NR 511 FINAL STUDY GUIDE - DIFFERENTIAL
DIAGNOSIS AND PRIMARY CARE- FINAL EXAM
REVIEW EXAM NEWEST 2026 ACTUAL EXAM
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Question 82. A patient's chief complaint is heaviness in the
scrotum. The nurse practitioner notes swelling of the testes,
along with warm scrotal skin. Which of the following diagnoses is
most probable?
1.
Cryptorchidism.
2.
Orchitis.
3.
Testicular torsion.
4.
Epididymitis. - ✔✔✔ Correct Answer > 2.
Orchitis.
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Option 2:
Orchitis refers to an acute, painful onset of swelling of the
testicle accompanied by warm scrotal skin. The client usually
complains of a heavy feeling in the scrotum. It is typically
unilateral but after 1 week may progress to the other testicle.
Question 98. Lynne, age 43, comes to your office in tears, stating
that last night she had unprotected sex and forgot to take her
birth control pill. She wants to know about the "morning-after
pill." You tell her:
1.
"If your period does not start at the scheduled time, come back
and see me."
2.
"I'll go ahead and order the estrogen-only postcoital
contraception pill."
3.
"I'll go ahead and order the Yuzpe regimen."
4.
"I'll refer you to a gynecologist." - ✔✔✔ Correct Answer > 3.
"I'll go ahead and order the Yuzpe regimen."
Option 3:
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Emergency contraception, referred to as postcoital
contraception, prevents pregnancy after unprotected sexual
intercourse. It should ideally be taken within 72 hours after
unprotected sex. The Yuzpe regimen consists of taking 2 birth
control pills within 72 hours and 2 more 12 hours later. This is
75% effective. A medication for nausea should be taken before
the birth control pills.
Question 83. Martin is complaining of erectile dysfunction. He
also has a condition that has reduced arterial blood flow to his
penis. The most common cause of this condition is:
1.
Epilepsy.
2.
Multiple sclerosis.
3.
Diabetes mellitus.
4.
Parkinson disease. - ✔✔✔ Correct Answer > 3.
Diabetes mellitus.
Option 3:
About 50% of men who have had diabetes for longer than 6 years
develop erectile dysfunction to some extent as a result of
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pathological changes in the vascular wall that lead to a reduction
of arterial blood flow to the penis. Many other conditions can
cause erectile dysfunction as well. These include
cerebrovascular accidents (ie, strokes or brain attacks), spinal
cord injury, temporal lobe epilepsy, multiple sclerosis, chronic
obstructive pulmonary disease, angina, chronic renal failure, and
Parkinson disease.
Question 84. Tommy, age 15, comes to the clinic in acute distress
with "belly pain." When obtaining his history, the nurse
practitioner (NP) finds that he fell off his bike this morning and
has vomited. Upon closer examination, the NP determines the
belly pain to be left-sided groin pain or pain in his left testicle. He
is afebrile and reports no dysuria. Which of the following
diagnoses is most likely?
1.
Testicular torsion.
2.
Epididymitis.
3.
Hydrocele.
4.
Varicocele. - ✔✔✔ Correct Answer > 1.
Testicular torsion.