prepu
Which of the following is a strong positive reaction to patch testing? Select all that apply. Blisters Pain Ulceration Redness Itching
Blisters Pain Ulceration
A client has developed diabetic retinopathy and is seeing the physician regularly to prevent further loss of sight. From where do the nerve cells of the retina extend? optic nerve oculomotor nerve trochlear nerve trigeminal nerve
a
A client is being treated for acne vulgaris. What warning must be given to this client regarding the application of benzoyl peroxide? Use gloves with application. Only use with contact dermatitis. Apply a thick layer to assure coverage. Use with over-the-counter drying agents.
a
A client is diagnosed with blepharitis. What symptoms should a nurse monitor in this client? Patchy flakes clinging to the eyelashes A red pustule in the internal tissue of the eyelid Redness surrounding the conjunctival sac A halo around the pupil
a
A patient comes to the clinic with complaints of inability to sustain an erection and is prescribed a PDE-5 inhibitor, sildenafil (Viagra). What medication should the nurse caution the patient about taking with this medication? Isosorbide (Isordil) Lisinopril (Prinivil) Diphenhydramine (Benadryl) Levothyroxine (Synthroid)
a
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 Using appropriate coping to allay anxiety Performing deep breathing exercises periodically Doing leg exercises at least daily
a
Which therapy uses low-level radiofrequencies to produce localized heat that destroys prostate tissue? Transurethral needle ablation Microwave thermotherapy Saw palmetto Resection
a
Which type of cataract is caused by central opacity of the lens? Nuclear Cortical Posterior subcapsular Subluxated
a
With repeated reactions of contact dermatitis, which of the following can occur? Secondary bacterial infection Pain along the sensory nerve Sepsis Hemorrhage
a
When the patient tells the nurse that his vision is 20/200, and asks what that means, the nurse informs the patient that a person with 20/200 vision: Sees an object from 200 feet away that a person with normal vision sees from 20 feet away. Sees an object from 20 feet away that a person with normal vision sees from 200 feet away. Sees an object from 20 feet away that a person with normal vision sees from 20 feet away. Sees an object from 200 feet away that a person with normal vision sees from 200 feet away.
b
A client comes to the emergency department reporting severe testicular pain that started about 1 hour ago. Examination reveals a thickened spermatic cord, an elevated testis, and testicular tenderness. The nurse would interpret these findings to suggest which of the following? • Epididymitis • Testicular torsion • Orchitis • Testicular cancer
b
A client is coming to the office to have a growth removed by the doctor. The client asks "What does cryosurgery do to the growth?" What is the correct response? Removes the entire growth Through the application of extreme cold, the tissue is destroyed. Freezes the growth, so the physician can remove it at the next appointment Lasers the growth off
b
Photochemotherapy has been used as a treatment for which of the following skin disorders? Shingles Psoriasis Allergic dermatitis Rosacea
b
The nurse caring for a client with Ménière's disease needs to assist with what when the client is experiencing an attack? Sleeping ADLs Coughing URIs
b
Which age-related change affects the male reproductive system? Increased prostate secretion Decreased plasma testosterone levels Testes become soft Increased patency
b
Which factor causes wrinkles among older adults? Decrease in melanin Loss of subcutaneous tissue Decrease in estrogen production Decrease in sebum
b
A client comes to the clinic reporting urinary symptoms. Which statement would most likely alert the nurse to suspect benign prostatic hyperplasia (BPH)? • "I've had a fever and noticed I've been running to the bathroom more often." • "I'm waking up at night to urinate and I've noticed some burning, too." • "I've had trouble getting started when I urinate, often straining to do so." • "I've had some pain in my lower abdomen lately and felt a bit sick to my stomach."
c
A patient dropped a heavy flower pot on his foot. He broke his big toe and damaged the keratin layer on his toenail, which fell off weeks later. The nurse recorded the date when the nail fell off and advised the patient that his toenail should be completely renewed within: 3 months. 6 months. 1 year. 2 years.
c
An ophthalmologist diagnoses a patient with myopia. The nurse explains that this type of impaired vision is a refractive error characterized by: Eyes that are shallow. A shorter depth to the eyeball. Blurred distance vision. Farsightedness.
c
The nurse notes that the client's lower extremities are covered with very dry skin and that the horny layer of the skin has become thickened. The nurse notes the finding as dermatitis. acantholysis. lichenification. pyodermas.
c
A client comes to the eye clinic for an examination. The client tells the nurse that their vision is like a target with the bull's eye area of the image missing. What would the nurse suspect? Retinal detachment Fractured orbit Conjunctivitis Macular degeneration
d
A client has a rash on the arm that has been treated with an antibiotic without eradicating the rash. What type of examination can be used to determine if the rash is a fungal rash using ultraviolet light? Skin biopsy Fungal culture Potassium hydroxide test A Wood's light examination
d
A client is having prostate-specific antigen (PSA) testing done. Which result would the nurse identify as abnormal? • 2.7 nanograms/milliliter • 3.2 nanograms/milliliter • 3.8 nanograms/milliliter • 4.6 nanograms/milliliter
d
A 65-year-old man complains to his health care provider that, when he urinates, he has to start and stop several times over a period of minutes in order to fully empty his bladder. The nurse is aware that this is not uncommon in men over the age of 60. This "double voiding" is directly related to which of the following?
• Hyperplasia of the prostate gland
Assessment of visual acuity reveals that the client has blurred vision when looking at distant objects but no difficulty seeing near objects. The nurse documents this as which of the following? Myopia Astigmatism Hyperopia Emmetropia
a
To treat a client with acne vulgaris, the physician is most likely to order which topical agent for nightly application? Minoxidil (Rogaine) Tretinoin (retinoic acid [Retin-A]) Zinc oxide gelatin Fluorouracil (5-fluorouracil, 5-FU [Efudex])
b
What advice should the nurse give a client with a furuncle to prevent the spread of the infection? Keep hair short, clean, and away from the face and forehead. Never pick or squeeze a furuncle. Avoid the use of cosmetics. Use tepid bath water.
b
A patient is diagnosed with psoriasis after developing scales on the scalp, elbows, and behind the knees. The patient asks the nurse where this was "caught." What is the best response by the nurse? Psoriasis is an inflammatory dermatosis that results from a superficial infection with Staphylococcus aureus. Psoriasis comes from dermal abrasion. Psoriasis is an inflammatory dermatosis that results from an overproduction of keratin. Psoriasis results from excess deposition of subcutaneous fat.
c
The nurse is caring for a client with questionable lice infestation. The nurse is using a bright light focused on an area of the head to confirm the presence of lice. In which manner is it easiest to differentiate nits from dandruff? Nits are located near the scalp. Dandruff is throughout the hair. Nits are difficult to move from hair shafts. Dandruff looks white and flakey.
c
Which condition is associated with buildup of fibrous plaques in the sheath of the corpus cavernosum, causing curvature of the penis when it is erect? Bowen's disease Phimosis Peyronie's disease Priapism
c
Which statement is accurate regarding sildenafil? It can be taken twice daily for increased effect. The medication should be taken right before intercourse. Its side effects include headache, flushing, and dizziness. Sexual stimulation is not needed to produce an erection.
c
Consuming a diet high in which of the following has been found to increase the risk for prostate cancer? Red meats Green leafy vegetables Carbohydrates Whole grains
a
Which cancer ranks second as the cause of death in American men? prostate testicular skin penis
a
A client is scheduled for a transurethral rescection of the prostate (TURP). Which statement demonstrates that the expected outcome of "client demonstrates understanding of the surgical procedure and aftercare" has been met? • "I'll have to stay in the hospital for about 3 to 4 days after the surgery." • "I'll have a small incision on my lower abdomen after the procedure." • "The surgeon is going to remove the entire prostate gland." • "The surgeon is going to insert a scope through my urethra to remove a portion of the gland."
d
A client with scabies has been prescribed a scabicide. Which of the following advice should the nurse give the client before beginning the treatment? Wear clean clothing. Avoid contact with others who have scabies. Expect itching to continue for 2 to 3 weeks after the treatment. Have a thorough bath.
d
A client who is blind is awaiting elective surgery. What should the nurse do to promote this client's control over their hospital environment? Ask the client where to store his or her self-care items. Keep personal care items where the nurse knows their location. Arrange the meal tray in a way that is easiest for the nurse to assist the client. Open all containers without prompting to be helpful.
a
Erectile dysfunction would not be characterized as the inability to: achieve an erection after sexual activity. achieve an erection. achieve or maintain an erection that is sufficiently rigid for sexual activity. sustain erection for a satisfactory period of time.
a
The nurse is assisting an older adult client with performing activities of daily living (ADL) and is brushing her hair. What does the nurse document as an abnormal finding? Pearly white substance that is attached to the hair shaft that is not removed with brushing Sparse hair, white in color Dry, brittle hair Knots in hair when brushed
a
The nurse is conducting an admission history and physical examination of a client with a history of contact dermatitis. The nurse assesses whether the client uses which medication classification? Corticosteroids Saline irrigations Antifungals Antivirals
a
A male client has undergone a semen analysis for evaluation of fertility. The nurse understands that a sperm count of which of the following would suggest infertility? 100 million /mL 75 million/mL 50 million/mL 18 million/mL
d
The nurse is preparing a presentation for a local community group about prostate cancer and possible dietary risk factors. Which of the following would the nurse most likely include? High-iron High-calorie High fiber High-fat diet
d
Which skin condition is caused by staphylococci, streptococci, or multiple bacteria? Scabies Pediculosis capitis Poison ivy Impetigo
d
Which surgical procedure involves flattening the anterior curvature of the cornea by removing a stromal lamella? Photorefractive keratectomy (PRK) Laser-assisted in situ keratomileusis (LASIK) Keratoconus Keratoplasty
b
Which of the following should nurses teach all men, especially those who have had cryptorchidism? Need for blood tests to measure serum acid phosphatase levels. Importance of regular monitoring of prostate-specific antigen (PSA) levels. Need to undergo a baseline and follow up lymph node biopsies. How to perform a testicular self-examination.
d
Which of the following conditions is the cause of thickening of the nail? Fungal infection Long-standing pulmonary disease Myocardial infarction Iron deficiency anemia
a
The nurse is reading the physician's report of an elderly client's physical examination. The client demonstrates xanthelasma, which refers to which symptom? Liver spots Dark discoloration of the skin Bright red moles Yellowish waxy deposits on the eyelids
d
Which of the following is a surgical procedure that removes the eyelids, eye, and various amounts of orbital contents? Exenteration Evisceration Enucleation Scleral buckleq
a
Which of the following surgical procedures involves taking a piece of silicone plastic or sponge and sewing it onto the sclera at the site of a retinal tear? Scleral buckle Pars plana vitrectomy Pneumatic retinopexy Phacoemulsification
a
The classic lesions of impetigo manifest as comedones in the facial area. honey-yellow crusted lesions on an erythematous base. abscessed skin and subcutaneous tissue. patches of grouped vesicles on red and swollen skin.
b
The nurse prepares a patient with a benign skin lesion for surgical excision, intralesional corticosteroid therapy, and radiation. Which of the following is most likely the lesion described? Angioma Keloid Wart Seborrheic keratoses
b
The school nurse is testing the kindergarten class with the Snellen chart. What is the nurse testing the children for? Near vision Visual acuity Hearing Color vision
b
The nurse is performing a physical examination of a patient and observes a well-healed old scar on the right shoulder. The scar is hypertrophied, elevated, and irregular without any redness or irritation. The patient states, "I had shoulder surgery about 5 years ago." The nurse documents this finding as which of the following? Keloid Lichenification Nodule Cicatrix
a
When describing the functions of the skin to a group of nursing students, which skin layer would the instructor include as having the capacity to absorb water? Stratum corneum Stratum lucidium Stratum granulosum Stratum germinativum
a
With repeated reactions of contact dermatitis, which of the following can occur? Secondary bacterial infection Pain along the sensory nerve Sepsis Hemorrhage
a
