32, 33, 34, 35
The nurse explained the difference between the herpes simplex viruses ( HSV - 1 and HSV - 2 ) . One characteristic of HSV - 1 is that it :
Affects the mouth and lips .
A client who is diagnosed with stage Il prostate cancer asks the nurse if a transurethral resection of the prostate ( TURP ) can be done for this disorder . Which is the best response by the nurse ?
" A TURP is a removal of only a portion of the prostate gland . "
A patient in her mid - 30s has sought advice from her nurse because she has heard conflicting advice about the usefulness of breast self - examination ( BSE ) . What should the nurse teach the patient about the use of BSE as a cancer screening tool ?
" BSE can be a useful tool in detecting cancer because you're most familiar with your own breasts . "
Lately , a 75 - year - old man is having difficulty emptying his bladder . He is unable to empty it completely and yet it feels full , causing discomfort . The physician suspects prostate cancer . Which question ( s ) would you expect the physician to ask the client ? Select all that apply .
" Do you pass blood in your urine ? " . " Do you have difficulty urinating ? " " Do you have a family history of prostate cancer ? "
During a routine sports physical examination , the nurse practitioner recommends HPV vaccination for an 11 - year - old girl . Which statements by the client's mother demonstrates understanding of HPV vaccinations ?
" I will track follow - up appointments in my smartphone so she receives all three injections . "
A community health nurse is participating in a health forum that has been organized by a local community group . When addressing the topic of breast cancer , what should the nurse teach participants about the risk factors for the disease ?
" If your mother , grandmother , or sister had breast cancer , you likely have a higher - than average risk . "
The nurse is seeing a client who came into the sexual health clinic after discovering condylomata along her labia . The client states , " This makes no sense , I don't even know who I got this from and I have been so careful ! " What is the nurse's best response ?
" It sounds like you are feeling angry . Let's talk more about human papillomavirus ( HPV ) and strategies to stay healthy while you are being treated . "
A nurse is preparing to obtain a sexual history from a client using the PLISSIT model . Which question would be most appropriate for the nurse to ask first ?
" May I ask you some questions about your sexual health ? "
A male client has undergone a semen analysis for evaluation of fertility . The nurse understands . that a sperm count of which of the following would suggest infertility ?
18 million / mL
A patient is 62 years old and weighs 176 pounds . Post prostatectomy , the nurse assesses hourly urine outputs . Select the measurement that would require notification of the health care provider .
25 mL / hr
A client has been diagnosed with genital herpes . Knowing that education is an essential part of nursing care of the client with a genital herpes infection , the nurse plans to include which method ( s ) to minimize HIV transmission ? Select all that apply .
>> Avoiding unprotected sexual intercourse. Avoiding multiple sexual partners. Avoiding IV drug use
A patient with genital herpes is having an acute exacerbation . What medication would the nurse expect to be ordered to suppress the symptoms and shorten the course of the infection ?
Acyclovir ( Zovirax )
Which of the following medications are used to suppress viral load of the HSV - 2 infection ?
Acyclovir ( Zovirax )
A 58 - year - old patient has been diagnosed with acute prostatitis after seeking care for severe perineal pain . The patient's severe leukocytosis has prompted the care team to admit him to the medical unit of the hospital for treatment . The nurse should anticipate that this patient's treatment regimen will include which of the following ?
Administration of IV antibiotics
A client reports intermittent pelvic pain that does not seem to have a predictable occurrence . She recalls that these episodes began approximately 8 months ago . Following months of physical and diagnostic tests , the physician diagnoses the client with chronic pelvic pain . Which choices could be used as possible treatment options ? Select all that apply .
Antidepressants . Analgesics. Oral contraceptives
A client is undergoing treatment for prostate cancer . He has chemotherapy sessions regularly . However , of late he is showing symptoms of food allergy and loss of appetite . He has lost considerable weight as a result . Which is an appropriate nursing task in this situation ?
Ask the client to keep a diet diary .
A male patient in his 20s has been diagnosed with a chlamydial infection and states that he is " terrified " at the prospect of having to inform his fiancée . In light of this patient's statement , what action should the nurse first perform ?
Assess the specific reasons why the patient fears this discussion with his fiancée .
A client returns to the recovery room following a mastectomy . An initial postoperative assessment is performed by the nurse . What is the nurse's priority assessment ?
Assessing the vital signs and oxygen saturation levels .
A client with a trichomoniasis infection is prescribed metronidazole . Which teaching will the nurse provide to the client about this medication ?
Avoid all alcohol for 24 hours after taking the medication .
A nurse in a campus medical clinic is meeting with a 23 - year - old student who states that she has been experiencing malodorous vaginal discharge over the past several days . The nurse should recognize that this patient is describing a sign that is characteristic of :
Bacterial vaginosis ( BV )
Assessment of a client reveals evidence of a cystocele . The nurse interprets this as which of the following ?
Bulging of the bladder into the vagina
Which of the following diagnostic tests is used as a therapeutic measure for incomplete miscarriage ?
Dilation and curettage ( D & C )
Which term refers to difficult or painful sexual intercourse ?
Dyspareunia
A client is scheduled for an abdominal ultrasound as a follow up to her pelvic examination . Which action by the nurse would be most appropriate ?
Ensuring that the client has a full bladder
A nurse is teaching a group of college - aged men about the risks of Chlamydia trachomatis and Neisseria gonorrhoeae . A participant has implied that men do not need to be particularly concerned about these diseases since the health consequences for men are comparatively minor . The nurse counters that men may in fact become infertile because these diseases can cause :
Epididymitis
A nurse has been asked to present a workshop on sexual health and female reproductive health to a group of college students . The subject of Pap smears has come up , and the participants have expressed that they have heard inconsistent recommendations about their frequency . The nurse should encourage these women in their 20s to have a Pap smear done :
Every 2 years
While caring for a patient who is treated for severe pelvic inflammatory disease ( PID ) , the nurse insists on keeping her in a semisitting position . Which of the following is correct rationale for this positioning ?
Facilitation of pelvic drainage and minimize the upward extension of infection
The diagnosis of prostate cancer is confirmed by which of the following ?
Histologic exam of tissue
The nurse is providing education regarding sexually transmitted infections . Which statement regarding herpes virus 2 ( herpes genitalis ) is accurate ?
In pregnant women with active herpes , babies delivered vaginally may become infected with the virus
The nurse is relating health education to male students when asked where sperm is actually made . Which location is most correct ?
In the testes within the scrotum
A nurse is preparing a presentation for a health fair about preventing breast cancer . Which of the following would the nurse include ?
Maintaining an ideal weight
Which term refers to breast pain ?
Mastalgia
The nurse is preparing a presentation for an older adult group of males at a senior center . Which of the following would the nurse expect to include when describing the effects of aging on the male reproductive system ?
Men retain the ability to fertilize ova irrespective of age .
Which drug is the most effective treatment for trichomoniasis ?
Metronidazole
A client has a history of dysmenorrhea . During monthly menses , the client experiences incapacitating cramping and passes large clots . The client's primary care physician initiates conservative treatment . What interventions would the physician to recommend ?
NSAIDS
The nurse teaches a premenopausal female client to perform breast self - examination ( BSE ) at which interval ?
On day 5 to day 7 , counting the first day of menses as day 1
The nurse is outlining the female internal reproductive structures on a diagram . Where on the diagram would the nurse highlight the typical site of ovum fertilization ?
The nurse would highlight the fallopian tube .
A 45 - year - old woman comes into the Ob - Gyn clinic for her yearly check - up . The woman mentions to the nurse that she has a dimpling of the right breast that has occurred in the last few months . What assessment would be appropriate for the nurse to first make ?
Palpate the area for a breast mass
Which of the following is the medication of choice for early syphilis ?
Penicillin G benzathine
A client comes to the emergency department complaining of sudden , sharp testicular pain . Further examination reveals torsion of the spermatic cord . Which of the following would the nurse expect to do next ?
Prepare the client for surgery
A client is diagnosed with hypertension . The client also reports skin discoloration , weight gain , and nausea . Which contraceptive preparations would the nurse practitioner recommend for this client ?
Progestin - only
When doing an initial assessment that includes questions related to domestic abuse , what does the nurse need to provide ?
Resources and referrals as needed
Pelvic infection is most commonly caused by which of the following ?
Sexual transmission
Nursing students are reviewing information about natural family planning methods in preparation for a quiz the next day . The students demonstrate a need for additional study when they identify which of the following as an example ?
Spermicide
A pelvic examination reveals that a woman's uterus is retroflexed . Which of the following best depicts this position ?
Standing up
A client expresses concerns about future reproduction after a surgery to correct the cancer of the testes . For this client , treatment proceeded without first collecting and storing sperm . Which alternative should the nurse suggest to the client ?
Suggest donor insemination or adoption
A patient is having a DRE in the physician's office and the nurse is to assist in the examination . What can the nurse instruct the client to do to decrease the discomfort from the exam ?
Take a deep breath and exhale when the physician inserts a gloved finger into the rectum .
Which should be included as part of the home care instructions for a client with epididymitis and orchitis ?
Take prescribed antibiotics
A 30 - year - old woman has stated to the nurse that she experiences significant pain during menses and has asked the nurse's advice on whether to seek further care for the problem . The nurse has suggested that the woman visit her primary care provider and should recommend which of the following pain management measures ?
Taking nonsteroidal anti - inflammatory drugs ( NSAIDs ) a day or two before her expected menses .
A nurse practitioner is conducting an assessment of a 29 - year - old woman who has presented for care because she has just had a positive over - the - counter pregnancy test . The woman's medical history is significant for the presence of pelvic inflammatory disease ( PID ) that was the result of a chlamydial infection . What discussion should the nurse prioritize with this patient ?
Teaching the patient about the signs and symptoms of ectopic pregnancy
A 34 - year - old man has been diagnosed with HSV - 2 and is preparing to begin treatment with acyclovir ( Zovirax ) . When providing health education about his new medication regimen , what information should the nurse provide to this patient ?
The drug may relieve his symptoms but it will not cure him of herpes .
The school health nurse is conducting a teaching session for parents to provide information about the human papillomavirus ( HPV ) vaccination . What prevention information should the nurse include in the session ?
The effect of the vaccination is optimized if it is administered before the child becomes sexually active .
A client comes to the clinic for a routine evaluation . During the physical examination , the nurse palpates the client's breast and finds a small lump . Which of the following would lead the nurse to suspect possible breast cancer ?
The lump is irregularly shaped .
Nursing students are reviewing information about the various structures of the female reproductive system . The students demonstrate understanding of the material when they identify which of the following about the uterus ? Select all that apply .
The uterus is a pear - shaped muscular organ . Ligaments hold the uterus in place . The fundus and cervix comprise the uterus .
Which is the most common type of prostate surgery ?
Transurethral resection of the prostate
The nurse is caring for client who has had a vasectomy . Which would be most important to include in a teaching plan for this client ?
Using a reliable method of contraception for several weeks .
While examining the introitus , the nurse practitioner asks the client to " bear down . " The nursing student observing the examination knows that the nurse practitioner is assessing the client for which condition ?
Uterine prolapse
A nurse provides care on a surgical unit where a large number of patients are admitted following breast cancer surgery . The nurse is aware that breast cancer surgery creates a significant risk of disturbed body image . When should the nurse anticipate that this risk will be the highest ?
When the patient sees her incision for the first time
A patient has been diagnosed with a Trichomoniasis vaginal infection . The nurse would expect which color of discharge ?
Yellow - green
A nurse is obtaining a male client's health history before performing a physical examination . Which information would most likely not be obtained ?
age of first ejaculate
A client is being tested for gonorrhea . Based on the nurse's understanding of this STI , the nurse would anticipate that the client will also be tested for :
chlamydia
A nurse is reading a journal article about STIs and risk factors . The nurse demonstrates understanding of the article by identifying which factor as increasing the risk ? Select all that apply .
engagement in sex at an early age . multiple sex partners . use of illicit drugs
Within the female internal reproductive structures , where is the egg most commonly fertilized ?
fallopian tubes
The nurse is presenting a community lecture about STIs , and emphasizes that some STIs are easily cured with early and adequate treatment . Which is not among these easily treated diseases ?
genital herpes
Hormone therapy decreases the risk of
hot flashes
A nurse is teaching a group of young adults about STIS . As part of the teaching session , the nurse emphasizes the need for practicing safe sex . The nurse is addressing which component of the chain of infection ?
mode of transmission .
client with a history of hypertension is being seen by the urologist due to erectile dysfunction . Results from the client's nocturnal penile tumescence test measured several spontaneous erections while the client slept . What does this indicate ?
psychological etiology
The nurse is teaching a young adult male how to perform testicular self - examination ( TSE ) . The nurse determines that the client has understood the instructions when he states which of the following ?
" The best time to do it is once a month after I take my warm morning shower . "
An adolescent informs the school nurse that she is afraid of contracting an STI but her boyfriend does not want to use condoms . What is the best response by the nurse ?
" The use of condoms is one of the best ways to reduce the risk of acquiring an STI . "
A client with Stage IV prostate cancer is to receive hormone therapy . The nurse would inform the client about possible adverse effects including which of the following ?
Breast tenderness
A nurse practitioner assessed a patient's complaints about a vaginal discharge and prescribed Flagyl . The nurse was able to diagnose bacterial vaginosis because of this defining characteristic , a discharge that :
Has a fish - like odor .
Which stage or period of syphilis occurs when the infected person has no signs or symptoms of syphilis ?
Latency
The nurse is preparing the female client for a pelvic examination . In which position will the nurse assist the client ?
Lithotomy position
Which is an age - related change affecting the male reproductive system ?
Plasma testosterone levels decrease .
After having transurethral resection of the prostate ( TURP ) , a client returns to the unit with a three - way indwelling urinary catheter and continuous closed bladder irrigation . Which finding suggests that the client's catheter is occluded ?
The client reports bladder spasms and the urge to void .
A group of students are reviewing the female reproductive system in preparation for a test . Which of the following if identified by the students as an internal structure indicates successful learning ?
Vagina
A nurse practitioner is assessing the size and position of a patient's uterus and ovarian structures . To perform this assessment , the nurse has informed the patient that bimanual palpation will be performed . How will the nurse perform this assessment ?
Insert fingers of one hand into the vagina and palpate outside with the other hand .
A nurse is presenting an educational event for a local community group . The nurse is teaching about premenstrual syndrome . What treatment guideline would the nurse teach this group ?
Increase exercise .
A public health nurse is facilitating a health forum at a high school and has presented the deleterious effects of Chlamydia trachomatis and Neisseria gonorrhoeae infection . Why are these sexually transmitted infections ( STIS ) associated with a high risk of pelvic inflammatory disease and infertility among infected females ?
Infection is often not accompanied by recognizable signs and symptoms
Which statement is accurate regarding sildenafil ?
Its side effects include headache , flushing , and dizziness .
