Nokea
Which assessment technique does a nurse use to assess the inguinal region and femoral area of a male patient as he is standing and straining?
- A. Palpates the femoral artery
- B. Palpates the inguinal lymph nodes
- C. Observes for a bulge through the inguinal region
- D. Observes for discoloration of the inguinal ring
Correct Answer: C
Rationale: The correct answer is C because when a nurse assesses the inguinal region and femoral area of a male patient standing and straining, they are checking for hernias. By observing for a bulge through the inguinal region, the nurse can identify any potential hernias, such as inguinal hernias. Palpating the femoral artery (choice A) is not relevant to assessing hernias. Palpating the inguinal lymph nodes (choice B) is not appropriate for assessing hernias in this scenario. Observing for discoloration of the inguinal ring (choice D) is not a typical sign of hernias. Therefore, choice C is the most appropriate assessment technique in this situation.
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How long are the typical ovarian and uterine (menstrual) cycles in a female?
- A. 7 days
- B. 14 days
- C. 28 days
- D. 40 days
Correct Answer: C
Rationale: The correct answer is C (28 days) because the typical ovarian and uterine (menstrual) cycles in a female are both around this duration. The menstrual cycle is typically 28 days, with ovulation occurring around day 14. This cycle is regulated by hormonal fluctuations and prepares the uterus for potential pregnancy. Choices A, B, and D are incorrect because a 7-day cycle is too short for a full menstrual cycle, a 14-day cycle is typically the duration of ovulation, and a 40-day cycle is longer than the average menstrual cycle length.
A patient comes in having had repeated colds and infections. Problems in his ear are shown to be due to accumulation of fluid in the middle ear. This is due to a blockage of the:
- A. Saccule
- B. Utricle
- C. External ear
- D. Eustachian tube
Correct Answer: D
Rationale: The correct answer is D: Eustachian tube. The Eustachian tube connects the middle ear to the back of the nose and throat, helping to equalize air pressure and drain fluid from the middle ear. Blockage of the Eustachian tube can lead to fluid accumulation in the middle ear, causing ear problems. The other choices, A: Saccule and B: Utricle, are structures in the inner ear related to balance and hearing, not fluid drainage. Choice C: External ear, refers to the outer ear structures and is not involved in middle ear fluid accumulation.
Regarding germ cell tumor of testis
- A. Seminoma is the commonest pure testicular germ cell tumor
- B. Serum alph
- C. FP increases in choriocarcinoma
- D. Schiller- Duvall body is the characteristic histological feature seen in yolk sac tumor
Correct Answer: A
Rationale: The correct answer is A: Seminoma is the commonest pure testicular germ cell tumor. Seminoma is indeed the most common pure germ cell tumor of the testis, accounting for about 40-50% of cases. It typically presents in young adult males and has a good prognosis. Seminoma histologically consists of clear cytoplasmic glycogen and distinct cell borders. Choice B is incorrect as it seems to be incomplete. Choice C is incorrect as AFP (alpha-fetoprotein) increases in yolk sac tumors, not choriocarcinoma. Choice D is incorrect as Schiller-Duvall bodies are characteristic of embryonal carcinoma, not yolk sac tumors.
While you are orienting a new RN to the medical-surgical unit, you observe the orientee accomplishing all of the following actions while caring for a client with severe pelvic inflammatory disease (PID), who has been admitted to the hospital for administration of IV antibiotics. Which one will require that you intervene most quickly?
- A. The new RN tells the client she should avoid using tampons in the future.
- B. The new RN offers the client an ice pack to decrease her abdominal pain.
- C. The new RN positions the client flat in bed while helping her take a bath.
- D. The new RN teaches the client she should not have intercourse for 2 months.
Correct Answer: C
Rationale: Positioning the client flat in bed can exacerbate discomfort and is inappropriate for PID.
The two oval-shaped organs that produce, store, and release human eggs are called __________________.
- A. clitoris
- B. ovaries
- C. Fallopian tubes
- D. Vagina
Correct Answer: B
Rationale: The correct answer is B: ovaries. Ovaries are the organs responsible for producing, storing, and releasing human eggs. They are oval-shaped and play a crucial role in the female reproductive system. The other choices are incorrect because:
A: clitoris is a small, sensitive organ located near the entrance of the vagina, not involved in egg production.
C: Fallopian tubes are responsible for transporting eggs from the ovaries to the uterus, not for producing or storing eggs.
D: Vagina is the muscular tube connecting the uterus to the outside of the body, not involved in egg production.