Question 1

The nurse reviews laboratory values for a male patient with an elevated PSA level and notes that the alkaline phosphatase and serum calcium levels are also elevated. Which condition do these findings suggest to the nurse?

Accepted Answer

A)  The patient has a fulminating bladder infection.
B)  The patient has a sexually transmitted infection.
C)  The patient has an obstruction of the spermatic cord.
D)  The patient has cancer that has metastasized to the bone. D

Question 2

A patient is scheduled for a surgical biopsy for removal of a lesion suspected to be breast cancer. Which care by the nurse is most important?

Accepted Answer

A)  Presenting a calm and understanding attitude
B)  Explaining the reasons for the surgical biopsy
C)  Sharing that most breast biopsies are benign
D)  Providing the patient with antianxiety medication A

Question 3

The nurse is assisting the HCP in a procedure used for cytology of the surface of the cervix. Which procedure does the nurse understand is being performed?

Accepted Answer

A)  Conization
B)  Endometrial biopsy
C)  Lesion extraction
D)  Papanicolaou D

Question 4

A female patient has not achieved pregnancy after 8 months of attempting to do so and is undergoing hormone testing. Which additional reason other than infertility does the nurse identify for hormone testing?

Accepted Answer

A)  To confirm a patient's stage of puberty
B)  To assess hormone-producing tumors
C)  To verify the achievement of pregnancy
D)  To identify bone loss after menopause

Question 5

The nurse is reviewing the anatomy of the reproductive tract with a female patient. Which structures do the nurse identify as being part of the vulva? (Select all that apply.)

Accepted Answer

A)  Mons pubis
B)  Bartholin's glands
C)  Cervix
D)  Clitoris
E)  Vagina

Question 6

A female patient who is 40 years of age is scheduled for a baseline mammography. The patient becomes concerned when she learns a digital mammography is planned. The client states, "I thought that test was for high risk women." Which answer by the nurse is most appropriate?

Accepted Answer

A)  "This type of testing is more effective in detecting cancer in younger women."
B)  "The test is more expensive, but the cost is offset by the benefits of earlier detection."
C)  "The image is computerized, allowing the radiologist to look more closely at specific areas."
D)  "This method of testing is much quicker, easier, and with less discomfort for the woman."

Question 7

The nurse is preparing a presentation about the normal reproductive system of the female. Which condition is incorrect?

Accepted Answer

A)  Females have a definite limit to reproductive capability.
B)  The mammary glands are considered part of the reproductive system.
C)  Normal pH of the vagina is alkaline to prevent microbial growth.
D)  Internal structures include paired ovaries and fallopian tubes, a vagina, and uterus.

Question 8

After finding a mass in the scrotum of a male patient, the nurse provides the HCP with a flashlight and turns off the lights. For which reason did the nurse perform these actions?

Accepted Answer

A)  Preparation for identifying a varicocele
B)  Preparation for a digital rectal examination
C)  Preparation for transillumination of the testes
D)  Preparation for a PSA to be drawn

Question 9

The nurse is preparing a presentation about the normal reproductive system of the male. Which statement is incorrect?

Accepted Answer

A)  The scrotum keeps the testes at a temperature slightly lower than the body.
B)  Spermatogenesis is constant after puberty and usually continues through life.
C)  Alkaline secretions ensure sperm viability in the acidic environment of the vagina.
D)  The arterioles of the penis constrict to hold blood in the penis for an erection.

Question 10

The nurse is collecting data from a female patient regarding normal function baselines of the reproductive system. Which question is appropriate for the nurse to ask?

Accepted Answer

A)  "Do you have any questions about sex?"
B)  "How many sexual partners have you had?"
C)  "Have you ever been treated for a sexually transmitted infection, or STI?"
D)  "Has sexual functioning and desire changed?"

Question 11

A male client is scheduled for an outpatient cystourethrography to evaluate the degree of obstruction by an enlarged prostate. Which nursing care will the nurse provide after the procedure?

Accepted Answer

A)  Maintain strict input and output until discharge
B)  Place a warm moist cloth over the urethra for pain
C)  Perform intermittent catheterization for urine retention
D)  Monitor for effects of analgesics before allowing to drive

Question 12

A female patient is scheduled for her first pelvic examination. Which action by the nurse will provide the patient with physical comfort?

Accepted Answer

A)  Offer to allow the patient to squeeze the nurse's hand during the procedure.
B)  Allow the patient to remain in a sitting position until the HCP is present.
C)  Instruct the patient to blow out a deep breath as the speculum is inserted.
D)  Explain the details of the examination as the procedure is performed.

Question 13

The nurse is collecting information from a female patient who is 55 years of age. The patient is postmenopausal for 8 years. The patient is also small boned, Caucasian, and has never been pregnant. Which type of bone testing does the nurse suggest to the patient?

Accepted Answer

A)  A heel scan that is performed at the local pharmacy
B)  A dual energy x-ray absorptiometry (DEX
A)   scan
C)  A laboratory test to determine estrogen levels
D)  A blood test to determine circulating calcium levels

Question 14

The nurse is collecting health history on a female client who is considered a high-risk pregnancy. Which information will the nurse record if the patient has had four pregnancies, a miscarriage at 16 weeks, one 22-week stillborn delivery, and delivery at term to a set of twins and a single birth?

Accepted Answer

A)  G4P4A1
B)  G4P2A2
C)  G4P2A1
D)  G4P3A2

Question 15

A 60-year-old patient receives information that a prostate-specific antigen (PSA) laboratory value is 11 ng/mL. Which intervention by the health care provider (HCP) does the nurse expect?

Accepted Answer

A)  Needle biopsy of the prostate
B)  A prostatic acid phosphatase test
C)  Retesting as usual in 1 year
D)  Informing the patient of cancer

Question 16

A female patient is scheduled for laparoscopy for determination of endometriosis. Following the procedure, which nursing care will the nurse perform?

Accepted Answer

A)  Place the patient on the left side to centralize carbon dioxide.
B)  Keep the patient in a supine position for 8 hours postoperative.
C)  Monitor the patient for pain in the neck, shoulders, and upper back.
D)  Check the surgical dressing for signs of infectious drainage.

Question 17

The nurse is in the initial stage of physical examination with a male patient. Which observation by the nurse is most likely unrelated to a hormone imbalance?

Accepted Answer

A)  Gynecomastia
B)  Absence of facial hair
C)  Lack of pubic hair
D)  Short stature

Question 18

The nurse is discussing menstruation with a patient who is present for her yearly physical. The patient is 11 years of age and states, "I have not had a period yet and I hear so much at school it is confusing." Which detail about the function is unnecessary at this time?

Accepted Answer

A)  Normally, a cycle will occur approximately every 28 days.
B)  A period usually lasts about 5 days and bleeding is not excessive.
C)  The process is related to fluctuating estrogen and progesterone hormones.
D)  Cramping can occur, but is not usually severe and can be managed fairly easy.

Question 19

The nurse is providing information on breast self-examination to a female patient. Which palpation pattern does the nurse instruct the patient to use when performing this examination?

Accepted Answer

A)  Spiral pattern
B)  Parallel lines
C)  Wheel-spoke pattern
D)  Any pattern that is consistent and thorough

Question 20

The licensed practical nurse is providing instructions on testicular self-examination. Which statements do the nurse include in this teaching? (Select all that apply.)

Accepted Answer

A)  "The testicles should be examined monthly while in the shower."
B)  "The spermatic cord generally cannot be felt without deep palpation."
C)  "The left side of the scrotum usually hangs a little lower than the right."
D)  "If you notice any lumps or unusual changes, you should call your doctor."
E)  "Hold the scrotum in one hand and massage gently to note any tenderness."

Exam 41: Genitourinary and Reproductive System Function and Assessment