NURS 3710 MedSurg & Saunders Exam Questions
With Complete Answers
Which of the following questions should the nurse ask when assessing a client who has
a history of benign prostatic hyperplasia (BPH)?
a. "Have you noticed any unusual discharge from your penis?"
b. "Has there been any change in your sex life in the last year?"
c. "Do you find it hard to initiate your urinary stream?"
d. "Have you been experiencing any difficulty in achieving an erection?" - ANSWER c.
"Do you find it hard to initiate your urinary stream?"
ANS: C
Enlargement of the prostate blocks the urethra, leading to urinary changes. Benign
prostatic hyperplasia is a common problem of older men. It can alter normal urination,
causing retention and difficulty in initiating the urinary stream. The other questions
address possible problems with infection or sexual difficulties but would not be helpful
in determining whether there were functional changes caused by BPH.
The nurse is providing teaching a client who has been treated for pelvic inflammatory
disease. Which of the following information should the nurse teach the client about?
a. Irregularities in the menstrual cycle
b. Changes in secondary sex characteristics
c. Possible difficulty with becoming pregnant
d. Use of hormone replacement therapy (HRT) - ANSWER c. Possible difficulty with
becoming pregnant
ANS: C
Pelvic inflammatory disease may cause scarring of the fallopian tubes and result in
difficulty in fertilization or implantation of the fertilized egg. Because ovarian function is
not affected, the client will not require HRT, have irregular menstrual cycles, or
experience changes in secondary sex characteristics.
,The nurse is assessing an older-adult male client and the client says that he does not
respond to sexual stimulation the way he did when he was younger. Which of the
following responses to the client's comment is best?
a. "Many men need more sexual stimulation with aging."
b. "Interest in sex frequently decreases as men get older."
c. "Erectile dysfunction is a common problem with older men."
d. "Tell me more about how your sexual response has changed." - ANSWER d. "Tell me
more about how your sexual response has changed."
ANS: D
The initial response by the nurse should be further assessment of the problem. The
other statements by the nurse are accurate but might not respond to the client's
concerns.
When scheduling a pelvic examination and Pap test for a client, which of the following
instructions should the nurse include when preparing the client?
a. Shower, but not a tub bath, before the examination
b. Do not have sexual intercourse the day before the Pap test
c. Plan to have the Pap test just after her menstrual period
d. Avoid douching for at least 24 hours before the examination - ANSWER d. Avoid
douching for at least 24 hours before the examination
ANS: D
The results of a Pap test may be affected by douching, and so the client should not
douche before the examination. The exam may be scheduled without regard to the
menstrual period. The client may shower or bathe before the examination. Sexual
intercourse does not affect the results of the examination or Pap test.
The nurse is assessing a client who has amenorrhea with a weight of 41 kg. The client
makes all of the following statements to the nurse. Which one indicates a need for client
teaching?
, a. "I have not been able to eat much for the past few months and I am so fat."
b. "I drink at least three glasses of nonfat milk every day."
c. "I am not sexually active but currently I have an IUD [intrauterine device]."
d. "I was recently treated for a sexually transmitted disease." - ANSWER a. "I have not
been able to eat much for the past few months and I am so fat."
ANS: A
Not being about to eat much at all for the past three months indicates that the client may
be experiencing anorexia. Anorexia can cause amenorrhea. The other statements by the
client do not suggest any urgent teaching needs.
The nurse is assessing the sexual-reproductive functional health pattern for a client.
Which of the following questions is most useful in determining the client's sexual
orientation and risk factors?
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?" - ANSWER a. "Do you have sex with
men, women, or both?"
ANS: A
This question is the most simply stated and will increase the likelihood of obtaining the
relevant information about sexual orientation and possible risk factors associated with
sexual activity. A client who prefers intercourse with women may also have intercourse
at times with men. The types of sexual activities engaged in may not indicate sexual
orientation. Many clients who have intercourse with both men and women do not identify
themselves as homosexual or bisexual.
The nurse is preparing a client for colposcopy with a cervical biopsy. Which of the
following information should the nurse explain to the client about the procedure?
a. It involves dilation of the cervix and biopsy of the tissue lining the uterus.
b. It will take place in a same-day-surgery centre so that local anesthesia can be used.
With Complete Answers
Which of the following questions should the nurse ask when assessing a client who has
a history of benign prostatic hyperplasia (BPH)?
a. "Have you noticed any unusual discharge from your penis?"
b. "Has there been any change in your sex life in the last year?"
c. "Do you find it hard to initiate your urinary stream?"
d. "Have you been experiencing any difficulty in achieving an erection?" - ANSWER c.
"Do you find it hard to initiate your urinary stream?"
ANS: C
Enlargement of the prostate blocks the urethra, leading to urinary changes. Benign
prostatic hyperplasia is a common problem of older men. It can alter normal urination,
causing retention and difficulty in initiating the urinary stream. The other questions
address possible problems with infection or sexual difficulties but would not be helpful
in determining whether there were functional changes caused by BPH.
The nurse is providing teaching a client who has been treated for pelvic inflammatory
disease. Which of the following information should the nurse teach the client about?
a. Irregularities in the menstrual cycle
b. Changes in secondary sex characteristics
c. Possible difficulty with becoming pregnant
d. Use of hormone replacement therapy (HRT) - ANSWER c. Possible difficulty with
becoming pregnant
ANS: C
Pelvic inflammatory disease may cause scarring of the fallopian tubes and result in
difficulty in fertilization or implantation of the fertilized egg. Because ovarian function is
not affected, the client will not require HRT, have irregular menstrual cycles, or
experience changes in secondary sex characteristics.
,The nurse is assessing an older-adult male client and the client says that he does not
respond to sexual stimulation the way he did when he was younger. Which of the
following responses to the client's comment is best?
a. "Many men need more sexual stimulation with aging."
b. "Interest in sex frequently decreases as men get older."
c. "Erectile dysfunction is a common problem with older men."
d. "Tell me more about how your sexual response has changed." - ANSWER d. "Tell me
more about how your sexual response has changed."
ANS: D
The initial response by the nurse should be further assessment of the problem. The
other statements by the nurse are accurate but might not respond to the client's
concerns.
When scheduling a pelvic examination and Pap test for a client, which of the following
instructions should the nurse include when preparing the client?
a. Shower, but not a tub bath, before the examination
b. Do not have sexual intercourse the day before the Pap test
c. Plan to have the Pap test just after her menstrual period
d. Avoid douching for at least 24 hours before the examination - ANSWER d. Avoid
douching for at least 24 hours before the examination
ANS: D
The results of a Pap test may be affected by douching, and so the client should not
douche before the examination. The exam may be scheduled without regard to the
menstrual period. The client may shower or bathe before the examination. Sexual
intercourse does not affect the results of the examination or Pap test.
The nurse is assessing a client who has amenorrhea with a weight of 41 kg. The client
makes all of the following statements to the nurse. Which one indicates a need for client
teaching?
, a. "I have not been able to eat much for the past few months and I am so fat."
b. "I drink at least three glasses of nonfat milk every day."
c. "I am not sexually active but currently I have an IUD [intrauterine device]."
d. "I was recently treated for a sexually transmitted disease." - ANSWER a. "I have not
been able to eat much for the past few months and I am so fat."
ANS: A
Not being about to eat much at all for the past three months indicates that the client may
be experiencing anorexia. Anorexia can cause amenorrhea. The other statements by the
client do not suggest any urgent teaching needs.
The nurse is assessing the sexual-reproductive functional health pattern for a client.
Which of the following questions is most useful in determining the client's sexual
orientation and risk factors?
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?" - ANSWER a. "Do you have sex with
men, women, or both?"
ANS: A
This question is the most simply stated and will increase the likelihood of obtaining the
relevant information about sexual orientation and possible risk factors associated with
sexual activity. A client who prefers intercourse with women may also have intercourse
at times with men. The types of sexual activities engaged in may not indicate sexual
orientation. Many clients who have intercourse with both men and women do not identify
themselves as homosexual or bisexual.
The nurse is preparing a client for colposcopy with a cervical biopsy. Which of the
following information should the nurse explain to the client about the procedure?
a. It involves dilation of the cervix and biopsy of the tissue lining the uterus.
b. It will take place in a same-day-surgery centre so that local anesthesia can be used.
