NURS 612 FINAL EXAM MARYVILLE
UNIVERSITYADVANCED HEALTH EXAM
UPDATED 2024 WITH VERIFIED
QUESTIONS AND DETAILED ANSWERS
(GUARANTEED A+)
Which assessment finding is associated with a left testicular
torsion? - ANSWER-With testicular torsion, the spermatic cord
turns on itself, and blood supply to the testicle is obliterated. This
causes severe pain in the affected testicle, often accompanied by
nausea and vomiting, scrotal discoloration, and absence of the
cremasteric reflex on the affected side.
What health benefits has research shown for males who are
circumcised? - ANSWER-A report from the American Pediatric
Association (2012) stated benefits associated with circumcision
include prevention of cancer of the penis, urinary tract infections,
acquiring HIV, and transmission of some sexually transmitted
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diseases.
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Which is a correct description of the procedure to palpate the
breasts? - ANSWER- Breast examination includes bimanual
palpation to compress breast tissue between the fingers and the
other hand. Inspection of the breasts with the patient assuming
different positions is done before palpation. The nurse includes
squeezing the nipples only if the patient states she is having
discharge from the nipples. The fingers should be kept in contact
with the skin to apply light, medium, and deep pressure while
palpating the breast with the patient supine.
An adolescent male has observable enlargement of one breast and
is very concerned. What is the significance of this finding? -
ANSWER-An enlargement of one breast in a male adolescent is a
normal finding during puberty. The condition usually resolves within
1 year with no treatment.
Which is a normal assessment finding in adult female breasts? -
ANSWER-Montgomery follicles are tiny sebaceous glands that are
visible in the areola and are a normal finding.
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Which is a risk factor for breast cancer? - ANSWER-An increased
risk of developing breast cancer is associated with use of hormone
replacement after menopause and having a first-degree relative
who was diagnosed with breast cancer.
Risk factors for breast cancer - ANSWER-Risk increase with age
Gender mare female than men develop breast cancer
Genetic risk, BRCA1 or BRCA2 35-85 present higher chance of
developing breast cancer
Personal history of breast cancer Family history of breast cancer
Previous breast biopsies, atypical hyperplasia or lobular cancer in
stiu Race white women are higher risk
Previous breast radiation
menarche before are 12 or menopause after age 55 Breast density,
more dense tissue increases risk Diethylstibestrol (DES) therapy
Childbirth Nulliparity or late age at birth of first child
Hormone therapy use of estrogen and progesterone hormone
replacement therapy after menopause more than 4 years
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Alcohol
Obesity and high fat diets lack of physical activity
Inspection of breast - ANSWER-Patient sits with arms hanging
loosely at sides, inspect each breast and compare it with the other
for size, symmetry, contour, skin, color and texture, venous
patterns, and lesions. Lift breast with finger tips, inspecting the
lower and lateral aspects to determine changes in the color or
texture of the skin.
Retractions and dimpling of breast - ANSWER-Signify the
contraction of fibrotic tissue that may occur with carcinoma
Peu d`orange (orange skin) appearence - ANSWER-Indicates
edema of the breast caused by blocked lymph drainage in
advanced or inflammatory breast cancer. The skin appears
thickened with enlarged pores and accentuated skin markings.
Venous pattern of breast - ANSWER-Usually pronounced only in
the breast of pregnant or obese women. venous pattern should be
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symmetric. Unilateral pattern can be produced by dilated superficial
veins as a result of increased blood flow to a malignancy, this
finding need further evaluation.
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