NR 509 /NR509 FINAL EXAM | REAL QUESTIONS & VERIFIED ANSWERS GRADED A+| LATEST

NR 509 /NR509 FINAL EXAM | REAL QUESTIONS &
VERIFIED ANSWERS GRADED A+| LATEST 2022/2023
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
deferensVaricocle
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
acardiac cause and measure his jugular venous pressure (JVP). It is elevated. Which one of the following
conditions is a potential cause of 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
shecame to the office for evaluation of fatigue, weight gain, and hair loss. You strongly suspect that she
hashypothyroidism. 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
b) examination with the abdominal muscles tensed.
You are evaluating a 40-year-old banker for coronary heart disease risk factors. He has a history of
hypertension, which is well-controlled on his current medications. He does not smoke; he does 45 minutes
of aerobic exercise five times weekly. You are calculating his 10-year coronary heart disease risk. Which of
the following conditions is considered to be a coronary heart disease risk equivalent?
A) Hypertension
B) Peripheral arterial disease
C) Systemic lupus erythematosus
D) Chronic obstructive pulmonary disease (COPD)
B) Peripheral Artery Disease