Question 1

The nurse notes that insufflation was used on a patient who has had an endoscopic examination.What care should the nurse provide for the patient during the recovery period after the procedure?

Accepted Answer

A)  Encourage 1 to 2 L of fluids. 
B)  Keep the patient NPO (nothing by mouth) for 6 hours. 
C)  Have the patient lie flat for several hours. 
D)  Have the patient ambulate as soon as she is able.

Question 2

The nurse is preparing a female patient for a pelvic examination.Which action should the nurse take prior to the examination?

Accepted Answer

A)  Have the patient void. 
B)  Administer a suppository. 
C)  Assist the patient into a knee-chest position. 
D)  Cleanse the perineum with an iodine preparation.

Question 3

The nurse is reviewing the process of breast milk production with a new mother.Which hormone should the nurse explain stimulates the release of milk from the breast of a nursing mother?

Accepted Answer

A)  Prolactin 
B)  Oxytocin 
C)  Luteinizing hormone (LH) 
D)  Follicle-stimulating hormone (FSH)

Question 4

The nurse provides care for an older man with noted breast enlargement.He denies discomfort.How should the nurse document this finding?

Accepted Answer

A)  "Mastitis noted in both breasts, patient denies itching." 
B)  "Patient with symptoms of mastalgia, no drainage seen." 
C)  "Gynecomastia noted bilaterally, no complaints of tenderness." 
D)  "Abnormal swelling in both breasts; patient denies recent trauma."

Question 5

A female patient has had two pregnancies.The first pregnancy produced a healthy baby girl.The second pregnancy produced a set of twins,a boy and a girl.How should the nurse document this history?

Accepted Answer

A)  GII, PII 
B)  GII, PIII 
C)  GIII, PIII 
D)  GII, PI, PII

Question 6

A male patient is experiencing problems associated with the prostate gland.On which function of the prostate gland should the nurse focus when determining the care that this patient will need?

Accepted Answer

A)  Erection 
B)  Ejaculation 
C)  Secretion of prostaglandins and clotting proteins 
D)  Production of alkaline secretions that neutralize urine

Question 7

A female patient has not been able to conceive and the HCP is suggesting an evaluation of hormone levels.Which hormone should the nurse review with the patient as being responsible for ovulation?

Accepted Answer

A)  Estrogen 
B)  Oxytocin 
C)  Luteinizing 
D)  Progesterone

Question 8

The nurse is caring for a patient who is in the beginning stages of labor.When planning care for this patient,on which layer of the uterus should the nurse focus?

Accepted Answer

A)  Epimetrium 
B)  Perimetrium 
C)  Myometrium 
D)  Endometrium

Question 9

The nurse is reinforcing teaching provided to a 50-year-old male client on reproductive health.What should the nurse remind the patient about monitoring for prostate problems?

Accepted Answer

A)  Have a semiannual x-ray examination. 
B)  Have a monthly ultrasound examination. 
C)  Have a yearly digital rectal examination (DR
E) . 
D)  Perform regular testicular self-examination (TS
E) .

Question 10

A female patient is advised by her physician to have a mammogram.What instructions should the nurse provide to assist the patient to prepare for the examination?

Accepted Answer

A)  Fast for 12 hours before the test. 
B)  There is no preparation required. 
C)  Avoid applying deodorant or powder before the test. 
D)  Avoid caffeinated foods and beverages for 24 hours before the test.

Question 11

While performing a physical examination on a male patient,the nurse notes that the urethral opening is located on the underside of the penis.Which term should the nurse use to describe this finding?

Accepted Answer

A)  Phimosis 
B)  Epispadias 
C)  Hypospadias 
D)  Paraphimosis

Question 12

While reviewing a female patient's medical history the nurse notes the term abortus documented.What should the nurse realize that the use of this term means?

Accepted Answer

A)  An ectopic pregnancy 
B)  A medically induced abortion 
C)  Delivery of a live but impaired infant 
D)  Loss of a fetus before it was mature enough to live outside of the mother

Question 13

The nurse is reviewing findings from a female patient's breast examination.What assessment findings should the nurse report to the physician for follow-up? (Select all that apply.)

Accepted Answer

A)  Stretch marks 
B)  Puckering or dimpling of skin 
C)  Areas of different consistency 
D)  Different pointing position of nipples 
E)  Asymmetrical movement of the breasts
F) Slight difference in size between breasts

Exam 41: Genitourinary and Reproductive System Function and Assessment