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NUR 382 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS
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NUR 382 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS
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NUR 382 EXAM 2 QUESTIONS WITH COMPLETESOLUTIONS
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?
Testing for occult blood
Valsalva maneuver
Internal palpation of the anus
Inspection of the perianal area Correct Answer Inspection of
the perianal area
The perianal region of the school-aged child and adolescent
should be inspected during the examination of the genitalia.
Internal palpation is not routinely performed at this age. Testing
for occult blood and performing the Valsalva maneuver are also
not necessary.
A 15-year-old boy is seen in the clinic for complaints of dull
pain and pulling in the scrotal area. On examination, the nurse
palpates a soft, irregular mass posterior to and above the testis
on the left. This mass collapses when the patient is supine and
refills when he is upright. This description is consistent with:
Epididymitis.
Spermatocele.
Testicular torsion.
Varicocele. Correct Answer Varicocele.
,A varicocele consists of dilated, tortuous varicose veins in the
spermatic cord caused by incompetent valves within the vein.
Symptoms include dull pain or a constant pulling or dragging
feeling, or the individual may be asymptomatic. When palpating
the mass, the examiner will feel a soft, irregular mass posterior
to and above the testis that collapses when the individual is
supine and refills when the individual is upright.
A 16-year-old boy is brought to the clinic for a problem that he
refused to let his mother see. The nurse examines him, and finds
that he has scrotal swelling on the left side. He had the mumps
the previous week, and the nurse suspects that he has orchitis.
Which of the following assessment findings support this
diagnosis? Select all that apply.
Swollen testis
Mass that transilluminates
Mass that does not transilluminate
Scrotum that is nontender upon palpation
Scrotum that is tender upon palpation
Scrotal skin that is reddened Correct Answer Swollen testis
Mass that does not transilluminate
Scrotum that is tender upon palpation
,Scrotal skin that is reddened
With orchitis, the testis is swollen, with a feeling of weight, and
is tender or painful. The mass does not transilluminate, and the
scrotal skin is reddened. Transillumination of a mass occurs with
a hydrocele, not orchitis.
A 16-year-old girl is being seen at the clinic for gastrointestinal
complaints and weight loss. The nurse determines that many of
her complaints may be related to erratic eating patterns, eating
predominantly fast foods, and high caffeine intake. In this
situation, which is most appropriate when collecting current
dietary intake information?
Scheduling a time for direct observation of the adolescent during
meals
Asking the patient for a 24-hour diet recall, and assuming it to
be reflective of a typical day for her
Having the patient complete a food diary for 3 days, including 2
weekdays and 1 weekend day
Using the food frequency questionnaire to identify the amount
of intake of specific foods Correct Answer Having the patient
complete a food diary for 3 days, including 2 weekdays and 1
weekend day
Food diaries require the individual to write down everything
consumed for a certain time period. Because of the erratic eating
patterns of this individual, assessing dietary intake over a few
, days would produce more accurate information regarding eating
patterns. Direct observation is best used with young children or
older adults.
A 21-year-old patient has a head injury resulting from trauma
and is unconscious. There are no other injuries. During the
assessment what would the nurse expect to find when testing the
patients deep tendon reflexes?
Reflexes will be normal.
Reflexes cannot be elicited.
All reflexes will be diminished but present.
Some reflexes will be present, depending on the area of injury.
Correct Answer Reflexes will be normal.
A reflex is a defense mechanism of the nervous system. It
operates below the level of conscious control and permits a
quick reaction to potentially painful or damaging situations.
A 21-year-old woman has been on a low-protein liquid diet for
the past 2 months. She has had adequate intake of calories and
appears well nourished. After further assessment, what would
the nurse expect to find?
Poor skin turgor
Decreased serum albumin
Increased lymphocyte count
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