Female and Male Reproductive Billings Questions

Although the cause of testicular cancer is unknown, it is associated with a history of: 1. Undescended testes 2. Sexual relations at an early age 3. Seminal vesiculitis 4. Epididymitis

1. Undescended testes

The nurse is assessing a client's testes. Which of the following findings indicate the testes are normal? 1. Soft 2. Egg-shaped 3. Spongy 4. Lumpy

2. Egg-shaped

Risk factors associated with testicular malignancies include: 1. African-American race 2. Residing in a rural area 3. Lower socioeconomic status 4. Age older than 40 years

2. Residing in a rural area

The husband of a client with cervical cancer says to the nurse, "The doctor just told my wife that her cancer is curable. Is he just trying to make us feel better?" Which would be the nurse's most accurate response? 1. "When cervical cancer is detected early and treated aggressively, the cure rate is almost 100%" 2. "The 5 year survival rate is about 75%, which makes the odds pretty good" 3. "Saying a cancer is curable means that 50% of all women with the cancer survive at least 5 years" 4. "Cancers of the female reproductive tract tend to be slow growing and respond well to treatment"

1. "When cervical cancer is detected early and treated aggressively, the cure rate is almost 100%"

A client develops lymphadema after a left mastectomy with lymph node dissection. Which of the following should be included in the discharge teaching plan? Select all that apply. 1. Do not allow blood pressures or blood draws in the affected arm 2. Avoid application of sunscreen on the left arm 3. Use an electric razor for shaving 4. Immobilize the left arm 5. Elevate the left arm 6. Perform hand pump exercises

1. Do not allow blood pressures or blood draws in the affected arm 3. Use an electric razor for shaving 5. Elevate the left arm 6. Perform hand pump exercises

The nurse refers a client who had a mastectomy to "Reach to Recovery". The primary purpose of the American Cancer Society's Reach to Recover program is to: 1. Foster rehabilitation in women who have had mastectomies 2. Raise funds to support early breast cancer detection programs 3. Provide free dressings for women who have had radical mastectomies 4. Collect statistics for research from women who have had mastectomies

1. Foster rehabilitation in women who have had mastectomies

After the surgeon met with a client to obtain the client's informed consent for a modified radical mastectomy, the client asks the nurse many questions about breast reconstruction that the nurse cannot answer. The nurse should: 1. Inform the surgeon that the client has questions about reconstruction before she signs the consent 2. Inform the client that she should concentrate on recovering from the mastectomy first 3. Inform the client that she can have a consultation with the plastic surgeon in a few weeks 4. Inform the client she can ask the surgeon these questions later when the surgeon makes rounds

1. Inform the surgeon that the client has questions about reconstruction before she signs the consent

The nurse is providing a community presentation about ovarian cancer. Which topic should receive priority attention in the lesson plan? 1. Ovarian cancer signs and symptoms are often vague until late in development 2. Ovarian cancer should be considered in any woman older than 30 years of age 3. A rigid board-like abdomen is the most common sign 4. Methods for early detection have made a dramatic reduction in the mortality rate due to ovarian cancer

1. Ovarian cancer signs and symptoms are often vague until late in development

A client undergoing chemotherapy after a modified radical mastectomy asks the nurse questions about breast prosthesis and wigs. After answering the questions directly, the nurse should also: 1. Provide a list of resources, including the local breast cancer support group 2. Offer a referral to the social worker 3. Call the home health care agency 4. Contact the plastic surgeon

1. Provide a list of resources, including the local breast cancer support group

A client with prostate cancer is treated with hormone therapy consisting of diethylstilbestrol (DES; Stilphostrol), 2 mg daily. The nurse should instruct the client to expect to have: 1. Tenderness of the scrotum. 2. Tenderness of the breasts. 3. Loss of pubic hair. 4. Decreased blood pressure.

1. Tenderness of the scrotum

A client is to have radiation therapy after a modified radical mastectomy. The nurse should teach the client to care for the skin at the site of therapy by: 1. Washing the area with water 2. Exposing the area to dry heat 3. Applying ointment to the area 4. Using talcum powder on the area

1. Washing the area with water

A 76 year old client tells the nurse that she has lived long and does not need mammograms. Which is the nurse's best response? 1. "Having a mammogram when you are older is less painful" 2. "The incidence of breast cancer increases with age" 3. "We need to consider your family history of breast cancer first" 4. "It will be sufficient if you perform breast examinations monthly"

2. "The incidence of breast cancer increases with age"

The client with breast cancer is prescribed tamoxifen (Nolvadex) 20mg daily. The client states she does not like taking medicine and asks the nurse if the tamoxifen is really worth taking. The nurse's best response is which of the following? 1. "This drug is part of your chemotherapy program" 2. "This drug has been found to decrease metastatic breast cancer" 3. "This drug will act as an estrogen in your breast tissue" 4. "This drug will prevent hot flashes since you cannot take hormone replacement"

2. "This drug has been found to decrease metastatic breast cancer"

In discussing home care with a client after transurethral resection of the prostate (TURP), the nurse should teach the male client that dribbling of urine: 1. Can be a chronic problem 2. Can persist for several months 3. Is an abnormal sign that requires intervention 4. Is a sign of healing within the prostate

2. Can persist for several months

The nurse should specifically assess a client with prostatic hypertrophy for which of the following? 1. Voiding at less frequent intervals 2. Difficulty starting the flow of urine 3. Painful urination 4. Increased force of the urine stream

2. Difficulty starting the flow of urine

A client with cervical cancer is undergoing internal radium implant therapy. A lead-lined container and a pari of long forceps are kept in the clients hospital room for: 1. Disposal of emesis or other bodily secretions 2. Handling of a dislodged radiation source 3. Disposal of the client's eating utensils 4. Storage of the radiation dose

2. Handling of a dislodged radiation source

A client with suspected cervical cancer is undergoing a colposcopy with conizaiton. The nurse gives instructions to the client about her menstrual periods, emphasizing that: 1. Her periods will return to normal after 6 months 2. Her next two or three periods may be heavier and more prolonged than normal 3. Her next two or three periods will be lighter than normal 4. She may skip her next two periods

2. Her next two or three periods may be heavier and more prolonged than normal

A client diagnosed with seminomatous testicular cancer expresses fear and questions the nurse about his prognosis. The nurse should base the response on the knowledge that: 1. Testicular cancer is almost always fatal. 2. Testicular cancer has a cure rate of 90% when diagnosed early. 3. Surgery is the treatment of choice for testicular cancer. 4. Testicular cancer has a 50% cure rate when diagnosed early.

2. Testicular cancer has a cure rate of 90% when diagnosed early.

A client asks the nurse why the prostate-specific antigen (PSA) level is determined before the digital rectal examination. The nurse's BEST respond is which of the following? 1. "It is easier for the client." 2. "A prostate examination can possibly decrease the PSA." 3. "A prostate examination can possibly increase the PSA." 4. "If the PSA is normal, the client will not have to undergo the rectal examination."

3. "A prostate examination can possibly increase the PSA."

A nursing assistant tells the nurse, "I think the client is confused. He keeps telling me he has to void, but that isn't possible because he has a catheter in place that is draining well." Which of the following responses would be most appropriate for the nurse to make? 1. "His catheter is probably plugged. I'll irrigate it." 2. "That's a common problem after prostate surgery. The client only imagines the urge to void." 3. "The urge to void is usually created by the large catheter, and he may be having some bladder spasms" 4. "I think he may be somewhat confused"

3. "The urge to void is usually created by the large catheter, and he may be having some bladder spasms"

When teaching a client to perform testicular self-examination, the nurse explains that the examination should be performed: 1. After intercourse 2. At the end of the day 3. After a warm bath or shower 4. After exercise

3. After a warm bath or shower

A client with benign prostatic hypertrophy (BPH) is being treated with terazosin (Hytrin) 2mg at bedtime. The nurse should monitor the client's: 1. Urine nitrites 2. WBC count 3. Blood pressure 4. Pulse

3. Blood pressure

A client with benign prostatic hypertrophy (BPH) has an elevated prostate-specific antigen (PSA) level. The nurse should: 1. Instruct the client to request having a colonoscopy before coming to conclusions about the PSA results 2. Instruct the client that a urologist will monitor the PSA level biannually when elevated 3. Determine if the prostatic palpation was done before or after the blood sample was drawn 4. Ask the client if he emptied his bladder before the blood sample was obtained

3. Determine if the prostatic palpation was done before or after the blood sample was drawn

The nurse is reviewing the medication history of a client with benign prostatic hypertrophy (BPH). Which medication will likely aggravate BPH? 1. Metformin (Glucophage) 2. Buspirone (BuSpar) 3. Inhaled ipratropium (Atrovent) 4. Ophthalmic timolol (Timoptic)

3. Inhaled ipratropium (Atrovent)

The nurse should teach a client that a normal local tissue response to radiation following surgery for breast cancer is: 1. Atrophy of the skin 2. Scattered pustule formation 3. Redness of the surface tissue 4. Sloughing of two layers of skin

3. Redness of the surface tissue

A client, who had a transurethral resection of the prostate (TURP), has a three0way indwelling urinary catheter with continuous bladder irrigation. In which of the following circumstances should the nurse increase the flow rate of the continuous bladder irrigation? 1. When drainage is continuous but slow 2. When drainage appears cloudy and dark yellow 3. When drainage becomes bright red 4. When there is no drainage of urine and irrigating solution

3. When drainage becomes bright red

The mother of a client who has a radium implant asks why so many nurses are involved in her daughter's care. She states, "The doctor and I can be in the room for up to 2 hours each day, but the nurses say they're restricted to 30 minutes." The nurse explains that this variation is based on the fact that nurses: 1. Touch the client, which increases their exposure to radiaiton 2. Work with many clients and could carry infection to a client receiving radiation therapy, if exposure is prolonged 3. Work with radiation on an ongoing basis, while visitors have infrequent exposure to radiation 4. Are at greater risk from the radiation because they are younger than the mother

3. Work with radiation on an ongoing basis, while visitors have infrequent exposure to radiation

Which of the following is a risk factor for cervical cancer? 1. Sexual experiences with one partner 2. Sedentary lifestyle 3. Obesity 4. Adolescent pregnancy

4. Adolescent pregnancy

A client has a testicular nodule that is highly suspicious for testicular cancer. A laboratory test that supports diagnosis is: 1. Decreased alpha fetoprotein (AFP) 2. Decreased beta-human chorionic gonadotropin (hCG) 3. Increased testosterone 4. Increased AFP

4. Increased AFP

The nurse should carefully observe a client with internal radium implants for typical adverse effects associated with radiation therapy to the cervix. These effects include: 1. Severe vaginal itching 2. Confusion 3. High fever in the afternoon or evening 4. Nausea and foul vaginal discharge

4. Nausea and foul vaginal discharge

Which of the following should be included in the nursing care for a client with cervical cancer who has na internal radium implant in place? 1. Offer the bedpan every 2 hours 2. Provide perineal care twice daily 3. Check the position of the applicator hourly 4. Offer a low-residue diet

4. Offer a low-residue diet

Which of the following positions would be best for a client's right arm when she returns to her room after a right modified radical mastectomy with multiple lymph node excisions? 1. Across her chest wall 2. At her side at the same level as her body 3. In the position that affords her the greatest comfort without placing pressure on the incision 4. On pillows, with her hand higher than her elbow and her elbow higher than her shoulder

4. On pillows, with her hand higher than her elbow and her elbow higher than her shoulder

A client asks the nurse to explain the meaning of her abnormal Papanicolaou (Pap) smear result of atypical squamous cells. Which of the following concepts should the nurse include in the response? An atypical Pap smear means that 1. Abnormal viral cells were found in the smear 2. Cancer cells were found in the smear 3. The Pap smear alone is not very important diagnostically because there are many false positive results 4. The cells could cause various conditions and help identify a problem early

4. The cells could cause various conditions and help identify a problem early

A client with ovarian cancer asks the nurse, "What is the cause of this cancer?" The most accurate response by the nurse is: 1. Use of oral contraceptives increases the risk of ovarian cancer 2. Women who have had at least two live births are protected from ovarian cancer 3. There is less chance of developing ovarian cancer when one lives in an industrialized country 4. The risk of developing ovarian cancer is related to environmental, endocrine, and genetic factors

4. The risk of developing ovarian cancer is related to environmental, endocrine, and genetic factors