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2025 NU 518 EXAM 3 | ALL QUESTIONS AND
CORRECT ANSWERS | GRADED A+ | VERIFIED
ANSWERS | NEWEST EXAM
While performing an assessment of the perianal area of a patient, the nurse notices that the pigmentation of anus is darker than the surrounding skin, the anal opening is closed, and a skin sac that is shiny and blue is noted. The patient mentioned that he has had pain with bowel movements and has occasionally noted some spots of blood. What would this assessment and history most likely indicate? A Anal fistula B Pilonidal cyst C Rectal prolapse d Thrombosed hemorrhoid ---------CORRECT ANSWER-----------------D The nurse is preparing to palpate the rectum and should use which of these techniques? The nurse should: a Flex the finger, and slowly insert it toward the umbilicus. B First instruct the patient that this procedure will be painful. C Insert an extended index finger at a right angle to the anus. D Place the finger directly into the anus to overcome the tight sphincter. ---- -----CORRECT ANSWER-----------------A While performing a rectal examination, the nurse notices a firm, irregularly shaped mass. What should the nurse do next? A Continue with the examination, and document the finding in the chart. B Instruct the patient to return for a repeat assessment in 1 month. C Tell the patient that a mass was felt, but it is nothing to worry about. d Report the finding, and refer the patient to a specialist for further examination. ---------CORRECT ANSWER-----------------D
During an assessment of the newborn, the nurse expects to see which finding when the anal area is slightly stroked? A Jerking of the legs B Flexion of the knees C Quick contraction of the sphincter D Relaxation of the external sphincter ---------CORRECT ANSWER----------- ------C A 13-year-old girl is visiting the clinic for a sports physical examination. The nurse should remember to include which of these tests in the examination? A Testing for occult blood B Valsalva maneuver C Internal palpation of the anus D Inspection of the perianal area ---------CORRECT ANSWER----------------- D During an assessment of a 20-year-old man, the nurse finds a small palpable lesion with a tuft of hair located directly over the coccyx. The nurse knows that this lesion would most likely be a: a Rectal polyp. B Pruritus ani. C Carcinoma. D Pilonidal cyst. ---------CORRECT ANSWER-----------------D During an examination, the nurse asks the patient to perform the Valsalva maneuver and notices that the patient has a moist, red, doughnut-shaped protrusion from the anus. The nurse knows that this finding is consistent with a: a Rectal polyp. B Hemorrhoid. C Rectal fissure. D Rectal prolapse. ---------CORRECT ANSWER-----------------D
C American Indians. d Hispanics. ---------CORRECT ANSWER-----------------B Which characteristic of the prostate gland would the nurse recognize as an abnormal finding while palpating the prostate gland through the rectum? A Palpable central groove B Tenderness to palpation C Heart shaped D Elastic and rubbery consistency ---------CORRECT ANSWER----------------
- B Which of the following represents metrorrhagia? A) Fewer than 21 days between menses B) Excessive flow C) Infrequent bleeding D) Bleeding between periods ---------CORRECT ANSWER-----------------D Jean has just given birth 6 months ago and is breast-feeding her child. She has not had a period since giving birth. What does this most likely represent? A) Primary amenorrhea B) Secondary amenorrhea C) Oligomenorrhea D) Dysmenorrhea ---------CORRECT ANSWER-----------------B Mrs. Jaeger is a 67-year-old who went through menopause at age 55. She has now had some vaginal bleeding. Which of the following should be considered? A) Endometrial cancer B) Hormone replacement therapy C) Uterine or cervical polyps D) All of the above ---------CORRECT ANSWER-----------------D
Abby is a newly married woman who is unable to have intercourse because of vaginismus. Which of the following is true? A) This is most likely due to lack of lubrication. B) This is most likely due to atrophic vaginitis. C) This is most likely due to pressure on an ovary. D) Psychosocial reasons may cause this condition. ---------CORRECT ANSWER-----------------D Which of the following is true of human papilloma virus (HPV) infection? A) Pap smear is a relatively ineffective screening method. B) It commonly resolves spontaneously in 1-2 years. C) It is the second most common STI in the United States. D) HPV infections cause a small but important number of cervical cancers. ---------CORRECT ANSWER-----------------B Which of the following is true of the HPV vaccine? A) Ideally it should be administered within 3 years of first intercourse. B) It covers against almost every HPV type. C) It can be used as adjuvant therapy in cervical cancer. D) It can protect against anogenital lesions. ---------CORRECT ANSWER---- -------------D During a health history, a 22-year old woman asks, Can I get that vaccine for human papilloma virus (HPV)? I have genital warts and Id like them to go away! What is the nurses best response? A The HPV vaccine is for girls and women ages 9 to 26 years, so we can start that today. B This vaccine is only for girls who have not yet started to become sexually active. C Lets check with the physician to see if you are a candidate for this vaccine.
a Use the Tanner scale on the five stages of sexual development. b Describe her development and compare it with that of other girls her age. c Use the Jacobsen table on expected development on the basis of height and weight data. d Reassure her that her development is within normal limits and tell her not to worry about the next step. ---------CORRECT ANSWER-----------------A A woman who is 8 weeks pregnant is in the clinic for a checkup. The nurse reads on her chart that her cervix is softened and looks cyanotic. The nurse knows that the woman is exhibiting sign and sign. a Tanner; Hegar b Hegar; Goodell c Chadwick; Hegar d Goodell; Chadwick ---------CORRECT ANSWER-----------------D Generally, the changes normally associated with menopause occur because the cells in the reproductive tract are: a Aging. b Becoming fibrous. c Estrogen dependent. d Able to respond to estrogen. ---------CORRECT ANSWER-----------------C The nurse is reviewing the changes that occur with menopause. Which changes are associated with menopause? a Uterine and ovarian atrophy, along with a thinning of the vaginal epithelium b Ovarian atrophy, increased vaginal secretions, and increasing clitoral size c Cervical hypertrophy, ovarian atrophy, and increased acidity of vaginal secretions d Vaginal mucosa fragility, increased acidity of vaginal secretions, and uterine hypertrophy ---------CORRECT ANSWER-----------------A
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: a Is not at any greater risk for heart disease than a younger woman. b Should be aware that she is at increased risk for dyspareunia because of decreased vaginal secretions. c Has only stopped menstruating; there really are no other significant changes with which she should be concerned. d Is likely to have difficulty with sexual pleasure as a result of drastic changes in the female sexual response cycle. ---------CORRECT ANSWER- ----------------B A woman is in the clinic for an annual gynecologic examination. The nurse should plan to begin the interview with the: a Menstrual history, because it is generally nonthreatening. B Obstetric history, because it includes the most important information. C Urinary system history, because problems may develop in this area as well. D Sexual history, because discussing it first will build rapport. --------- CORRECT ANSWER-----------------A A patient has had three pregnancies and two live births. The nurse would record this information as grav , para , AB. a 2; 2; 1 b 3; 2; 0 c 3; 2; 1 d 3; 3; 1 ---------CORRECT ANSWER-----------------C During the interview with a female patient, the nurse gathers data that indicate the patient is perimenopausal. Which of these statements made by this patient leads to this conclusion? a I have noticed that my muscles ache at night when I go to bed. b I will be very happy when I can stop worrying about having a period.
A woman states that 2 weeks ago she had a urinary tract infection that was treated with an antibiotic. As a part of the interview, the nurse should ask, Have you noticed any: a Changes in your urination patterns? B Excessive vaginal bleeding? C Unusual vaginal discharge or itching? d Changes in your desire for intercourse? ---------CORRECT ANSWER------ -----------C Which statement would be most appropriate when the nurse is introducing the topic of sexual relationships during an interview? A Now, it is time to talk about your sexual history. When did you first have intercourse? B Women often feel dissatisfied with their sexual relationships. Would it be okay to discuss this now? C Women often have questions about their sexual relationship and how it affects their health. Do you have any questions? D Most women your age have had more than one sexual partner. How many would you say you have had? ---------CORRECT ANSWER-----------------C A 22-year-old woman has been considering using oral contraceptives. As a part of her health history, the nurse should ask: a Do you have a history of heart murmurs? B Will you be in a monogamous relationship? C Have you carefully thought this choice through? d If you smoke, how many cigarettes do you smoke per day? --------- CORRECT ANSWER-----------------D
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? A Ascertain whether either of them has been using broad-spectrum antibiotics. B Explain that couples are considered infertile after 1 year of unprotected intercourse. C Immediately refer the woman to an expert in pelvic inflammatory disease the most common cause of infertility. D Explain that couples are considered infertile after 3 months of engaging in unprotected intercourse and that they will need a referral to a fertility expert. ---------CORRECT ANSWER-----------------B A nurse is assessing a patients risk of contracting a sexually transmitted infection (STI). An appropriate question to ask would be: a You know that its important to use condoms for protection, right? B Do you use a condom with each episode of sexual intercourse? C Do you have a sexually transmitted infection? D You are aware of the dangers of unprotected sex, arent you? --------- CORRECT ANSWER-----------------B When the nurse is interviewing a preadolescent girl, which opening question would be least threatening? A Do you have any questions about growing up? B What has your mother told you about growing up? C When did you notice that your body was changing? D I remember being very scared when I got my period. How do you think youll feel? ---------CORRECT ANSWER-----------------C When the nurse is discussing sexuality and sexual issues with an adolescent, a permission statement helps convey that it is normal to think or feel a certain way. Which statement is the best example of a permission statement?
A Inviting her mother to be present during the examination B Avoiding the lithotomy position for this first time because it can be uncomfortable and embarrassing c Raising the head of the examination table and giving her a mirror so that she can view the examination d Fully draping her, leaving the drape between her legs elevated to avoid embarrassing her with eye contact ---------CORRECT ANSWER--------------- --C A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin check-up. She has just returned from her annual dig site in Greece. She has fair skin and reddish-blonde hair. She has a family history of melanoma. She has many freckles scattered across her skin. From this description, which of the following is not a risk factor for melanoma in this patient? A) Age B) Hair color C) Actinic lentigines D) Heavy sun exposure ---------CORRECT ANSWER-----------------A You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABCDEs of melanoma. Which of the following descriptions correctly defines the ABCDEs? A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E =evolution B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E = evolution ---------CORRECT ANSWER---- -------------B
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 ---------CORRECT ANSWER-----------------D A 28-year-old patient comes to the office for evaluation of a rash. At first there was only one large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of erythematous papules and macules on the cleavage lines of the back. Based on this description, what is the most likely diagnosis? A) Pityriasis rosea B) Tinea versicolor C) Psoriasis D) Atopic eczema ---------CORRECT ANSWER-----------------A A 19-year-old construction worker presents for evaluation of a rash. He notes that it started on his back with a multitude of spots and is also on his arms, chest, and neck. It itches a lot. He does sweat more than before because being outdoors is part of his job. On physical examination, you note dark tan patches with a reddish cast that has sharp borders and fine scales, scattered more prominently around the upper back, chest, neck, and upper arms as well as under the arms. Based on this description, what is your most likely diagnosis? A) Pityriasis rosea B) Tinea versicolor C) Psoriasis D) Atopic eczema ---------CORRECT ANSWER-----------------B
behavior at all. She does not put her hair in braids. On physical examination, you note a clearly demarcated, round patch of hair loss without visible scaling or inflammation. There are no hair shafts visible. Based on this description, what is your most likely diagnosis? A) Alopecia areata B) Trichotillomania C) Tinea capitis D) Traction alopecia ---------CORRECT ANSWER-----------------A A mother brings her 11 month old to you because her mother-in-law and others have told her that her baby is jaundiced. She is eating and growing well and performing the developmental milestones she should for her age. On examination you indeed notice a yellow tone to her skin from head to toe. Her sclerae are white. To which area should your next questions be related? A) Diet B) Family history of liver diseases C) Family history of blood diseases D) Ethnicity of the child ---------CORRECT ANSWER-----------------A A new mother is concerned that her child occasionally "turns blue." On further questioning, she mentions that this is at her hands and feet. She does not remember the child's lips turning blue. She is otherwise eating and growing well. What would you do now? A) Reassure her that this is normal B) Obtain an echocardiogram to check for structural heart disease and consult cardiology C) Admit the child to the hospital for further observation D) Question the validity of her story ---------CORRECT ANSWER-------------- ---A
You are examining an unconscious patient from another region and notice Beau's lines, a transverse groove across all of her nails, about 1 cm from the proximal nail fold. What would you do next? A) Conclude this is caused by a cultural practice. B) Conclude this finding is most likely secondary to trauma. C) Look for information from family and records regarding any problems which occurred 3 months ago. D) Ask about dietary intake. ---------CORRECT ANSWER-----------------C Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no history of exposure to ill people or other agents in the environment. He has a slight fever in the office. The rash consists of small, bright red marks. When they are pressed, the red color remains. What should you do? A) Prescribe a steroid cream to decrease inflammation. B) Consider admitting the patient to the hospital. C) Reassure the parents and the patient that this should resolve within a week. D) Tell him not to scratch them, and follow up in 3 days. ---------CORRECT ANSWER-----------------B 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. ---------CORRECT ANSWER------------ -----A Jacob, a 33-year-old construction worker, complains of a "lump on his back" over his scapula. It has been there for about a year and is getting larger. He says his wife has been able to squeeze out a cheesy-textured substance on occasion. He worries this may be cancer. When gently
D) Conduct the visit as usual for the patient. ---------CORRECT ANSWER--- --------------C A middle-aged man comes in because he has noticed multiple small, blood-red, raised lesions over his anterior chest and abdomen for the past several months. They are not painful and he has not noted any bleeding or bruising. He is concerned this may be consistent with a dangerous condition. What should you do? A) Reassure him that there is nothing to worry about. B) Do laboratory work to check for platelet problems. C) Obtain an extensive history regarding blood problems and bleeding disorders. D) Do a skin biopsy in the office. ---------CORRECT ANSWER----------------- A The nurse educator is preparing an education module for the nursing staff on the epidermal layer of skin. Which of these statements would be included in the module? The epidermis is: a Highly vascular. B Thick and tough. C Thin and nonstratified D Replaced every 4 weeks. ---------CORRECT ANSWER-----------------D The nurse educator is preparing an education module for the nursing staff on the dermis layer of skin. Which of these statements would be included in the module? The dermis: a Contains mostly fat cells. b Consists mostly of keratin. c Is replaced every 4 weeks. d Contains sensory receptors. ---------CORRECT ANSWER-----------------D
The nurse is examining a patient who tells the nurse, I sure sweat a lot, especially on my face and feet but it doesnt have an odor. The nurse knows that this condition could be related to: a Eccrine glands. b Apocrine glands. c Disorder of the stratum corneum. d Disorder of the stratum germinativum. ---------CORRECT ANSWER-------- ---------A A newborn infant is in the clinic for a well-baby checkup. The nurse observes the infant for the possibility of fluid loss because of which of these factors? a Subcutaneous fat deposits are high in the newborn. b Sebaceous glands are overproductive in the newborn. c The newborns skin is more permeable than that of the adult. d The amount of vernix caseosa dramatically rises in the newborn. --------- CORRECT ANSWER-----------------C The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This finding would be related to which factor in the older adult? a Increased vascularity of the skin b Increased numbers of sweat and sebaceous glands c An increase in elastin and a decrease in subcutaneous fat d An increased loss of elastin and a decrease in subcutaneous fat --------- CORRECT ANSWER-----------------D During the aging process, the hair can look gray or white and begin to feel thin and fine. The nurse knows that this occurs because of a decrease in the number of functioning: a Metrocytes. b Fungacytes. c Phagocytes. d Melanocytes. ---------CORRECT ANSWER-----------------D
