Question 1

In educating a male patient about testicular cancer, the nurse includes which statement?

Accepted Answer

A)  The highest incidence of this cancer is in men between 20 and 34 years of age. 
B)  The incidence of this cancer is correlated with human papillomavirus (HPV) infection. 
C)  The risk of this cancer increases with multiple sexual partners. 
D)  This type of cancer more commonly affects uncircumcised males. 
A)  The highest incidence of this cancer is in men between 20 and 34 years of age. 
B)  The incidence of this cancer is correlated with human papillomavirus (HPV) infection. 
C)  The risk of this cancer increases with multiple sexual partners. 
D)  This type of cancer more commonly affects uncircumcised males. A

Question 2

When does a nurse use transillumination of the scrotum?

Accepted Answer

A)  When the patient has tortuosity of the veins along the spermatic cord 
B)  When the patient has an indirect hernia 
C)  When there is a mass or fluid in the epididymis 
D)  When there is twisting of the testicle and spermatic cord 
A)  When the patient has tortuosity of the veins along the spermatic cord 
B)  When the patient has an indirect hernia 
C)  When there is a mass or fluid in the epididymis 
D)  When there is twisting of the testicle and spermatic cord C

Question 3

The nurse correlates which factor to an increased risk of endometrial cancer in women with early menarche or late menopause?

Accepted Answer

A)  Total number of ovulatory cycles 
B)  Less hormone stimulation 
C)  Need for estrogen replacement in these patients 
D)  Extended duration of the menstrual cycle in these patients 
A)  Total number of ovulatory cycles 
B)  Less hormone stimulation 
C)  Need for estrogen replacement in these patients 
D)  Extended duration of the menstrual cycle in these patients A

Question 4

The pregnant patient tells the nurse that she has had three pregnancies and two live births to date. How does the nurse record this in the patient's history?

Accepted Answer

A)  Gravida 3, para 3 
B)  Gravida 3, para 2 
C)  Gravida 2, para 3 
D)  Gravida 2, para 2 
A)  Gravida 3, para 3 
B)  Gravida 3, para 2 
C)  Gravida 2, para 3 
D)  Gravida 2, para 2

Question 5

What procedure does a nurse use to assess the inguinal ring of a male patient for a hernia?

Accepted Answer

A)  Asks the patient to lie supine, lifts the scrotum, asks the patient to take a deep breath, and observes for a bulge 
B)  Asks the patient to lean over the examination table, inserts a gloved finger into the lower part of the scrotum into the inguinal canal, asks the patient to cough, and palpates for a bulge 
C)  Asks the patient to lie on the side not being assessed, inserts a gloved finger into the lower part of the scrotum into the inguinal canal, asks the patient to exhale completely, and palpates for a bulge 
D)  Asks the patient to stand, inserts a gloved finger into the lower part of the scrotum into the inguinal canal, asks the patient to cough, and palpates for a bulge 
A)  Asks the patient to lie supine, lifts the scrotum, asks the patient to take a deep breath, and observes for a bulge 
B)  Asks the patient to lean over the examination table, inserts a gloved finger into the lower part of the scrotum into the inguinal canal, asks the patient to cough, and palpates for a bulge 
C)  Asks the patient to lie on the side not being assessed, inserts a gloved finger into the lower part of the scrotum into the inguinal canal, asks the patient to exhale completely, and palpates for a bulge 
D)  Asks the patient to stand, inserts a gloved finger into the lower part of the scrotum into the inguinal canal, asks the patient to cough, and palpates for a bulge

Question 6

Which questions are appropriate for a symptom analysis of a patient with benign prostatic hyperplasia? (Select all that apply.)

Accepted Answer

A)  "How often have you found that you stopped and started again several times when you urinated?" 
B)  "How often have you had to urinate again less than 2 hours after you finished urinating?" 
C)  "How often have you been incontinent of urine?" 
D)  "How often have you had constipation due to the enlarged prostate?" 
E)  "How often have you had to push or strain to begin urination?"
F) "How often have you had to get up during the night to urinate?" 
A)  "How often have you found that you stopped and started again several times when you urinated?" 
B)  "How often have you had to urinate again less than 2 hours after you finished urinating?" 
C)  "How often have you been incontinent of urine?" 
D)  "How often have you had constipation due to the enlarged prostate?" 
E)  "How often have you had to push or strain to begin urination?"
F) "How often have you had to get up during the night to urinate?"

Question 7

A patient tells the nurse that he has been informed he has internal hemorrhoids and asks whether there are different types of hemorrhoids. What is the nurse's most appropriate response?

Accepted Answer

A)  "Internal hemorrhoids are usually seen outside the anus and appear blue." 
B)  "Sometimes patients have other diseases, such as anal warts, that may be mistaken for internal hemorrhoids." 
C)  "Internal hemorrhoids are found higher in the rectum and usually can't be felt unless they are infected or prolapsed." 
D)  "Both internal and external hemorrhoids arise from the same general area and produce the same kinds of symptoms." 
A)  "Internal hemorrhoids are usually seen outside the anus and appear blue." 
B)  "Sometimes patients have other diseases, such as anal warts, that may be mistaken for internal hemorrhoids." 
C)  "Internal hemorrhoids are found higher in the rectum and usually can't be felt unless they are infected or prolapsed." 
D)  "Both internal and external hemorrhoids arise from the same general area and produce the same kinds of symptoms."

Question 8

In assessing a patient with suspected Chlamydia, the nurse's actions are guided by which characteristic of this disease?

Accepted Answer

A)  Chlamydia is frequently asymptomatic and requires screening. 
B)  Chlamydia is associated with a yellow-green vaginal discharge. 
C)  Chlamydia is accompanied by heavy bleeding and headache. 
D)  Chlamydia is only seen in immunocompromised patients. 
A)  Chlamydia is frequently asymptomatic and requires screening. 
B)  Chlamydia is associated with a yellow-green vaginal discharge. 
C)  Chlamydia is accompanied by heavy bleeding and headache. 
D)  Chlamydia is only seen in immunocompromised patients.

Question 9

Which patients meet the criteria for Chlamydia screening? (Select all that apply.)

Accepted Answer

A)  A 40-year-old woman who is sexually active and uses barrier protection consistently 
B)  A 15-year-old female woman who is sexually active with one partner 
C)  A 22-year-old woman who is sexually active and uses barrier protection inconsistently 
D)  A 23-year-old woman who has had four sexual partners in the last 3 months 
E)  A 34 year-old woman who uses barrier protection inconsistently with multiple sexual partners
F) A 36-year-old pregnant woman making the first prenatal visit 
A)  A 40-year-old woman who is sexually active and uses barrier protection consistently 
B)  A 15-year-old female woman who is sexually active with one partner 
C)  A 22-year-old woman who is sexually active and uses barrier protection inconsistently 
D)  A 23-year-old woman who has had four sexual partners in the last 3 months 
E)  A 34 year-old woman who uses barrier protection inconsistently with multiple sexual partners
F) A 36-year-old pregnant woman making the first prenatal visit

Question 10

How does a nurse recognize when a patient has a testicular torsion?

Accepted Answer

A)  The nurse sees a light red glow on transillumination of the scrotum. 
B)  The nurse palpates testicular edema that is painless. 
C)  The patient reports a pulling sensation and dull ache of the scrotum. 
D)  The patient complains of sudden onset of severe pain with edema of the scrotum. 
A)  The nurse sees a light red glow on transillumination of the scrotum. 
B)  The nurse palpates testicular edema that is painless. 
C)  The patient reports a pulling sensation and dull ache of the scrotum. 
D)  The patient complains of sudden onset of severe pain with edema of the scrotum.

Question 11

Which comments by a male patient during a health history suggest erectile dysfunction? (Select all that apply.)

Accepted Answer

A)  "I have had type 1 diabetes mellitus since I was 8 years old." 
B)  "I frequently have urinary tract infections." 
C)  "I am taking medications to control my blood pressure." 
D)  "I have an enlarged prostate gland." 
E)  "I take a diuretic every morning." 
A)  "I have had type 1 diabetes mellitus since I was 8 years old." 
B)  "I frequently have urinary tract infections." 
C)  "I am taking medications to control my blood pressure." 
D)  "I have an enlarged prostate gland." 
E)  "I take a diuretic every morning."

Question 12

A patient asks when she should make an appointment for her first Pap (Papanicolaou) test to screen for cervical cancer. What is the nurse's most appropriate response?

Accepted Answer

A)  "There is no need for Pap tests until after you have become pregnant." 
B)  "All women should have the first Pap test after reaching menarche." 
C)  "All women should have the first Pap test after they are 19 years of age." 
D)  "All women should have the first Pap test when they become sexually active or at age 21." 
A)  "There is no need for Pap tests until after you have become pregnant." 
B)  "All women should have the first Pap test after reaching menarche." 
C)  "All women should have the first Pap test after they are 19 years of age." 
D)  "All women should have the first Pap test when they become sexually active or at age 21."

Question 13

A patient with testicular torsion is experiencing which abnormality?

Accepted Answer

A)  Abnormal dilation and tortuosity of the veins along the spermatic cord 
B)  Twisting of the testicle and spermatic cord 
C)  A cystic mass filled with sperm and seminal fluid in the epididymis 
D)  An accumulation of fluid in the scrotum 
A)  Abnormal dilation and tortuosity of the veins along the spermatic cord 
B)  Twisting of the testicle and spermatic cord 
C)  A cystic mass filled with sperm and seminal fluid in the epididymis 
D)  An accumulation of fluid in the scrotum

Question 14

While taking a history of a patient with an enlarged prostate, the nurse expects the patient to report which symptom?

Accepted Answer

A)  Painful urination with each voiding 
B)  Blood in the urine upon arising 
C)  Waking from sleep to urinate 
D)  Incontinence throughout the day 
A)  Painful urination with each voiding 
B)  Blood in the urine upon arising 
C)  Waking from sleep to urinate 
D)  Incontinence throughout the day

Question 15

The nurse documents which finding as expected on inspection of the anus?

Accepted Answer

A)  Skin tone darker and coarser than that of the surrounding skin 
B)  Sphincter lightly closed when the patient is relaxed 
C)  Large amount of stiff, curling hair surrounding the anus 
D)  Slight protrusion under the skin when the patient strains or bears down 
A)  Skin tone darker and coarser than that of the surrounding skin 
B)  Sphincter lightly closed when the patient is relaxed 
C)  Large amount of stiff, curling hair surrounding the anus 
D)  Slight protrusion under the skin when the patient strains or bears down

Question 16

While giving a history, the patient reports having herpes genitalis. Based on this information, which finding does the nurse anticipate during the assessment?

Accepted Answer

A)  Small vesicles on the genitalia 
B)  Single, firm, painless, open sore 
C)  Pain when palpating the cervix 
D)  Malodorous greenish-yellow vaginal discharge 
A)  Small vesicles on the genitalia 
B)  Single, firm, painless, open sore 
C)  Pain when palpating the cervix 
D)  Malodorous greenish-yellow vaginal discharge

Question 17

After a rectal examination of a patient with obstructive jaundice, the nurse expects the stool to be what color?

Accepted Answer

A)  Tan 
B)  Pale yellow 
C)  Black 
D)  Bright red 
A)  Tan 
B)  Pale yellow 
C)  Black 
D)  Bright red

Question 18

A patient asks when she can stop having Pap (Papanicolaou) tests. What is the nurse's most appropriate response?

Accepted Answer

A)  "Until you are no longer sexually active." 
B)  "Through age 65." 
C)  "Until you begin menopause." 
D)  "Through the end of menopause." 
A)  "Until you are no longer sexually active." 
B)  "Through age 65." 
C)  "Until you begin menopause." 
D)  "Through the end of menopause."

Question 19

When palpating the epididymis, the nurse considers which finding to be abnormal?

Accepted Answer

A)  The epididymis is located on the posterolateral surface of each testis. 
B)  The epididymis feels like a tubular, comma-shaped structure. 
C)  The epididymis collapses on palpation. 
D)  The epididymis has an irregular, nodular surface. 
A)  The epididymis is located on the posterolateral surface of each testis. 
B)  The epididymis feels like a tubular, comma-shaped structure. 
C)  The epididymis collapses on palpation. 
D)  The epididymis has an irregular, nodular surface.

Question 20

While giving a history, a patient reports having a weak urinary stream and feeling that his bladder is not empty after urination. Based on these data, what finding does the nurse anticipate upon examination?

Accepted Answer

A)  An enlarged prostate gland palpated on the anterior wall of the rectum 
B)  An indirect hernia palpated through the inguinal ring when the patient coughs 
C)  The foreskin of the penis cannot be returned to position after retraction behind the glans 
D)  A nodular prostate gland palpated on the posterior wall of the rectum 
A)  An enlarged prostate gland palpated on the anterior wall of the rectum 
B)  An indirect hernia palpated through the inguinal ring when the patient coughs 
C)  The foreskin of the penis cannot be returned to position after retraction behind the glans 
D)  A nodular prostate gland palpated on the posterior wall of the rectum

Exam 17: Reproductive System and the Perineum

In educating a male patient about testicular cancer, the nurse includes which statement?

When does a nurse use transillumination of the scrotum?

The nurse correlates which factor to an increased risk of endometrial cancer in women with early menarche or late menopause?

The pregnant patient tells the nurse that she has had three pregnancies and two live births to date. How does the nurse record this in the patient's history?

What procedure does a nurse use to assess the inguinal ring of a male patient for a hernia?

Which questions are appropriate for a symptom analysis of a patient with benign prostatic hyperplasia? (Select all that apply.)

A patient tells the nurse that he has been informed he has internal hemorrhoids and asks whether there are different types of hemorrhoids. What is the nurse's most appropriate response?

In assessing a patient with suspected Chlamydia, the nurse's actions are guided by which characteristic of this disease?

Which patients meet the criteria for Chlamydia screening? (Select all that apply.)

How does a nurse recognize when a patient has a testicular torsion?

Which comments by a male patient during a health history suggest erectile dysfunction? (Select all that apply.)

A patient asks when she should make an appointment for her first Pap (Papanicolaou) test to screen for cervical cancer. What is the nurse's most appropriate response?

A patient with testicular torsion is experiencing which abnormality?

While taking a history of a patient with an enlarged prostate, the nurse expects the patient to report which symptom?

The nurse documents which finding as expected on inspection of the anus?

While giving a history, the patient reports having herpes genitalis. Based on this information, which finding does the nurse anticipate during the assessment?

After a rectal examination of a patient with obstructive jaundice, the nurse expects the stool to be what color?

A patient asks when she can stop having Pap (Papanicolaou) tests. What is the nurse's most appropriate response?

When palpating the epididymis, the nurse considers which finding to be abnormal?

While giving a history, a patient reports having a weak urinary stream and feeling that his bladder is not empty after urination. Based on these data, what finding does the nurse anticipate upon examination?

Introduction to Health Assessment

Obtaining a Health History

Techniques and Equipment for Physical Assessment

General Inspection and Measurement of Vital Signs

Cultural Assessment

Pain Assessment

Mental Health Assessment

Nutritional Assessment

Skin, Hair, and Nails

Head, Eyes, Ears, Nose, and Throat

Lungs and Respiratory System

Heart and Peripheral Vascular System

Abdomen and Gastrointestinal System

Musculoskeletal System

Neurologic System

Breasts and Axillae

Developmental Assessment Throughout the Life Span

Assessment of the Infant, Child, and Adolescent

Assessment of the Pregnant Patient

Assessment of the Older Adult

Conducting a Head-to-Toe Examination

Documenting the Comprehensive Health Assessment

Adapting Health Assessment to the Hospitalized Patient

Filters