ATI RN
jarvis physical examination and health assessment 9th edition test bank Questions
Question 1 of 5
When palpating the prostate gland during the rectal exam, the prostate feels tender, swollen, boggy, and warm. This finding is consistent with:
Correct Answer: B
Rationale: The correct answer is B: Acute bacterial prostatitis. This is because the symptoms of tenderness, swelling, bogginess, and warmth are indicative of an acute inflammatory process, which is commonly seen in acute bacterial prostatitis. This condition typically presents with localized prostate tenderness and inflammation due to a bacterial infection. Other choices are incorrect because: A) A normal prostate gland should not exhibit these signs of inflammation. C) Benign prostatic hyperplasia is typically asymptomatic or may present with obstructive urinary symptoms, not acute inflammatory signs. D) Carcinoma of the prostate usually does not present with acute inflammatory findings on palpation.
Question 2 of 5
When examining the breast, the "tail of Spence" would be located:
Correct Answer: D
Rationale: The "tail of Spence" is an extension of breast tissue into the axilla. To locate it, visualize an imaginary line extending laterally from the breast towards the arm, crossing the anterior axillary fold. This is where the tail of Spence is found. A: Incorrect. The upper inner quadrant is closer to the sternum. B: Incorrect. The lower inner quadrant is below the nipple. C: Incorrect. The lower outer quadrant is towards the armpit but not in the axilla like the tail of Spence. Therefore, choice D is correct because the tail of Spence extends laterally across the anterior axillary fold.
Question 3 of 5
Where should the uterine fundus be palpable at 12 weeks?
Correct Answer: B
Rationale: At 12 weeks of gestation, the uterine fundus should be palpable at the level of the symphysis pubis. This is because the uterus rises approximately 1 cm above the symphysis pubis each week during the first trimester. By 12 weeks, it should be palpable at this level. Choice A (At the level of the umbilicus) is incorrect because the fundus is not expected to reach the level of the umbilicus until around 20 weeks. Choice C (Midway between the symphysis and umbilicus) is incorrect as this would typically occur around 16-18 weeks. Choice D (Below the symphysis pubis) is also incorrect because by 12 weeks, the fundus should have risen above the symphysis pubis.
Question 4 of 5
A 50-year-old male has a non-tender, enlarged scrotum. The nurse practitioner suspects which of the following conditions:
Correct Answer: C
Rationale: The correct answer is C: Hydrocele. A hydrocele is a fluid-filled sac surrounding the testicle, causing scrotal enlargement without tenderness. Orchitis (A) is inflammation of the testicle, presenting with pain and tenderness. Epididymitis (B) is inflammation of the epididymis, also causing tenderness. Prostatitis (D) involves inflammation of the prostate gland, not related to scrotal enlargement. In this case, the lack of tenderness and presence of scrotal enlargement point towards a hydrocele as the likely condition.
Question 5 of 5
A patient with bulimia is likely to be:
Correct Answer: C
Rationale: The correct answer is C: Of average weight. Patients with bulimia often maintain a normal weight or fluctuate between weight extremes due to their binge-eating and compensatory behaviors. They may engage in purging to counteract the effects of binge eating, preventing significant weight gain. Choice A is incorrect as bulimia is not typically associated with being very overweight. Choice B is incorrect as individuals with bulimia can have a normal or slightly underweight body weight. Choice D is incorrect as individuals with bulimia are often preoccupied with weight and body image.