Nurs612 Exam 1 Maryville University Advanced Health Assessment Exam 1- 170
Questions and Correct Answers
In which age group is abdominal palpation easiest and most accurate?
A. young children
B. adolescents
c. young adults
D. older adults
D. older adults
A 5-week-old male infant is brought to the clinic for 2-day history of projectile vomiting. For what
specific finding should the examiner assess? A. abdominal pain with palpation
b. palpation of small round mass
c. auscultation of tinkering bowel sounds D. Auscultation of a bruit over
renal artery
b. palpation of small round mass
A 32-year-old female patient tells the examiner that when she goes running, she dribbles urine. Which
type of problem should be considered?
A. Hydronephrosis
B. Renal abscess
C. Stress incontinence
D. Overflow incontinence
C. Stress incontinence
While examining a newborn male infant, the examiner palpates a testicle in the inguinal canal that
cannot be pushed into the scrotum. This finding is consistent with
A. a retractile testis
B. ambiguous genitalia
C. a direct inguinal hernia
D. an undescended testicle
D. an undescended testicle
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Genital self-examination (GSE) should be taught to patients who are at risk for
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A. testicular cancer
B. Peyronie disease
C. sexually transmitted infection D. prostate enlargement
C. sexually transmitted infection
On examination of a patient's scrotum, you note that it is unusually thickened and it pits. What is one
type of problem suggested by these findings?
A. sexually transmitted disease
B. squamous cell skin cancer
C. liver disease
D. autoimmune disease
C. liver disease
While examining the genitalia of a 2-year-old boy, the examiner should be aware that the
A. scrotum is normally edematous until age 4
B. foreskin of the uncircumcised penis is not fully retractable until age 3 or 4 years
C. testicles typically do not descend into the scrotum until age 5 years
D. cremasteric reflex does not become evident until age 6 or 7
B. foreskin of the uncircumcised penis is not fully retractable until age 3 or 4 years
Which item in the patient history is considered a risk factor for cancer of the penis?
A. circumcised at birth
B. history of condyloma acuminatum infections
C. had a congenital hydrocele
D. history of untreated epispadias
B. history of condyloma acuminatum infections
In which of the following situations is transillumination of the scrotum indicated?
A. presence of syphilis chancre is noted
B. indirect hernia is palpated
C. the examiner suspects a mass
D. the examiner palpates the testes
B. indirect hernia is palpated
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The patient is asked to bear down while the examiner palpates the inguinal ring. The examiner feels a
soft swelling sensation on the fingertip. The patient complains of pain while straining. These findings are
consistent with which of the following?
A. indirect hernia B.
direct hernia
C. femoral hernia D.
rectal hernia
A. indirect hernia
The examiner inspects the scrotum of a 43-year-old man. Which finding requires further evaluation or
follow-up?
A. the L testicle hangs lower than the R testicle
B. the scrotum is darker than the general skin color
C. the skin on the scrotum is shiny and smooth D. The scrotum has a midline raphe
C. the skin on the scrotum is shiny and smooth
Which finding may indicate diabetes?
A. the vas deferens feels beaded or lumpy
B. the testicle feels hard with a lump
C. sebaceous cysts are present on the scrotal skin
D. the urethra has a slit like orifice
A. the vas deferens feels beaded or lumpy
During an examination for a hernia, an adult male patient should
A. be asked to stand
B. be in a supine position
C. sit on a table with the heels together
D. assume a knee-chest position on the examination table
A. be asked to stand
Which of the following testicular characteristics is (are) associated with syphilis or diabetic neuropathy?
A. asymmetry and drooping
B. bilateral enlargement
C. insensitivity to pain
D. migration into the abdomen
C. insensitivity to pain
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