NUR 309 Final Exam Questions With Complete Solutions
__ is acute inflammation of the testes.
a. Genital herpes
b. Priapism
c. Orchitis
d. Paraphimosis Correct Answers C
__ is an emergency requiring surgery.
a. A scrotal hernia
b. Epididymitis
c. Testicular torsion
d. Cryptorchidism Correct Answers C
A 13-year-old boy is brought to the emergency department with
an injury to his left ankle after a skateboard accident. X-rays of
the ankle show a fracture of the epiphysis in the tibia. The major
concern with this client's findings is
a. Due to the client's age there is slower healing
b. He will no longer be able to skateboard after the fracture has
healed
c. The fracture is at the epiphysis
d. Tibial fractures lead to osteoarthritis Correct Answers C
A 15-year-old high school football player comes to the office
with his mother. He complains of severe testicular pain since
8:00 this morning. He denies any sexual activity and states that
it hurts so bad he can't even urinate. He is nauseated and
,vomiting. He denies any recent illness or fever. Past medical
history is unremarkable. He denies any tobacco, alcohol, or drug
use. His parents are both in good health. Examination shows a
young teenager lying on the bed with an emesis basin. He is
very uncomfortable and keeps shifting his position. Blood
pressure is 150/100, pulse is 110, and respirations are 24. On
visualization of the penis he is circumcised; there are no lesions
or discharge from the meatus. Scrotal skin is tense and red.
Palpation of the left testicle causes severe pain and causes the
client to cry. His prostate examination is unremarkable. His
cremasteric reflex on the left is absent but normal on the
Correct Answers C
A 24-year-old travel agent comes to your clinic complaining of
pain and swelling in her vulvar area. She states that 2 days
before she could feel a small tender spot on the left side of her
vagina but now it is larger and extremely tender. Her last period
was 1 year ago; she is sexually active. She uses the Depo-
Provera shot for contraception. She denies any nausea, vomiting,
constipation, diarrhea, pain with urination, or fever. Her past
medical history is significant for ankle surgery. Her mother is
healthy, and her father has type 2 diabetes. On examination she
appears her stated age and is standing up. She states she cannot
sit down without excruciating pain. Her blood pressure,
temperature, and pulse are unremarkable. On visualization of her
perineum a large, red, tense swelling is seen to the left of her
introitus. Palpation of the mass causes a great deal of pain. What
disorder of the vulva is most likely caus Correct Answers C
A 30-year-old woman tells the nurse that she has been very
unsteady and has had difficulty in maintaining her balance.
,Which area of the brain would the nurse be concerned about
with these findings?
a. Thalamus
b. Brainstem
c. Cerebellum
d. Extrapyramidal tract Correct Answers C
A 38-year-old woman presents with multiple small joints that
are symmetrically involved with pain, swelling and stiffness.
She also has a low grade fever. Which of the following is the
most likely explanation?
a. Rheumatoid arthritis
b. Septic arthritis
c. Gout
d. Trauma Correct Answers A
A 40-year-old mother of two presents for consultation. She is
interested in knowing what her relative risks are for developing
breast cancer. She is concerned because her sister had unilateral
breast cancer 6 years ago at age 38. The client reports on her
history she began having periods at age 12 and has been fairly
regular ever since, except during her two pregnancies. Her first
child arrived when she was 26 and her second at age 28.
Otherwise she has had no health problems. Her father has high
blood pressure. Her mother had unilateral breast cancer in her
70's. The client denies tobacco, alcohol, or drug use. She is a
family law attorney and is married with two children. Her
examination is unremarkable. Which risk factor of her personal
, and family history puts her at the most danger for getting breast
cancer?
a. Age at menarche of 12 years
b. First-degree relative with premenopausal breast cancer
c. First live bi Correct Answers B
A 50-year-old male has had discomfort between in his scrotum.
He also has had fever and dysuria. The area above the left side
of the scrotum is tender and swollen, but no mass is palpable.
What is the most likely diagnosis?
a. Prostate cancer
b. Blocked spermatic cord
c. Testicular cancer
d. Epididymitis Correct Answers D
A 50-year-old man has sought care because of the intense
shoulder pain that resulted when he threw a baseball to home
plate from the outfield the previous evening. The client states
that he has never had problems with his shoulder previously.
The nurse has asked the client to slowly abduct his affected arm
to shoulder level and maintain the position. Which of the
following shoulder problems does the nurse suspect?
a. Calcific tendinitis
b. Bicipital tendinitis
c. Adhesive capsulitis
d. Rotator cuff tear Correct Answers D
__ is acute inflammation of the testes.
a. Genital herpes
b. Priapism
c. Orchitis
d. Paraphimosis Correct Answers C
__ is an emergency requiring surgery.
a. A scrotal hernia
b. Epididymitis
c. Testicular torsion
d. Cryptorchidism Correct Answers C
A 13-year-old boy is brought to the emergency department with
an injury to his left ankle after a skateboard accident. X-rays of
the ankle show a fracture of the epiphysis in the tibia. The major
concern with this client's findings is
a. Due to the client's age there is slower healing
b. He will no longer be able to skateboard after the fracture has
healed
c. The fracture is at the epiphysis
d. Tibial fractures lead to osteoarthritis Correct Answers C
A 15-year-old high school football player comes to the office
with his mother. He complains of severe testicular pain since
8:00 this morning. He denies any sexual activity and states that
it hurts so bad he can't even urinate. He is nauseated and
,vomiting. He denies any recent illness or fever. Past medical
history is unremarkable. He denies any tobacco, alcohol, or drug
use. His parents are both in good health. Examination shows a
young teenager lying on the bed with an emesis basin. He is
very uncomfortable and keeps shifting his position. Blood
pressure is 150/100, pulse is 110, and respirations are 24. On
visualization of the penis he is circumcised; there are no lesions
or discharge from the meatus. Scrotal skin is tense and red.
Palpation of the left testicle causes severe pain and causes the
client to cry. His prostate examination is unremarkable. His
cremasteric reflex on the left is absent but normal on the
Correct Answers C
A 24-year-old travel agent comes to your clinic complaining of
pain and swelling in her vulvar area. She states that 2 days
before she could feel a small tender spot on the left side of her
vagina but now it is larger and extremely tender. Her last period
was 1 year ago; she is sexually active. She uses the Depo-
Provera shot for contraception. She denies any nausea, vomiting,
constipation, diarrhea, pain with urination, or fever. Her past
medical history is significant for ankle surgery. Her mother is
healthy, and her father has type 2 diabetes. On examination she
appears her stated age and is standing up. She states she cannot
sit down without excruciating pain. Her blood pressure,
temperature, and pulse are unremarkable. On visualization of her
perineum a large, red, tense swelling is seen to the left of her
introitus. Palpation of the mass causes a great deal of pain. What
disorder of the vulva is most likely caus Correct Answers C
A 30-year-old woman tells the nurse that she has been very
unsteady and has had difficulty in maintaining her balance.
,Which area of the brain would the nurse be concerned about
with these findings?
a. Thalamus
b. Brainstem
c. Cerebellum
d. Extrapyramidal tract Correct Answers C
A 38-year-old woman presents with multiple small joints that
are symmetrically involved with pain, swelling and stiffness.
She also has a low grade fever. Which of the following is the
most likely explanation?
a. Rheumatoid arthritis
b. Septic arthritis
c. Gout
d. Trauma Correct Answers A
A 40-year-old mother of two presents for consultation. She is
interested in knowing what her relative risks are for developing
breast cancer. She is concerned because her sister had unilateral
breast cancer 6 years ago at age 38. The client reports on her
history she began having periods at age 12 and has been fairly
regular ever since, except during her two pregnancies. Her first
child arrived when she was 26 and her second at age 28.
Otherwise she has had no health problems. Her father has high
blood pressure. Her mother had unilateral breast cancer in her
70's. The client denies tobacco, alcohol, or drug use. She is a
family law attorney and is married with two children. Her
examination is unremarkable. Which risk factor of her personal
, and family history puts her at the most danger for getting breast
cancer?
a. Age at menarche of 12 years
b. First-degree relative with premenopausal breast cancer
c. First live bi Correct Answers B
A 50-year-old male has had discomfort between in his scrotum.
He also has had fever and dysuria. The area above the left side
of the scrotum is tender and swollen, but no mass is palpable.
What is the most likely diagnosis?
a. Prostate cancer
b. Blocked spermatic cord
c. Testicular cancer
d. Epididymitis Correct Answers D
A 50-year-old man has sought care because of the intense
shoulder pain that resulted when he threw a baseball to home
plate from the outfield the previous evening. The client states
that he has never had problems with his shoulder previously.
The nurse has asked the client to slowly abduct his affected arm
to shoulder level and maintain the position. Which of the
following shoulder problems does the nurse suspect?
a. Calcific tendinitis
b. Bicipital tendinitis
c. Adhesive capsulitis
d. Rotator cuff tear Correct Answers D
