SOUTH UNIVERSITY NSG 6020 FINAL EXAM (2025) 100%VERIFIED | QUESTIONS AND ANSWERS | GRADED A+

SOUTH UNIVERSITY NSG 6020 FINAL EXAM (2025) 100%VERIFIED | QUESTIONS AND ANSWERS | GRADED A+ 1. An obese 55-year-old woman went through menarche at age 16 and menopause 2 years ago. She is concerned because an aunt had severe osteoporosis. Which one of the following is a risk factor for osteoporosis? - ANSWER Delayed menarche 2. Ms. Whiting is a 68-year-old female who comes in for her usual follow-up visit. You notice a few flat red and purple lesions, about 6 centimeters in diameter, on the ulnar aspect of her forearms but nowhere else. She doesn't mention them. They are tender when you examine them. What should you do? - ANSWER Ask how she acquired them. 3. A 58-year-old man comes to your office complaining of bilateral back pain that now awakens him at night. This has been steadily increasing for the past 2 months. Which one of the following is the most reassuring in this patient with back pain? - ANSWER Pain that is bilateral 4. The Phalen's test is used to evaluate: - ANSWER inflammation of the median nerve 5. Which of the following represents metrorrhagia? - ANSWER Bleeding between periods 6. What does a KOH (potassium hydroxide) prep help the nurse practitioner diagnose? - ANSWER Yeast infections 7. Abby is a newly married woman who is unable to have intercourse because of vaginismus. Which of the following is true? - ANSWER Psychosocial reasons may cause this condition. 8. A 30-year-old man notices a firm, 2-cm mass under his areola. He has no other symptoms and no diagnosis of breast cancer in his first-degree relatives. What is the most likely diagnosis? - ANSWER Breast tissue 9. Which of the following would lead you to suspect a hydrocele versus other causes of scrotal swelling? - ANSWER A positive transillumination test 10. You are examining a newborn and note that the right testicle is not in the scrotum. What should you do next? - ANSWER Attempt to bring down the testis from the inguinal canal A 30-year-old woman with a history of mitral valve problems states that she has been "very tired." She has started waking up at night and feels like her "heart is pounding." During the assessment, the nurse practitioner palpates a thrill and lift at the fifth left intercostal space midclavicular line. In the same area the nurse practitioner also auscultates a blowing, swishing sound right after S1. These findings would be most consistent with: - ANSWER mitral regurgitation. 11. A patient presents with excruciating headache pain on one side of his head, especially around his eye, forehead, and cheek that lasts about 1/2 to 2 hours, occurring once or twice each day. The nurse practitioner suspects: - ANSWER cluster headaches 12. A patient complains that while studying for an examination he began to notice a severe headache in the frontotemporal area of his head that is throbbing and is somewhat relieved when he lies down. He tells the nurse practitioner that his mother also had these headaches. The nurse practitioner suspects that he may be suffering from: - ANSWER migraine headaches 13. A patient tells the nurse practitioner that he is very nervous, that he is nauseated, and that he "feels hot." This type of data would be: - ANSWER subjective 14. A 50-year-old truck driver comes to your clinic for a work physical. He has had no upper respiratory, cardiac, pulmonary, gastrointestinal, urinary, or musculoskeletal system complaints. His past medical history is significant for mild arthritis and prior knee surgery in college. He is married and just changed jobs, working for a different trucking company. He smokes one pack of cigarettes a day, drinks less than six beers a week, and denies using any illegal drugs. His mother has high blood pressure and arthritis and his father died of lung cancer in his sixties. On examination, his blood pressure is 130/80 and his pulse is 80. His cardiac, lung, and abdominal examinations are normal. He has no inguinal hernia, but on his digital rectal examination you palpate a soft, smooth, and nontender pedunculated mass on the posterior wall of the rectum. What anal, rectal, or prostate disorder best fits his presentation? - ANSWER Rectal polyp 15. A 15-year-old high school football player is brought to your office by his mother. He is complaining of severe testicular pain since exactly 8:00 this morning. He denies any sexual activity and states that he hurts so bad he can't even urinate. He is nauseated and is throwing up. He denies any recent illness or fever. His past medical history is unremarkable. He denies any tobacco, alcohol, or drug use. His parents are both in good health. On examination, you see a young teenager lying on the bed with an emesis basin. He is very uncomfortable and keeps shifting his position. His blood pressure is 150/100, his pulse is 110, and his respirations are 24. On visualization of the penis, he is circumcised and there are no lesions and no discharge from the meatus. His scrotal skin is tense and red. Palpation of the left testicle causes severe pain and the patient begins to cry. His prostate examination is unremarkable. His - ANSWER Torsion of the spermatic cord 16. Which is true of prostate cancer? - ANSWER Ethnicity is a risk factor. 17. Which of the following conditions involves a tight prepuce which, once retracted, cannot be returned? - ANSWER Paraphimosis 18. A 12-year-old is brought to your clinic by his father. He was taught in his health class at school to do monthly testicular self-examinations. Yesterday, when he felt his left testicle, it was enlarged and tender. He isn't sure if he has had burning with urination and he says he has never had sexual intercourse. He has had a sore throat, cough, and runny nose for the last three days. His past medical history is significant for a tonsillectomy as a small child. His father has high blood pressure and his mother is healthy. On examination, you see a child in no acute distress. His temperature is 100.8 and his blood pressure and pulse are unremarkable. On visualization of his penis, he is uncircumcised and has no lesions or discharge. His scrotum is red and tense on the left and normal appearing on the right. Palpating his left testicle reveals a mildly sore swollen testicle. The right testicle is unremarkable. An examin - ANSWER Acute orchitis 19. The most common cause of cancer deaths in males is: - ANSWER Colon cancer 20. Important techniques in performing the rectal examination include which of the following? - ANSWER All of the above 21. Jim is a 47-year-old man who is having difficulties with sexual function. He is recently separated from his wife of 20 years. He notes that he has early morning erections but otherwise cannot function. Which of the following is a likely cause for his problem? - ANSWER Psychological issues 22. Which of the following is true of human papilloma virus (HPV) infection? - ANSWER It commonly resolves spontaneously in one to two years.