NR 509 Final Exam With Correct Answers Latest
2022-2024 Graded A
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NR 509 Final Exam With Correct
Answers Latest 2022 Graded A+
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
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
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
Page 1 of 15
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elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm
Constrictive pericarditis
Which of the following lymph node groups is most commonly involved in breast cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central
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
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.
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
b) examination with the abdominal muscles tensed.
Page 2 of 15
2022-2024 Graded A
,https://www.stuvia.com/user/AcademicACE
NR 509 Final Exam With Correct
Answers Latest 2022 Graded A+
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
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
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
Page 1 of 15
https://www.stuvia.com/user/AcademicACE
, https://www.stuvia.com/user/AcademicACE
elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm
Constrictive pericarditis
Which of the following lymph node groups is most commonly involved in breast cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central
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
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.
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
b) examination with the abdominal muscles tensed.
Page 2 of 15
