APEA TB 2 NURSING HEALTH ASSESSMENT ACTUAL EXAM QUESTIONS WITH DETAILED ANSWERS VERIFIED BY EXPERT
Question:
A 22 year-old male who is otherwise healthy complains of scrotal pain. His pain has developed over the past 4 days. He is diagnosed with epididymitis. What is the most likely reason?
His ageInfection with Chlamydia CorrectUnderlying hydroceleUrinary tract infection
Explanation:
Several factors predispose males to epididymitis. In men under age 35, the most common cause of epididymitis is infection with Chlamydia trachomatis. In older men, urinary tract pathogens are more typical. In pre-pubertal boys, bicycle riding and heavy physical exertion are most common. In pre-pubertal boys, consideration should be given to congenital abnormalities.
Question:
Digital rectal exam may be performed to assess the prostate gland. Which term does NOT describe a prostate gland that may have a tumor?
NodularAsymmetricalBoggy CorrectIndurated
Explanation:
A boggy prostate describes a gland that is edematous and tender, such as is seen in a patient with bacterial prostatitis. The other terms indicate an abnormality that could represent a prostate gland tumor.
Question:
A male patient has epididymitis. His most likely complaint will be:
burning with urination.testicular pain.scrotal pain. Correctpenile discharge.
Explanation:
The most common complaint is scrotal pain. It usually develops over a period of days. Occasionally, it develops acutely and will be accompanied by fever, chills, and a very ill-appearing patient. Burning with urination is possible if the underlying cause is a urinary tract infection, but, this is not usual. This presentation is seen more commonly in older males. Testicular pain is not a common complaint with epididymitis. Penile discharge would not indicate an infection in the epididymis since the epididymis is a tightly coiled tubular structure located on the testis
Question:
What is the recommendation of American Cancer Society for initial screening of an African-American male for prostate cancer?
Digital rectal exam starting at age 40 yearsPSA starting at age 45 yearsDiscussions starting at age 40-45 years CorrectHe should be screened starting at age 50 years.
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