Question 1 (1 point)
Saved
Which developmental changes would the NP not be likely to
observe in a male adolescent during physical examination?
Question 1 options:
Enlargement of the testis
Increase in the penis size
Appearance of pubic hair
Pendulous appearance of the scrotum
Non-descent of the testis along the inguinal canal
Question 2 (1 point)
Saved
A 35-year-old truck driver presents to the emergency room for
evaluation of pain in his left groin. He has noticed that the
pain increases after lifting several boxes to load his truck each
weighing more than 100 pounds. He has had this pain
intermittently over the past 5 years but it has always gone
away on its own. He is here because the pain has not gone
away and he is becoming nauseated. He denies fever chills
constipation or diarrhea. He denies urethral discharge; he is
married and states that he is faithful to his spouse. On
physical examination of the left testicular area you note that
there is a bulge when you palpate the inguinal canal as you
ask the patient to strain. You listen to the left testicular area
and hear bowel sounds. Your most likely diagnosis is:
Question 2 options:
Appendicitis
Testicular torsion
Hernia
Pelvic inflammatory disease
,Question 3 (1 point)
Saved
While performing a genital examination of a male infant the
NP sees that the infant's urethral meatus is located ventrally.
Which condition does the infant have?
Question 3 options:
Phimosis
Epispadias
Hypospadias
Paraphimosis
Question 4 (1 point)
Saved
Which intervention is used to determine Murphy sign?
Question 4 options:
Push both hands together in a duck-bill position at the patient's right flank.
Hold the hand perpendicular to the abdomen and push down slowly and deeply.
Push down the lower part of the right thigh while the patient tries to hold the leg up.
Ask the patient to take a deep breath while holding the fingers under the liver border.
Question 5 (1 point)
Saved
What assessment finding will the nurse practitioner document
in a patient with an aortic aneurysm?
Question 5 options:
Presence of bruit on auscultation
Presence of normal femoral pulses
Presence of a smooth sausage-like mass
Presence of a small liver with firm edges
,Question 6 (1 point)
Saved
The parent of a 12-year-old child asks why the human
papillomavirus (HPV) vaccine is given to a child who is not
sexually active. What is the provider's best response?
Question 6 options:
This gives time for immunity to develop before a child becomes sexually active.
This is how the insurance company requires the vaccination to be administered.
This vaccination is designed to prevent the onset of pelvic inflammatory disease.
The vaccination includes three injections to be given one year apart for effectiveness.
Question 7 (1 point)
Saved
A 15-year-old high school student presents to the clinic with a
1-day history of nausea and very little appetite. He describes
the pain as generalized yesterday but today it has localized to
the right lower quadrant. You palpate the left lower quadrant
and the patient experiences pain in the right lower quadrant.
What is the name of this sign?
Question 7 options:
Psoas sign
Obturator sign
Rovsing's sign
Cutaneous hyperesthesia
Rebound tenderness
Question 8 (1 point)
Saved
A 19-year-old sexually active college student presents for
evaluation of a vaginal discharge. She has been in a
monogamous relationship since becoming sexually active. She
, denies that he has been unfaithful. She denies fever or chills.
She states that the discharge is thick white and curdlike and
although there is no bad odor she does experience some
itching. Upon physical examination of the vagina you see an
inflamed vulva with a slightly red vaginal mucosa. The
discharge is thick and white. There is no cervical motion
tenderness. The uterus is normal in size without adnexal
masses. Based on this information what is your most likely
diagnosis?
Question 8 options:
Bacterial vaginosis
Trichomonas vaginalis infection
Candida vaginitis
Pelvic inflammatory disease
Question 9 (1 point)
Saved
Which patients are most susceptible to developing a fecal
impaction?
Question 9 options:
A patient with colitis
A patient with Crohn's disease
A patient with hypothyroidism
A patient with giardial infection
Question 10 (1 point)
Saved
Which developmental change should the examiner expect to
find in a 10-year-old female child?
Question 10 options:
Flat labia majora
Saved
Which developmental changes would the NP not be likely to
observe in a male adolescent during physical examination?
Question 1 options:
Enlargement of the testis
Increase in the penis size
Appearance of pubic hair
Pendulous appearance of the scrotum
Non-descent of the testis along the inguinal canal
Question 2 (1 point)
Saved
A 35-year-old truck driver presents to the emergency room for
evaluation of pain in his left groin. He has noticed that the
pain increases after lifting several boxes to load his truck each
weighing more than 100 pounds. He has had this pain
intermittently over the past 5 years but it has always gone
away on its own. He is here because the pain has not gone
away and he is becoming nauseated. He denies fever chills
constipation or diarrhea. He denies urethral discharge; he is
married and states that he is faithful to his spouse. On
physical examination of the left testicular area you note that
there is a bulge when you palpate the inguinal canal as you
ask the patient to strain. You listen to the left testicular area
and hear bowel sounds. Your most likely diagnosis is:
Question 2 options:
Appendicitis
Testicular torsion
Hernia
Pelvic inflammatory disease
,Question 3 (1 point)
Saved
While performing a genital examination of a male infant the
NP sees that the infant's urethral meatus is located ventrally.
Which condition does the infant have?
Question 3 options:
Phimosis
Epispadias
Hypospadias
Paraphimosis
Question 4 (1 point)
Saved
Which intervention is used to determine Murphy sign?
Question 4 options:
Push both hands together in a duck-bill position at the patient's right flank.
Hold the hand perpendicular to the abdomen and push down slowly and deeply.
Push down the lower part of the right thigh while the patient tries to hold the leg up.
Ask the patient to take a deep breath while holding the fingers under the liver border.
Question 5 (1 point)
Saved
What assessment finding will the nurse practitioner document
in a patient with an aortic aneurysm?
Question 5 options:
Presence of bruit on auscultation
Presence of normal femoral pulses
Presence of a smooth sausage-like mass
Presence of a small liver with firm edges
,Question 6 (1 point)
Saved
The parent of a 12-year-old child asks why the human
papillomavirus (HPV) vaccine is given to a child who is not
sexually active. What is the provider's best response?
Question 6 options:
This gives time for immunity to develop before a child becomes sexually active.
This is how the insurance company requires the vaccination to be administered.
This vaccination is designed to prevent the onset of pelvic inflammatory disease.
The vaccination includes three injections to be given one year apart for effectiveness.
Question 7 (1 point)
Saved
A 15-year-old high school student presents to the clinic with a
1-day history of nausea and very little appetite. He describes
the pain as generalized yesterday but today it has localized to
the right lower quadrant. You palpate the left lower quadrant
and the patient experiences pain in the right lower quadrant.
What is the name of this sign?
Question 7 options:
Psoas sign
Obturator sign
Rovsing's sign
Cutaneous hyperesthesia
Rebound tenderness
Question 8 (1 point)
Saved
A 19-year-old sexually active college student presents for
evaluation of a vaginal discharge. She has been in a
monogamous relationship since becoming sexually active. She
, denies that he has been unfaithful. She denies fever or chills.
She states that the discharge is thick white and curdlike and
although there is no bad odor she does experience some
itching. Upon physical examination of the vagina you see an
inflamed vulva with a slightly red vaginal mucosa. The
discharge is thick and white. There is no cervical motion
tenderness. The uterus is normal in size without adnexal
masses. Based on this information what is your most likely
diagnosis?
Question 8 options:
Bacterial vaginosis
Trichomonas vaginalis infection
Candida vaginitis
Pelvic inflammatory disease
Question 9 (1 point)
Saved
Which patients are most susceptible to developing a fecal
impaction?
Question 9 options:
A patient with colitis
A patient with Crohn's disease
A patient with hypothyroidism
A patient with giardial infection
Question 10 (1 point)
Saved
Which developmental change should the examiner expect to
find in a 10-year-old female child?
Question 10 options:
Flat labia majora
