Question 1

Which information shown in the accompanying figure and obtained by the nurse about a 72-yr-old man who is complaining of erectile dysfunction is most important to communicate to the health care provider?

Accepted Answer

A)  Recent knee surgery
B)  Use of antihypertensives
C)  Low position of left testis
D)  Pulse and blood pressure levelE) B) and C)
F) A) and D)

Question 2

A patient in the sexually transmitted infection clinic has a positive Venereal Disease Research Laboratory (VDRL) test,but no chancre is visible on assessment. The nurse will plan to send specimens for

Accepted Answer

A)  Gram stain.
B)  cytologic studies.
C)  rapid plasma reagin (RPR)  agglutination.
D)  fluorescent treponemal antibody absorption (FTA-Abs) .E) None of the above
F) All of the above

Question 3

A 68-yr-old male patient tells the nurse that he is worried because he does not respond to sexual stimulation the same way he did when he was younger. Which is the nurse's best response to the patient's concern?

Accepted Answer

A)  "Interest in sex frequently decreases as men get older."
B)  "Many men need additional sexual stimulation with aging."
C)  "Erectile dysfunction is a common problem with older men."
D)  "Tell me more about how your sexual response has changed."E) B) and D)
F) None of the above

Question 4

A 49-yr-old man who has type 2 diabetes,high blood pressure,hyperlipidemia,and gastroesophageal reflux tells the nurse that he has had recent difficulty in achieving an erection. Which of the following drugs from his current medications list may cause erectile dysfunction (ED) ?

Accepted Answer

A)  Ranitidine (Zantac) 
B)  Atorvastatin (Lipitor) 
C)  Propranolol (Inderal) 
D)  Metformin (Glucophage) E) All of the above
F) A) and B) C

Question 5

An 18-yr-old female patient who has been admitted to the emergency department after a motor vehicle crash is scheduled for chest and abdominal x-rays. Which information may alter the plans for the x-rays?

Accepted Answer

A)  Report of abdominal pain
B)  Positive result of hCG test
C)  Blood pressure of 172/88 mm Hg
D)  Temperature of 102.1°F (38.9°
C)  E) None of the above
F) A) and D)

Question 6

The following patients call the outpatient clinic. Which phone call should the nurse return first?

Accepted Answer

A)  A 44-yr-old patient who has bloody discharge after a hysteroscopy earlier today
B)  A 64-yr-old patient who is experiencing shoulder pain after a laparoscopy yesterday
C)  A 34-yr-old patient who is short of breath after having a pelvic CT with contrast dye
D)  A 54-yr-old patient who has severe breast tenderness following a needle aspiration breast biopsyE) None of the above
F) B) and C)

Question 7

After scheduling a patient with a possible ovarian cyst for ultrasound,the nurse will teach the patient that she should

Accepted Answer

A)  expect to receive IV contrast during the procedure.
B)  drink several glasses of fluids before the procedure.
C)  experience mild abdominal cramps after the procedure.
D)  discontinue taking aspirin for 7 days before the procedure.E) A) and B)
F) None of the above

Question 8

The nurse will plan to teach a 51-yr-old man who is scheduled for an annual physical examination about a(n)

Accepted Answer

A)  increased risk for testicular cancer.
B)  possible changes in erectile function.
C)  normal decreases in testosterone level.
D)  prostate specific antigen (PS
A)   testing.E) A) and C)
F) B) and C)

Question 9

A woman calls the clinic because she is having an unusually heavy menstrual flow. She tells the nurse that she has saturated three tampons in the past 2 hours. The nurse estimates that the amount of blood loss over the past 2 hours is _____ mL.

Accepted Answer

A)  20 to 30
B)  30 to 40
C)  40 to 60
D)  60 to 90E) B) and D)
F) A) and D)

Question 10

The nurse explains to a patient being prepared for colposcopy with a cervical biopsy that the procedure

Accepted Answer

A)  involves dilation of the cervix and biopsy of the tissue lining the uterus.
B)  will take place in a same-day surgery center so that local anesthesia can be used.
C)  requires that the patient have nothing to eat or drink for 6 hours before the procedure.
D)  is similar to a speculum examination of the cervix and should result in little discomfort.E) A) and C)
F) A) and B) D

Question 11

A 19-yr-old patient calls the school clinic and tells the nurse,"My menstrual period is very heavy this time. I have to change my tampon every 4 hours." Which action should the nurse take next?

Accepted Answer

A)  Tell the patient that her flow is not unusually heavy.
B)  Schedule the patient for an appointment later that day.
C)  Ask the patient how heavy her usual menstrual flow is.
D)  Have the patient call again if the heavy flow continues.E) A) and B)
F) A) and C)

Question 12

A 22-yr-old patient reports her concern about not having a menstrual period for the past 7 months. Which statement by the patient indicates a possible related factor to the amenorrhea?

Accepted Answer

A)  "I drink at least 3 glasses of nonfat milk every day."
B)  "I run 7 to 8 miles every day to manage my weight."
C)  "I am not sexually active but currently I have an IUD."
D)  "I was treated for a sexually transmitted infection 2 years ago."E) A) and D)
F) B) and C) B

Question 13

Which finding from the nurse's physical assessment of a 42-yr-old male patient should be reported to the health care provider?

Accepted Answer

A)  One testis hangs lower than the other.
B)  Genital hair distribution is diamond shaped.
C)  Clear discharge is present at the penile meatus.
D)  Inguinal lymph nodes are nonpalpable bilaterally.E) B) and C)
F) C) and D)

Question 14

The nurse is assessing the sexual-reproductive functional health pattern of a 32-yr-old woman. Which question is most useful in determining the patient's sexual orientation and related risk factors?

Accepted Answer

A)  "Do you have sex with men, women, or both?"
B)  "Which gender do you prefer to have sex with?"
C)  "What types of sexual activities do you prefer?"
D)  "Are you heterosexual, homosexual, or bisexual?"E) None of the above
F) All of the above

Question 15

After a 26-yr-old patient has been treated for pelvic inflammatory disease,the nurse will plan to teach about the

Accepted Answer

A)  use of hormone therapy (HT) .
B)  potential complication of infertility.
C)  irregularities in the menstrual cycle.
D)  changes in secondary sex characteristics.E) A) and B)
F) A) and C)

Question 16

A couple is scheduled to have a Huhner test for infertility. In preparation for the test,the nurse will instruct the couple about

Accepted Answer

A)  being sedated during the procedure.
B)  determining the estimated time of ovulation.
C)  experiencing shoulder pain after the procedure.
D)  refraining from intercourse before the appointment.E) All of the above
F) A) and B)

Question 17

A 24-yr-old woman says she wants to begin using oral contraceptives. Which information from the nursing assessment is important to report to the health care provider before a prescription is considered?

Accepted Answer

A)  The patient quit smoking 5 months previously.
B)  The patient's blood pressure is 150/86 mm Hg.
C)  The patient has not been vaccinated for rubella.
D)  The patient has chronic iron-deficiency anemia.E) None of the above
F) B) and D)

Question 18

The nurse is providing teaching by telephone to a patient who is scheduled for a pelvic examination and Pap test next week. The nurse instructs the patient that she should

Accepted Answer

A)  not have sexual intercourse the day before the Pap test.
B)  shower, but not take a tub bath, before the examination.
C)  avoid douching for at least 24 hours before the examination.
D)  schedule to have the Pap test just after her menstrual period.E) B) and C)
F) A) and D)

Question 19

Which question should the nurse ask when assessing a 60-yr-old patient who has a history of benign prostatic hyperplasia (BPH) ?

Accepted Answer

A)  "Have you noticed any unusual discharge from your penis?"
B)  "Has there been any change in your sex life in the past year?"
C)  "Has there been a decrease in the force of your urinary stream?"
D)  "Have you been experiencing any difficulty in achieving an erection?"E) A) and B)
F) B) and C)

Exam 50: Assessment of Reproductive System

Which information shown in the accompanying figure and obtained by the nurse about a 72-yr-old man who is complaining of erectile dysfunction is most important to communicate to the health care provider?

Correct Answer
verified

A patient in the sexually transmitted infection clinic has a positive Venereal Disease Research Laboratory (VDRL) test,but no chancre is visible on assessment. The nurse will plan to send specimens for

Correct Answer
verified

A 68-yr-old male patient tells the nurse that he is worried because he does not respond to sexual stimulation the same way he did when he was younger. Which is the nurse's best response to the patient's concern?

Correct Answer
verified

A 49-yr-old man who has type 2 diabetes,high blood pressure,hyperlipidemia,and gastroesophageal reflux tells the nurse that he has had recent difficulty in achieving an erection. Which of the following drugs from his current medications list may cause erectile dysfunction (ED) ?

Correct Answer
verified
C

An 18-yr-old female patient who has been admitted to the emergency department after a motor vehicle crash is scheduled for chest and abdominal x-rays. Which information may alter the plans for the x-rays?

Correct Answer
verified

The following patients call the outpatient clinic. Which phone call should the nurse return first?

Correct Answer
verified

After scheduling a patient with a possible ovarian cyst for ultrasound,the nurse will teach the patient that she should

Correct Answer
verified

The nurse will plan to teach a 51-yr-old man who is scheduled for an annual physical examination about a(n)

Correct Answer
verified

A woman calls the clinic because she is having an unusually heavy menstrual flow. She tells the nurse that she has saturated three tampons in the past 2 hours. The nurse estimates that the amount of blood loss over the past 2 hours is _____ mL.

Correct Answer
verified

The nurse explains to a patient being prepared for colposcopy with a cervical biopsy that the procedure

Correct Answer
verified
D

A 19-yr-old patient calls the school clinic and tells the nurse,"My menstrual period is very heavy this time. I have to change my tampon every 4 hours." Which action should the nurse take next?

Correct Answer
verified

A 22-yr-old patient reports her concern about not having a menstrual period for the past 7 months. Which statement by the patient indicates a possible related factor to the amenorrhea?

Correct Answer
verified
B

Which finding from the nurse's physical assessment of a 42-yr-old male patient should be reported to the health care provider?

Correct Answer
verified

The nurse is assessing the sexual-reproductive functional health pattern of a 32-yr-old woman. Which question is most useful in determining the patient's sexual orientation and related risk factors?

Correct Answer
verified

After a 26-yr-old patient has been treated for pelvic inflammatory disease,the nurse will plan to teach about the

Correct Answer
verified

A couple is scheduled to have a Huhner test for infertility. In preparation for the test,the nurse will instruct the couple about

Correct Answer
verified

A 24-yr-old woman says she wants to begin using oral contraceptives. Which information from the nursing assessment is important to report to the health care provider before a prescription is considered?

Correct Answer
verified

The nurse is providing teaching by telephone to a patient who is scheduled for a pelvic examination and Pap test next week. The nurse instructs the patient that she should

Correct Answer
verified

Which question should the nurse ask when assessing a 60-yr-old patient who has a history of benign prostatic hyperplasia (BPH) ?

Correct Answer
verified

Exam 50: Assessment of Reproductive System

Which information shown in the accompanying figure and obtained by the nurse about a 72-yr-old man who is complaining of erectile dysfunction is most important to communicate to the health care provider?

Correct AnswerverifiedShow Answer

A patient in the sexually transmitted infection clinic has a positive Venereal Disease Research Laboratory (VDRL) test,but no chancre is visible on assessment. The nurse will plan to send specimens for

Correct AnswerverifiedShow Answer

A 68-yr-old male patient tells the nurse that he is worried because he does not respond to sexual stimulation the same way he did when he was younger. Which is the nurse's best response to the patient's concern?

Correct AnswerverifiedShow Answer

A 49-yr-old man who has type 2 diabetes,high blood pressure,hyperlipidemia,and gastroesophageal reflux tells the nurse that he has had recent difficulty in achieving an erection. Which of the following drugs from his current medications list may cause erectile dysfunction (ED) ?

Correct AnswerverifiedC

An 18-yr-old female patient who has been admitted to the emergency department after a motor vehicle crash is scheduled for chest and abdominal x-rays. Which information may alter the plans for the x-rays?

Correct AnswerverifiedShow Answer

The following patients call the outpatient clinic. Which phone call should the nurse return first?

Correct AnswerverifiedShow Answer

After scheduling a patient with a possible ovarian cyst for ultrasound,the nurse will teach the patient that she should

Correct AnswerverifiedShow Answer

The nurse will plan to teach a 51-yr-old man who is scheduled for an annual physical examination about a(n)

Correct AnswerverifiedShow Answer

A woman calls the clinic because she is having an unusually heavy menstrual flow. She tells the nurse that she has saturated three tampons in the past 2 hours. The nurse estimates that the amount of blood loss over the past 2 hours is _____ mL.

Correct AnswerverifiedShow Answer

The nurse explains to a patient being prepared for colposcopy with a cervical biopsy that the procedure

Correct AnswerverifiedD

A 19-yr-old patient calls the school clinic and tells the nurse,"My menstrual period is very heavy this time. I have to change my tampon every 4 hours." Which action should the nurse take next?

Correct AnswerverifiedShow Answer

A 22-yr-old patient reports her concern about not having a menstrual period for the past 7 months. Which statement by the patient indicates a possible related factor to the amenorrhea?

Correct AnswerverifiedB

Which finding from the nurse's physical assessment of a 42-yr-old male patient should be reported to the health care provider?

Correct AnswerverifiedShow Answer

The nurse is assessing the sexual-reproductive functional health pattern of a 32-yr-old woman. Which question is most useful in determining the patient's sexual orientation and related risk factors?

Correct AnswerverifiedShow Answer

After a 26-yr-old patient has been treated for pelvic inflammatory disease,the nurse will plan to teach about the

Correct AnswerverifiedShow Answer

A couple is scheduled to have a Huhner test for infertility. In preparation for the test,the nurse will instruct the couple about

Correct AnswerverifiedShow Answer

A 24-yr-old woman says she wants to begin using oral contraceptives. Which information from the nursing assessment is important to report to the health care provider before a prescription is considered?

Correct AnswerverifiedShow Answer

The nurse is providing teaching by telephone to a patient who is scheduled for a pelvic examination and Pap test next week. The nurse instructs the patient that she should

Correct AnswerverifiedShow Answer

Which question should the nurse ask when assessing a 60-yr-old patient who has a history of benign prostatic hyperplasia (BPH) ?

Correct AnswerverifiedShow Answer

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C

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D

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B

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