NE 108- Test 3- Practice Questions-Interference with the Need for Sexuality
A nurse is instructing a client how to perform Kegel exercises. Which of the following instructions should the nurse include? (Select all that apply.) A) Perform exercises about 50 times each day. B) Contract the circumvaginal and/or perirectal muscles. C) Gradually increase the contraction period to 10 seconds. D) Follow each contraction with at least a 10-second relaxation period. E) Perform while sitting, lying and standing F) Tighten abdominal muscles muscle during contractions.
A B C D E
Which of the following health problems can be caused by STI in women? (Select all that apply.) A) Pelvic inflammatory disease (PID) B) Ectopic pregnancy C) Decreased risk of cervical cancer D) Infertility
A B D
Which female organ(s) is (are) homologous to the male's testes? A) Fallopian tubes B) Ovaries C) Mons pubis D) Labia minora
B
What is associated with cold sores but may be transmitted to the genital area by oral intercourse otr by self-inoculation through poor handwashing practices? A) HSV-2 B) HPV C) HSV-1 D) GC
C
What stage of syphilis is characterized by the appearance of a chancre and by regional enlargement of the lymph nodes with little or no pain accompanying these warning signs? A) Secondary B) Latent C) Primary D) Tertiary
C
Which is the most common STI caused by a bacteria? A) Gonorrhea B) Syphilis C) Chlamydia D) Genital warts
C Chlamydia
A nurse at a provider's office is caring for an older adult client who is having an annual physical exam. Which of the following findings indicated additional follow-up is needed in regard to the prostate gland? (Select all that apply.) A) Prostate-specific antigen (PSA) is 7.1ng/mL B) A digital rectal exam (DRE) reveals an enlarged and nodular prostate. C)The client reports a weak urine stream D) The client reports urinating once during the night E) Smegma is present below the glans of the penis
A B C
A nurse in a providers office is reviewing the medical record of a client who has fibrocystic bresat condition. Which of the following finding should the nurse expect? A) Palpable rubberlike lump in the upper outer quadrant B) BRCA1 gene mutation C) Elevated CA-125 D) Peau d'orange dimpling of the breast
A
A nurse is instructing a client who is scheduled for a transurethral resection of the prostate (TURP) about postoperative care. Which of the following information should the nurse include in the teaching? A) "You might have a continuous sensation of needing to void even though you have a catheter." B) "You will be on bed rest for the first 2 days after the procedure." C) "You will be instructed to limit your fluid intake after the procedure." D) "Your urine should be clear yellow the evening after the surgery."
A
STI's are most common in which age group? A) Teens and young adults B) People ages 30-45 C) People 60 and older D) All of the above
A
The overall number of cases of STI is: A) Rising B) Falling C) About the as it has always been D) None of the above
A
What is a mobile, usually painless mass that forms when efferent ducts in the epididymis dilate and form a cyst? A) Spermatocele B) Testicular torsion C) Hydrocele D) Varicocele
A
Which blood test is used to diagnose prostate cancer and to monitor treatment of prostate cancer? A) PSA B) VDRL C) RPR D) FTA-ABS
A
Which of these disease is not a reportable disease? A) Genital warts B) Gonorrhea C) Syphilis D) AIDS
A
Which statement by a student nurse reflects an accurate understanding of trichomoniasis? A) "It is caused by Trichomonas vaginalis, a protozoan parasite." B) "It is the least common noncurable STI in young sexually active woman." C) "Manifestations of trichomoniasis usually appear within 1 to 4 days of exposure." "Women with trichomoniasis have a nonfrothy, red-orange vaginal discharge with a strong fishy odor that is often accompanied by itching and irritation of the geniralia."
A
A nurse is caring for a client who is suspected of having HIV. The nurse should identify that which of the following diagnostic tests and laboratory values are used to confirm HIV infection? (Select all that apply.) A) Western blot B) Indirect immunofluorescence assay C) CD4+ T-lymphocyte count D) HIV RNA quantification test E) Cerebrospinal fluid (CSF) analysis
A B
A nurse is reviewing the medical record of a client who has premenstrual syndrome (PMS). The nurse should identify that which of the following medications are used to treat PMS? (Select all that apply.) A) Fluoxetine B) Spironolactone C) Ethinyl estradiol/drospirenone D) Ferrous sulfate E) Methylergonovine
A B C
A nurse in an outpatient clinic is assessing a client who reports night sweats and fatigue. The client reports having a cough along with nausea and diarrhea. Their temperature is 38.1°C (100.6°F) orally. The client is concerned about the possibility of having HIV. Which of the following actions should the nurse take? (Select all that apply.) A) Preform a physical assessment, B) Determine when manifestations began. C) Teach the client about HIV transmission D) Draw blood for HIV testing E) Obtain a sexual history
A B E
A nurse in a provider's office is providing information to a client who has dysfunctional uterine bleeding (DUB). Which of the following statements by the client indicate understanding of the information? (Select all that apply.) A) "My heavy bleeding can be due to a hormonal imbalance." B) "If I experience menstrual pain, I should take aspirin." C) Oral contraceptives are contraindicated for clients who have heavy uterine bleeding like mine." D) "My doctor can perform a D&C to find out what's causing my abnormal bleeding." E)"My condition is more common in clients who are in their 30's."
A D
A nurse is assessing a client for HIV. The nurse should identify that which of the following are risk factors associated with the virus? (Select all that apply.) A) Perinatal exposure B) Pregnancy C) Monogamous sex partner D) Older adult women E) Occupational exposure
A D E
A nurse in a clinic is reviewing the facility's testing process and procedures for human immune deficiency virus (HIV) with a new employee. Which of the following information should the nurse include? A) In the presence of HIV, the enzyme immunoassay (EIA) test is typically reactive within 72 hr after the client is infected. B) The Western blot assay is used to confirm diagnosis of HIV C) The polymerase chain reaction (PRC) test is used to confirm diagnosis of HIV D) CD4+ call counts will be elevated in a client who is infected with HIV
B
A nurse is caring for a 27 year old male client who has returned to the clinic after being treated for a chlamydial infection 2 weeks ago. Which statement made by the patient indicated the most likely cause of the recurrence of the infection? A) "I took the vibramycin twice a day for a week." B) "I haven't told my girlfriend about my infection yet." C) "I had a couple beers while on the medication." D) "I've only had sex once since I finished the medications."
B
A nurse is evaluating a patient's understanding of breast self-examination (BSE). Which statement indicated a need for further teaching? A) "Lie down on your back and place your right arm behind your head." B) "Use three different levels of pressure to feel all the breast tissue." C) Use overlapping quarter-sized circular motions of the fingerpads to feel the breast tissue." D) "Look at your breasts for any changes in size, shape, contour, or dimpling."
B
A nurse is leading a seminar about menopause. Which statement made by a participant is correct? A) "Menopause is a disease and is not a normal physiological process." B) "Menopause is the permanent cessation of menses." C) "Late menopause is associated with genetics, smoking , higher altitude, and obesity." D) "The average woman will live one-fourth of her life after menopause."
B
A nurse is planning a seminar about benign prostatic hyperplasia (BPH). Which statement on an educational handout should be corrected? A) The two necessary preconditions for BPH are age of 48 and older and the presence of testes. B) BPH, which is the twisting of the spermatic cord with scrotal swelling and pain, is a potential medical emergency C) The exact cause of BPH is unkown. D) Risk factors of BPH include age, family history, race and a diet high in meat and fats.
B
A nurse is providing instructions to a client prior to an initial mammogram. Which of the following information should the nurse provide prior to the procedure. A) "You should not take an aspirin products prior to the mammogram." B) "Do not use or apply any deodorant the day of the exam." C) "You will need to avoid sexual intercourse the day before the mammogram." D) "You should avoid exercise prior to the exam."
B
A nurse is providing support to a client who has a new diagnosis of endometriosis. The nurse should inform the client that which of the following conditions is a possible complications of endometriosis? A)Insulin resistance B) Infertility C) Vaginitis D) Pelvic inflammatory disease (PID)
B
The nurse is taking the health history of of a woman who has come to the physician's office with reproductive-related concerns. During the health history, the woman reveals that she has been experiencing bleeding between menstrual periods. WHat term should be documented by the nurse? A) Menorrhagia B) Metrorrhagia C) Oligomenorrhea D) Amenorrhea
B
Which condition is constriction of the foreskin so that it cannot be retracted over the glans penis? A) Paraphimosis B) Phimosis C) Priapism D) Hydrocele
B
Which statement by a student nurse reflects correct understanding about female external genitalia. A) "The female internal genitalia include the mons pubis, the labia, the clitoris, the vaginal and urethral openings, and glands." B) "The clitoris is an erectile organ that is analogous to the penis in the male." C) "The labia minora, which are folds of skin and adipose tissue covered with hair, are outermost; they begin at the base of the mons pubis and end at the anus." D) "Bartholin and Skene glands have no known sexual purpose."
B
Which statement by a student nurse reflects correct understanding about orchitis? A) "Orchitis is a chronic infection of the testis." B) Orchitis most commonly occurs as a complication of a systemic illness or as an extension of epididymitis." C) The most common infectious cause of orchitis in postpubertal men is measles." D) "Sterility from orchitis is rare."
B
Which statement by a student nurse reflects correct understanding about prostate gland? A) "The prostate gland is about the size of a pea." B) "The prostate encircles the urethra just above the urinary bladder." C) "The prostate is surrounded by smooth muscle." D) "Secretions from the prostate gland make up about two-thirds of the volume of semen."
B
A nurse is providing discharge instructions to a client who is postoperative following a TURP. Which of the following instructions should the nurse include? (Select all that apply.) A) Avoid sexual intercourse fro 3 months after the surgery B) If urine appears bloody, stop activity and rest C) Avoid drinking caffeinated beverages D) Take a stool softener once a day E) Treat pain with ibuprofen
B C D
A nurse is reviewing the medical record of a client who is menopausal. Which of the following findings should the nurse expect? (Select all that apply.) A) Increased vaginal secretions B) Decreased bone density C) Increased HDL level D) Decreased skin elasticity E) Increased pubic hair growth F) Decreased follicle stimulating hormone (FSH) level
B D
A nurse in a provider's office is obtaining a history from a client who is undergoing an evaluation for benign prostate hyperplasia (BPH). The nurse should identify that which of the following findings are indicative of this condition? (Select all that apply.) A) Backache B) Frequent urinary tract infection C) Weight loss D) Hematuria E) Urinary incontinence
B D E
A school nurse is providing an education session about menstruation with a group of adolescent students. Which of the following statements should the nurse include? (Select all that apply.) A) "The average age of onset of menstruation is 10." B) "The range for a typical menstrual cycle is between 23 and 35 days." C) "The first day of the menstrual cycle begins with the last day of the menstrual period." D) "Ovulation typically occurs around the 14th day of the menstrual cycle." E) "A menstrual period can last as long as 9 days."
B D E
A nurse is providing teaching for a client who is to undergo a cervical biopsy. Which of the following information should the nurse include? (Select all that apply) A) "The procedure is painless." B) "Avoid heavy lifting for approximately 2 weeks after the procedure." C) "Heavy bleeding is common during the first 12 hours after the procedure." D) "Plan to rest for the first 72 hours after the procedure." E) "Avoid the use if tampons for 2 weeks after the procedure."
B E
A 25 year old female with multiple sexual partners is seeking care after several weeks of painful and frequent urination and vaginal discharge. A culture of her cervical secretions are not available, the nurse explains that she will be treated for gonorrhea and chlamydia to prevent: A) Endocarditis and aortic aneurysms B) Disseminated gonococcal infection C) Obstruction of the fallopian tubes
C
A nurse is a provider's office is reviewing a client's laboratory results, which shows a positive rapid plasma regain (RPR). Which of the following tests will be administered to confirm the diagnosis of syphilis? A) Venereal Disease Research Laboratory (VDRL) B) D-dimer C) Fluorescent treponemal antibody absorbed (FTA-ABS) D) Sickledex
C
A nurse is conducting a seminar about ovarian cancer. Which statement by a participant indicated understanding? A) "Ovarian cancer is the most common gynecologic cancer in women in the United States." B) An enlarged abdomen with ascites signals early-stage disease." C) There are several types of ovarian cancer: epithelial tumors, germ cell tumors, and gonadal stromal tumors." D) "In early stages, ovarian cancer generally causes several warning signs or manifestations."
C
A nurse is performing a preoperative assessment for a client who is scheduled for an anterior colporrhaphy. Which of the following client statements should the nurse expect as an indication for this procedure? A) "I have to push the feces out of a pouch in my vagina with my finger." B) "I have pain and bleeding when I have a bowel movement." C) "I have had frequent urinary tract infections." D) "I am embarrassed by uncontrollable flatus."
C
A nurse is preparing to discharge a client following an anterior and posterior colporrhaphy. Which of the following instructions should the nurse provide? A) "Do not bend over for at least 6 weeks." B) "You can lift objects as heavy as 10 pounds." C) "Do not engage in intercourse for at least 6 weeks." D) "You might have foul-smelling drainage for the first week after surgery."
C
A nurse is providing education to a client prior to an initial Papanicolaou (PAP) test. Which of the following statements should the nurse make. A) "You should urinate immediately after the procedure is over." B) "You will not fell any discomfort." C) "You may experience some bleeding after the procedure." D) "You will need to hold your breath during the procedure."
C
A nurse is providing information to a client who is scheduled for a transrectal ultrasound (TRUS). Which of the following information should the nurse include? A) "This procedure will determine whether you have prostate cancer." B) "The procedure is contraindicated if you have an allergy to egg." C) "Sound waves will be used to create a picture of your prostate." D) "You should avoid having a bowel movement for 1 hour prior to the procedure."
C
During a pelvic examination, the physician explains to the nurse that the patient's uterus is tilting forward in an exaggerated manner. What term can the nurse expect the physician to use to refer to this condition? A) Retroversion B) Retroflexion C) Anteversion D) Anteflexion
C
What is a collection of fluid in the tunica vaginalis and is the most common cause of scrotal swelling? A) Testicular torsion B) Spermatocele C) Hydrocele D) Varicocele
C
A nurse is caring for a client who had a new diagnosis of benign prostatic hyperplasia (BPH). The nurse should expect a prescription for which of the following medications? A) Oxybutynin B) Diphenhydramine C) Ipratropium D) Tamsulosin
D
A nurse is providing teaching for a client who has stage 2 HIV disease and is having difficulty maintaining a normal weight. Which of the following statements by the client should indicate to the nurse and understanding of the teaching. A) "I will choose a diet high in fat to help gain weight." B) "I will be sure to eat three large meals a day" C) "I will drink at least 1 liter of liquid each day." D) "I will add high-protein foods to my diet."
D
A nurse is providing teaching for a client who has stage 3 HIV disease. Which of the following statements by the client should indicate to the nurse and understanding of the teaching? A) "I will wear gloves while changing the pet litter box." B) "I will rinse raw fruit with water before eating them." C) "I will wear a mask when around family members who are ill." D) "I will cook vegetables before eating them."
D
A nurse is reviewing the medical record of a client who has a cystocele. Which of the following findings should the nurse identify as a risk factor for the development of this disorder? A) BMI of 18 B) Nulliparity C) Chronic constipation D) Postmenopausal
D
A patient has reported to the physician's office with concerns related to an inability to maintain an erection. The nurse is reviewing the patient's health history. Which medication may be linked to the erectile dysfunction? A) Antibiotic B) Oral hypoglycemic agent C) Antispasmodic D) Iron supplement
D
A patient reported to the clinic with manifestations consistent with epididymitis. When assisting the physician, the nurse recognizes that the condition will likely be diagnosed using with test? A) Urethral swab culture B) Blood culture C) Ultrasound D) Urinalysis
D
The nurse is proving a program about erectile dysfunction. When he is assessing the knowledge level of the participants, which statement indicated the need for further education? A) "Erectile dysfunction is the male's inability to attain and maintain an erection sufficient to permit satisfactory sexual intercourse." B) "Impotence is a term often used synonymously with erectile dysfunction." C) "Erectile dysfunction has many possible causes." D) "Erectile dysfunction can be treated only with oral medications."
D
What kind of uterine prolapse is complete prolapse of the uterus outside the body, with inversion of the vaginal canal? A) Mild B) First degree C) Second degree D) Third degree
D
A female client with a purulent vaginal discharge is seen in an outpatient clinic. The nurse would expect a diagnosis of gonorrhea to: A) Be treated with Benathine Penicillin G B) Indicated PID C) Be confirmed with a Gram's stain D) Be treated with Ceftriaxone (Rocephine) and Doxycycline (Vibramycin)
D Be treated with Ceftriaxone (Rocephine) and Doxycycline (Vibramycin)
