NR566 FINAL EXAM | ALL QUESTIONS AND
CORRECT ANSWERS | GRADED A+ |
VERIFIED ANSWERS | LATEST VERSION
2025 | JUST RELEASED
A patient prescribed dutasteride 2 weeks ago presents with continued
complaints of urinary hesitancy. Which action is most appropriate?
1. Obtain a urine sample.
2. Double the daily dose.
3. Perform a prostate examination.
4. Document these findings. ---------CORRECT ANSWER-----------------ANS:
D
It may take up to 1 month for the effects of dutasteride to take effect.
The patient should be educated about the time taken for positive
effects to be achieved. A urine sample would not be necessary.
Doubling the dose is not appropriate because the medication has not
had sufficient time to take effect. A prostate examination may be
performed but would not reveal findings related to the use of
dutasteride.
Which finding would indicate that terazosin has been effective for a patient
with BPH?
1. Decreased prostate size
2. Increased urinary frequency
3. Improved urinary hesitation
4. Decreased serum PSA levels ---------CORRECT ANSWER-----------------
ANS: C
Terazosin is an alpha1-adrenergic antagonist. These medications
relax the smooth muscles of the bladder neck to improve urinary
symptoms experienced with BPH. They do not decrease the size of
the prostate. Increased urinary frequency is a sign of worsening BPH,
not improvement
,A patient receiving doxazosin presents for a routine evaluation. Which
assessment finding would be most concerning?
1. Blood pressure 96/58
2. Dizziness when standing
3. Increased nasal congestion
4. Diminished ejaculate volume ---------CORRECT ANSWER-----------------
ANS: A
Hypotension, dizziness, and nasal congestion are all adverse effects
of doxazosin, an alpha1- adrenergic antagonist. However,
hypotension would be the most concerning because it can lead to
inadequate peripheral tissue perfusion. Diminished ejaculate volume
is seen with administration of 5-alpha-reductase inhibitors, not with
doxazosin administration.
After educating a patient about administration of papaverine plus
phentolamine for erectile dysfunction, which statement made by the patient
indicates a need for further teaching?
1. "I can expect rapid onset of an erection."
2. "I will take the pill 30 minutes before sex."
3. "I should get up from my seat slowly when taking this."
4. "I will notify the provider if I feel hard areas on my penis." ---------
CORRECT ANSWER-----------------ANS: B
Papaverine plus phentolamine is administered as an intracavernous
injection, not as an oral pill. The patient should be educated about the
correct route of administration. Desired effect may be achieved
quickly with administration. Adverse effects of administration include
orthostatic hypotension and fibrotic nodules in the corpus
cavernosum from injection. The patient should be educated about
these effects and ways to prevent complications, such as rising
slowly from a seated position to prevent dizziness
A female patient has come to the STD clinic and has been diagnosed with
a Trichomonas vaginalis infection. What education should be provided to
this patient?
1. Male partners should always be treated, even if they are asymptomatic.
,2. The applicator for the vaginal gel should be washed after each
application.
3. The infection is not completely eliminated with the medication.
4. The medication should be taken twice daily for 2 weeks. ---------
CORRECT ANSWER-----------------ANS: A
The most important information the nurse can provide is that male
partners should always be treated, even if they are asymptomatic.
Gels are not indicated for T. vaginalis; oral medications are. T.
vaginalis infection can be easily treated with a single dose of
metronidazole or tinidazole. Both medications are given as a single
dose.
An adolescent patient comes to the clinic complaining of a burning
sensation upon urination and a pus-like discharge from the penis. The
nurse is correct to suspect that the patient has which disorder?
1. Gonorrhea
2. Herpes simplex
3. Nongonococcal urethritis
4. Syphilis ---------CORRECT ANSWER-----------------ANS: A
This patient has signs and symptoms consistent with gonorrhea.
Herpes simplex manifests as vesicles on the penis or testes (or both)
with a watery discharge. Nongonococcal urethritis results in ulcers on
the urethral site. Syphilis is characterized by chancres and skin
lesions.
A newborn infant has been given erythromycin ophthalmic ointment as a
routine postpartum medication. The infant's mother learns that she has a C.
trachomatis infection and asks the nurse if her baby will need to be treated.
Which response by the nurse is correct?
a. "The erythromycin ointment will prevent your baby from developing
conjunctivitis."
2. "Without additional treatment, your baby could develop blindness."
3. "Your baby will need to be treated with oral erythromycin."
4. "Your baby will need to take doxycycline [Vibramycin] for 10 days." -------
--CORRECT ANSWER-----------------ANS: C
, Infants born to women with cervical C. trachomatis are at risk for
conjunctivitis and pneumonia. Topical erythromycin may help prevent
conjunctivitis, but it is not completely effective and does not prevent
pneumonia; therefore, this infant will need treatment with oral
erythromycin. Blindness will not occur as a result of C. trachomatis
conjunctivitis. Doxycycline is contraindicated, because it causes
staining of the teeth in children under 8 years of age
A patient complains of painful urination. A physical examination reveals
vesicles on her labia, vagina, and the foreskin of her clitoris. The nurse will
expect to teach this patient about which medication?
1. Acyclovir [Zovirax]
2. Azithromycin [Zithromax]
3. Metronidazole [Flagyl]
4. Tinidazole [Tindamax] ---------CORRECT ANSWER-----------------ANS: A
Genital herpes can be treated with acyclovir, famciclovir, or
valacyclovir, which are antiviral medications. Azithromycin,
metronidazole, and tinidazole are antibiotics and do not have antiviral
effects
A nurse is teaching a group of adolescent students about sexually
transmitted diseases. Which statement by a student indicates
understanding of infections caused byC. trachomatis?
1. "C. trachomatis conjunctivitis in newborns can result in blindness."
2. "The CDC recommends screening for chlamydial infections in all
sexually active men."
3. "Treatment for C. trachomatis should be initiated when infections are
symptomatic."
4. "Women with asymptomatic C. trachomatis infections can become
sterile." ---------CORRECT ANSWER-----------------ANS: D
Chlamydial infections are frequently asymptomatic in women and
may be asymptomatic in men; they can cause sterility in women. C.
trachomatis conjunctivitis in newborns does not result in blindness.
The Centers for Disease Control and Prevention (CDC) recommends
routine screening for sexually active women under age 25 and for
those over age 25 with new partners or multiple partners. Treatment
CORRECT ANSWERS | GRADED A+ |
VERIFIED ANSWERS | LATEST VERSION
2025 | JUST RELEASED
A patient prescribed dutasteride 2 weeks ago presents with continued
complaints of urinary hesitancy. Which action is most appropriate?
1. Obtain a urine sample.
2. Double the daily dose.
3. Perform a prostate examination.
4. Document these findings. ---------CORRECT ANSWER-----------------ANS:
D
It may take up to 1 month for the effects of dutasteride to take effect.
The patient should be educated about the time taken for positive
effects to be achieved. A urine sample would not be necessary.
Doubling the dose is not appropriate because the medication has not
had sufficient time to take effect. A prostate examination may be
performed but would not reveal findings related to the use of
dutasteride.
Which finding would indicate that terazosin has been effective for a patient
with BPH?
1. Decreased prostate size
2. Increased urinary frequency
3. Improved urinary hesitation
4. Decreased serum PSA levels ---------CORRECT ANSWER-----------------
ANS: C
Terazosin is an alpha1-adrenergic antagonist. These medications
relax the smooth muscles of the bladder neck to improve urinary
symptoms experienced with BPH. They do not decrease the size of
the prostate. Increased urinary frequency is a sign of worsening BPH,
not improvement
,A patient receiving doxazosin presents for a routine evaluation. Which
assessment finding would be most concerning?
1. Blood pressure 96/58
2. Dizziness when standing
3. Increased nasal congestion
4. Diminished ejaculate volume ---------CORRECT ANSWER-----------------
ANS: A
Hypotension, dizziness, and nasal congestion are all adverse effects
of doxazosin, an alpha1- adrenergic antagonist. However,
hypotension would be the most concerning because it can lead to
inadequate peripheral tissue perfusion. Diminished ejaculate volume
is seen with administration of 5-alpha-reductase inhibitors, not with
doxazosin administration.
After educating a patient about administration of papaverine plus
phentolamine for erectile dysfunction, which statement made by the patient
indicates a need for further teaching?
1. "I can expect rapid onset of an erection."
2. "I will take the pill 30 minutes before sex."
3. "I should get up from my seat slowly when taking this."
4. "I will notify the provider if I feel hard areas on my penis." ---------
CORRECT ANSWER-----------------ANS: B
Papaverine plus phentolamine is administered as an intracavernous
injection, not as an oral pill. The patient should be educated about the
correct route of administration. Desired effect may be achieved
quickly with administration. Adverse effects of administration include
orthostatic hypotension and fibrotic nodules in the corpus
cavernosum from injection. The patient should be educated about
these effects and ways to prevent complications, such as rising
slowly from a seated position to prevent dizziness
A female patient has come to the STD clinic and has been diagnosed with
a Trichomonas vaginalis infection. What education should be provided to
this patient?
1. Male partners should always be treated, even if they are asymptomatic.
,2. The applicator for the vaginal gel should be washed after each
application.
3. The infection is not completely eliminated with the medication.
4. The medication should be taken twice daily for 2 weeks. ---------
CORRECT ANSWER-----------------ANS: A
The most important information the nurse can provide is that male
partners should always be treated, even if they are asymptomatic.
Gels are not indicated for T. vaginalis; oral medications are. T.
vaginalis infection can be easily treated with a single dose of
metronidazole or tinidazole. Both medications are given as a single
dose.
An adolescent patient comes to the clinic complaining of a burning
sensation upon urination and a pus-like discharge from the penis. The
nurse is correct to suspect that the patient has which disorder?
1. Gonorrhea
2. Herpes simplex
3. Nongonococcal urethritis
4. Syphilis ---------CORRECT ANSWER-----------------ANS: A
This patient has signs and symptoms consistent with gonorrhea.
Herpes simplex manifests as vesicles on the penis or testes (or both)
with a watery discharge. Nongonococcal urethritis results in ulcers on
the urethral site. Syphilis is characterized by chancres and skin
lesions.
A newborn infant has been given erythromycin ophthalmic ointment as a
routine postpartum medication. The infant's mother learns that she has a C.
trachomatis infection and asks the nurse if her baby will need to be treated.
Which response by the nurse is correct?
a. "The erythromycin ointment will prevent your baby from developing
conjunctivitis."
2. "Without additional treatment, your baby could develop blindness."
3. "Your baby will need to be treated with oral erythromycin."
4. "Your baby will need to take doxycycline [Vibramycin] for 10 days." -------
--CORRECT ANSWER-----------------ANS: C
, Infants born to women with cervical C. trachomatis are at risk for
conjunctivitis and pneumonia. Topical erythromycin may help prevent
conjunctivitis, but it is not completely effective and does not prevent
pneumonia; therefore, this infant will need treatment with oral
erythromycin. Blindness will not occur as a result of C. trachomatis
conjunctivitis. Doxycycline is contraindicated, because it causes
staining of the teeth in children under 8 years of age
A patient complains of painful urination. A physical examination reveals
vesicles on her labia, vagina, and the foreskin of her clitoris. The nurse will
expect to teach this patient about which medication?
1. Acyclovir [Zovirax]
2. Azithromycin [Zithromax]
3. Metronidazole [Flagyl]
4. Tinidazole [Tindamax] ---------CORRECT ANSWER-----------------ANS: A
Genital herpes can be treated with acyclovir, famciclovir, or
valacyclovir, which are antiviral medications. Azithromycin,
metronidazole, and tinidazole are antibiotics and do not have antiviral
effects
A nurse is teaching a group of adolescent students about sexually
transmitted diseases. Which statement by a student indicates
understanding of infections caused byC. trachomatis?
1. "C. trachomatis conjunctivitis in newborns can result in blindness."
2. "The CDC recommends screening for chlamydial infections in all
sexually active men."
3. "Treatment for C. trachomatis should be initiated when infections are
symptomatic."
4. "Women with asymptomatic C. trachomatis infections can become
sterile." ---------CORRECT ANSWER-----------------ANS: D
Chlamydial infections are frequently asymptomatic in women and
may be asymptomatic in men; they can cause sterility in women. C.
trachomatis conjunctivitis in newborns does not result in blindness.
The Centers for Disease Control and Prevention (CDC) recommends
routine screening for sexually active women under age 25 and for
those over age 25 with new partners or multiple partners. Treatment
