. A 40-year-old woman reports a change in mole size,
accompanied by color changes, itching, burning, and bleeding
over the past month. She has a dark complexion and has no
family history of skin cancer, but she has had many blistering
sunburns in the past. The nurse would: Correct Answers Refer
the patient because of the suspicion of melanoma on the basis of
her symptoms.
. Assessing a 7-month-old infant you make a loud noise and note
the following response: Abduction and flexion of arms and legs;
fanning of fingers and curling of index finger and thumb in C-
position; followed by infant bringing in arms and legs to body.
What do you know about this? Correct Answers This reflex
should disappear between 1 and 4 months of age
. When performing a genital assessment on a middle-aged man,
the nurse notices multiple soft, moist, painless papules in the
shape of cauliflower-like patches scattered across the shaft of
the penis. These lesions are characteristic of: Correct Answers
genital warts
. You are examining a 6 month old baby. You place the baby's
feet flat on the table and flex his knees up. you note that the
right knee is significantly lower than the left. Which of the
following is true of this finding?
This is a positive Allis sign and suggests hip dislocation Correct
Answers This is a positive Allis sign and suggests hip
dislocation
,1. A 16-yr-old girl is being seen at clinic for gastrointestinal
complaints and weight loss. Nurse determines that many of her
complaints may be related to erratic eating patterns, eating
predominantly fast foods, + high caffeine intake. In this
situation, which is most appropriate when collecting current
dietary intake information? Correct Answers Have the patient
complete a food diary for 3 days=2 weekdays + 1 weekend day
Food diaries require the individual to write down everything
consumed for a certain time period. Because of the erratic eating
patterns of this individual, assessing dietary intake over a few
days would produce more accurate information regarding eating
patterns. Direct observation is best used with young children or
older adults.
A 14-year-old boy who has been diagnosed with Osgood-
Schlatter disease reports painful swelling just below the knee for
the past 5 months. Which response by the nurse practitioner is
appropriate? Correct Answers "Your disease is due to repeated
stress on the patellar tendon. It is usually self-limited, and your
symptoms should resolve with rest."
A 14-year-old girl is anxious about not having reached
menarche. When taking the history, the nurse should ascertain
which of the following? The age: Correct Answers she began to
develop breasts
A 15-year-old boy is seen in the clinic for complaints of "dull
pain and pulling" in the scrotal area. On examination the nurse
palpates a soft, irregular mass posterior to and above the testis
on the left. This mass collapses when the patient is supine and
, refills when he is upright. This description is consistent with:
Correct Answers varicocele
A 2-year-old boy has been diagnosed with "physiologic
cryptorchidism." Given this diagnosis, during assessment the
nurse will most likely observe: Correct Answers An absence of
the testis in the scrotum, but the testis can be milked down
A 43-year-old woman is at the clinic for a routine examination.
She reports that she has had a breast lump in her right breast for
years. Recently, it has begun to change in consistency and is
becoming harder. She reports that 5 years ago her physician
evaluated the lump and determined that it "was nothing to worry
about." The examination validates the presence of a mass in the
right appear upper outer quadrant at 1 o'clock, approximately 5
cm form the nipple. It is frim, mobile, nontender, with borders
that are not well defined. The nurse's recommendation to her is:
Correct Answers Because of the change in consistency of the
lump, it should be further evaluated by a physician
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: Correct Answers stress
incontinence
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 the nurse include in patient education?
"A postmenopausal woman: Correct Answers should be aware
that she is at increased risk for dyspareunia because of decreased
vaginal secretions."