Test 7
Following a vasectomy, which is the most important instruction to provide to the client? A: Wear a scrotal support until swelling is resolved B: Use a Tylenol as needed for discomfort C: Use another form of birth control until further notice D: Take a day or two to rest and recuperate from the procedure
: Use another form of birth control until further notice
A client who wishes to preserve childbearing asks the nurse to explain how taking oral contraceptives will work in the management of endometriosis. Which is the best response by the nurse? A: Symptoms of endometriosis are increased during normal menstrual cycle B: Contraceptives will allow blood to be diverted to the peritoneal cavity C: Trapping blood causes less pain or discomfort for clients with endometriosis D: Endometriosis is usually cured with surgical menopause
A: Symptoms of endometriosis are increased during normal menstrual cycle
Which of the following are 2 most important prognostic factors associated with breast cancer? Select all that apply A: Tumor size B: Axillary lymph node involvement C: Age of patient D: Comorbidities E: Current activity level
A: Tumor size B: Axillary lymph node involvement
A suspicious breast lump is noted on a mammogram. The client asks the nurse which diagnostic test confirms if the lump is cancerous or benign. Which response by the nurse is most correct? A: An ultrasound B: A biopsy C: A magnetic resonance imaging (MRI) D: A clinical breast exam
B: A biopsy
The nurse is providing preoperative education for a client diagnosed with endometriosis. A hysterectomy has been scheduled. What education topic should the nurse be sure to include for this client? A: Menstrual periods will continue to occur for several months, some of them heavy. B: Normal activity will be permitted within 48 hours following surgery. C: After a hysterectomy, hormone levels remain largely unaffected. D: The bladder must be emptied prior to surgery and a catheter may be placed during surgery.
D: The bladder must be emptied prior to surgery and a catheter may be placed during surgery.
A patient report to the nurse that she has a sense of pelvic pressure and utinary problems such as incontinence, frequency, and urgency. The problem has gotten much worse since the birth of her third child. What does the nurse suspect the patient is experiencing? A: A cystocele B: A rectocele C: An Enterocele D: A urinary tract infection
A: A cystocele
The most common route of regional spread of Breast CA is to which area? A: Axillary lymph nodes B: Internal mammary nodes C: Supraclavicular nodes D: Thyroid nodes
A: Axillary lymph nodes
While taking an antibiotic for treatment of mastitis, many women have to "pump and dump" their milk so as not to expose their child to unnecessary antibiotics and remain the ability to lactate. Which antibiotic group is safe for women to use while breastfeeding? A: Cephalosporins B: Penicillins C: Tetracyclines D: Erythromycin
A: Cephalosporins
Which structure is involved in keeping the testes at the necessary temperature to ensure sperm production? A: Scrotum B: Testicles C: Epididymis D: Shaft
A: Scrotum
A nurse is teaching a community health class of women and explains that a sexually transmitted infection (STI) is associated with an increased risk of infertility in women. Which of the following STIs would the nurse identify? A: Chlamydia B: Herpes simplex C: Gonorrhea D: Syphilis
A: Chlamydia
A 35- year old man is seen in the clinic because he is experiencing recurring episodes of urinary frequency, dysuria, and fever. The nurses should recognize the possibility of what health problem? A: Chronic bacterial prostatitis B: Orchitis C: Benign prostatic hyperplasia D: Urolithiasis
A: Chronic bacterial prostatitis
A nurse is providing client teaching to a client with benign prostatic hyperplasia. The focus of the education is on maintaining optimal bladder function. Which type of medication should be limited in a client with this condition? A: Decongestants B: Analgesics C: Antidepressants D: NSAIDs
A: Decongestants
A patient experiences hypotension, lethargy, and muscle spasms while receiving bladder irrigation after transurethral resection of prostate (TURP). Which is the first action the nurse should take? A: Discontinue the irrigations B: Increase the rate of the IV fluids C: Administer a unit of packed red blood cells D: Prepare the patient for ECG
A: Discontinue the irrigations
A client is diagnosed with herpes simplex. Which statement about herpes simplex infection is true? A: During early pregnancy, herpes simplex infection may cause spontaneous abortion or premature birth. B: Genital herpes simplex lesions are painless, fluid-filled vesicles that ulcerate, and heal in 3 to 7 days. C: Herpetic keratoconjunctivitis usually is bilateral and causes systemic symptoms. D: A client with genital herpes lesions may have sexual contact but must use a condom.
A: During early pregnancy, herpes simplex infection may cause spontaneous abortion or premature birth.
Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis? A: Ensure immunizations against infectious diseases such as mumps B: Engage in activities and exercises that minimize heavy lifting C: Encourage consumption of foods that are rich in fat and starch D: Urge the limited intake of foods and fluids containing caffeine
A: Ensure immunizations against infectious diseases such as mumps
A client is perparing for an annual prostate digital examination, and asks the nurse to explain the role of the prostate gland. What is the function of the prostatic fluid? A: Ensuring sperm survival B: Lubrication C: Enhancing sperm motility D: Stimulating uterine contraction
A: Ensuring sperm survival
Which of the following is the descent of the small intestine into the vaginal vault? A: Enterocele B: Rectocele C: Cystocele D: Uterine prolapse
A: Enterocele
Which structure collects the spermatocytes and nourishes them until they are able to move about spontaneously? A: Epididymis B: seminiferous tubules C: Vas deferens D: Spermadtic cord
A: Epididymis
Which of the following is the most common sexually transmitted infection (STI) among young, sexually active people? A: Human papillomavirus (HPV) B: Gonorrhea C: Chlamydia D: Trichomoniasis
A: Human papillomavirus (HPV)
When caring for a client with polycystic ovarian syndrome, the nurse will focus teaching needs in the management of which associated problems? Select all that apply. A: Hypertension B: Hyperlipidemia C: Infertility D: Absence of body hair E: Weight loss
A: Hypertension
The nurse as a gynecologists office is obtaining a client history including the fact that several of the client's relatives have had breast cancer. Which general information regarding the most common type of cancer is accurate?
A: Inflammatory breast cancer B: Ductal carcinoma C: Lobular carcinoma D: Medullary carcinoma
A client who is postoperative day 12 and recovering at home following a laparoscopic prostatectomy has reported that he is experiencing occasional "dribbling" of urine. How should the nurse best respond to the client's concern? A: Inform the client that urinary control is likely to return gradually B: Arrange for the client to be assessed by the Urologist C: Facilitate the insertion of an indwelling urinary catheter by the home care nurse D: Teach the client to perform intermittent self-catheterization
A: Inform the client that urinary control is likely to return gradually
A client is undergoing a left modified radical mastectomy for breast cancer. Postoperatively, blood pressure should be obtained from the right arm, and the client's left arm and hand should be elevated as much as possible to prevent which condition? A: Lymphedema B: Trousseau's sign C: IV infusion infiltration D: Muscle atrophy
A: Lymphedema
What are the effects of hormones on breast tissue during pregnancy? A: Prolactin promotes the production of milk; progesterone stimulates the development of alveoli, which secrete the milk, and estrogen stimulates increased production of tubules and ducts to transport milk to the lactiferous ducts, which drain at the nipple. B: Luteinizing hormone promotes the production of milk, progesterone stimulates the development of alveoli, which secrete the milk and estrogen stimulates increased production of tubules and ducts to transport milk to the lactiferous ducts, which drain at the nipple. C: Prolactin promotes the production of milk; estrogen stimulates the development of alveoli, which secrete the milk, and progesterone stimulates increased production of tubules and ducts to transport milk to the lactiferous ducts, which drain at the nipple. D: Luteinizing hormone promotes the production of milk, estrogen stimulates the development of alveoli, which secrete the milk and progesterone stimulates increased production of tubules and ducts to transport milk to the lactiferous ducts, which drain at the nipple
A: Prolactin promotes the production of milk; progesterone stimulates the development of alveoli, which secrete the milk, and estrogen stimulates increased production of tubules and ducts to transport milk to the lactiferous ducts, which drain at the nipple.
A client has been diagnosed with epididymitis. What would the nurse expect to find in the lab results from the client's urinalysis? A: Pus and bacteria B: Ammonia and bacteria C: Proteins and bacteria D: All options are correct
A: Pus and bacteria
Which of the following is considered first-line treatment for prostatic cancer? A: Radical prostatectomy B: Radiation C: Hormonal therapy D: Cryosurgery
A: Radical prostatectomy
Human papillomavirus (HPV) infection is the most commonly transmitted sexual disease in the United States. There are more than 40 states of the virus that can infect the genitals or males and females as well as the mouth and throat. Which statement is not true about HPV? A: Sexual penetration is necessary to transmit HPV B: The warts can be spread to other body parts by autoinoculation C: HPV infection is associated with uterine cervical abnormalities D: Genital HPV can be transmitted to an infant's respiratory passages at the time of delivery
A: Sexual penetration is necessary to transmit HPV
A client who is scheduled to have a modified radical mastectomy to remove an aggressive breast tumor is concemed about having agreed to the surgery before considering alternative options. Which statement is the nurse's best response? A: Tell me more about your fears and concerns B: You have a very competent surgeon and you should move forward as planned C: You might want to consider a less invasive surgical procedure. D: If I were you, I would consider a second opinion
A: Tell me more about your fears and concerns
A female client has been diagnosed with condylomata acuminata (Genital warts). What information is most appropriate for the nurse to tell this client? A: The warts may require surgical removal or cryotherapy B: The most common treatment is metronidazole which should eradicate the problem within 7-10 days. C: The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse. D: The Human papilomavirus (HPV), which causes condylomata acuminata, cannot be transmitted during oral sex.
A: The warts may require surgical removal or cryotherapy
Breast cancers are usually found in which area of the breast? A: Upper outer quadrant B: Lower inner quadrant C: Middle D: Posterior
A: Upper outer quadrant
Which assessment finding would create the greatest risk to a client ordered a phosphodiesterase inhibitor such as a sildenafil? A: Use of nitrates B: History of hypertension C: Type 2 diabetes D: Use of diuretics
A: Use of nitrates
A nursing instructor is giving a lecture on the reproductive system, and describes the process of the ovum being released from the ovary and then traveling into the end of a Fallopian tube. If the production of progesterone by the corpus luteum begins to decrease until it changes from a yellow to a white spot on the ovary, it is most likely that the ovum: A: Was not fertilized. B: Was fertilized. C: Didn't reach the fallopian tube. D: Was not expelled from the ovary.
A: Was not fertilized
Which of the following nursing instructions is most important for the nurse to emphasize to the client with a new HSV-2 diagnosis A: You must inform all sexual partners B: Keep lesions dry with alcohol or peroxide C: Wear loose underwear to promote air circulation D: Use a condom during sexual activity
A: You must inform all sexual partners
A couple that has been married for 5 years is unable to conceive a child. Diagnostic test results indicate that the husband has a low sperm count. What sperm count indicates infertility? A: less than 20 million sperm per milliliter B: Less than 15 million sperm per milliliter C: Less than 30 million sperm per milliliter D: Less than 10 million sperm per milliliter
A: less than 20 million sperm per milliliter
A client is experiencing symptoms associated with menopause. What is likely recommendation to increase the client's interest in sexual activity? A: low-dose androgens B: Antidepressants C: Herbal aphrodisiacs D: Bisphosphates
A: low-dose androgens
The nurse is caring for a client who has been diagnosed with a breast lump. The physician states that studies indicate a cancerous tumor in situ. The client is anxious and wants to know what may come next. The nurse is most correct to support physician instruction of which of the following? A: "Since your tumor appears localized, removal of the tumor is indicated." B: "A mastectomy is recommended for all clients in the situation." C: "The next step is just as the physician described. We can have the physician talk to you again." D: Chemotherapy and radiation are typical treatments prescribed by the oncologist.:
B: "A mastectomy is recommended for all clients in the situation."
The nurse is providing education to a client who has been diagnosed with chlamydia. The client will begin treatment with azithromycin today. Which teaching point should the nurse reinforce with this client? A: "It is very important to maintain good handwashing, even while you are being treated." B: "Abstain from any sexual activity for 1 week after the antibiotic is complete." C: "Coinfection with herpes simplex virus is common with chlamydia." D: "If you become reinfected, symptoms will immediately be present."
B: "Abstain from any sexual activity for 1 week after the antibiotic is complete."
Which of the following nursing instructions is most important for the nurse to emphasize to the client with a new HSV-2 diagnosis? A: "One or two treatments should get rid of the warts." B: "I'm temporarily not contagious once the warts are destroyed." C: "Once the wars are gone, then I know I'm cured." D: "My partner doesn't need to be treated."
B: "I'm temporarily not contagious once the warts are destroyed."
A patient having brachytherapy for the treatment of prostate cancer and asks the nurse if he can have sexual intercourse after radiation therapy is completed. What is the best response by the nurse? A: "You most likely will not be able to have sexual intercourse after radiation therapy." B: "You must be sure to use a condom for 2 weeks after implantation and then it will no longer be necessary." C: "There are no restrictions to sexual activity during radiation." D: "You must use a condom for at least 6 months after beginning radiation therapy."
B: "You must be sure to use a condom for 2 weeks after implantation and then it will no longer be necessary."
The nurse is obtaining a history from a male client who states having difficulty achieving and sustaining an erection. When reviewing the medication history, which medication classification does the nurse anticipate? A: Bronchodilators B: Antihypertensives C: Cardiac dysrhythimics D: Antibiotics
B: Antihypertensives
A women's current health complaints are suggestive of a diagnosis of premenstrual dysphoric disorder (PMDD). The nurse should first do which of the following? A: Assess the client's understanding of HT B: Assess the client for risk of suicide C: Assure the client that has the problem is self-limiting D: Suggest the use of St. John's wart
B: Assess the client for risk of suicide
The experienced nurse is assisting the novice nurse in caring for a client with newly acquired sexually transmitted infection. Which of the following infections does the experienced nurse stress to report to the Centers for Disease Control (CDC)? Select all that apply. A: Venereal warts B: Chlamydia & Gonorrhea C: Hepatitis B D: Syphilis E: HIV
B: Chlamydia & Gonorrhea D: Syphilis E: HIV
A premenopausal client is complaining of vaginal spotting and sharp, colicky lower abdominal pain. She informs the nurse that her period is 2 weeks late. The nurse should recognize a need for this client to be investigated for what health problem? A: Trichormonas vaginatis B: Ectopic pregnancy C: Cervical cancer D: Fibromyalgia
B: Ectopic pregnancy
Which type of biopsy would the nurse tell the client is a usual procedure for an palpable breast mass found on a mammography? A: Sterotactic B: Excisional C: Tru-Cut core D: Incisional
B: Excisional
The nurse is working at the public health clinic. Which symptoms does the nurse anticipate prior to assessing a client with secondary syphilis? A: A chancre on the genitals B: Fever, sore throat, lymph node enlargement C: Urethral drainage, dysuria D: Dementia, central nervous system involvement
B: Fever, sore throat, lymph node enlargement
A young, single client reports excessive menstrual flow with menses lasting 10 days each month. Which treament option will provide symptomatic relief for this client with the least risk? A: Dilation and curettage (D&C) B: Hormonal contraceptives C: Endometrial ablation D: Uterine balloon therapy
B: Hormonal contraceptives
A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which of the following as a cause of condylomata? A: Herpes virus B: Human papillomavirus C: Treponema Palidum D: Haemophilus ducreyi bacillus
B: Human papillomavirus
The client states to the nurse that he is very anxious about having prostate cancer ever since his prostate-specific antigen (PSA) test came back elevatedd. The client asks "Which diagnositc test produces definitive results if cancer is present?" The nurse is most correct to state which of the following? A: Transrectal ultasounography B: Tissue biopsy C: Tumor marker studies D: Digital rectal exam
B: Tissue biopsy
A client with anorexia experienced a severe reduction in body fat by extreme caloric restriction and exercise. Which female reproductive abnormalities could be acquired as a result of this reduction in body fat? Select all that apply A: Higher risk of fibrocystic breast disease B: Impaired potential for the implantation of a fertilized ovum C: Delay or cessation of menstruation D: Polycystic ovarian syndrome
B: Impaired potential for the implantation of a fertilized ovum C: Delay or cessation of menstruation
A nurse presenting an educational event for a local community group is addressing premenstrual syndrome (PMS). What treatment guideline should the nurse teach this group? A: Avoid excessive fluid intake B: Increase the frequency and intensity of exercise C: Limit pyschosocial stressors in order to reduce symptoms D: Take opioid analgesics as prescribed
B: Increase the frequency and intensity of exercise
A client with ovarian cancer is admitted to the hospital for surgery and the nurse is completing the client's health history. What clinical manifestations would the nurse expect to assess? A: Fish-like vaginal odor B: Increased abdominal girth C: Fever and chills D: Lower abdominal pelvic pain
B: Increased abdominal girth
A young client presenting at the health clinic with fever and mucopurulent vaginal drainage is diagnosed with acute pelvic inflammatory disease (PID). Which long-term affect is of greatest concern in the care of this client? A: Chronic pelvic inflammatory disease B: Infertility C: Pelvic pain D: Ascending infection
B: Infertility
A patient is diagnosed with the most common type of uterine fibroid, an intramural fibroid. The nurse include which information in teaching the patient about this fibroid? A: It lies underneath the outer most layer of the uterus B: It grows within the wall of the uterine muscle C: It grows below the inner uterine surface D: It arises from inside or outside of the surface of the uterine muscle.
B: It grows within the wall of the uterine muscle
A client is scheduled to undergo a procedure to lift her breasts that have drooped because of significant weight loss. The nurse identifies this procedure as which of the following? A: Reduction mammoplasty B: Mastopexy C: Autogenous breast reconstruction D: Mastectomy
B: Mastopexy
A young client who awoke with sudden, severe testicular pain with edema arrives at the ED unable to walk and nauseated. After examination, what treatment would the physician likely order? A: Surgery B: Oral anti-inflammatory medications C: Application of heat D: Elevation of testes
B: Oral anti-inflammatory medications
A 48 year old woman presenting for care is seeking information about hormone therapy (HT) for the treatment of her perimnopausal symptoms. The client's need for relief from hot flashes and other symptoms will be weighed carefully against the increased risk of what complications of HT? Select all that apply. A: Anaphylaxis B: Osteoporosis C: Breast Cancer D: Cardiovascular disease E: Venous thromboembolism
B: Osteoporosis C: Breast Cancer E: Venous thromboembolism
A nurse is conducting a health education class for a group of 12-14 year old girls and describing the events of secretory phase. Which of the following would the nurse include? A: Thickening of the uterine wall. B: Ovulation C: Disintegration of the ovum D: Shedding of the uterine lining
B: Ovulation
The nurse is providing instructions for testicular self-examination to a group of young adolescents. Which is the most correct examination technique? A: Palpate both testicles simultaneously for comparison B: Palpate each testilce seperately, after a warm shower C: Palpate the front of the testicle first, where most tumors are found D: Palpate for a soft, round shape with normal ridges on the testicles
B: Palpate each testilce seperately, after a warm shower
The nurse is preparing a discharge teaching plan for a client who has had a prostatectomy. Which of the following would be appropriate to include? A: Using a bearing down motion to promote complete bladder emptying when voiding B: Performing perineal exercises frequently throughout the day C: Engaging in strenuous exercise to strengthen abdominal muscles D: Waiting to urinate for 5 to 10 minutes after feeling the initial urge
B: Performing perineal exercises frequently throughout the day
Ovulation occurs midway between days 17 and 22 (usually at day 14) in a normal 28-day menstrual cycle. Conception occurs during ovulation. If an egg is fertilized, this hormone will continue to protect the egg until placenta takes over. Which of the following is the correct hormone? A: Follicle stimulation B: Progesterone C: Luteinizing hormone D: estrogen
B: Progesterone
A 55- year old client with a history of type 1 diabetes presents at the clinic reporting erectile dysfunction. The physician prescribes tadalafil to be taken 1 hour before sexual intercourse. The nurse reviews the client's history prior to instructing the client on the use of this medication. What disorder will contraindicate the use of tadalafil? A: Cataracts B: Retinopathy C: Diabetic neuropathy D: Diabetic nephropathy
B: Retinopathy
The nurse is caring for a client with a diagnosis of vulvar cancer who has returned from the PACU after undergoing a wide excision of the vulva. How should this client's analgesic regimen be best managed? A: Analgesia should be withheld unless the client's pain becomes unbearable. B: Scheduled analgesia should be administered around-the-clock to prevent pain. C: All analgesic should be given a PRN; rather than scheduled basis D: Opioid analgesics should be avoided and NSAIDs exclusively provided
B: Scheduled analgesia should be administered around-the-clock to prevent pain.
A patient has had a total mastectomy 12 hours ago and the nurse is assessing the surgical wound. The nurse observes ecchymosis, swelling, and tightness around the wound, and the patient states that is it painful. What does the nurse suspect has occurred? A: The Pt has developed an infection B: The Pt has developed a hematoma C: The Pt has developed lymphedema D: The Ot has developed a cyst
B: The Pt has developed a hematoma
A client reports loss of interest in sexual relations and discomfort during intercourse. Which is the best response by the nurse? A: Don't worry, every woman goes through this B: These are normal, manageable symptoms of menopause. C: You need to discuss this with your spouse. D: Hormone replacement therapy can resolve your symptoms
B: These are normal, manageable symptoms of menopause.
Which of the following sexually transmitted infections (STIs) could be transmitted perinatally? A: Herpes simplex B: Chlamydia C: Gonorrhea D: Trichomoniasis
C: Gonorrhea
Which group of clients is at a high risk of developing breast cancer? A: Women who do not consume alcohol B: Women who are obese C: Women who have sex with multiple partners D: Women who consume a low-fat, low-calorie diet
B: Women who are obese
A nurse is caring for a client who is being evaluated for a lump found on the lateral aspect of the right breast. The client is anxious and ask the nurse if the next step is to have a mastoctomy. Which is the nurse's best response? A: Yes, breast lumps are abnormal and will need to be removed. B: the doctor will need a biopsy first to see if the lump is cancerous C: The doctor will answer your questions when he or she arrives D: Many times, an ultrasound is done to distinguish between a tumor or a cyst
B: the doctor will need a biopsy first to see if the lump is cancerous
fertility studies fro men include semen analysis to determine sperm count, sperm motility, and abnormal sperm. Which test can also be performed to determine infertility? A: Prostate-specific antigen (PSA) assay B: Needle biopsy of prostatic tissue C: Blood test for (LH) luteinizing hormone D: Cystoscopy
C: Blood test for (LH) luteinizing hormone
While taking a health history on a 20-year old female client, the nurse learns the client is taking miconazole. The nurse justifiedin presuming that this client has what medical condition A: Bacterial Vaginosis B: Human papilomavirus (HPV) C: Candidiasis D: Toxic Shock syndrome (TSS)
C: Candidiasis
A client who comes to the clinic complaining of perineal pain, dysuria, and fever is diagnosed with prostatitis. The nurse understands that which of the following organisms would be the most likely cause? A: Staphylococcus B: Streptococcus C: Escherichia Coli D: Paramyxovirus
C: Escherichia Coli
An adolescent is identified as having a collection of fluid in the tunica vainalis of the testes. The nurse knows that the adolescent will receive what medical diagnosis? A: Cryptorchidism B: Orchitis C: Hydrocele D: Prostatism
C: Hydrocele
A client has been diagnosed with endometriosis. When planning this client's care the nurse should prioritize what nursing diagnosis? A: Anxiety related to risk of transmission B: Acute pain related to misplaced endometrial tissue C: Ineffective tissue perfusion related to hemorrhege D: Excess fluid volume related to abdominal distention
C: Ineffective tissue perfusion related to hemorrhege
The nurse is assessing an older adult female who has not seen her physician in 2 years. The nurse is assisting the patient into a gown and notices that the patient has edema and pitting of the skin on the right breast. What does the nurse understand is the significance of this finding? A: It may result from inflammation due to mastitis while the patient is breast feeding B: This finding is not uncommon and is significant only when of recent origin C: It may result from a neoplasm blocking lymphatic drainage, giving the skin an orange-peel appearance, a classic sign of advanced breast cancer. D: This finding is most likely related to benign cysts of the breast in the nipple area.
C: It may result from a neoplasm blocking lymphatic drainage, giving the skin an orange-peel appearance, a classic sign of advanced breast cancer.
A nurse is assisting with a physical examination f male client. Which of the following signs and symptoms is most clearly suggestive of primary genital herpes? A: Presence of purulent, whitish discharge from the penis B: Emergence of hard, painless nodules on the shaft of the penis C: Itching, pain, and the emergence of pustules on the penis D: Production of cloudy, foul-smelling urine
C: Itching, pain, and the emergence of pustules on the penis
Which is the main cause of anemia in a client with active uterine leiomyoma? A: A poor intake of foods containing iron B: Hemolysis C: Menorrhagia D: Pressure of the fibroid on the pelvic veins
C: Menorrhagia
A nurse is assessing a client who presented to the ED with priapism. The student nurse is aware that the condition is classified as a urologic emergency because of the potential for what? A: Urinary tract infection B: Chronic pain C: Permanent vascular damage D: Future erectile dysfunction
C: Permanent vascular damage
An uncircumcised 78-year old male has presented at the clinic complaining that he cannot retract his foreskin over his glans. On examination it is noted that the foreskin is very constricted. The nurse should recognize the presence of what health problem? A: Bowen disease B: Peyronie's disease C: Phimosis D: Priapism
C: Phimosis
The nurse has received several laboratory studies back at the clinic. Which of these results should be reported to the local health department? A: Wound infection with MRSA B: Positive influenza C: Positive gonorrhea D: Positive mononucleosis
C: Positive gonorrhea
A patient is suspected to have prostate cancer related to observed clinical symptoms. What definitive test can the nurse assist with to confirm a diagnosis of prostate cancer? A: DRE B: PSA C: Prostate biopsy D: Cystoscopy
C: Prostate biopsy
The nurse is caring for a client who states having an irregular menstrual period. Which diagnostic test provides information of the body's ability to ovulate? A: Thyroid level B: Serum luteinizing hormone C: Serum follicle-stimulating hormone D: Estrogen level
C: Serum folicle-stimulating hormone
A health care provider tells a breast cancer client that he is going to prescribe hormone therapy that has been found to significantly reduce mortality. Which drug would most likely be prescribed? A: Lapatinib B: Bevacizumab C: Tamaxifen D: Trastuzumab
C: Tamaxifen
A patient had a sentinel node biopsy and informs the nurse that something is very wrong with her. The patient explains that she had a bowel movement and urinated and both are a blue color. What should the nurse inform the patient? A: The cancer may be invasive and holding on to some of the dye that is used B: The patient must be having a reaction to the dye that was used C: The dye that was used during the biopsy is safe and being excreted D: The physician will have to discuss with her.
C: The dye that was used during the biopsy is safe and being excreted
A client complains of having tender and painful breasts, often feeling multiple lumps within her breast tissue. The nurse would need to gather additional information about which of the following? A: Alcohol and caffeine consumption B: Client's workplace in reation to the surroundings C: Timing of symptoms in relation to the menstrual cycle D: Bathing frequency and living surroundings
C: Timing of symptoms in relation to the menstrual cycle
A post menopausal patient is experiencing dyspareunia. What methods can the nurse recommend she use to diminish the discomfort? A: Ibuprofen B: Petroleum jelly C: Water-based lubricant D: Aspirin
C: Water-based lubricant
A public health nurse has been asked to provide a health promotion session for men at a wellness center. What should the nurse inform the participants about testicular cancer? A: It is most common among men over 55 B: It is one of the least curable solid tumors C: It typically does not metastasize D: It is highly responsive to treatment
D: It is highly responsive to treatment
Which client has the highest risk of ovarian cancer? A: 30-year-old woman taking hormonal contraceptives B: 36-year-old woman who had her first child at age 22 C: 40-year-old woman with 3 children D: 45-year-old woman who never been pregnant
D: 45-year-old woman who never been pregnant
Which client is most likely to develop prostate cancer according to a nurse working at a health screening at the local mall? A: A 35-year-old African man B: A 60-year-old Asian American man C: A 17-year-old Caucasian man D: A 56-year-old African American man
D: A 56-year-old African American man
The nurse is providing a shift report related to a client newly received back to the unti from the post anesthesia care unit (PACU). The nurse is stating that the client had breast tissue removed with 7 of 14 lymph nodes, the lining of the chest muscles and pectoralis minor muscle removed. The oncoming nurse documents which procedure completed? A: A segmental mastectomy B: A total mastectomy C: A modified radical mastectomy D: A radical mastectomy
D: A radical mastectomy
A student nurse is doing clinical hours at an OB/GYN clinic. The student is helping to develop a plan of care for the patient with gonorrhea presented at the clinic. The student knows that the care plan for the patient should include what treatment of gonorrhea? A: Radiation therapy to destroy cancer cells B: Avoidance of the use of tampons C: Vaginal smears every 6 months D: Concurrent treatment for chlamydia
D: Concurrent treatment for chlamydia
The following outcome appears on the plan of care for a client with genital herpes. "Client demonstrates knowledge about measures to reduce the risk of transmission and recurrences." Which of the following, if reported by the client would support achievement of this outcome? A: Avoid sexually activiy when lesions are present B: Cleans the lesions with strong antibacterial soap C: Applies occlusive dressing to lesions D: Consistently uses condoms with sexual activity
D: Consistently uses condoms with sexual activity
A client is undergoing a diagnostic workup for suspected testicular cancer. When obtaining the client's history, the nurse checks for known risk factors for this type of cancer. Testicular cancer has been linked to: A: Testosterone therapy during childhood B: Sexually transmitted disease C: Early onset of puberty D: Cryptorchidism
D: Cryptorchidism
Which is a characteristic of a breast cancer mass? A: Occurs as disseminated masses B: Symmetrical mass C: Tender upon palpation D: Firm, hard, embedded in surrounding tissue
D: Firm, hard, embedded in surrounding tissue
A woman gives birth to a healthy newborn. As a part of the newborn's care, the nurse instills erythromycin ophthalmic ointment as a preventative measure related to which STI? A: Genital herpes B: Hepatitis B C: Syphilis D: Gonorrhea
D: Gonorrhea
The nurse in the gynecology clinic is interviewing a patient who informs the nurse that her mother and aunt had carcinoma of the cervix. What does the nurse recognize are two chief symptoms of early carcinoma that the patient should be questioned about? A: Leukoplakia and metrorrhagia B: Dyspareunia and foul-smelling vaginal discharge C: "Strawberry" spots and menorrhagia D: Leukorrhea and irregular vaginal bleeding or spotting
D: Leukorrhea and irregular vaginal bleeding or spotting
The menstrual cycle is dependent on the on the interplay among a number of hormones. The hormone(s) responsible for stimulation of progesterone is (are) A: Androgens B: Estradiol ? this one was very fuzzy on my video C: Follicle-stimulating hormone D: Luteinizing hormone
D: Luteinizing hormone
A client has an STI. The nurse reviews the client's chart and sees that the client has been prescribed doxycycline. Which of the following STIs is the client most likely to have? A: Human papillomavirus (HPV) infection B: Herpes simplex virus type 2 (HSV-2) infection C: Candidiasis D: Lymphogranuloma venereum (LGV)
D: Lymphogranuloma venereum (LGV)
Which hormone increases during the prementstrual phase? A: Estrogen B: Luteinizing hormone (LH) C: Follicle-stimulating Hormone (FSH) D: Progesterone
D: Progesterone
The nurse is caring for a client following breast reconstruction surgery using autogenous tissue. When assessing wounds from the surgical procedure, in which area would the nurse assess the wound from which the tissue was taken? A: The vastus lateralis B: The rectus femoris C: Gluteus maximus D: Rectus abdominis
D: Rectus abdominis
A client with syphilis did not receive treatment and has now progressed into the tertiary stage of the disorder. Which of the following would the nurse expect the client to exhibit? A: Ulcerated chancre, aortic valve insufficiency, lymphadenopathy B: Fever, malaise, sore throat C: Papular lesion, rash, headache D: Tabes dorsalis, ataxia and Charcot's joints
D: Tabes dorsalis, ataxia and Charcot's joints
Which is the primary assessment finding in identifying the possible cause of repeated episodes of vaginitis in a female client? A: Tub baths preferred over shower B: Healthy sex life C: Occasional use of vinegar douches D: Type 2 diabetes mellitus
D: Type 2 diabetes mellitus