ADULT HEALTH NR 325 FINAL PAPER 2026
QUESTIONS AND ANSWERS GRADED A+
◉1. Which question should the nurse ask when assessing a patient
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. "Has there been a decrease in the force of your urinary stream?"
d. "Have you been experiencing any difficulty in achieving an
erection?". Answer: ANS: C
Enlargement of the prostate blocks the urethra, leading to urinary
changes such as a decrease in the force of 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.
◉2. After a patient has been treated for pelvic inflammatory disease,
the nurse will plan to implement teaching 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: 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 patient
will not require HRT, have irregular menstrual cycles, or experience
changes in secondary sex characteristics.
◉3. While the nurse is assessing a 62-year-old man, the patient says
that he does not respond to sexual stimulation the way he did when
he was younger. The nurse's best response to the patient's comment
is,
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: 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 patient's concerns.
◉4. When scheduling a pelvic examination and Pap test for a patient,
the nurse instructs the patient that she should
a. shower, but not take a tub bath, before the examination.
b. 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: ANS: D
The results of a Pap test may be affected by douching, and so the
patient should not douche before the examination. The exam may be
scheduled without regard to the menstrual period. The patient may
shower or bathe before the examination. Sexual intercourse does not
affect the results of the examination or Pap test.
◉5. A 19-year-old patient who is being assessed for amenorrhea at
the clinic makes all of the following statements to the nurse. Which
one indicates a need for patient teaching?
a. "I run at least 8 miles every day to keep in shape."
b. "I drink at least 3 glasses of non-fat 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: ANS: A
Excessive exercise can cause amenorrhea. The other statements by
the patient do not suggest any urgent teaching needs.
◉6. When the nurse is assessing the sexual-reproductive functional
health pattern for a 34-year-old man, which question is most useful
in determining the patient'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: 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 patient who prefers intercourse with women also may have
intercourse at times with men. The types of sexual activities engaged
in may not indicate sexual orientation. Many patients who have
intercourse with both men and women do not identify themselves as
homosexual or bisexual.
◉7. When preparing a patient for colposcopy with a cervical biopsy,
the nurse explains to the patient that the procedure
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 or no pain.. Answer: ANS: D
Colposcopy involves visualization of the cervix with a binocular
microscope and is similar to a speculum examination. A cervical
biopsy may cause a minimal amount of pain.
QUESTIONS AND ANSWERS GRADED A+
◉1. Which question should the nurse ask when assessing a patient
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. "Has there been a decrease in the force of your urinary stream?"
d. "Have you been experiencing any difficulty in achieving an
erection?". Answer: ANS: C
Enlargement of the prostate blocks the urethra, leading to urinary
changes such as a decrease in the force of 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.
◉2. After a patient has been treated for pelvic inflammatory disease,
the nurse will plan to implement teaching 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: 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 patient
will not require HRT, have irregular menstrual cycles, or experience
changes in secondary sex characteristics.
◉3. While the nurse is assessing a 62-year-old man, the patient says
that he does not respond to sexual stimulation the way he did when
he was younger. The nurse's best response to the patient's comment
is,
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: 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 patient's concerns.
◉4. When scheduling a pelvic examination and Pap test for a patient,
the nurse instructs the patient that she should
a. shower, but not take a tub bath, before the examination.
b. 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: ANS: D
The results of a Pap test may be affected by douching, and so the
patient should not douche before the examination. The exam may be
scheduled without regard to the menstrual period. The patient may
shower or bathe before the examination. Sexual intercourse does not
affect the results of the examination or Pap test.
◉5. A 19-year-old patient who is being assessed for amenorrhea at
the clinic makes all of the following statements to the nurse. Which
one indicates a need for patient teaching?
a. "I run at least 8 miles every day to keep in shape."
b. "I drink at least 3 glasses of non-fat 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: ANS: A
Excessive exercise can cause amenorrhea. The other statements by
the patient do not suggest any urgent teaching needs.
◉6. When the nurse is assessing the sexual-reproductive functional
health pattern for a 34-year-old man, which question is most useful
in determining the patient'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: 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 patient who prefers intercourse with women also may have
intercourse at times with men. The types of sexual activities engaged
in may not indicate sexual orientation. Many patients who have
intercourse with both men and women do not identify themselves as
homosexual or bisexual.
◉7. When preparing a patient for colposcopy with a cervical biopsy,
the nurse explains to the patient that the procedure
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 or no pain.. Answer: ANS: D
Colposcopy involves visualization of the cervix with a binocular
microscope and is similar to a speculum examination. A cervical
biopsy may cause a minimal amount of pain.
