WK 1 test
Following morning hygiene of an elderly client, the nurse is unable to replace the retracted foreskin of the penis. Which is the most likely outcome?
Painful swelling ✓
The nurse is providing instruction for testicular self-examination to a group of young adolescents. Which is the most correct examination technique?
Palpate each testicle separately, following a warm shower. ✓
The surgeon has ordered belladonna and opium (B and O) suppositories for the management of a postoperative prostatectomy client who is receiving continuous bladder irrigation. Which of the following symptoms would indicate to the nurse the need for administration of this drug? Select all that apply.
Slowed or stopped infusion rate ✓ Increased bladder pressure and pain ✓
2. Which of the following is an early symptom of vulvar cancer?
Pruritus with genital burning ✓
Following a colposcopy, the confirmation of in situ carcinoma of the cervix has been determined. Which comment by the client indicates an appropriate understanding of the diagnosis?
"The cancer has not spread." ✓
A client is scheduled for a pump-type implanted penile prosthesis. Which client statement would indicate the need for additional teaching?
"The penis will appear longer than usual." ✓
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?
Escherichia coli ✓
A client who is diagnosed with stage II 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." ✓
After teaching a client about the use of a pessary, which statement by the client indicates the need for additional instruction?
"A white or yellow vaginal discharge is expected and normal." ✓
A client with extensive endometriosis is scheduled for a panhysterectomy. Which statement by the client indicates a need for further teaching?
"I will not have to deal with symptoms of menopause." ✓
An elderly client, who can void only while standing and pushing upward on the vagina, is ordered a pessary. Which comment from the client indicates a need for further teaching about this device?
"I will remove and clean it every day." ✓
A client reports loss of interest in sexual relations and discomfort during intercourse. Which is the best response by the nurse?
"These are normal, manageable symptoms of menopause." ✓
A young client has just completed the 6-month series of Gardasil vaccine. Which comment by the client would alert the nurse that further teaching is needed?
"This vaccine will prevent human papilloma virus (HPV) from occurring." ✓
46. A 50-year-old is diagnosed with stage II prostate cancer. The client is upset and verbalizes that he would rather die than have any surgery. Which is the best response by the nurse?
"What concerns you most about having surgery?" ✓
After examination, a client is found to have a prostatic nodule and is scheduled for prostate-specific antigen (PSA) testing. When reviewing the results, which of the following would indicate that the nodule is malignant?
12 ng/mL ✓
The client with prostatitis presents with low back pain, dysuria, and unusual sensation following ejaculation. Which of the following treatments will the nurse anticipate being a priority order for this client?
Antibiotics ✓
The nurse is collecting assessment data on a client who is reporting a vaginal discharge that is cottage cheese-like in appearance. Which pathogen is the most likely cause for this symptom?
Candida albicans ✓
Because ovarian cancer has nonspecific symptoms and can result in lethal outcome, diagnostic testing may be indicated for some women. Which risk factors support the need for screening? Select all that apply.
Carrying genetic mutation for the disease ✓ Being nulliparous ✓
21. A client is admitted to the hospital with the diagnosis of sepsis secondary to pelvic inflammatory disease. Which transmission-based precaution will be initiated by the nurse?
Contact precautions ✓
A client is to be scheduled for a vesicovaginal fistula repair. Which nursing intervention is focused on preventing complications that may delay the procedure?
Encourage fluid intake ✓
The client is asking if there is a pill that can be ordered to control the symptoms of menopause. Which assessment finding is most important in determining nursing care in association with hormone replacement therapy?
Family history of breast cancer ✓
Which assessment finding will most likely influence the treatment regime selected by a client with endometriosis?
Family planning ✓
60. Culture of client's vaginal discharge reveals Gardnerella vaginalis. Which of the following would the nurse expect to assess?
Fishy smelling watery discharge ✓
A client with a normal prostate-specific antigen (PSA) level is reporting painful urination and the presence of blood in urine and semen. The nurse understands that the best option for management of this client includes which of the following?
Further evaluation ✓
Which of the following should nurses teach all men, especially those who have had cryptorchidism?
How to perform a testicular self-examination ✓
The nurse is obtaining a medication history from a client who is reporting erectile dysfunction. Which medication would the nurse identify as being least likely to contribute to the client's condition?
Ibuprofen ✓
The nurse is providing an educational presentation on toxic shock syndrome to a group of adolescents. Which preventative measure is a primary focus for this group?
If using tampons, change frequently. ✓
51. 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?
Infertility ✓
A young client is admitted with torsion of the spermatic cord. Which is the most appropriate action to be taken by the nurse?
Keep the client NPO. ✓
Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery?
Maintaining optimal bladder emptying ✓
Which of the following nursing assessment findings would be most significant in determining sterility in a male client?
Mumps at age 15 years ✓
47. Following a laparoscopic-assisted vaginal hysterectomy, which client assessment finding would warrant nursing intervention? Select all that apply.
Peri-pad changed every shift ✓ Dorsal recumbent positioning with knee bend ✓
Following a radical vulvectomy, the nurse is preparing the client for discharge to home. Which care intervention would be considered the priority for this client?
Prevention of wound complications ✓
A client with vaginitis complains of itching and burning of the perineum. Which suggestion would be most appropriate to relieve the client's symptoms?
Take sitz baths frequently. ✓
A female client is diagnosed with carcinoma in situ of the endometrium. The nurse interprets this as which of the following?
The malignancy is localized. ✓
A hydrocele is suspected in a client with scrotal edema. Which assessment technique would the nurse anticipate to be done first?
Transillumination of the scrotum ✓
A client is diagnosed with stage II cancer of the prostate. The nurse interprets this as indicating which of the following?
Tumor is confined to the prostate gland. ✓
Which is the primary assessment finding in identifying the possible cause of repeated episodes of vaginitis in a female client?
Type 2 diabetes mellitus ✓
A client comes to the outpatient clinic for information on a vasectomy. Which instruction should be included by the nurse?
Vasectomies should be considered a permanent means of birth control. ✓
A client is ordered a vaginal cream for the treatment of a yeast infection. As the nurse provides instruction, which step for inserting vaginal medications should be highlighted?
Wash applicator after each use. ✓
A client with erectile dysfunction has opted to self-administer a urethral suppository as a means to produce an erection. Which of the following agents would most likely be used?
alprostadil ✓
The nurse knows that the safest treatment for erectile dysfunction in a client with coronary artery disease (CAD) includes which of the following medications?
apomorphine ✓
Which pharmacologic agents pose the greatest risk for urinary retention in a client with benign prostatic hyperplasia (BPH)?
decongestants ✓
A client has just been diagnosed with endometriosis. Which of the following would be most appropriate to provide the client with support and guidance about treatment options?
"It might help to include your partner in any of the discussions about options." ✓
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?
"Symptoms of endometriosis are increased during normal menstrual cycle." ✓
While obtaining the history, a client reports that her mother was treated with diethylstilbestrol (DES) during her pregnancy. The nurse determines that this client is at risk for which of the following?
Cervical cancer ✓
While collecting data on reproductive history, the client discloses early menarche, early sexual engagement, chlamydia infection, and treatment for gonorrhea. The nurse knows that this client is at highest risk for the development of which of the following? Select all that apply.
Cervical cancer ✓ Sexually transmitted infections ✓
Which assessment finding is most important in determining which client has a higher risk for developing testicular cancer?
Cryptorchidism as an infant ✓
1. Following a vasectomy, which is the most important instruction to provide to the client?
Use another form of birth control until further notice. ✓
Which assessment finding would create the greatest risk to a client who ordered a phosphodiesterase inhibitor such as sildenafil?
Use of nitrates ✓
Which of the following would be most important to determine when assessing a client being admitted for suspected toxic shock syndrome (TSS)?
Use of superabsorbent tampons ✓
Which of the following would be most important to include in a teaching plan for a client who has had a vasectomy?
Using a reliable method of contraception for several weeks ✓
The nurse is interviewing a postmenopausal client during an annual gynecologic exam. Which assessment finding presents the greatest concern in the care of this client?
Vaginal bleeding ✓
Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis?
Ensure immunizations against infectious diseases such as mumps. ✓
The client with benign prostatic hyperplasia (BPH) is considering use of medication in the management of symptoms. Which of the following drugs reduces the size of the prostate without lowering circulating levels of testosterone?
finasteride ✓
62. In a client with benign prostatic hyperplasia (BPH), which assessment finding provides the best indication of urinary retention?
frequency ✓
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.
infetility ✓ hypertension ✓ hyperlipidemia ✓
24. Which nursing assessment finding is most significant in determining the plan of care in a client with erectile dysfunction?
medication use ✓
A client is struggling with symptoms of irritability and "feeling crazy" at times. Which assessment data would provide the most important information needed in the development of a treatment plan for this client?
menstrual diary ✓
A young, single client reports excessive menstrual flow with menses lasting 10 days each month. Which treatment option will provide symptomatic relief for this client with the least risk?
ormonal contraceptive ✓
Which of the following should be included when teaching a client about the management of benign prostatic hyperplasia (BPH)? Select all that apply.
Assist bladder emptying by using the Valsalva maneuver ✓ Do not delay the urge to void. ✓
A client is diagnosed with prostatitis. Which of the following is the most important teaching point for the management of this disorder?
Avoid prolonged sitting. ✓
A client with erectile dysfunction who had a penile implant inserted has been taught how to identify malfunction of the device. Which of the following if stated by the client as indicative of malfunction would indicate to the nurse that the client has understood the teaching?
Underinflation or bulging of the cylinders during inflation ✓
