NR 509 /NR509 FINAL EXAM
NEWEST 2024 TEST BANK AND
STUDY GUIDE EXAM 2025
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ACTUAL QUESTIONS AND
DETAILED VERIFIED ANSWERS
WITH RATIONALES (100%
CORRECT) //BRAND NEW!!
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, "Rubbery, mobile, nontender mass located in right breast, in the 10:30 position from the
nipple"
A 24-year-old graphic designer presents to clinic with a concern for a breast mass. A rubbery,
mobile, nontender mass is palpated in the right breast as described by the patient, which is
consistent with a firbroadenoma. In describing the location of the mass, the examiner notes
that it is 3 cm proximal to and 3 cm to the left of the nipple. Which of the following would be
the most appropriate way to report this finding?
This patient was in compliance with the U.S. Preventive Services Task Force (USPSTF)
recommendations for her age group and risk factors prior to her current complaint
A 44-year-old female mathematician presents to clinic with a complaint of a mass in the right
breast. Her partner noticed this mass 2 days ago, and the patient feels guilty because she has
only had one mammogram and does not engage in breast self-examination (BSE) on any
regular basis. She has no family history of breast cancer, and her prior mammogram was
ordered as a routine screening test at age 43 years after a brief discussion with her primary
care provider. After a thorough investigation reveals a benign cyst, what advice should be
given to this patient about screening for breast cancer in her age group?
She is on her menses
A 23-year-old female comes to the clinic to discuss her birth control options. Although she
has been sexually active since age 16 years, she has been with one partner for the last year.
She has decided to discontinue condoms and would like a different birth control option. She
has not had a pelvic exam for 2 years. She had a normal Pap smear that year and negative
sexually transmitted infection (STI) testing. Her last menstrual period was 2 days ago. She
states that she is still spotting. She also states that she last had sex with her boyfriend 1 week
ago, so the clinician elects to postpone her speculum exam. What is the best explanation for
the decision to postpone her exam?
Raised friable or lobed lesions
A 21-year-old college student presents for her first annual exam. She has been sexually active
for 1 year and has had two partners. She is not aware of having had any sexually transmitted
diseases (STIs). She is using condoms for birth control and STI prevention but admits to not
always using them regularly. Her last menses was 2 weeks ago. On speculum exam, an
unusual appearance is noted, which is diagnosed as warts. What is the best description for
these lesions?
The mass dents with digital pressure
, A 35-year-old grade school teacher presents for her annual exam. Her last Pap smear was 4
years ago and normal. She is a G1P1 with a 6-year-old child. She has had four lifetime
partners but only one partner in the last 12 years. Otherwise she has no complaints. A
speculum exam is done followed by a bimanual examination during which a rectovaginal
mass is palpated. Which of the following exam findings would be most reassuring that this is
not a colonic mass?
fibroids
A 45-year-old driver's education instructor presents to the clinic for heavy periods and pelvic
pain during her menses. She reached menarche at age 13 years and has had regular periods
except during her pregnancies. She is a G4P3013 and does not use birth control as her
husband has had a vasectomy. She states this has been going on for about a year but seems to
be getting worse. Her last period was 1 week ago. On bimanual exam, a large midline mass
halfway to the umbilicus is palpated. Each adnexal area is nonpalpable. Her rectal exam is
normal. Her body mass index (BMI) is 27. What is the best explanation for her physical
finding?
Levatori ani
A 68-year-old retired patient presents to the clinic complaining about feeling like something
is falling out of her vagina. She is a G6P6007 and had all her children vaginally, even the
twins. She went through menopause at age 55 years, and, for the last few months, she has felt
this falling sensation. On exam, an anterior bulge in the vaginal wall is apparent when she
bears down. Weakness in which muscle would best account for the anterior bulge in the
vaginal wall?
Spermatocele
A 32-year-old male complains of a painless, cystic mass just above his left testicle. During
the physical examination, a strong flashlight is placed behind the scrotum through the area in
question and transillumination is noted. What is the most likely diagnosis?
Internal inguinal ring
While performing a physical examination on male patients, it is possible to palpate multiple
structures in relation to the inguinal canal and related hernias. Which of the following is not
palpable during an external examination of the abdominal wall or inguinal region?
Acute epididymitis
A 25-year-old graduate student presents to the clinic complaining of scrotal pain, which has
been increasing over the past 2 days. He is sexually active and has had unprotected
NEWEST 2024 TEST BANK AND
STUDY GUIDE EXAM 2025
LATEST NEWEST UPDATE WITH
ACTUAL QUESTIONS AND
DETAILED VERIFIED ANSWERS
WITH RATIONALES (100%
CORRECT) //BRAND NEW!!
/ALREADY GRADED A+ WITH
GUARANTEED SUCCESS AFTER
DOWNLOAD (ALL YOU NEED TO
PASS YOUR EXAMS
, "Rubbery, mobile, nontender mass located in right breast, in the 10:30 position from the
nipple"
A 24-year-old graphic designer presents to clinic with a concern for a breast mass. A rubbery,
mobile, nontender mass is palpated in the right breast as described by the patient, which is
consistent with a firbroadenoma. In describing the location of the mass, the examiner notes
that it is 3 cm proximal to and 3 cm to the left of the nipple. Which of the following would be
the most appropriate way to report this finding?
This patient was in compliance with the U.S. Preventive Services Task Force (USPSTF)
recommendations for her age group and risk factors prior to her current complaint
A 44-year-old female mathematician presents to clinic with a complaint of a mass in the right
breast. Her partner noticed this mass 2 days ago, and the patient feels guilty because she has
only had one mammogram and does not engage in breast self-examination (BSE) on any
regular basis. She has no family history of breast cancer, and her prior mammogram was
ordered as a routine screening test at age 43 years after a brief discussion with her primary
care provider. After a thorough investigation reveals a benign cyst, what advice should be
given to this patient about screening for breast cancer in her age group?
She is on her menses
A 23-year-old female comes to the clinic to discuss her birth control options. Although she
has been sexually active since age 16 years, she has been with one partner for the last year.
She has decided to discontinue condoms and would like a different birth control option. She
has not had a pelvic exam for 2 years. She had a normal Pap smear that year and negative
sexually transmitted infection (STI) testing. Her last menstrual period was 2 days ago. She
states that she is still spotting. She also states that she last had sex with her boyfriend 1 week
ago, so the clinician elects to postpone her speculum exam. What is the best explanation for
the decision to postpone her exam?
Raised friable or lobed lesions
A 21-year-old college student presents for her first annual exam. She has been sexually active
for 1 year and has had two partners. She is not aware of having had any sexually transmitted
diseases (STIs). She is using condoms for birth control and STI prevention but admits to not
always using them regularly. Her last menses was 2 weeks ago. On speculum exam, an
unusual appearance is noted, which is diagnosed as warts. What is the best description for
these lesions?
The mass dents with digital pressure
, A 35-year-old grade school teacher presents for her annual exam. Her last Pap smear was 4
years ago and normal. She is a G1P1 with a 6-year-old child. She has had four lifetime
partners but only one partner in the last 12 years. Otherwise she has no complaints. A
speculum exam is done followed by a bimanual examination during which a rectovaginal
mass is palpated. Which of the following exam findings would be most reassuring that this is
not a colonic mass?
fibroids
A 45-year-old driver's education instructor presents to the clinic for heavy periods and pelvic
pain during her menses. She reached menarche at age 13 years and has had regular periods
except during her pregnancies. She is a G4P3013 and does not use birth control as her
husband has had a vasectomy. She states this has been going on for about a year but seems to
be getting worse. Her last period was 1 week ago. On bimanual exam, a large midline mass
halfway to the umbilicus is palpated. Each adnexal area is nonpalpable. Her rectal exam is
normal. Her body mass index (BMI) is 27. What is the best explanation for her physical
finding?
Levatori ani
A 68-year-old retired patient presents to the clinic complaining about feeling like something
is falling out of her vagina. She is a G6P6007 and had all her children vaginally, even the
twins. She went through menopause at age 55 years, and, for the last few months, she has felt
this falling sensation. On exam, an anterior bulge in the vaginal wall is apparent when she
bears down. Weakness in which muscle would best account for the anterior bulge in the
vaginal wall?
Spermatocele
A 32-year-old male complains of a painless, cystic mass just above his left testicle. During
the physical examination, a strong flashlight is placed behind the scrotum through the area in
question and transillumination is noted. What is the most likely diagnosis?
Internal inguinal ring
While performing a physical examination on male patients, it is possible to palpate multiple
structures in relation to the inguinal canal and related hernias. Which of the following is not
palpable during an external examination of the abdominal wall or inguinal region?
Acute epididymitis
A 25-year-old graduate student presents to the clinic complaining of scrotal pain, which has
been increasing over the past 2 days. He is sexually active and has had unprotected
