Question 1

A nurse should recognize that a client diagnosed with Peyronie's disease can have which type of impotence?

Accepted Answer

A) anatomic 
B) functional 
C) atonic 
D) secondary 
A) anatomic 
B) functional 
C) atonic 
D) secondary

Question 2

A client who has bilateral epididymitis can result with which condition?

Accepted Answer

A) impotence 
B) premature ejaculation 
C) sexual dysfunction 
D) sterility 
A) impotence 
B) premature ejaculation 
C) sexual dysfunction 
D) sterility

Question 3

A 36-year-old female who is 26 weeks pregnant is hospitalized due to preterm labor.The client has a history of uterine fibroids.The nurse should recognize that:

Accepted Answer

A) the fetus must be monitored carefully as the fibroids may increase fetal growth rate 
B) the fibroids elevate the levels of estrogen and progesterone,thus retarding fetal growth 
C) the hormones of pregnancy may increase the fibroid growth rate,crowding the uterus 
D) benign fibroids will not interfere with pregnancy 
A) the fetus must be monitored carefully as the fibroids may increase fetal growth rate 
B) the fibroids elevate the levels of estrogen and progesterone,thus retarding fetal growth 
C) the hormones of pregnancy may increase the fibroid growth rate,crowding the uterus 
D) benign fibroids will not interfere with pregnancy

Question 4

Client teaching for a client who has fibrocystic breast disease should emphasize which aspect?

Accepted Answer

A) avoiding foods high in saturated fat 
B) performing a self-breast-examination monthly 
C) having mammograms every 6 months 
D) having the health care provider examine breasts monthly 
A) avoiding foods high in saturated fat 
B) performing a self-breast-examination monthly 
C) having mammograms every 6 months 
D) having the health care provider examine breasts monthly

Question 5

A client diagnosed with breast cancer elects to have a procedure in which the breast tissue and nearby lymph nodes are removed,but the muscles of the chest wall are left relatively intact.What is the name of this procedure?

Accepted Answer

A) lumpectomy 
B) modified mastectomy 
C) partial mastectomy 
D) radical mastectomy 
A) lumpectomy 
B) modified mastectomy 
C) partial mastectomy 
D) radical mastectomy

Question 6

When a nurse is caring for a client with radium implants,which action is MOST important?

Accepted Answer

A) Assess the radium implant sites once every shift. 
B) Encourage frequent visitation of the client's close family and friends. 
C) Organize care to optimize time spent at the bedside. 
D) Encourage the client to walk around in the room. 
A) Assess the radium implant sites once every shift. 
B) Encourage frequent visitation of the client's close family and friends. 
C) Organize care to optimize time spent at the bedside. 
D) Encourage the client to walk around in the room.

Question 7

What is the purpose of cilia in the fallopian tubes?

Accepted Answer

A) to assist the progress of the sperm toward a released ovum 
B) to clear mucus,interstitial fluid,or endometrial tissue from the fallopian tube 
C) to impede the progress of the sperm 
D) to move the ovum along the path toward the uterus 
A) to assist the progress of the sperm toward a released ovum 
B) to clear mucus,interstitial fluid,or endometrial tissue from the fallopian tube 
C) to impede the progress of the sperm 
D) to move the ovum along the path toward the uterus

Question 8

Oral contraception can be used by female clients who have which of these preexisting conditions?

Accepted Answer

A) cardiovascular disease 
B) diabetes mellitus 
C) lupus 
D) thrombophlebitis 
A) cardiovascular disease 
B) diabetes mellitus 
C) lupus 
D) thrombophlebitis

Question 9

Postsurgical teaching for a client who has just undergone a modified mastectomy would include which of the following?

Accepted Answer

A) Wear purse straps over the affected arm. 
B) Minor injuries on the affected side are to be expected. 
C) Slight swelling or bruising of the affected limb is normal in the first month. 
D) Vaccinations and blood draws should be done on the unaffected side only. 
A) Wear purse straps over the affected arm. 
B) Minor injuries on the affected side are to be expected. 
C) Slight swelling or bruising of the affected limb is normal in the first month. 
D) Vaccinations and blood draws should be done on the unaffected side only.

Question 10

Cytoxan is ordered for a client who will be receiving her first chemotherapy for ovarian cancer today.Since no other chemotherapy agent is prescribed for her,the nurse should recognize that:

Accepted Answer

A) after today's administration of medication,the same therapy will be repeated at regular intervals over the course of a year 
B) the client's cancer has not metastasized 
C) the client will remain in the hospital to receive a regimen of the drug over the course of 5 days 
D) this drug may be given in conjunction with other chemotherapy agents,depending on the severity and extent of the cancer 
A) after today's administration of medication,the same therapy will be repeated at regular intervals over the course of a year 
B) the client's cancer has not metastasized 
C) the client will remain in the hospital to receive a regimen of the drug over the course of 5 days 
D) this drug may be given in conjunction with other chemotherapy agents,depending on the severity and extent of the cancer

Question 11

If a client who has an inflammatory disorder of the male reproductive system,such as orchitis or prostatitis,begins to experience nausea,what should the nurse recognize about the client's condition?

Accepted Answer

A) It is deteriorating. 
B) It is to be expected. 
C) Recuperation is in progress. 
D) The acute stage of the illness is still present. 
A) It is deteriorating. 
B) It is to be expected. 
C) Recuperation is in progress. 
D) The acute stage of the illness is still present.

Question 12

An older adult male client has experienced hesitancy,nocturia,frequency of urination,and a decreased force of urinary stream but tells the nurse these symptoms have subsided and asks what might have caused that to happen.What would be the nurse's BEST response?

Accepted Answer

A) "Had you decreased your fluid intake in the afternoons when you noticed this change?" 
B) "The bladder muscles have enlarged and reduced these symptoms." 
C) "You may have had a mild urinary tract infection that has cleared up." 
D) "We may never know the exact cause." 
A) "Had you decreased your fluid intake in the afternoons when you noticed this change?" 
B) "The bladder muscles have enlarged and reduced these symptoms." 
C) "You may have had a mild urinary tract infection that has cleared up." 
D) "We may never know the exact cause."

Question 13

If a nurse suspects a male client has epididymitis based on his description of the symptoms,what should the nurse encourage the client to do?

Accepted Answer

A) Call his health care provider in the morning. 
B) Seek immediate evaluation from his health care provider. 
C) Take two aspirin tablets,apply ice,and see how he feels the next day. 
D) Make an appointment to see his health care provider the next week. 
A) Call his health care provider in the morning. 
B) Seek immediate evaluation from his health care provider. 
C) Take two aspirin tablets,apply ice,and see how he feels the next day. 
D) Make an appointment to see his health care provider the next week.

Question 14

When performing a TSE,a 19-year-old client detects a firm,painless lump on his right testis and notes his scrotum is enlarged.The client's alkaline phosphatase is elevated,and an ultrasound confirms a lesion that is thought to be malignant.What is the usual treatment for testicular cancer?

Accepted Answer

A) biopsy of the testis 
B) removal of the lesion only 
C) removal of both testes with examination of the nodes 
D) radical inguinal orchiectomy 
A) biopsy of the testis 
B) removal of the lesion only 
C) removal of both testes with examination of the nodes 
D) radical inguinal orchiectomy

Question 15

A vacuum constriction device (VCD)may be used to promote an erection by:

Accepted Answer

A) strengthening penile vasculature 
B) increasing blood supply to the penis 
C) reducing inhibitions 
D) enhancing sensation 
A) strengthening penile vasculature 
B) increasing blood supply to the penis 
C) reducing inhibitions 
D) enhancing sensation

Question 16

A client who had a TURP becomes confused and agitated.His pulse has become slow and bounding,his systolic blood pressure has increased,and his diastolic blood pressure has decreased.These signs would indicate to the nurse that the client has developed which of the following complications?

Accepted Answer

A) hemorrhage 
B) infection 
C) thrombosis 
D) water intoxication 
A) hemorrhage 
B) infection 
C) thrombosis 
D) water intoxication

Question 17

A bladder of a client who has a transurethral resection of the prostate (TURP)is continuously irrigated with normal saline during the immediate postoperative period to:

Accepted Answer

A) decrease the amount of scar tissue formation at the operative site 
B) reduce clot formation,which would interfere with urinary drainage 
C) prevent infection of the operative site by flushing out bacteria 
D) soothe pain in the operative area 
A) decrease the amount of scar tissue formation at the operative site 
B) reduce clot formation,which would interfere with urinary drainage 
C) prevent infection of the operative site by flushing out bacteria 
D) soothe pain in the operative area

Question 18

The nurse is caring for a client with a possible diagnosis of fibrocystic breast disease.The client asks,"What symptoms should I watch for?" The BEST response by the nurse would include which of the following? (Select all that apply. )

Accepted Answer

A) cysts that are painless with palpation 
B) green,sticky nipple discharge 
C) decreased estrogen levels 
D) white,sticky nipple discharge 
E) cysts that are more tender as the menstrual period approaches 
A) cysts that are painless with palpation 
B) green,sticky nipple discharge 
C) decreased estrogen levels 
D) white,sticky nipple discharge 
E) cysts that are more tender as the menstrual period approaches

Question 19

Which clients are at greatest risk for endometrial cancer?

Accepted Answer

A) postmenopausal women who have taken estrogen replacement therapy for over 5 years 
B) nulliparas 
C) women who have taken birth control pills for 4 years 
D) women who practice abstinence 
A) postmenopausal women who have taken estrogen replacement therapy for over 5 years 
B) nulliparas 
C) women who have taken birth control pills for 4 years 
D) women who practice abstinence

Question 20

A client is hospitalized for chemotherapy following a mastectomy for stage IV breast cancer.What should the nurse recognize about the client's cancer?

Accepted Answer

A) It involved the proximal lymph nodes. 
B) It involved the distal lymph nodes. 
C) It had metastasized prior to surgery. 
D) It was larger than 5 centimeters in diameter. 
A) It involved the proximal lymph nodes. 
B) It involved the distal lymph nodes. 
C) It had metastasized prior to surgery. 
D) It was larger than 5 centimeters in diameter.

Exam 44: Reproductive System

A nurse should recognize that a client diagnosed with Peyronie's disease can have which type of impotence?

A client who has bilateral epididymitis can result with which condition?

A 36-year-old female who is 26 weeks pregnant is hospitalized due to preterm labor.The client has a history of uterine fibroids.The nurse should recognize that:

Client teaching for a client who has fibrocystic breast disease should emphasize which aspect?

A client diagnosed with breast cancer elects to have a procedure in which the breast tissue and nearby lymph nodes are removed,but the muscles of the chest wall are left relatively intact.What is the name of this procedure?

When a nurse is caring for a client with radium implants,which action is MOST important?

What is the purpose of cilia in the fallopian tubes?

Oral contraception can be used by female clients who have which of these preexisting conditions?

Postsurgical teaching for a client who has just undergone a modified mastectomy would include which of the following?

Cytoxan is ordered for a client who will be receiving her first chemotherapy for ovarian cancer today.Since no other chemotherapy agent is prescribed for her,the nurse should recognize that:

If a client who has an inflammatory disorder of the male reproductive system,such as orchitis or prostatitis,begins to experience nausea,what should the nurse recognize about the client's condition?

An older adult male client has experienced hesitancy,nocturia,frequency of urination,and a decreased force of urinary stream but tells the nurse these symptoms have subsided and asks what might have caused that to happen.What would be the nurse's BEST response?

If a nurse suspects a male client has epididymitis based on his description of the symptoms,what should the nurse encourage the client to do?

When performing a TSE,a 19-year-old client detects a firm,painless lump on his right testis and notes his scrotum is enlarged.The client's alkaline phosphatase is elevated,and an ultrasound confirms a lesion that is thought to be malignant.What is the usual treatment for testicular cancer?

A vacuum constriction device (VCD)may be used to promote an erection by:

A client who had a TURP becomes confused and agitated.His pulse has become slow and bounding,his systolic blood pressure has increased,and his diastolic blood pressure has decreased.These signs would indicate to the nurse that the client has developed which of the following complications?

A bladder of a client who has a transurethral resection of the prostate (TURP)is continuously irrigated with normal saline during the immediate postoperative period to:

The nurse is caring for a client with a possible diagnosis of fibrocystic breast disease.The client asks,"What symptoms should I watch for?" The BEST response by the nurse would include which of the following? (Select all that apply. )

Which clients are at greatest risk for endometrial cancer?

A client is hospitalized for chemotherapy following a mastectomy for stage IV breast cancer.What should the nurse recognize about the client's cancer?

Student Nurse Skills for Success

Holistic Care

Nursing History, Education, and Organizations

Legal and Ethical Responsibilities

The Health Care Delivery System

Arenas of Care

Communication

Client Teaching

Nursing Processdocumentationinformatics

Life Span Development

Cultural Considerations

Stress, Adaptation, and Anxiety

Loss, Grief, and Death

Wellness Concepts

Self-Concept

Spirituality

Complementary Alternative Therapies

Basic Nutrition

Rest and Sleep

Safety-Hygiene

Infection Controlasepsis

Standard Precautions and Isolation

Bioterrorism

Fluid, Electrolyte, and Acid-Base Balance

Medication Administration and IV Therapy

Assessment

Pain Management

Diagnostic Tests

Basic Procedures

Intermediate Procedures

Advanced Procedures

Anesthesia

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Respiratory System

Cardiovascular System

Hematologic and Lymphatic Systems

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Sexually Transmitted Diseases

Integumentary System

Immune System

Mental Illness

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The Older Adult

Ambulatory, Restorative, and Palliative Care in Community Settings

Responding to Emergencies

Integration

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Complications of Pregnancy

The Birth Process

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Basics of Pediatric Care

Infants With Special Needs: Birth to 12 Months