NUR 612 Exam 4
Access The Exact Questions for NUR 612 Exam 4
💯 100% Pass Rate guaranteed
🗓️ Unlock for 1 Month
Rated 4.8/5 from over 1000+ reviews
- Unlimited Exact Practice Test Questions
- Trusted By 200 Million Students and Professors
What’s Included:
- Unlock Actual Exam Questions and Answers for NUR 612 Exam 4 on monthly basis
- Well-structured questions covering all topics, accompanied by organized images.
- Learn from mistakes with detailed answer explanations.
- Easy To understand explanations for all students.
Free NUR 612 Exam 4 Questions
When other symptoms are presented with atrophic vaginitis, a biopsy is used as the diagnostic test to rule out which of the following diagnoses? Select all that apply.
-
Urinary tract infection (UTI)
-
Lichen sclerosis
-
Lichen planus
-
Squamous cell hyperplasia
-
Sexually transmitted infection (STI)
Explanation
Correct Answers: B. Lichen sclerosis, C. Lichen planus, D. Squamous cell hyperplasia
Explanation of Correct Answers
B. Lichen sclerosis
This chronic inflammatory skin condition can mimic atrophic vaginitis and carries a risk of vulvar squamous cell carcinoma. Biopsy is required for confirmation.
C. Lichen planus
Lichen planus can cause vulvovaginal irritation and atrophy-like symptoms. Biopsy helps differentiate it from atrophic vaginitis and guide management.
D. Squamous cell hyperplasia
This condition causes vulvar thickening and irritation and is a precancerous lesion. Biopsy is necessary to confirm the diagnosis and rule out malignancy.
A mother brings her 18-month-old to the clinic. The child rarely talks or smiles or makes eye contact. She has also noticed he does not like to be held. She says his motor development seems to be normal. What are these symptoms consistent with?
-
Dementia
-
Autistic disorder
-
ADHD
-
Delirium
Explanation
Correct Answer: B. Autistic disorder
Explanation of Correct Answer
Autistic disorder (autism spectrum disorder) is characterized by impaired social interaction, delayed or absent communication, and restricted or repetitive behaviors. Early signs include limited eye contact, lack of social smiling, avoidance of physical affection, and delayed speech. Since the child’s motor development is normal, but social and communication delays are clear, these findings are consistent with autism.
Which symptoms associated with PMS are caused by:
-
Ovulation
-
Thickening of uterine lining
-
Elevations in body temperature
-
Fluctuations in hormone levels
Explanation
Correct Answer: D. Fluctuations in hormone levels
Explanation of Correct Answer
Premenstrual syndrome (PMS) is primarily caused by cyclical fluctuations in estrogen and progesterone levels during the menstrual cycle. These hormonal changes affect the central nervous system, mood regulation, and fluid balance, lea ding to symptoms such as irritability, mood swings, bloating, breast tenderness, and fatigue. The symptoms typically occur in the luteal phase, just before menstruation.
While examining the genitalia of a 2-year-old boy the examiner should be aware:
-
Scrotum has edema until age 4
-
Foreskin of uncircumcised penis is not fully retractable until age 3–4 years
-
Testicles typically do not descend into the scrotum until age 5
-
Cremasteric reflex does not become evident until age 6–7
Explanation
Correct Answer: B. Foreskin of uncircumcised penis is not fully retractable until age 3–4 years
Explanation of Correct Answer
In uncircumcised boys, the foreskin is normally adherent to the glans at birth and gradually becomes retractable over time. Full retractability often occurs between ages 3 and 4, although in some boys it may take longer. This is a normal developmental process and not considered pathological unless there are signs of infection, scarring, or true phimosis.
Which finding on a female breast requires further investigation?
-
Wrinkled areolas
-
Prominent Montgomery tubules
-
One breast larger than the other
-
Unilateral venous network
Explanation
Correct Answer: D. Unilateral venous network
Explanation of Correct Answer
A unilateral prominent venous network can indicate increased blood flow due to an underlying pathology, such as malignancy. When new or asymmetric venous patterns appear on one breast, it warrants further evaluation with imaging and clinical correlation to rule out breast cancer.
The genitourinary and reproductive systems undergo many age-related changes. Which of the following statements is true about these changes?
-
The older male patient undergoes less gradual changes than those of the older female patient
-
The older male patient undergoes more gradual changes than does the older female patient
-
Older male and female patients undergo the same changes
-
The older female patient undergoes more gradual changes than does the older male patient
Explanation
Correct Answer:
B. The older male patient undergoes more gradual changes than does the older female patient
Explanation of Correct Answer
In aging, men experience gradual reproductive changes such as reduced testosterone levels, slower sperm production, and gradual development of erectile dysfunction. In contrast, women experience rapid and more abrupt changes during menopause, with a sudden decline in estrogen and progesterone that ends reproductive capacity. Therefore, male reproductive aging is more gradual, while female reproductive aging is faster and more abrupt.
A practitioner collects samples for cytologic study during a vaginal exam. What type of lubricant on the speculum is least likely to interfere with specimen analysis?
-
Water-soluble
-
Anesthizing ointment
-
Warm water
-
Secretions
Explanation
Correct Answer: A. Water-soluble
Explanation of Correct Answer
Water-soluble lubricants are least likely to interfere with cytologic analysis because they do not contain oils or other substances that can obscure cells or affect staining. They allow smooth insertion of the speculum while preserving the integrity of the collected sample.
A patient 3 weeks postpartum reports sore nipples and is breastfeeding. The examiner observes dry, cracked nipples. Which question would be helpful?
-
Do you pump?
-
How do you clean your breasts?
-
Have you been able to bond with your baby?
-
What medications have you been taking?
Explanation
Correct Answer: B. How do you clean your breasts?
Explanation of Correct Answer
Improper nipple care, such as frequent washing with soap or use of harsh cleansers, can dry out the skin and worsen cracking. Asking how the patient cleans her breasts helps identify practices that may be contributing to nipple soreness and guides education on gentle cleaning (usually just water) and proper nipple care during breastfeeding.
Which finding on breast exam of a male can result from marijuana (MJ) use?
-
Galactorrhea
-
Subareolar mass
-
Gynecomastia
-
Dimpling
Explanation
Correct Answer: C. Gynecomastia
Explanation of Correct Answer
Marijuana use can disrupt hormonal balance, particularly by decreasing testosterone and increasing estrogenic activity, which can lead to gynecomastia in males. Gynecomastia is the benign enlargement of male breast glandular tissue, often presenting as a firm, subareolar mass that may be tender. This effect is typically reversible with cessation of marijuana use.
Which characteristic suggests that a lesion on a patient’s breast is Paget disease and not eczema?
-
Itchy predominantly at night
-
Erythematous and crusty
-
Confined to nipple and areola of one breast
-
Does not respond to steroids
Explanation
Correct Answer: D. Does not respond to steroids
Explanation of Correct Answer
A key clinical clue for Paget disease of the breast is that the lesion does not improve with standard dermatologic treatments such as topical steroids. Eczema, on the other hand, often responds—at least partially—to steroid therapy. Failure to respond should raise suspicion for Paget disease, especially if the lesion involves the nipple–areola complex. This finding should prompt biopsy to rule out underlying malignancy.
How to Order
Select Your Exam
Click on your desired exam to open its dedicated page with resources like practice questions, flashcards, and study guides.Choose what to focus on, Your selected exam is saved for quick access Once you log in.
Subscribe
Hit the Subscribe button on the platform. With your subscription, you will enjoy unlimited access to all practice questions and resources for a full 1-month period. After the month has elapsed, you can choose to resubscribe to continue benefiting from our comprehensive exam preparation tools and resources.
Pay and unlock the practice Questions
Once your payment is processed, you’ll immediately unlock access to all practice questions tailored to your selected exam for 1 month .