HA 1215/ Galveston College/2024,
RNSG1215 HA/Final EXAM/2024
(Answered)
The nurse is describing how to perform a testicular self-examination to a patient. Which statement is
most appropriate.
"If you notice an enlarged testicle or a painless lump, call your health provider
A 55 year-old man is experiencing severe pain of sudden onset in the scrotal area. It is somewhat
relieved by elevation. On examination the nurse notices an enlarged, red scrotum that is very tender
to palpitation. Distinguishing the epididymis from the testis is difficult, and the scrotal skin is thick and
edematous. This description is consistent with which of these?
Epididymis
During an examination, the nurse notices that a male patient has a red, round, superficial ulcer with a
yellowish serious discharge on his penis. On palpation, the nurse finds a contender base that feels like
a small button between the thumb and fingers. At this point the nurse suspects that this patient has:
Syphilitic chancre
During a health history, a patient tells the nurse that he has trouble in starting his urine stream. This
problem is known as:
Hesitancy
During a genital examination, the nurse notices that a male patient has clusters of small vesicles on
the glans, surrounded by erythema. The nurse recognizes that these lesions are:
Genital Herpes
During a physical examination the nurse finds that a male patient's foreskin is fixed and tight and will
not retract over the glans. The nurse recognizes that this condition is:
Phimosis
When performing a genitourinary assessment, the nurse notices that the urethral meatus is ventrally
positioned. This finding is:
Called hypospadias
The nurse is describing how to perform a testicular self-examination to a patient. What statement is
most appropriate?
"If you notice an enlarged testicle or a painless lump, call your healthcare provider."
,A 46-year old man requires an assessment of his sigmoid colon. Which instrument or technique is
most appropriate for this examination?
Colonoscope
After completing an assessment of a 60-year-old man with a family history of colon cancer the nurse
discusses with him early detection measures for colon cancer. The nurse should mention the need for
a(n):
Colonoscopy very 10 years
The mother of s 5-year-old girl tells the nurse that she has noticed her daughter "scratching at her
bottom a lot the last few days." During the assessment, the nurse finds redness and raised skin in the
anal area. This finding most indicates:
Pinworms
A 40-year-old black man is in the office for his annual physical examination. Which statement
regarding the PSA blood test is true, according to the American Cancer Society? The PSA:
Should be performed at age 45 years old.
The nurse notices that a patient has had a pale, yellow, greasy stool, or steatorrhea, and recalls that
this is caused by:
Increased fat content
While assessing a patient who is hospitalized and bedridden, the nurse notices that the patient has
been incontinent of stool. The stool is loose and gray-tan in color. Does the nurse recognize that this
finding indicates which of the following?
Absent bile pigment
During health history, a 22-year old woman asks, "Can I get that vaccine from human papilloma (HPV)?
I have genital warts and I'd like them to go away!" What is the nurse's best response?
The vaccine cannot protect you if you already have and HPV infection
Generally, the changes normally associated with menopause occur because the cells in the
reproductive tract are:
Estrogen dependent
A 54-year old woman who has just completed menopause is in the clinic today for a yearly physical
examination. Which of these statements should the nurse include in patient education? "A
postmenopausal woman:
Should be aware that she is at increased risk for dyspareunia because of decreased vaginal secretions
A patient has had three pregnancies and two live births. The nurse would record this information as
gravity____, para______,AB____.
3: 2: 1
,A married couple has come to the clinic seeking advice on pregnancy. "They have been trying to
conceive for 4 months, and have not been successful. What should the nurse do first?
Explain that couples are considered infertile after 1 year of unprotected intercourse.
The nurse Is preparing to interview a postmenopausal woman. Which of these statements is true
The nurse should ask a postmenopausal woman if she has ever had vaginal bleeding.
When assessing a newborn infant's genitalia, the nurse notices that the genitalia ar somewhat
engorged. The labia major are swollen, the clitoris looks large, and the hymen is thick. The vaginal
opening is difficult to visualize. The infant's mother states that she is worried about the labia being
swollen. The nurse should reply:
This is a normal finding in newborns and should resolve within a few weeks
A 25-year old woman comes to the emergency department with a sudden fever of 38.3'C and
abdominal pain. Upon examination, the nurse notices that she has rigid, boarder like lower abdominal
musculature. When the nurse tries to perform a vaginal examination, the patient has severe pain
when the uterus and cervix are moved. The nurse knows that these signs and symptoms are
suggestive of:
Pelvic inflammatory disease
A woman has just been diagnosed with HPV or genital warts. The nurse should counsel her to receive
regular examinations because the virus makes her at higher risk for___cancer.
Cervical
The nurse is performing a vision examination. Which of these charts is most widely used for vision
examination?
Snellen
During a complete health assessment, how would the nurse test the patient's hearing?
Using the whispered voice test
Which of these is included in an assessment of general appearance?
Skin color
During an examination, the patient tells the nurse that she sometimes feels as if objects are spinning
around her. The nurse would document that she occasionally experiences.
Vertigo
A patient tells the nurse, Sometimes I wake up at night and I have real trouble breathing. I have to sit
up in bed to get a good health. "When documenting the information, the nurse would note:
Paroxysmal nocturnal dyspnea
, During an examination, the nurse notices that a patient's legs turn white when they are raised above
the patient's head. The nurse should suspect:
Chronic arterial insufficiency
The nurse notices that a patient has ulcerations on the tips of the toes and on the lateral aspect of the
ankles. This finding indicates:
Arterial insufficiency
Id the nurse records the results to the Hirschberg test, the nurse has:
Tested the corneal lights reflex.
When assessing the neonate, the nurse should rest for hip stability with which method?
Checking for the Ortolani sign
A female patient tells the nurse that she has four children and has had three pregnancies. How should
the nurse document this?
Gravida 3, para 4
The nurse is documenting the assessment of an infant. During the abdominal assessment, the nurse
noticed a very loud splash auscultated over the upper abdominal when the nurse rocked her from side
to side. This finding would indicate:
Hyperactive bowel sounds
Which of these actions is most appropriate to preform on a 9-month-old infant at a well child
checkup?
Testing for Ortolani sign
During a morning assessment, the nurse notices that a patient's urine output is below the expected
amount. What should the nurse do next?
Perform a bladder scan test
What should the nurse assess before entering the patient's room on morning rounds?
Posted conditions, such as isolation precautions.
The nurse has administered a pain medication to a patient by an IV infusion. The nurse should reassess
that patient's response to the pain medication within___minutes.
15
During an assessment of a hospitalized patient, the nurse pinches a fold of skin under the clavicle or
on the forearm to test the:
Mobility and turgor.
RNSG1215 HA/Final EXAM/2024
(Answered)
The nurse is describing how to perform a testicular self-examination to a patient. Which statement is
most appropriate.
"If you notice an enlarged testicle or a painless lump, call your health provider
A 55 year-old man is experiencing severe pain of sudden onset in the scrotal area. It is somewhat
relieved by elevation. On examination the nurse notices an enlarged, red scrotum that is very tender
to palpitation. Distinguishing the epididymis from the testis is difficult, and the scrotal skin is thick and
edematous. This description is consistent with which of these?
Epididymis
During an examination, the nurse notices that a male patient has a red, round, superficial ulcer with a
yellowish serious discharge on his penis. On palpation, the nurse finds a contender base that feels like
a small button between the thumb and fingers. At this point the nurse suspects that this patient has:
Syphilitic chancre
During a health history, a patient tells the nurse that he has trouble in starting his urine stream. This
problem is known as:
Hesitancy
During a genital examination, the nurse notices that a male patient has clusters of small vesicles on
the glans, surrounded by erythema. The nurse recognizes that these lesions are:
Genital Herpes
During a physical examination the nurse finds that a male patient's foreskin is fixed and tight and will
not retract over the glans. The nurse recognizes that this condition is:
Phimosis
When performing a genitourinary assessment, the nurse notices that the urethral meatus is ventrally
positioned. This finding is:
Called hypospadias
The nurse is describing how to perform a testicular self-examination to a patient. What statement is
most appropriate?
"If you notice an enlarged testicle or a painless lump, call your healthcare provider."
,A 46-year old man requires an assessment of his sigmoid colon. Which instrument or technique is
most appropriate for this examination?
Colonoscope
After completing an assessment of a 60-year-old man with a family history of colon cancer the nurse
discusses with him early detection measures for colon cancer. The nurse should mention the need for
a(n):
Colonoscopy very 10 years
The mother of s 5-year-old girl tells the nurse that she has noticed her daughter "scratching at her
bottom a lot the last few days." During the assessment, the nurse finds redness and raised skin in the
anal area. This finding most indicates:
Pinworms
A 40-year-old black man is in the office for his annual physical examination. Which statement
regarding the PSA blood test is true, according to the American Cancer Society? The PSA:
Should be performed at age 45 years old.
The nurse notices that a patient has had a pale, yellow, greasy stool, or steatorrhea, and recalls that
this is caused by:
Increased fat content
While assessing a patient who is hospitalized and bedridden, the nurse notices that the patient has
been incontinent of stool. The stool is loose and gray-tan in color. Does the nurse recognize that this
finding indicates which of the following?
Absent bile pigment
During health history, a 22-year old woman asks, "Can I get that vaccine from human papilloma (HPV)?
I have genital warts and I'd like them to go away!" What is the nurse's best response?
The vaccine cannot protect you if you already have and HPV infection
Generally, the changes normally associated with menopause occur because the cells in the
reproductive tract are:
Estrogen dependent
A 54-year old woman who has just completed menopause is in the clinic today for a yearly physical
examination. Which of these statements should the nurse include in patient education? "A
postmenopausal woman:
Should be aware that she is at increased risk for dyspareunia because of decreased vaginal secretions
A patient has had three pregnancies and two live births. The nurse would record this information as
gravity____, para______,AB____.
3: 2: 1
,A married couple has come to the clinic seeking advice on pregnancy. "They have been trying to
conceive for 4 months, and have not been successful. What should the nurse do first?
Explain that couples are considered infertile after 1 year of unprotected intercourse.
The nurse Is preparing to interview a postmenopausal woman. Which of these statements is true
The nurse should ask a postmenopausal woman if she has ever had vaginal bleeding.
When assessing a newborn infant's genitalia, the nurse notices that the genitalia ar somewhat
engorged. The labia major are swollen, the clitoris looks large, and the hymen is thick. The vaginal
opening is difficult to visualize. The infant's mother states that she is worried about the labia being
swollen. The nurse should reply:
This is a normal finding in newborns and should resolve within a few weeks
A 25-year old woman comes to the emergency department with a sudden fever of 38.3'C and
abdominal pain. Upon examination, the nurse notices that she has rigid, boarder like lower abdominal
musculature. When the nurse tries to perform a vaginal examination, the patient has severe pain
when the uterus and cervix are moved. The nurse knows that these signs and symptoms are
suggestive of:
Pelvic inflammatory disease
A woman has just been diagnosed with HPV or genital warts. The nurse should counsel her to receive
regular examinations because the virus makes her at higher risk for___cancer.
Cervical
The nurse is performing a vision examination. Which of these charts is most widely used for vision
examination?
Snellen
During a complete health assessment, how would the nurse test the patient's hearing?
Using the whispered voice test
Which of these is included in an assessment of general appearance?
Skin color
During an examination, the patient tells the nurse that she sometimes feels as if objects are spinning
around her. The nurse would document that she occasionally experiences.
Vertigo
A patient tells the nurse, Sometimes I wake up at night and I have real trouble breathing. I have to sit
up in bed to get a good health. "When documenting the information, the nurse would note:
Paroxysmal nocturnal dyspnea
, During an examination, the nurse notices that a patient's legs turn white when they are raised above
the patient's head. The nurse should suspect:
Chronic arterial insufficiency
The nurse notices that a patient has ulcerations on the tips of the toes and on the lateral aspect of the
ankles. This finding indicates:
Arterial insufficiency
Id the nurse records the results to the Hirschberg test, the nurse has:
Tested the corneal lights reflex.
When assessing the neonate, the nurse should rest for hip stability with which method?
Checking for the Ortolani sign
A female patient tells the nurse that she has four children and has had three pregnancies. How should
the nurse document this?
Gravida 3, para 4
The nurse is documenting the assessment of an infant. During the abdominal assessment, the nurse
noticed a very loud splash auscultated over the upper abdominal when the nurse rocked her from side
to side. This finding would indicate:
Hyperactive bowel sounds
Which of these actions is most appropriate to preform on a 9-month-old infant at a well child
checkup?
Testing for Ortolani sign
During a morning assessment, the nurse notices that a patient's urine output is below the expected
amount. What should the nurse do next?
Perform a bladder scan test
What should the nurse assess before entering the patient's room on morning rounds?
Posted conditions, such as isolation precautions.
The nurse has administered a pain medication to a patient by an IV infusion. The nurse should reassess
that patient's response to the pain medication within___minutes.
15
During an assessment of a hospitalized patient, the nurse pinches a fold of skin under the clavicle or
on the forearm to test the:
Mobility and turgor.
