NUR 509 FINAL TD QUESTIONS AND ANSWERS
A young man feels something in his scrotum and comes to you for clarification. On your
examination, you note what feels like a "bag of worms" in the left scrotum, superior to
the testicles. Which of the following is most likely?
A) Hydrocele of the spermatic cord
B) Varicocele
C) Testicular carcinoma
D) A normal vas deferens - Answers - Varicocle
Varicoceles are common in normal men. They are often found in the left scrotum or
bilaterally and should normally resolve in the supine position. This is because they
represent varicosities within the scrotum. These require further investigation if they
occur only on the right side or do not resolve in the supine position. They can contribute
to infertility because the testicles are unable to achieve a cool enough temperature for
sperm production, due to increased blood flow from the varicocele. A hydrocele would
be a painless mass on the spermatic cord and the vas deferens is palpated as part of
the spermatic cord. You should lightly pinch the scrotum medially and move laterally
until you feel the spermatic cord pass between your fingers.
Which of the following changes are expected in vision as part of the normal aging
process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision - Answers - Ans: D
The lens loses its elasticity over time as part of the normal aging process, and the eye is
less able to accommodate and focus on near objects; therefore, the patient will be
expected to have blurring of near vision.
A 68-year-old mechanic presents to the emergency room for shortness of breath. You
are concerned about a cardiac cause and measure his jugular venous pressure (JVP). It
is elevated. Which one of the following conditions is a potential cause of elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm - Answers - Constrictive pericarditis
Which of the following lymph node groups is most commonly involved in breast cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central - Answers - D.) Central
You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight gain, and
, hair loss. You strongly suspect that she has hypothyroidism. What is the expected
moisture and texture of the skin of a patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough - Answers - D) Dry and rough
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you press
on the rash, it doesn't blanch. What would you tell her regarding her rash?
A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
C) It is likely to be related to an allergic reaction.
D) It should not cause any problems. - Answers - A. It is likely to be related to her lupus
You are palpating the abdomen and feel a small mass. Which of the following would you
do next?
A) Ultrasound
B) Examination with the abdominal muscles tensed
C) Surgery referral
D) Determine size by percussion - Answers - b) examination with the abdominal
muscles tensed.
You are evaluating a 40-year-old banker for coronary heart disease risk factors. He has
a history of hypertension, which is well-controlled on his current medications. He does
not smoke; he does 45 minutes of aerobic exercise five times weekly. You are
calculating his 10-year coronary heart disease risk. Which of the following conditions is
considered to be a coronary heart disease risk equivalent?
A) Hypertension
B) Peripheral arterial disease
C) Systemic lupus erythematosus
D) Chronic obstructive pulmonary disease (COPD) - Answers - B) Peripheral Artery
Disease
In obtaining a history, you note that a client uses the word "largely" repeatedly, to the
point of being a distraction to your task. Which word best describes this speech pattern?
- Answers - Perserveration
A 40-year-old mother of two presents to your office for consultation. She is interested in
knowing what her relative risks are for developing breast cancer. She is concerned
because her sister had unilateral breast cancer 6 years ago at age 38. The patient
reports on her history that she began having periods at age 11 and has been fairly
regular ever since, except during her two pregnancies. Her first child arrived when she
was 26 and her second at age 28. Otherwise she has had no health problems. Her
father has high blood pressure. Her mother had unilateral breast cancer in her 70s. The
patient denies tobacco, alcohol, or drug use. She is a family law attorney and is married.
A young man feels something in his scrotum and comes to you for clarification. On your
examination, you note what feels like a "bag of worms" in the left scrotum, superior to
the testicles. Which of the following is most likely?
A) Hydrocele of the spermatic cord
B) Varicocele
C) Testicular carcinoma
D) A normal vas deferens - Answers - Varicocle
Varicoceles are common in normal men. They are often found in the left scrotum or
bilaterally and should normally resolve in the supine position. This is because they
represent varicosities within the scrotum. These require further investigation if they
occur only on the right side or do not resolve in the supine position. They can contribute
to infertility because the testicles are unable to achieve a cool enough temperature for
sperm production, due to increased blood flow from the varicocele. A hydrocele would
be a painless mass on the spermatic cord and the vas deferens is palpated as part of
the spermatic cord. You should lightly pinch the scrotum medially and move laterally
until you feel the spermatic cord pass between your fingers.
Which of the following changes are expected in vision as part of the normal aging
process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision - Answers - Ans: D
The lens loses its elasticity over time as part of the normal aging process, and the eye is
less able to accommodate and focus on near objects; therefore, the patient will be
expected to have blurring of near vision.
A 68-year-old mechanic presents to the emergency room for shortness of breath. You
are concerned about a cardiac cause and measure his jugular venous pressure (JVP). It
is elevated. Which one of the following conditions is a potential cause of elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm - Answers - Constrictive pericarditis
Which of the following lymph node groups is most commonly involved in breast cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central - Answers - D.) Central
You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight gain, and
, hair loss. You strongly suspect that she has hypothyroidism. What is the expected
moisture and texture of the skin of a patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough - Answers - D) Dry and rough
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you press
on the rash, it doesn't blanch. What would you tell her regarding her rash?
A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
C) It is likely to be related to an allergic reaction.
D) It should not cause any problems. - Answers - A. It is likely to be related to her lupus
You are palpating the abdomen and feel a small mass. Which of the following would you
do next?
A) Ultrasound
B) Examination with the abdominal muscles tensed
C) Surgery referral
D) Determine size by percussion - Answers - b) examination with the abdominal
muscles tensed.
You are evaluating a 40-year-old banker for coronary heart disease risk factors. He has
a history of hypertension, which is well-controlled on his current medications. He does
not smoke; he does 45 minutes of aerobic exercise five times weekly. You are
calculating his 10-year coronary heart disease risk. Which of the following conditions is
considered to be a coronary heart disease risk equivalent?
A) Hypertension
B) Peripheral arterial disease
C) Systemic lupus erythematosus
D) Chronic obstructive pulmonary disease (COPD) - Answers - B) Peripheral Artery
Disease
In obtaining a history, you note that a client uses the word "largely" repeatedly, to the
point of being a distraction to your task. Which word best describes this speech pattern?
- Answers - Perserveration
A 40-year-old mother of two presents to your office for consultation. She is interested in
knowing what her relative risks are for developing breast cancer. She is concerned
because her sister had unilateral breast cancer 6 years ago at age 38. The patient
reports on her history that she began having periods at age 11 and has been fairly
regular ever since, except during her two pregnancies. Her first child arrived when she
was 26 and her second at age 28. Otherwise she has had no health problems. Her
father has high blood pressure. Her mother had unilateral breast cancer in her 70s. The
patient denies tobacco, alcohol, or drug use. She is a family law attorney and is married.
