NR 509 Advanced Physical
Assessment 2023-24
NR 509 Final Exam SPRING –SUMMER SESSION 2023
ACCURATE EXAM WITH GENUINE ANSWERS GRADED A+
(CITED AND REFERENCED)
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
, NR 509 Advanced Physical
Assessment 2023-24
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
, NR 509 Advanced Physical
Assessment 2023-24
b) examination with the abdominal muscles tensed.
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