AND VERIFIED RATIONALIZED ANSWERS, EXAMS
OF NURSING
Your 22 year old male patient states during his review of
systems thathis scrotum is very enlarged and feels like it is full a
powerlifter and works as a trash collector. You suspect the
patient likely has which of the following diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
D -Hydrocele - Precise Answer ✔✔A -Varicocele
The point of maximum impulse (PMI) is MOST often palpable
in healthy adults when positioned in the supine or left lateral
decubitus position. Which one of the following locations is most
commonly described as the PMI in a healthy adult?
A -Left 2nd intercostal space, midaxillary line
B -Left 5th intercostal space, midclavicular line
C -Right 4th intercostal space, midaxillary line
D -Right 2nd intercostal space, midclavicular line - Precise
Answer ✔✔B -Left 5th intercostal space, midclavicular line
A40 year old, female, African American patient presents for
history and physical. Upon your initial assessment, you notice
she has severe exophthalmos as pictured below. Which one of
the following diagnoses below would be the highest on your
differential diagnose of this physical examination finding?
A -Bilateral conjunctivitis
,B -Hyperthyroidism
C -hypothyroidism
D -Myexedma - Precise Answer ✔✔B -Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen
by pulmonology and has underwent a pulmonary function test
(PFT) with spirometry. As the patient's primary healthcare
provider, you have been asked to explain the findings of the PFT
to the patient in afollow-up visit at which time the patient asks
what the study was evaluating. To describe the PFT to the
patient in more useful terms, you state that the large inspiration
of air to the furthest extent they could reasonably accomplish
followed by a full exhalation is referred to as which of the
following measurements during the PFT?
A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity - Precise Answer ✔✔D -Forced vital
capacity
Your patient has a diagnosis of Addison's disease. Which of the
following might you expect to find during examination?
A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face - Precise Answer ✔✔B -Dowager hump
The nurse practitioner's evaluation of a patient with Diabetes
Mellitus type 2 should include which of the following while
evaluating for end organ dysfunction of the disease?
,A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options - Precise Answer ✔✔D -
All of these are appropriate options
During your visit with a 19 year old patient for a college health
physical, your health history includes a diagnosis of
angioedema. What of the following parts of the body are were
likely involved?
A -Isolated to the colon
B -Anywhere in the enteral tract
C -Chest
D -Face and Lips - Precise Answer ✔✔D -Face and Lips
Which of the following dermatologic lesions is precancerous
and likely due to prolonged exposure to UV-B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis - Precise Answer ✔✔A -Actinic
Keratosis
Based on your evaluation of ABCDE for melanoma, which of
the following represents a suspicous finding?
A -Irregular borders
B -Symmetrical nature
C -Brown color
D -Diameter of 0.4 cm - Precise Answer ✔✔A -Irregular
borders
, Your patient is complaining of hypersomnia, lack of motivation,
weight gain, and anhedonia. Suspecting a diagnosis of clinical
depression, you anticipate the patient will benefit from treating
their underlying deficit of which of the following
neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate - Precise Answer ✔✔B -Serotonin
As a prudent nurse practitioner, the diabetic, hypertensive
patient you are seeing should be evaluated for early evidence of
renal damage from both diabetes and hypertension. Which of the
following assessment tools should the nurse practitioner order
first for the evaluation of early renal dysfunction secondary to
diabetes or hypertension?
A -BUN/creatinine ratio
B -Urinalysis with micro/macro albumin
C -Renal biopsy
D -Urine sodium - Precise Answer ✔✔B -Urinalysis with
micro/macro albumin
While evaluating a patient in your clinic for a routine health
visit, you auscultate crackles in the poster left lower lobe, have
the patient cough, with follow-up auscultation revealing clear
breath sounds. Which one of the following would you suspect?
A -Congestive heart failure
B -Atelectasis
C -Laryngospasm