NR 509 WEEK 6 QUIZ / NR509 WEEK 6 QUIZ: LATEST,CHAMBERLAIN COLLEGE OF NURSING

NR 509 WEEK 6 QUIZ / NR509 WEEK 6 QUIZ: LATEST,CHAMBERLAIN COLLEGE OF NURSING Question 1. Question : When performing a genitourinary assessment, the nurse notices that the urethral meatus is positioned ventrally. This finding is Student Answer: called hypospadias. the result of phimosis. probably due to a stricture. often associated with aging. Question 2. Question : 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 Student Answer: carcinoma. syphilitic chancres. genital herpes. genital warts. Question 3. Question : When performing a scrotal assessment, the nurse notices that the scrotal contents transilluminate and show a red glow. On the basis of this finding the nurse would Student Answer: assess the patient for the presence of a hernia. suspect the presence of serous fluid in the scrotum. consider this normal and proceed with the examination. refer the patient for evaluation of a mass in the scrotum. Question 4. Question : When the nurse is performing a testicular examination on a 25-year-old man, which of these findings is considered normal? Student Answer: Nontender subcutaneous plaques A scrotal area that is dry, scaly, and nodular Testes that feel oval and movable and are slightly sensitive to compression A single, hard, circumscribed, movable mass, less than 1 cm under the surface of the testes Question 5. Question : 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 Student Answer: urinary frequency. enuresis. stress incontinence. urge incontinence. Question 6. Question : When performing a genital examination on a 25-year-old man, the nurse notices deeply pigmented, wrinkled scrotal skin with large sebaceous follicles. On the basis of this information the nurse would Student Answer: squeeze the glans to check for the presence of discharge. consider this a normal finding and proceed with the examination. assess the testicles for the presence of masses or painless lumps. obtain a more detailed history focusing on any scrotal abnormalities the patient has noticed. Question 7. Question : The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer. On examination, the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine. These findings are most consistent with a(n) _____ hernia. Student Answer: scrotal femoral direct inguinal indirect inguinal Question 8. Question : Which of these statements is most appropriate when the nurse is obtaining a genitourinary history from an elderly man? Student Answer: “Do you need to get up at night to urinate?” “Do you experience nocturnal emissions, or ‘wet dreams’?” “Do you know how to perform a testicular self-examination?” “Has anyone ever touched your genitals when you did not want them to?” Question 9. Question : When performing a genitourinary assessment on a 16-year-old boy, the nurse notices a swelling in the scrotum that increases with increased intra-abdominal pressure and decreases when he is lying down. The patient complains of pain when straining. The nurse knows that this description is most consistent with a(n) _____ hernia. Student Answer: femoral incisional direct inguinal indirect inguinal Question 10. Question : A newborn baby boy is about to have a circumcision. The nurse knows that indications for circumcision include Student Answer: cultural and religious beliefs. prevention of testicular cancer. improving the sperm count later in life. preventing dysuria. Question 11. Question : During an examination, the nurse notices that a male patient has a red, round, superficial ulcer with a yellowish serous discharge on his penis. On palpation, the nurse finds a nontender base that feels like a small button between the thumb and fingers. At this point, the nurse suspects that this patient has Student Answer: genital warts. a herpes infection. a syphilitic chancre. a carcinoma lesion. Question 12. Question : Which of these statements is true regarding the penis? Student Answer: The urethral meatus is located on the ventral side of the penis. The prepuce is the fold of foreskin covering the shaft of the penis. The penis is composed of two cylindrical columns of erectile tissue. The corpus spongiosum expands into a cone of erectile tissue called the glans. Question 13. Question : The nurse is inspecting the scrotum and testes of a 43-year-old man. Which finding would require additional follow-up and evaluation? Student Answer: The skin on the scrotum is taut. The left testicle hangs lower than the right testicle. The scrotal skin has yellowish 1-cm nodules that are firm and nontender. The testes move closer to the body in response to cold temperatures. Question 14. Question : While performing a rectal examination, the nurse notices a firm, irregularly shaped mass. What should the nurse do next? Student Answer: Continue with the examination and document the finding in the chart. Instruct patient to return for repeat assessment in 1 month. Tell the patient that a mass was felt but it is nothing to worry about. Report the finding and refer the patient to a specialist for further examination. Question 15. Question : During an assessment of the newborn, the nurse expects to see which finding when the anal area is slightly stroked? Student Answer: A jerking of the legs Flexion of the knees A quick contraction of the sphincter Relaxation of the external sphincter Question 16. Question : During an examination, the nurse asks the patient to perform the Valsalva maneuver and notices that the patient has a moist, red, doughnut-shaped protrusion from the anus. The nurse knows that this would be consistent with Student Answer: a rectal polyp. hemorrhoids. a rectal fissure. rectal prolapse. Question 17. Question : During the assessment of an 18-month-old child, the mother expresses concern to the nurse about the infant’s inability to toilet train. What would be the nurse’s best response? Student Answer: “Some children are just more difficult to train, so I wouldn’t worry about it yet.” “Have you considered reading any of the books on toilet training? They can be very helpful.” “This could mean there is a problem in your baby’s development. We’ll watch her closely for the next few months.” “The nerves that will allow your baby to have control over the passing of stools are not developed until at least 18 to 24 months of age.” Question 18. Question : The nurse is examining only the rectal area of a woman and should place the woman in what position? Student Answer: Lithotomy position Prone position Left lateral decubitus position Bending over the table while standing Question 19. Question : The nurse notices that a patient has had a pale, yellow, greasy stool, or steatorrhea, and recalls that this is caused by Student Answer: occult bleeding. absent bile pigment. increased fat content. ingestion of bismuth preparations. Question 20. Question : A 70-year-old man is visiting the clinic for difficulty in passing urine. In the history, he indicates he has to urinate frequently, especially at night. He has burning when he urinates and has noticed pain in his back. Given this history, what might the nurse expect to find during the physical assessment? Student Answer: Asymmetric, hard, fixed prostate gland Occult blood and perianal pain to palpation Symmetrically enlarged, soft prostate gland A soft nodule protruding from rectal mucosa Question 21. Question : The nurse is performing an examination of the anus and rectum. Which of these statements is correct and important to remember during this examination? Student Answer: The rectum is about 8 cm long. The anorectal junction cannot be palpated. Above the anal canal, the rectum turns anteriorly. There are no sensory nerves in the anal canal or rectum. Question 22. Question : A 13-year-old girl is visiting the clinic for a sports physical. The nurse should remember to include which of these tests in the examination? Student Answer: Test for occult blood The Valsalva maneuver Internal palpation of the anus Inspection of the perianal area Question 23. Question : The nurse is preparing to palpate the rectum and should use which of these techniques? Student Answer: Flex the finger and insert slowly toward the umbilicus. Instruct the patient first that this will be a painful procedure. Insert an extended index finger at a right angle to the anus. Place the finger directly into the anus to overcome the tight sphincter. Question 24. Question : Which of these statements about the sphincters is correct? Student Answer: The internal sphincter is under voluntary control. The external sphincter is under voluntary control. Both sphincters remain slightly relaxed at all times. The internal sphincter surrounds the external sphincter. Question 25. Question : During an assessment of a 20-year-old man, the nurse finds a small palpable lesion with a tuft of hair located directly over the coccyx. The nurse knows that this lesion would most likely be a Student Answer: polyp. pruritus ani. carcinoma. pilonidal cyst.