M/S 4 Test

A nurse is reviewing information with a client who is scheduled for a transrectal ultrasound (TRUS). Which of the following information should the nurse include?

"Sound waves will be used to create a picture of your prostate."

The nurses helping a woman prefer for a routine Pap smear. Which of the following actions should the nurse take?

Ask the woman to empty her bladder

A nurse is providing support to a client who has a recent diagnosis of endometriosis. The nurse should reinforce with the client that which of the following conditions is a complication of endometriosis?

Infertility

following should the nurse reinforce when teaching about the implications of endometriosis?

Infertility

A nurse is caring with plan of care for a client who is scheduled for a transurethral resection of the prostate. Which of the following interventions should the nurse include in the plan of care?

Inform the client to expect insertion of a large indwelling urinary catheter following surgery

A nurse in a provider's office is collecting data for a 45-year-old client who is having manifestations associated with perimenopause. Which of the following findings should the nurse expect?

Report of dryness with vaginal intercourse

While bathing an 82-year-old man hospitalized with pneumonia, a nurse notes and ulcerated area on his penis. What action should the nurse take first?

Report the ulcer to the admitting care provider

A man with a history of diabetes and chronic lung disease is admitted to the hospital with prostate cancer. He has all the following symptoms. Which should the nurse address first?

Respiratory rate of 36 per minute

According to the American Cancer Society how often should a 40-year-old woman have a mammogram done?

Yearly

A patient being prepared for cystourethrography asks what is going to be done to him. Which is the best explanation by The nurse?

You will have a catheter put in, then he dye will be injected and x-rays will be taken

Which virus is associated with cervical cancer?

Human papilloma virus

Which virus causes genital warts?

Human papillomavirus

Information about a rectocele contains all the following except:

A protrusion of the anterior rectal wall through the posterior vaginal wall

A nurse is reviewing postoperative information with a client who is scheduled for a transurethral resection of the prostate (TURP). Which of the following information should the nurse include in the discussion?

A. "You may have a continuous sensation of needing to void even though you have a catheter."

Breast skin changes seen with breast cancer include: A Dimpling B Palpable non-tender lump C Nipple retraction or ulceration D All the above E None of the above

All the above

Cancer may affect the various parts of the female reproductive system? A Breasts B Cervix C Uterus D Ovaries E All the above

All the above

Health Promotion for breast cancer involves education. Of the following education topics, which is correct:

All the above

Which of these is a risk factor for endometrial cancer: A Over age 55 B Obesity C Late Menopause D All the above E None of the above

All the above

A woman with pelvic inflammatory disease says she has lower abdominal pain. Which action should the nurse take first?

Have her rate her pain on a 0 to 10 scale

A 28-year-old man is diagnosed with acute Epididymitis. for which of the symptoms should the nurse assessed?

Severe tenderness and swelling in the scrotum

What should the nurse teach a patient about preventing toxic shock syndrome? (Select all that apply)

Change tampon every 4 hours Substitute pads for tampons Wash hands before and after handling tampons

What is the most commonly diagnosed sexually transmitted disease (STD) in the United States?

Chlamydia

Which STIs require prophylactic eye drops for newborns? (Select all that apply)

Chlamydia Gonorrhea

A client has returned from a transurethral prostatectomy with a continuous bladder irrigation. Which of the following assessment findings should the licensed practical nurse/licensed vocational nurse report to the registered nurse?

Client states his pain is a level 6 out of 10.

A nurse is caring for a client whose Papanicolaou (Pap) test cytology results are abnormal. Which of the following procedures should the nurse anticipate for this client?

Colposcopy with directed biopsy

The nurse is assisting with teaching a 22-year-old female patient who is diagnosed with a sexually transmitted disease (STD). She says, "I don't understand. My boyfriend always wears a condom." Which understanding by the nurse should guide teaching in this situation?

Condoms can decrease the risk of STDs, but they are not foolproof.

A 28-year-old male reports to the nurse that he has been having trouble maintaining an erection. Which assessment finding should the nurse further explore?

He drinks about a case of beer over each weekend.

Which of the following is a known risk factor for cervical cancer?

Multiple sexual partners

The nurse is assisting with teaching a patient who has been exposed to hepatitis B. Which symptoms should the nurse relate may be present in a patient with hepatitis B before jaundice appears?

Nausea

A 23-year-old woman is seen as an outpatient clinic for a routine Pap smear. When questioned, and she states she is deciding whether to engage in sexual activity with the man she is just getting to know. She asked how she can tell if he has an STI. Which response by the nurse is best?

On examination by a doctor with diagnostic testing is the only way to know if he is infection free

Strong contractions of the smooth muscle of the uterus for labor and delivery are brought about by which of the following hormones?

Oxytocin

A patient has cloudy penile discharge. For which additional symptoms of urethritis should the nurse assess?

Painful and frequent urination

A nurse is reinforcing with a client who asks which diagnostic test is the preferred method for detecting cervical cancer. Which is an appropriate response by the nurse?

Papanicolaou test

What can the nurse teach a woman to help prevent displacement disorders?

Perform Kegel exercises

Side effects of oral contraceptives can be explained as an ACRONYM. What is that acronym?

ACHES

What should be included when teaching young men to detect testicular cancer early?

Monthly testicular self-examination (TSE)

The nurse is assisting in the care of a patient recently diagnosed with a sexually transmitted disease (STD). The nurse counsels the patient about notification of sexual partners. Which of the following statements by the patient indicates the need for further teaching?

"Reporting regulations are the same throughout the country."

A nurse is reinforcing instructions for a client who is scheduled for a cervical biopsy. Which of the following should the nurse include in the instructions? (Select all that apply.)

"Avoid heavy lifting for approximately 2 weeks after the procedure." "Avoid the use of tampons for 2 weeks after the procedure."

A nurse is assisting with discharge of a client who has had an anterior and posterior colporrhaphy. Which of the following instructions should the nurse provide?

"Do not engage in intercourse for at least 6 weeks."

Based on a client's recent history, a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?

"Do you sleep well at night?"

A nurse is reinforcing teaching to a client who has endometriosis. Which of the following statements should the nurse include in the teaching?

"Endometriosis may be associated with painful bowel movements."

A nurse manager in a health clinic is discussing complications associated with sexually transmitted infections (STIs) with a newly licensed nurse. Which of the following statements should be included in the discussion?

"Human papillomavirus can lead to cancer of the cervix."

A nurse is reinforcing breast self-examination (BSE) teaching with a client who is menopausal. Which of the following statements by the client indicate an understanding of the teaching?

"I can stand in the shower to perform the examination." "It is important to press my breasts firmly to detect any lumps" "Since I no longer have periods. I can do the exam at any time of the month." "I will make sure to feel for changes in my underarm area."

A nurse is collecting data from a client admitted for an anterior colporrhaphy. The nurse should recognize that which of the following client statements validates the need for this type of surgery?

"I have had frequent urinary tract infections."

The nurse is providing care and support to a female client who tested positive for the BRCA 1 and BCCA 2 genes. Which statement by the patient indicates that additional information from the nurse is necessary?

"I think this requires that I be closely monitored for breast cancer."

A nurse is reinforcing discharge teaching with a client who has a total abdominal hysterectomy and vaginal repair. Which of the following statement by the client indicates a need for further teaching?

"I will take a tub bath instead of a shower."

A nurse in a provider's office is reviewing information with 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.)

"My heavy bleeding may be due to a hormonal imbalance." "My doctor may perform a D&C to find out what's causing my abnormal bleeding."

A postmenopausal woman asks if she should take calcium and vitamin D supplements. After advising her to talk with her health care provider, what is the best response by the nurse?

"No, you should get calcium and vitamin D from foods."

A nurse is reinforcing teaching about the frequency of breast self-examination (BSE) with a young adult client. Which of the following statements by the client indicates an understanding of the teaching?

"The best day to perform BSE is 7 days after the menstrual cycle begins."

A client has a diagnosis of benign prostatic hyperplasia and asks what the doctor mean by "watchful waiting." Which response by the nurse is best?

"The doctor will want you to report back on your symptoms regularly to monitor your condition."

A nurse is reinforcing education about menstruation with an adolescent female client. Which of the following statements should the nurse include? (Select all that apply.)

"The range for a typical menstrual cycle is between 21 and 42 days." "Ovulation typically occurs around the 14th day of the menstrual cycle." "It is not unusual for a menstrual period to last as long as 7 days."

A nurse in a health clinic is reinforcing teaching to a newly licensed nurse about virginal yeast infections. Which of the following information should the nurse include in the teaching?

"Vaginal yeast infections present as a thick, white discharge."

The nurse is caring for a young woman who is newly diagnosed with genital warts. She states, "I heard you can get cancer from STDs. Is that true?" Which of the following responses by the nurse is correct?

"Yes, some STDs have been linked to cancer, so adequate treatment is very important."

A nurse is preparing a client for her first Papanicolaou (Pap) test. Which of the following statements is appropriate for the nurse to make?

"You may experience some bleeding after the procedure."

A nurse is reinforcing teaching to a client who is to undergo a breast biopsy by needle aspiration. Which of the following statements should the nurse make?

"You should wear a well-fitting bra to minimize bruising following the procedure."

A nurse is reinforcing teaching to a client who is preparing for a pelvic examination with Papanicolaou (Pap) test. Which of the following statements should the nurse include in the teaching?

"You will need to empty your bladder just before the exam."

Nurse needs to administer an intramuscular injection of 2.4 million units of penicillin. It is supplied in a file of 5 million units of powder for injection. Instructions state to dilute with eight ML's of sterile water. How many and I'll should the nurse draw up?

3.8 ml

The nearest completely nursing history on a patient admitted for a TURP. What symptoms of BPH does the nurse expect the patient to report?

A feeling of incomplete bladder emptying after voiding Difficulty urinating Nocturia

The following is true about a cystocele: A A protrusion of the posterior bladder through the posterior vaginal wall B Caused by weakened pelvic muscles and/or structures C Can be treated with a vaginal pessary D All the above E None of the above

All the above

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 a set of exercises four times a daily. 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.

What are risk factors for breast cancer?

Age Family history High-fat Diet High alcohol intake

Which foods should the nurse teach women with premenstrual syndrome to avoid?

Alcohol, caffeine

A nurse is a provider's officer is collecting date from a client who has ovarian cancer. Which of the following manifestations should the nurse expect?

Abdominal bloating

A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following findings should the nurse expect the client to report?

Abnormal vaginal bleeding

Which men should do testicular self-examination?

All men after puberty

A nurse is reinforcing discharge instructions with a client who is postoperative from a TURP. Which of the following instructions should the nurse include? (Select all that apply.)

B. If urine appears bloody, stop activity and rest. C. Avoid drinking caffeinated beverages. D. Take a stool softener once a day.

A nurse is reinforcing teaching with a middle adult female client who has fibrocystic breast disease. The nurse should emphasize to the client that manifestations of this disease are present at which of the following times?

Before menstruation begins

A client who is menopausal asks the nurse about use of herbal therapy to treat hot flashes. Which of the following herbal supplements should the nurse recommend?

Black cohosh

The nurse is providing care for a patient with genital herpes who has vesicular lesions. What term can the nurse use to describe these lesions to the patient?

Blisters

A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). The nurse should anticipate a prescription for which of the following medications?

D. Tamsulosin (Flomax)

A nurse is reinforcing premammogram instructions to a client. Which of the following should the nurse advise the client to avoid prior to the procedure?

Deodorant

A nurse is reviewing instructions with a client before a mammogram. Which of the following should the nurse instruct the client to avoid prior to the procedure?

Deodorant

The nurse is caring for a male client with complaints of frequency, urgency, and feeling that he cannot empty his bladder. The nurse anticipates preparing the client for which procedure?

Digital rectal examination of the prostrate

How will a douche effective vaginal examination to determine the type of pathogen present?

Douching can wash away evidence of the pathogen, making diagnosis difficult

Which of the following lifestyle habits are most likely to increase premenstrual syndrome symptoms?

Drinking alcohol Smoking Drinking coffee Avoiding exercise before menses

When should men over age 40 have digital rectal examination's?

During yearly physician visit

Menopause is the cessation of menses. Which of the following is true? A Hot flashes and irregular menses B Vaginal Dryness C Decreased bone density D Decreased skin elasticity E All the Above

E All the Above

Which layer of the uterus will become the maternal portion of the placenta?

Endometrium

A nurse is reviewing the medical record of a client who has premenstrual syndrome (PMS). Which of the following medications are used to treat premenstrual syndrome? (Select all that apply.)

Fluoxetine (Prozac) Spironolactone (Aldactone) Ethinyl estradiol/drospirenone (Yasmin)

A nurse in a provider's office is obtaining a history from a client who is being evaluated for benign prostatic hyperplasia (BPH). Which of the following findings are indicative of this condition? (Select all that apply.)

Frequent urinary tract infections Hematuria E. Urinary incontinence

How would the nurse document the reproductive history of a woman who has had three pregnancies, one set of twins, and two abortions?

G3P1A2

A patient return from surgery following a TURP with a three-way Foley catheter and continuous bladder irrigation. Postoperative orders include Demirel 75 mg PRN and opium suppository every four hours PRN and strict I & o'. The patient reports painful bladder spasms and the nurse observes a blood ting urine on the sheets. Which action should the nurse take first?

Give the B& O suppository

A 16-year-old girl is diagnosed with genital herpes. She has vesicles on her genitals and urethritis. She is tearful as she asked what she can do to prevent complications of the disease. On the basis of the data provided which nursing diagnosis is appropriate for her plan of care?

Health seeking behaviors

Risk Factors for cervical cancer include all the following except:

High Socioeconomic Status

Which of the following is a risk factor for development of breast cancer?

High-fat diet

A nurse is caring for a client who is experiencing menopausal symptoms and requests information about hormone replacement therapy (HRT). Which of the following items in the client's health history is a contraindication for hormone replacement therapy?

History of breast cancer

If patient with breast cancer is being tamoxifen citrate, which deprives cancer cells of the estrogen that makes them grow. This is an example of which motive therapy?

Hormonal therapy

A nurse is teaching to patient about use of a condom with spermicide for contraception. Which statement by the patient indicates the need for further teaching?

I am glad that barrier methods are hundred percent effective

The nurse is providing care for a patient scheduled for a vasectomy. Which of the following statements and the kids for their teaching is necessary?

I will need to have my Testosterone levels checked periodically to ensure the success of the surgery

A college student goes to the college clinic and ask the best way to avoid contracting and sexually transmitted infections. The nurse provides a clinic standard STA teaching. Which statement by the student indicates the need for additional instruction?

If I question my partner about past sexual encounters, I can avoid sexually transmitted infections

The nurse receives a phone call from a client who reports engaging in recent sexual activity with a partner who just informed her that he has herpes. Which of the following statements by the nurse is best?

If you notice flu like symptoms, symptoms of a bladder infection, or vaginal drainage it within the next two weeks you need to be seen right away

A nurse is reinforcing teaching with a client who has a new diagnosis of testicular cancer. Which of the following statements should the nurse include in the teaching?

It typically occurs between ages 15 to 40 is correct Close male relatives are at increased risk for the disease is correct

The nurse is assisting with the admission of a known intravenous drug abuser to a medical unit. In addition to drug abuse, which disorder in the patient's history is most consistent with a diagnosis of hepatitis?

Jaundice

A 36-year-old woman who has had no prenatal care comes in to the hospital in active labor for her fourth child. She has vesicles evident on her perineum. Which of the following actions are appropriate to protect the unborn baby and the staff?

Maintain standard precautions Prepare for the possibility that the baby may be delivered C-section Notify the OB about the vesicles

It woman received notice that her screening mammogram is abnormal and she is instructed to schedule diagnostic scans. The woman called the office and asked the nurse, can you please tell me why I need more tests? The nurse will base response on which of the following understandings?

Many things can cause shadows on the mammogram besides cancer

The nurse must bathe a patient with herpes. What is the nurse's best protection against contracting sexually transmitted diseases (STDs) from patients while providing perineal hygiene?

Practicing standard precautions

Which of the following hormones stimulates the mammary glands to produce milk after pregnancy?

Prolactin

A 38-year-old patient had a reduction mammoplasty four days ago. When changing her dressing the home care nurse notes redness swelling and some thick yellow drainage escaping from areas of the incision line around her nipple. Which of the following nursing inventions is appropriate?

Promptly report the situation to the RN or physician and document the patient's chart

What disorders are evaluated with digital rectal examination?

Prostate disorders

An older adult client is having an annual physical exam at a provider's office. Which of the following client findings indicate additional follow-up is needed in regard to the prostate gland? (Select all that apply.)

Prostate-specific antigen (PSA) is 7.1 ng/mL. The client reports a weak urine stream.

Which of the following nursing interventions will help prevent swelling after a radical mastectomy with lymph node removal?

Raising the affected arm above the heart on pillows

Which of the following nursing actions is most appropriate when doing perineal care on an uncircumcised mill patient?

Replace the foreskin over the head of the penis after washing

A 36-year-old man is scheduled for a unilateral Orchiectomy for treatment of testicular cancer. He is withdrawn and does not interact with the nurse. Which action is most appropriate?

Say, you seem quiet. Are you feeling concerned about your diagnosis or treatment?

Which assessment findings are expected in a man diagnosed with varicocele? (Select all that apply)

Scrotum feels like a "bag of warms." Symptoms are worse when standing

Which of the following descriptions best describes the position of the uterus?

Superior to the bladder with the fundus most anterior

A nurse is teaching breast self-examination. which of the following positions with the nurse advised patient to use for a portion of the exam?

Supine

Development of a chancre is a sign of which sexually transmitted disease?

Syphilis

Which of the following is associated with gummas?

Syphilis

A post-transurethral resection of the prostate patient experiences dribbling following removal of the catheter. Which action should the nurse take?

Teach him to perform Kegel exercises 10 to 20 times per hour

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 in the review?

The Western blot assay is used to confirm the diagnosis of HIV.

The nurse is providing care for a patient who had a mastectomy for breast cancer 2 days ago and is now developing pulmonary congestion. For which reason is a mastectomy patient at risk for pulmonary complications?

The chest incision makes the patient hesitant to deep-breathe and cough

The patient who just had a transurethral resection of the prostate ASKS the nurse to explain why he has to have the bladder irrigation because it seems to increase the pain. Which of the following explanations by the nurse is best?

The irrigation is needed to keep the catheter from becoming occluded by blood clots

A school nurse is reinforcing teaching to a group of teenage clients about prevention of sexually transmitted infections (STIs). Which of the following practices is the most effective form of protection to include in the teaching?

The use of latex condoms

A patient told his nurse that he has been delayed having a transurethral resection of the prostate because he is afraid it will affect his sexual function. What response by the nurse is most appropriate?

This type of surgery rarely effects ability to have an erection or ejaculation

A nurse is reinforcing teaching about breast self-examination (BSE) with a client who has a regular menstrual cycle. The nurse should instruct the client to perform BSE at which of the following times?

Three to seven days after menses stops

A nurse practitioner completes a wet mount specimen on a patient with a suspected STI, then leaves the room. As the nurse prepared to take the slide to the lab, the patient says, I'm really scared that I have something serious. What do you think I should do, which response is best from the nurse?

Touch her lightly on the arm and say, "Let me get this slide to the lab; then I'll come back and we'll talk."

A nurse in a provider's office is reviewing a client's laboratory results. The client's rapid plasma regains (RPR) is positive. Which of the following tests confirm the diagnosis of syphilis?

Treponema pallidum particle agglutination assay

A "strawberry cervix" is characteristic of which sexually transmitted disease (STD)?

Trichomoniasis

The cause of testicular CA is: A Sterility B Unknown C Decreased Hormones D All the above

Unknown

Which of the following mail reproductive structures carry some in for the penis to the exterior?

Urethra

Human papillomavirus (HPV) produces verrucous growths. What term can the nurse use to describe these lesions to the patient?

Warts

According to the American Cancer Society, which women should have a mammogram?

Woman age 45 to 54 annually