NSG 6001 Week 3 Midterm
. A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at
what point in appendicitis? - ANS - Very early
. A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain
after meals. She is often constipated and takes laxatives, which are followed by a
couple of days of diarrhea. She temporarily feels better after a bowel movement. She
states she is embarrassed by flatulence and has abdominal distension. She has had no
weight loss or blood in her stool. This problem has gone on for about 6 months. What
should the next step be? - ANS - Obtain a complete history
. A 30-year-old man is seen with a chief complaint of loss of libido. Which of the
following laboratory tests would help establish a diagnosis? - ANS - Testosterone level
. A 35-year-old man presents with complaints of painful erections, and he notices his
penis is crooked when erect. What is the most likely diagnosis? - ANS - Peyronie's
disease
. A 58-year-old patient has been receiving leuprolide as treatment for prostate cancer.
The clinician should instruct the patient about which of these side effects? - ANS -
shrunken testicles, hot flashes, gynecomastia, erectile dysfunction, osteoporosis, loss of
muscle mass
. A 63-year-old man is seen in the clinic with a chief complaint of nocturia. Which of the
following should be included in the differential diagnosis? - ANS - Benign prostatic
hypertrophy
. A patient is seen in the clinic with right upper quadrant pain that is radiating to the
middle of the back. The NP suspects acute cholelithiasis. The NP should expect which
of the following laboratory findings? - ANS - Elevated alkaline phosphatase
. A patient with hepatitis B virus (HBV) delivers a 6-pound 2-ounce baby boy. Which
action should the nurse anticipate will be needed for the infant? - ANS - HBV-immune
globulin less than 12 hours after birth and then HBV vaccine series
, . The 56-year-old man with chronic prostatitis should be treated with trimethoprim 80
mgsulfamethoxazole 400 mg (TMP-SMX, Bactrim) for how long? - ANS - 6 to 12
weeks
. The nurse is caring for a pregnant woman who is fearful that her unborn child will be
born blind because of having a sexually transmitted infection (STI). For which STI
should the nurse plan care to prevent ophthalmia neonatorum in the newborn? - ANS -
Gonorrhea
. The nurse is providing care for a newborn. Which intervention should the nurse make
to prevent development of ophthalmia neonatorum? - ANS - Antibiotic eyedrops
. What is the treatment of choice for a patient diagnosed with testicular cancer - ANS -
Radical orchidectomy
.A client has been prescribed Zantac for gastroesophageal reflux disease. The nurse
realizes this medication is classified as a - ANS - histamine H2-receptor antagonist
.A client is experiencing water brash. The nurse realizes this symptom is associated
with - ANS - Barretts esophagus
.A male client has a prostate specific antigen level of 22 nanograms. The nurse realizes
that this client will most likely be scheduled for a(n): - ANS - bone scan
A 14-year-old male is seen with complaints of severe testicular pain. The clinician
suspects testicular torsion. Which of the following is the appropriate action? - ANS -
Refer to a urologist immediately
A 20-year-old woman is seen in the clinic because her boyfriend was found to have
gonorrhea. Which of the following is the treatment of choice for gonorrhea? - ANS -
Ceftriaxone
A 22-year-old male is seen in the clinic because he found a hard lump in his testicle
when performing testicular self-examination (TSE). Which of the following should be
included in the list of differential diagnoses? - ANS -
A 23-year-old sexually active man is seen in the clinic with unilateral painful testicular
swelling, and he is diagnosed with epididymitis. In order to prescribe the correct drug,
the clinician must understand that which of these is the most common causative
organism? - ANS - Chlamydia trachomatis
. A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at
what point in appendicitis? - ANS - Very early
. A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain
after meals. She is often constipated and takes laxatives, which are followed by a
couple of days of diarrhea. She temporarily feels better after a bowel movement. She
states she is embarrassed by flatulence and has abdominal distension. She has had no
weight loss or blood in her stool. This problem has gone on for about 6 months. What
should the next step be? - ANS - Obtain a complete history
. A 30-year-old man is seen with a chief complaint of loss of libido. Which of the
following laboratory tests would help establish a diagnosis? - ANS - Testosterone level
. A 35-year-old man presents with complaints of painful erections, and he notices his
penis is crooked when erect. What is the most likely diagnosis? - ANS - Peyronie's
disease
. A 58-year-old patient has been receiving leuprolide as treatment for prostate cancer.
The clinician should instruct the patient about which of these side effects? - ANS -
shrunken testicles, hot flashes, gynecomastia, erectile dysfunction, osteoporosis, loss of
muscle mass
. A 63-year-old man is seen in the clinic with a chief complaint of nocturia. Which of the
following should be included in the differential diagnosis? - ANS - Benign prostatic
hypertrophy
. A patient is seen in the clinic with right upper quadrant pain that is radiating to the
middle of the back. The NP suspects acute cholelithiasis. The NP should expect which
of the following laboratory findings? - ANS - Elevated alkaline phosphatase
. A patient with hepatitis B virus (HBV) delivers a 6-pound 2-ounce baby boy. Which
action should the nurse anticipate will be needed for the infant? - ANS - HBV-immune
globulin less than 12 hours after birth and then HBV vaccine series
, . The 56-year-old man with chronic prostatitis should be treated with trimethoprim 80
mgsulfamethoxazole 400 mg (TMP-SMX, Bactrim) for how long? - ANS - 6 to 12
weeks
. The nurse is caring for a pregnant woman who is fearful that her unborn child will be
born blind because of having a sexually transmitted infection (STI). For which STI
should the nurse plan care to prevent ophthalmia neonatorum in the newborn? - ANS -
Gonorrhea
. The nurse is providing care for a newborn. Which intervention should the nurse make
to prevent development of ophthalmia neonatorum? - ANS - Antibiotic eyedrops
. What is the treatment of choice for a patient diagnosed with testicular cancer - ANS -
Radical orchidectomy
.A client has been prescribed Zantac for gastroesophageal reflux disease. The nurse
realizes this medication is classified as a - ANS - histamine H2-receptor antagonist
.A client is experiencing water brash. The nurse realizes this symptom is associated
with - ANS - Barretts esophagus
.A male client has a prostate specific antigen level of 22 nanograms. The nurse realizes
that this client will most likely be scheduled for a(n): - ANS - bone scan
A 14-year-old male is seen with complaints of severe testicular pain. The clinician
suspects testicular torsion. Which of the following is the appropriate action? - ANS -
Refer to a urologist immediately
A 20-year-old woman is seen in the clinic because her boyfriend was found to have
gonorrhea. Which of the following is the treatment of choice for gonorrhea? - ANS -
Ceftriaxone
A 22-year-old male is seen in the clinic because he found a hard lump in his testicle
when performing testicular self-examination (TSE). Which of the following should be
included in the list of differential diagnoses? - ANS -
A 23-year-old sexually active man is seen in the clinic with unilateral painful testicular
swelling, and he is diagnosed with epididymitis. In order to prescribe the correct drug,
the clinician must understand that which of these is the most common causative
organism? - ANS - Chlamydia trachomatis
