice options 1. the nurse suspects that a patient has appendicitis. Which of these procedures are appropriate for use when assessing for appendicitis or a perforated appendix? Select all thatapply. Test for the Blumberg sign, Perform the iliopsoas muscle test 3 multiple choice options 1. A patient is being assessed for range-of-joint movement. thenurse asks him to move his arm in toward thecenter of his body. This movement is called: Adduction. 3 multiple choice options 2. A patient tells thenurse that she is having a hard time bringing her hand to her mouth when she eats or tries to brush her teeth. thenurse knows that for her to move her hand to her mouth, she must perform which movement? Flexion 3 multiple choice options 3. The functional units of themusculoskeletal system are the: Joints. 3 multiple choice options 4. When reviewing themusculoskeletal system, thenurse recalls that hematopoiesis takes place in the: Bone marrow. 3 multiple choice options 5. Fibrous bands running directly from one bone to another that strengthen thejoint and help prevent movement in undesirable directions are called: Ligaments. 3 multiple choice options 6. The nurse notices that a woman in an exercise class is unable to jump rope. thenurse is aware that to jump rope, ones shoulder has to be capable of: Circumduction. 3 multiple choice options 7. The articulation of the mandible and the temporal bone is known as the: Temporomandibular joint. 3 multiple choice options 8. To palpate the temporomandibular joint, the nurses fingers should be placed in the depression of the ear. Anterior to the tragus 3 multiple choice options 9. Of the 33 vertebrae in the spinal column, there are: 5 lumbar. 3 multiple choice options Spinal column vertebra There are 7 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 3 to 4 coccygeal vertebrae in thespinal column. 10. An imaginary line connecting the highest point on each iliac crest would cross the vertebra. Fourth lumbar 3 multiple choice options 11. The nurse is explaining to a patient that there are shock absorbers in his back to cushion thespine and to help it move. thenurse is referring to his: Intervertebral disks. 3 multiple choice options 12. The nurse is providing patient education for a man who has been diagnosed with a rotator cuff injury. thenurse knows that a rotator cuff injury involves the: Glenohumeral joint. 3 multiple choice options 13. During an interview thepatient states, I can feel this bump on thetop of both of my shouldersit doesnt hurt but I am curious about what it might be. thenurse should tell thepatient that it is his: Acromion process. 3 multiple choice options 14. The nurse is checking therange of motion in a patients knee and knows that theknee is capable of which movement(s)? Flexion and extension 3 multiple choice options 15. A patient is visiting the clinic for an evaluation of a swollen, painful knuckle. the nurse notices that the knuckle above his ring on the left hand is swollen and that he is unable to remove his wedding ring. This joint is called the joint. Metacarpophalangeal 3 multiple choice options 16. The nurse is assessing a patients ischial tuberosity. To palpate the ischial tuberosity, the nurse knows that it is best to have the patient: Flexing the hip. 3 multiple choice options 17. The nurse is examining thehip area of a patient and palpates a flat depression on theupper, lateral side of thethigh when thepatient is standing. thenurse interprets this finding as the: Greater trochanter. 3 multiple choice options 18. The ankle joint is thearticulation of thetibia, fibula, and: Talus. 3 multiple choice options 19. The nurse is explaining the mechanism of the growth of long bones to a mother of a toddler. Where does lengthening of thebones occur? Epiphyses 3 multiple choice options 20. A woman who is 8 months pregnant comments that she has noticed a change in her posture and is having lower back pain. the nurse tells her that during pregnancy, women have a posture shift to compensate for the enlarging fetus. This shift in posture is known as: lordosis 3 multiple choice options 21. An 85-year-old patient comments during his annual physical examination that he seems to be getting shorter as he ages. the nurse should explain that decreased height occurs with aging because: The vertebral column shortens. 3 multiple choice options 22. A patient has been diagnosed with osteoporosis and asks thenurse, What is osteoporosis? thenurse explains that osteoporosis is defined as: Loss of bone density. 3 multiple choice options 23. The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal women. Which of these actions is the best way to prevent or delay bone loss in this group? Performing physical activity, such as fast walking 3 multiple choice options 24. A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when she fell and landed on her left hand. thenurse examines her hand and would expect a fracture if thegirl complains of a: Sharp pain that increases with movement. 3 multiple choice options 25. A patient is complaining of pain in his joints that is worse in themorning, better after he moves around for a while, and then gets worse again if he sits for long periods. thenurse should assess for other signs of what problem? Rheumatoid arthritis 3 multiple choice options 26. A patient states, I can hear a crunching or grating sound when I kneel. She also states that it is very difficult to get out of bed in themorning because of stiffness and pain in my joints. thenurse should assess for signs of what problem? Crepitation 3 multiple choice options 27. A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct his arm because of pain and muscle spasms. thenurse should suspect: Rotator cufflesions. 3 multiple choice options 28. A professional tennis player comes into theclinic complaining of a sore elbow. thenurse will assess for tenderness at the: Medial and lateral epicondyle. 3 multiple choice options 29. The nurse suspects that a patient has carpal tunnel syndrome and wants to perform thePhalen test. To perform this test, the nurse should instruct the patient to: Hold both hands back to back while flexing thewrists 90 degrees for 60 seconds. 3 multiple choice options 30. An 80-year-old woman is visiting the clinic for a checkup. She states, I cant walk as much as I used to. the nurse is observing for motor dysfunction in her hip and should ask her to: Abduct her hip while she is lying on her back. 3 multiple choice options 31. The nurse has completed the musculoskeletal examination of a patients knee and has found a positive bulge sign. the nurse interprets this finding to indicate: Swelling from fluid in the suprapatellar pouch. 3 multiple choice options 32. During an examination, the nurse asks a patient to bend forward from the waist and notices that the patient has lateral tilting. When his leg is raised straight up, thepatient complains of a pain going down his buttock into his leg. the nurse suspects: Herniated nucleus pulposus. 3 multiple choice options 36. A 40-year-old man has come into the clinic with complaints of extreme pain in his toes. the nurse notices that his toes are slightly swollen, reddened, and warm to the touch. His complaints would suggest: Acute gout. 3 multiple choice options 37. A young swimmer comes to the sports clinic complaining of a very sore shoulder. He was running at thepool, slipped on some wet concrete, and tried to catch himself with his outstretched hand. He landed on his outstretched hand and has not been able to move his shoulder since. thenurse suspects: Dislocated shoulder. 3 multiple choice options 38. A 68-year-old woman has come in for an assessment of her rheumatoid arthritis, and thenurse notices raised, firm, nontender nodules at theolecranon bursa and along theulna. These nodules are most commonly diagnosed as: Subcutaneous nodules. 3 multiple choice options 39. A woman who has had rheumatoid arthritis for years is starting to notice that her fingers are drifting to the side. the nurse knows that this condition is commonly referred to as: Ulnar deviation. 3 multiple choice options 40. A patient who has had rheumatoid arthritis for years comes to theclinic to ask about changes in her fingers. thenurse will assess for signs of what problems? Swan-neck deformities 3 multiple choice options 41. A patients annual physical examination reveals a lateral curvature of thethoracic and lumbar segments of his spine; however, this curvature disappears with forward bending. thenurse knows that this abnormality of thespine is called: Functional scoliosis. 3 multiple choice options 42. A 14-year-old boy who has been diagnosed with Osgood-Schlatter disease reports painful swelling just below theknee for thepast 5 months. Which response by thenurse is appropriate? Your disease is due to repeated stress on the patellar tendon. It is usually self-limited, and your symptoms should resolve with rest. 3 multiple choice options 43. When assessing muscle strength, thenurse observes that a patient has complete range of motion against gravity with full resistance. What grade of muscle strength should thenurse record using a 0- to 5-point scale? 5 3 multiple choice options 47. The nurse should use which test to check for large amounts of fluid around the patella? Ballottement 3 multiple choice options 48. A patient tells the nurse that, All my life Ive been called knock knees. the nurse knows that another term for knock knees is: Genu valgum. 3 multiple choice options 49. A man who has had gout for several years comes to theclinic with a problem with his toe. On examination, thenurse notices thepresence of hard, painless nodules over thegreat toe; one has burst open with a chalky discharge. This finding is known as: Tophi. 3 multiple choice options 50. When performing a musculoskeletal assessment, thenurse knows that thecorrect approach for theexamination should be: Proximal to distal. 3 multiple choice options 1. thenurse is assessing thejoints of a woman who has stated, I have a long family history of arthritis, and my joints hurt. thenurse suspects that she has osteoarthritis. Which of these are symptoms of osteoarthritis? Select all that apply. Asymmetric joint involvement Pain with motion of affected joints Affected joints are swollen with hard, bony protuberances 1. The external male genital structures include the: Scrotum. 3 multiple choice options 2. An accessory glandular structure for themale genital organs is the: Prostate. 3. Which of these statements is true regarding the penis? The corpus spongiosum expands into a cone of erectile tissue called theglans. 3 multiple choice options 4. 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: Consider this finding as normal, and proceed with the examination. 3 multiple choice options 5. Which statement concerning the testes is true? The cremaster muscle contracts in response to cold and draws the testicles closer to the body. 3 multiple choice options 6. A male patient with possible fertility problems asks the nurse where sperm is produced. the nurse knows that sperm production occurs in the: Testes. 3 multiple choice options 7. 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: Explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles. 3 multiple choice options 8. The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. the nurse should reply by saying: The first sign of puberty is an enlargement of the testes. 3 multiple choice options 9. During an examination of an aging man, the nurse recognizes that normal changes to expect would be: Decreased penis size. 3 multiple choice options 10. 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: Side effects of medications. 3 multiple choice options 11. 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: Dysuria. 3 multiple choice options 12. 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: Stress incontinence. 3 multiple choice options 13. 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? Often adolescents your age have questions about sexual activity. 3 multiple choice options 14. Which of these statements is most appropriate when the nurse is obtaining a genitourinary history from an older man? Do you need to get up at night to urinate? 3 multiple choice options 15. When thenurse is performing a genital examination on a male patient, the patient has an erection. the nurses most appropriate action or response is to: Reassure the patient that this is a normal response and continue with the examination. 3 multiple choice options 16. The nurse is examining the glans and knows which finding is normal for this area? Smegma may be present under the foreskin of an uncircumcised male. 3 multiple choice options 17. When performing a genitourinary assessment, the nurse notices that the urethral meatus is ventrally positioned. This finding is: Called hypospadias. 3 multiple choice options 18. 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: Compress the glans between the examiners thumb and forefinger, and collect any discharge. 3 multiple choice options 19. 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: Sebaceous cysts. 3 multiple choice options 20. 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: Suspect the presence of serous fluid in the scrotum. 3 multiple choice options 21. When the nurse is performing a genital examination on a male patient, which action is correct? Having the patient shift his weight onto the left (unexamined) leg when palpating for a hernia on the right side 3 multiple choice options 22. The nurse is aware of which statement to be true regarding the incidence of testicular cancer? Men with a history of cryptorchidism are at thegreatest risk for thedevelopment of testicular cancer. 3 multiple choice options 23. The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate? If you notice an enlarged testicle or a painless lump, call your health care provider. 3 multiple choice options 24. A 2-month-old uncircumcised infant has been brought to theclinic for a well-baby checkup. How would the nurse proceed with the genital examination? Retracting the foreskin should be avoided until the infant is 3 months old. 3 multiple choice options 26. The nurse knows that a common assessment finding in a boy younger than 2 years old is: Presence of a hydrocele, or fluid in the scrotum. 27. During an examination of an aging man, thenurse recognizes that normal changes to expect would be: Decrease in the size of the penis. 3 multiple choice options 28. When performing a genital assessment on a middle-aged man, thenurse notices multiple soft, moist, painless papules in theshape of cauliflower-like patches scattered across theshaft of thepenis. These lesions are characteristic of: Genital warts. 3 multiple choice options 29. A 15-year-old boy is seen in theclinic for complaints of dull pain and pulling in thescrotal area. On examination, thenurse palpates a soft, irregular mass posterior to and above thetestis on theleft. This mass collapses when thepatient is supine and refills when he is upright. This description is consistent with: Varicocele. 3 multiple choice options 30. When performing a genitourinary assessment on a 16-year-old male adolescent, thenurse notices a swelling in thescrotum that increases with increased intra-abdominal pressure and decreases when he is lying down. thepatient complains of pain when straining. thenurse knows that this description is most consistent with a(n) hernia. Indirect inguinal 3 multiple choice options 31. When thenurse is performing a testicular examination on a 25-year-old man, which finding is considered normal? Testes that feel oval and movable and are slightly sensitive to compression 3 multiple choice options 32. The nurse is inspecting thescrotum and testes of a 43-year-old man. Which finding would require additional follow-up and evaluation? Skin on the scrotum is taut. 3 multiple choice options 33. A 55-year-old man is experiencing severe pain of sudden onset in thescrotal area. It is somewhat relieved by elevation. On examination thenurse notices an enlarged, red scrotum that is very tender to palpation. Distinguishing theepididymis from thetestis is difficult, and thescrotal skin is thick and edematous. This description is consistent with which of these? Epididymitis 3 multiple choice options 34. The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer. On examination, thenurse notices a painless round swelling close to thepubis in thearea of theinternal inguinal ring that is easily reduced when theindividual is supine. These findings are most consistent with a(n) hernia. Direct inguinal 3 multiple choice options 35. The nurse is providing patient teaching about an erectile dysfunction drug. One of the drugs potential side effects is prolonged, painful erection of the penis without sexual stimulation, which is known as: Priapism. 3 multiple choice options 36. During an examination, the nurse notices that a male patient has a red, round, superficial ulcer with a yellowish serous discharge on his penis. On palpation, thenurse finds a nontender base that feels like a small button between thethumb and fingers. At this point thenurse suspects that this patient has: Syphilitic chancre 3 multiple choice options 37. During a health history, a patient tells thenurse that he has trouble in starting his urine stream. This problem is known as: Hesitancy. 3 multiple choice options 38. During a genital examination, the nurse notices that a male patient has clusters of small vesicles on the glans, surrounded by erythema. the nurse recognizes that these lesions are: Genital herpes. 3 multiple choice options 39. During a physical examination, the nurse finds that a male patients foreskin is fixed and tight and will not retract over the glans. the nurse recognizes that this condition is: Phimosis. 3 multiple choice options 1. A 55-year-old man is in theclinic for a yearly checkup. He is worried because his father died of prostate cancer. thenurse knows which tests should be performed at this time? . Blood test for prostate-specific antigen (PSA) Digital rectal examination (DRE) 2. A 16-year-old boy is brought to theclinic for a problem that he refused to let his mother see. thenurse examines him, and finds that he has scrotal swelling on theleft side. He had themumps theprevious week, and thenurse suspects that he has orchitis. Which of thefollowing assessment findings support this diagnosis? Swollen testis, Mass that does not transilluminate, Scrotum that is tender upon palpation, Scrotal skin that is reddened 1. Which statement concerning theanal canal is true? the anal canal: Is the outlet for the gastrointestinal tract. 3 multiple choice options 2. Which statement concerning the sphincters is correct? The external sphincter is under voluntary control. 3 multiple choice options 3. The nurse is performing an examination of theanus and rectum. Which of these statements is correct and important to remember during this examination? The anorectal junction cannot be palpated. 3 multiple choice options 4. The structure that secretes a thin, milky alkaline fluid to enhance theviability of sperm is the: Prostategland. 3 multiple choice options 5. A 46-year-old man requires an assessment of his sigmoid colon. Which instrument or technique ismost appropriate for this examination? Colonoscope 3 multiple choice options 6. The nurse is caring for a newborn infant. Thirty hours after birth, the infant passes a dark green meconium stool. the nurse recognizes this is important because the: Stool indicates anal patency. 3 multiple choice options 9. A 30-year-old woman is visiting theclinic because of pain in my bottom when I have a bowel movement. thenurse should assess for which problem? Hemorrhoids 3 multiple choice options 10. A patient who is visiting theclinic complains of having stomach pains for 2 weeks and describes his stools as being soft and black for approximately thelast 10 days. He denies taking any medications. thenurse is aware that these symptoms are mostly indicative of: Occult blood, resulting from gastrointestinal bleeding. 3 multiple choice options 11. After completing an assessment of a 60-year-old man with a family history of colon cancer, thenurse discusses with him early detection measures for colon cancer. thenurse should mention theneed for a(n): Colonoscopy every 10 years. 3 multiple choice options 12. The mother of a 5-year-old girl tells thenurse that she has noticed her daughter scratching at her bottom a lot thelast few days. During theassessment, thenurse finds redness and raised skin in theanal area. This finding most likely indicates: Pinworms. 13. The nurse is examining only the rectal area of a woman and should place the woman in what position? Left lateral decubitus 3 multiple choice options 14. While performing an assessment of the perianal area of a patient, the nurse notices that the pigmentation of anus is darker than the surrounding skin, the anal opening is closed, and a skin sac that is shiny and blue is noted. the patient mentioned that he has had pain with bowel movements and has occasionally noted some spots of blood. What would this assessment and history most likely indicate? Thrombosed hemorrhoid 3 multiple choice options 15. The nurse is preparing to palpate the rectum and should use which of these techniques? the nurse should: Flex the finger, and slowly insert it toward the umbilicus. 3 multiple choice options 16. While performing a rectal examination, thenurse notices a firm, irregularly shaped mass. What should thenurse do next? Report the finding, and refer the patient to a specialist for further examination. 3 multiple choice options 18. 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? Inspection of the perianal area 3 multiple choice options 19. During an assessment of a 20-year-old man, the nurse finds a small palpable lesion with a tuft of hair located directly over the coccyx. the nurse knows that this lesion would most likely be a: Pilonidal cyst. 3 multiple choice options 20. During an examination, the nurse asks the patient to perform the Valsalva maneuver and notices that the patient has a moist, red, doughnut-shaped protrusion from the anus. the nurse knows that this finding is consistent with a: Rectal prolapse. 3 multiple choice options 21. A 70-year-old man is visiting theclinic for difficulty in passing urine. In thehealth history, he indicates that he has to urinate frequently, especially at night. He has burning when he urinates and has noticed pain in his back. Considering this history, what might thenurse expect to find during thephysical assessment? Asymmetric, hard, and fixed prostate gland 3 multiple choice options 22. A 40-year-old black man is in theoffice for his annual physical examination. Which statement regarding thePSA blood test is true, according to theAmerican Cancer Society? the PSA: Should be performed at age 45 years. 3 multiple choice options 23. A 62-year-old man is experiencing fever, chills, malaise, urinary frequency, and urgency. He also reports urethral discharge and a dull aching pain in theperineal and rectal area. These symptoms are most consistent with which condition? Prostatitis 3 multiple choice options 24. During a discussion for a mens health group, thenurse relates that thegroup with thehighest incidence of prostate cancer is: Blacks. 3 multiple choice options 25. Which characteristic of the prostate gland would the nurse recognize as an abnormal finding while palpating the prostate gland through the rectum? Tenderness to palpation 3 multiple choice options 26. The nurse notices that a patient has had a pale, yellow, greasy stool, or steatorrhea, and recalls that this is caused by: Increased fat content. 3 multiple choice options 27. During a health history of a patient who complains of chronic constipation, the patient asks the nurse about high-fiber foods. the nurse relates that an example of a high-fiber food would be: Broccoli. 3 multiple choice options 28. While assessing a patient who is hospitalized and bedridden, the nurse notices that the patient has been incontinent of stool. the stool is loose and gray-tan in color. the nurse recognizes that this finding indicates which of the following? Absent bile pigment 3 multiple choice options 29. During a digital examination of the rectum, the nurse notices that the patient has hard feces in the rectum. the patient complains of feeling full, has a distended abdomen, and states that she has not had a bowel movement for several days. thenurse suspects which condition? Fecal impaction 3 multiple choice options 30. During thetaking of a health history, thepatient states, It really hurts back there, and sometimes it itches, too. I have even seen blood on thetissue when I have a bowel movement. Is there something there? the nurse should expect to see which of these upon examination of the anus? External hemorrhoid that is thrombosed 3 multiple choice options 1. thenurse is performing a digital examination of a patients prostate gland and notices that a normal prostate gland includes which of thefollowing characteristics? 1 cm protrusion into the rectum, Heart-shaped with a palpable central groove, Smooth surface, elastic, and rubbery consistency 1. During a health history, a 22-year old woman asks, Can I get that vaccine for human papilloma virus (HPV)? I have genital warts and Id like them to go away! What is thenurses best response? The vaccine cannot protect you if you already have an HPV infection. 3 multiple choice options 2. During an examination, the nurse observes a female patients vestibule and expects to see the: Urethral meatus and vaginal orifice. 3 multiple choice options 3. During a speculum inspection of the vagina, the nurse would expect to see what at the end of the vaginal canal? Cervix 3 multiple choice options 4. The uterus is usually positioned tilting forward and superior to thebladder. This position is known as: Anteverted and anteflexed. 3 multiple choice options 5. An 11-year-old girl is in the clinic for a sports physical examination. the nurse notices that she has begun to develop breasts, and during the conversation the girl reveals that she is worried about her development. the nurse should use which of these techniques to best assist the young girl in understanding the expected sequence for development? the nurse should: Use the Tanner scale on the five stages of sexual development. 3 multiple choice options 6. A woman who is 8 weeks pregnant is in theclinic for a checkup. thenurse reads on her chart that her cervix is softened and looks cyanotic. thenurse knows that thewoman is exhibiting sign and sign. Goodell; Chadwick 3 multiple choice options 7. Generally, the changes normally associated with menopause occur because the cells in the reproductive tract are: Estrogen dependent. 3 multiple choice options 8. The nurse is reviewing the changes that occur with menopause. Which changes are associated with menopause? Uterine and ovarian atrophy, along with a thinning of the vaginal epithelium 3 multiple choice options 9. A 54-year-old woman who has just completed menopause is in the clinic today for a yearly physical examination. Which of these statements should thenurse include in patient education? A postmenopausal woman: Should be aware that she is at increased risk for dyspareunia because of decreased vaginal secretions. 3 multiple choice options 10. A woman is in the clinic for an annual gynecologic examination. the nurse should plan to begin the interview with the: Menstrual history, because it is generally nonthreatening. 3 multiple choice options 11. A patient has had three pregnancies and two live births. thenurse would record this information as grav___, para___, AB______. 3; 2; 1 3 multiple choice options 12. 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? I have been noticing that I sweat a lot more than I used to, especially at night. 3 multiple choice options 13. 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: HRT has several side effects, including fluid retention, breast tenderness, and vaginal bleeding. 3 multiple choice options 14. A 52-year-old patient states that when she sneezes or coughs she wets herself a little. She is very concerned that something may be wrong with her. the nurse suspects that the problem is: Stress incontinence. 3 multiple choice options 15. During theinterview, a patient reveals that she has some vaginal discharge. She is worried that it may be a sexually transmitted infection. the nurses most appropriate response to this would be: Id like some information about the discharge. What color is it? 3 multiple choice options 16. A woman states that 2 weeks ago she had a urinary tract infection that was treated with an antibiotic. As a