Exam2 - Final Study
A 50-year-old male client asks the nurse what signs he should look for with prostate cancer. How would the nurse respond?
"Early cancer of the prostate does not usually produce symptoms."
The nurse is reviewing the process of the male sex act with a group of male high school students. Which is the correct sequence of the stages of the male sex act provided by a high school student to the nurse and class? 1. Ejaculation 2. Emission 3. Erection 4. Secretion
3, 4, 2, 1
Which of the following clients would be at greatest risk for developing non-Hodgkin's Lymphoma (NHL)?
A client who is undergoing immunosuppressive drug therapy
The nurse is performing toenail care for clients in a long-term care facility. For which of the following clients would this most likely be contraindicated?
A client with diabetes
Which of the following clients is the most likely to develop kyphosis?
A client with osteoporosis
The ABO and Rh blood groups are inherited combinations of antigens and antibodies. A nurse is reviewing the four blood groups with a client who is scheduled to have a blood transfusion. Based on this information, the client wants to know what it means to be a universal recipient. The nurse's best response to the client would be which blood group?
AB
A nurse on duty in the pediatric ward notices an unidentified person carrying a baby in her arms. The baby is dressed in hospital garb. What immediate action should the nurse take?
Alert the supervisor and call "Code Pink."
The nurse is counseling an adolescent who is diagnosed with anorexia nervosa. Which of the following is a symptom of this disorder?
Amenorrhea
A 72-year old man presents at a local clinic and states: "I have to urinate all the time, and I never feel like my bladder is emptied. It really bothers me at night." What condition might the nurse suspect related to this chief complaint?
Benign prostatic hyperplasia (BPH)
A female client who is taking oral contraceptives is diagnosed with metrorrhagia. Which of the following describes this condition?
Bleeding between menstrual periods
A nurse is caring for an adolescent girl experiencing menstruation for the first time. What are the changes that occur in the body at this stage that the nurse should share with the adolescent girl?
Breast development
A client being cared for by a nurse in a home care setting suddenly stops breathing. What role should the nurse play in such a situation?
Call 911 and begin cardiopulmonary resuscitation immediately.
A female client wants to know how long a sperm cell can survive in the female body so that she can plan the necessary contraceptive measures in the future. Based on this information, what is the best information for the nurse to provide to the client about sperm cells?
Can survive up to 3 days after intercourse
A nurse is monitoring a blood transfusion for a client following major surgery. Which of the following guidelines should be followed for a blood transfusion procedure?
Document vital signs during the transfusion.
The nurse caring for clients in a long-term nursing home assesses the clients for sensory deficits. Which of the following is a nursing care measure for this population?
Double the illumination for each added 13 years of age beyond 40.
A 32-year-old married client with three children wants to undergo vasectomy and wants to know more about the procedure. Based on this information, what should the nurse include in the teaching to the client?
During vasectomy, the vas deferens are ligated and cut.
A nurse is assigned to care for a client with an ectopic pregnancy. Of which possibility of ectopic pregnancy should the nurse be aware?
Endangers the life of the mother
In which of the following diseases would the D antigen be particularly important?
Erythroblastosis fetalis
A nurse is evaluating a client's risk of falling. What is a key way that the nurse could review with a nursing student that would quickly identify a client's risk of fall?
Falling star sign outside the room
A nurse is assessing a 24-year-old client for testicular cancer. When educating the client, what should the nurse mention as a risk factor for developing testicular cancer?
Having an undescended testicle
A client asks a nurse to review the process of menopause and the physical changes that accompany it. The client asks what the most common symptom to expect when going through menopause. What would be the best response to the client by the nurse about the most common symptom of menopause?
Hot flashes
A client who is a heavy smoker is living in a high-altitude area. A red blood cell count confirms a diagnosis of secondary polycythemia. What condition causes this blood disorder?
Hypoxia
A nurse caring for a 43-year-old client explains to the client that ovarian functions gradually decrease around this age. What is the implication of decreased ovarian function?
Inability to become pregnant
A woman is undergoing surgery for a vesicovaginal fistula. What is a common postoperative complication of this surgery?
Infection
A nurse is caring for a client diagnosed with trichomoniasis. What self-care tip should be provided to the client?
Insert the full dosage of medication at bedtime.
A nurse is caring for a client with multiple myeloma. Which of the following nursing care measures should be employed when caring for the client?
Instruct the client to avoid lifting heavy weights.
The nurse is documenting the blood type of a newborn as "type O." Which of the following describes the antigens and antibodies related to this blood type?
It does not have the A or B antigen, but it does have the anti-A and the anti-B antibody.
An older gentleman asks the nurse what the effects of aging are on the male reproductive system. What is the best response by the nurse to the client about the effects of aging on the male reproductive system?
Many men experience benign or malignant hypertrophy of the prostate gland.
A nurse is educating a client affected with lymphoma about the side effects of antineoplastic drugs used for the treatment. Which of the following is a common side effect of antineoplastic drug therapy?
Neutropenia
A nurse is caring for a client who has experienced hypovolemic shock. Which diagnostic procedure should the nurse perform to obtain additional information about the client's condition?
Obtain serum electrolyte levels.
The nurse hears an emergency announcement for an external disaster. Based on this announcement, what is critical information the nurse needs to be concerned with an external disaster?
Occurs outside the facility and impacts normal operations
When planning meals for older adults in a long-term care facility, the nurse keeps in mind the hydration needs of older adults. Which of the following is a nursing consideration related to intake of fluids for these clients?
Older adults need to be encouraged to drink fluids.
The nurse is using remotivation techniques to treat an elderly client with depression. Which of the following is an example of the use of this technique?
Reminiscing about a patient's past accomplishments
A nurse is assigned to perform vaginal irrigation on a client. What step should be followed when performing the procedure?
Separate the labia and gently insert the douche nozzle.
The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of high school students. What would be the best response by a high school student about the function of the clitoris?
Small erectile structure that responds to sexual stimulation
The nurse is reviewing with the new nurses assigned to the emergency department the signs and symptoms of life-threatening anaphylaxis. Based on this information what is the first step in management of anaphylaxis?
Stabilize
The nurse is assisting a frail adult with an impaired swallowing mechanism to eat a nutritious meal. Which of the following nursing interventions would be appropriate for this client?
Suggest that the client bend the chin toward the chest.
A 25-year-old client with complaints of breast tenderness, mood swings, and backache before the onset of menses is diagnosed with premenstrual syndrome (PMS). What instruction should the nurse provide to the client to help relieve the symptoms of PMS?
Take a prescribed dose of diuretic medications.
A teenager presents at the ER with severe scrotal and abdominal pain, vomiting, and nausea. He tells the nurse that he participated in a polar bear plunge in his community (jumping into cold water off-season). What conditions would the nurse suspect?
Torsion of the spermatic cord
The nurse is reviewing the process of hepatic portal circulation with a client. Which information about the hepatic portal circulation is important to include in client teaching?
Unique because it begins and ends with capillaries
The nurse is caring for a client who presents with priapism following treatment for erectile dysfunction. Which of the following treatments may cause this disorder?
Vasodilating medications
A client has been diagnosed with oligospermia. Which information should the nurse instruct the client to consider to increase the sperm count?
Wear loose-fitting undergarments
