Updated APEA Test Bank 2 Nursing Health Assessment Exam Questions and Answers with 100% Verified Correct Solutions, Rated A+ Clinical Rationales, Comprehensive Physical Assessment Techniques, Patient History Taking, Systematic Head-to-Toe Examination, and

NURSING HEALTH ASS APEA TB 2 Exam Questions and
Answers 100%correct/verified Rated A+ new update 2022

,Question:
What is the recommendation ofAmerican Cancer Society for initial screening of
F F F F F F F F F F F F




an African-American malefor prostate cancer?
F F F F F




Digital rectal exam starting at age 40 yearsPSA starting at age 45
F F F F F F F F F F F F




yearsDiscussions starting at age 40-45 years CorrectHe should be screened F F F F F F F F F F




starting at age 50 years. F F F F




Explanation:
American Cancer Society guidelines recommend beginning screening
F F F F F F F




discussion at age 40-45 years for males at high risk for developing prostate
F F F F F F F F F F F F F




cancer (e.g. a first degree relative with prostate cancer before age65 or African
F F F F F F F F F F F F F F




American race). The reason for “screening discussions” is to keep males
F F F F F F F F F F F




involved in individual decision making. The PSA threshold is 4.0 ng/mL.
F F F F F F F F F F F




Testing is discouraged for males with less than a 10 year expected survival. US
F F F F F F F F F F F F F F




Preventive Services Task Force does not recommend screening.
F F F F F F F




Question:
What is American Cancer Society’s recommendation for prostate screening in a 70 year-old
F F F F F F F F F F F F F




male?
He should be screened annually with PSA only.He should be screened annually
F F F F F F F F F F F F




with PSA and DRE.He should be screened until he has a life expectancy of less
F F F F F F F F F F F F F F F




than 10 years. CorrectScreening can stop at age 75years.
F F F F F F F F F




Explanation:
Prostate cancer screening at age 70 years includes both prostate specific antigen
F F F F F F F F F F F F




NURSING HEALTH ASS APEA TB 2 Exam Questions and
Answers 100%correct/verified Rated A+ new update 2022

,measurement (PSA) and digital rectal exam (DRE). Prostate cancer is typically a
F F F F F F F F F F F F




slow growing tumor, thus if life expectancy is < 10years, screening is not cost-
F F F F F F F F F F F F F F




effective.


Question:
A 70 year-old male presents to your clinic with a lump in his breast. How should
F F F F F F F F F F F F F F F F




this be evaluated? Palpation and ultrasound IncorrectMammogram and
F F F F F F F F




ultrasound CorrectUltrasound onlyMammogram only F F F




Explanation:
This patient has a lump identified in the breast. Since males can develop breast
F F F F F F F F F F F F F F




cancer, it must be evaluatedin the same means that a female breast lump would
F F F F F F F F F F F F F F F




be evaluated. He should have a clinical breast exam to identify the position of the
F F F F F F F F F F F F F F F




lump, and any other abnormal findings such as nodes or other lumps. Then, he
F F F F F F F F F F F F F F




should have mammogram and ultrasound to help evaluate the lump. If the
F F F F F F F F F F F F




findings were suspicious for a malignancy, the patient would be referred to a
F F F F F F F F F F F F F




surgeon.


Question:
A22 year-old male who is otherwise healthy complains of scrotal pain. His pain
F F F F F F F F F F F F F F




has developed over thepast 4 days. He is diagnosed with epididymitis. What is
F F F F F F F F F F F F F F




the most likely reason?
F F F




His ageInfection with Chlamydia CorrectUnderlying hydroceleUrinary tract infection
F F F F F F F




Explanation:
Several factors predispose males to epididymitis. In men under age 35, the most
F F F F F F F F F F F F F




common cause of epididymitis is infection with Chlamydia trachomatis. In
F F F F F F F F F F




NURSING HEALTH ASS APEA TB 2 Exam Questions and
Answers 100%correct/verified Rated A+ new update 2022

, older men, urinary tract pathogens are more typical. In pre-pubertal boys,
F F F F F F F F F F F




bicycle riding and heavy physical exertion are most common. In pre-pubertal
F F F F F F F F F F F




boys, consideration should be given to congenital abnormalities.
F F F F F F F




Question:
Digital rectal exam may be performed to assess the prostate gland. Which term
F F F F F F F F F F F F F




does NOT describe aprostate gland that may have a tumor?
F F F F F F F F F F




NodularAsymmetricalBoggy CorrectIndurated F




Explanation:
A boggy prostate describes a gland that is edematous and tender, such as is seen
F F F F F F F F F F F F F F F




in a patient with bacterialprostatitis. The other terms indicate an abnormality
F F F F F F F F F F F F




that could represent a prostate gland tumor.
F F F F F F




Question:
A male patient has epididymitis. His most likely complaint will be:
F F F F F F F F F F




burning with urination.testicular pain.scrotal pain. Correctpenile discharge.
F F F F F F




Explanation:
The most common complaint is scrotal pain. It usually develops over a period
F F F F F F F F F F F F F




of days. Occasionally, it develops acutely and will be accompanied by fever,
F F F F F F F F F F F F




chills, and a very ill-appearing patient. Burning withurination is possible if the
F F F F F F F F F F F F F




underlying cause is a urinary tract infection, but, this is not usual. This
F F F F F F F F F F F F F




presentation is seen more commonly in older males. Testicular pain is not a F F F F F F F F F F F F F




common complaint with epididymitis. Penile discharge would not indicate an
F F F F F F F F F F




NURSING HEALTH ASS APEA TB 2 Exam Questions and
Answers 100%correct/verified Rated A+ new update 2022