PNR 140 FINAL
EXAM
• What physical finding is most concerning for a
patient with an enlarged prostate?ANSWER urinary
dysfunction
• Identify the risk factors for prostate cancer including
dietary changes ANSWER ge- netichereditary family history
vasectomy
diet high in animal fat
excessive supplemental vitamins
• What symptoms would indicate to the practical
nurse the patient has prostate cancer rather than
BPH?ANSWER blood in the urine
• Identify the nursing interventions used when caring for
a patient receiving bladder irrigation after surgical
treatment for prostate cancer or BPH ANSWER assess the
catheter and drainage tubing regularly
maintain the rate of flow to keep output
light pink or colorless assess output
every 2 hrs for color, consistency,amt,
clots assess for bladder spasms
• What body systems are affected by
syphilis?ANSWER Can affect almost any body tissue or
organ
• What symptoms are associated with tertiary
syphilis?ANSWER gummas in the skin, bones and liver
inflammation of the CNS and cardiovascular system
,• What medication is used to treat
syphilis?ANSWER penicillin G
doxycycline
tetracycline
• What test are used to diagnose syphilis?ANSWER
Venereal Disease Research Labo- ratory (VDRL)
Rapid Plasma Reagin (RPR)
Fluorescent Treponemal Antibody Absorption (FTA-ABS)
• What symptoms are frequently associated with STIs
in women?ANSWER vaginal discharge
itching
• Identify the preventative care and treatment for a
woman with an STI such as HPV ANSWER gardisil
vaccinationaccurate sexual history abstinence
condoms/spermicides medications
• Explain appropriate edu the PN will reinforce for a
community group about STI prevention ANSWER
recommend HPV vaccinationsdiscuss the need for prompt
treatment discuss abstinence and safe sex teach signs and
symptoms
• What activity and position orders are common when
caring for a patient with PID?ANSWER bed rest
semi-fowler's position
• What age related changes would the practical nurse
anticipate when caring for an elderly patient with ear
changes?ANSWER organ of corti and cochlea atrophy
decreased blood supplydecreased acoustic reflex presbycusis
lost of high frequency sound
cerumen is dryer and harder and tends to accumulate
, • What information will the PN reinforce when a
patient is scheduled for a caloric test?ANSWER avoid
consumption of alcohol or caffeine for 24 hrs prior
NPO for 6 hrs prior
• What interventions will PN implement when caring for
a patient with ring- ing in the ears?ANSWER use a white
noise masking device
• What symptoms would the PN anticipate when the
patient has an inner ear disorder?ANSWER
vertigosensorineural hearing deficit nystagmus
• What questions will the practical nurse ask when
obtaining a health history for a patient with disorders of
the ear?ANSWER Do you have drainage?Do you have
ringing in your ears? Do you have balance problems?Any
recent URIs?
• What information will a practical nurse need to
understand regarding the use of an otoscope?ANSWER
-specula fit onto the handle
-Pneumatic otoscope is used to determine the mobility of the
tympanic membrane.
-Speculum size is determined by the size of the ear canal.
• How are hearing changes diagnosed?
• Explain the tests used to diagnose a man with
fertility problems ANSWER Semen analysisBlood
chemistry CBC
Lipid profile urinalysis testosterone prolactin PSA
thyroxin
• Define normal fertility in men ANSWER 2 to 6 mL
containing 20-150 million sperm per mL
• Explain the edu the PN will reinforce for a patient
scheduled for a mammo- gram ANSWER Ask if pregnant
do not apply ointment, body powder or deodorant prior
EXAM
• What physical finding is most concerning for a
patient with an enlarged prostate?ANSWER urinary
dysfunction
• Identify the risk factors for prostate cancer including
dietary changes ANSWER ge- netichereditary family history
vasectomy
diet high in animal fat
excessive supplemental vitamins
• What symptoms would indicate to the practical
nurse the patient has prostate cancer rather than
BPH?ANSWER blood in the urine
• Identify the nursing interventions used when caring for
a patient receiving bladder irrigation after surgical
treatment for prostate cancer or BPH ANSWER assess the
catheter and drainage tubing regularly
maintain the rate of flow to keep output
light pink or colorless assess output
every 2 hrs for color, consistency,amt,
clots assess for bladder spasms
• What body systems are affected by
syphilis?ANSWER Can affect almost any body tissue or
organ
• What symptoms are associated with tertiary
syphilis?ANSWER gummas in the skin, bones and liver
inflammation of the CNS and cardiovascular system
,• What medication is used to treat
syphilis?ANSWER penicillin G
doxycycline
tetracycline
• What test are used to diagnose syphilis?ANSWER
Venereal Disease Research Labo- ratory (VDRL)
Rapid Plasma Reagin (RPR)
Fluorescent Treponemal Antibody Absorption (FTA-ABS)
• What symptoms are frequently associated with STIs
in women?ANSWER vaginal discharge
itching
• Identify the preventative care and treatment for a
woman with an STI such as HPV ANSWER gardisil
vaccinationaccurate sexual history abstinence
condoms/spermicides medications
• Explain appropriate edu the PN will reinforce for a
community group about STI prevention ANSWER
recommend HPV vaccinationsdiscuss the need for prompt
treatment discuss abstinence and safe sex teach signs and
symptoms
• What activity and position orders are common when
caring for a patient with PID?ANSWER bed rest
semi-fowler's position
• What age related changes would the practical nurse
anticipate when caring for an elderly patient with ear
changes?ANSWER organ of corti and cochlea atrophy
decreased blood supplydecreased acoustic reflex presbycusis
lost of high frequency sound
cerumen is dryer and harder and tends to accumulate
, • What information will the PN reinforce when a
patient is scheduled for a caloric test?ANSWER avoid
consumption of alcohol or caffeine for 24 hrs prior
NPO for 6 hrs prior
• What interventions will PN implement when caring for
a patient with ring- ing in the ears?ANSWER use a white
noise masking device
• What symptoms would the PN anticipate when the
patient has an inner ear disorder?ANSWER
vertigosensorineural hearing deficit nystagmus
• What questions will the practical nurse ask when
obtaining a health history for a patient with disorders of
the ear?ANSWER Do you have drainage?Do you have
ringing in your ears? Do you have balance problems?Any
recent URIs?
• What information will a practical nurse need to
understand regarding the use of an otoscope?ANSWER
-specula fit onto the handle
-Pneumatic otoscope is used to determine the mobility of the
tympanic membrane.
-Speculum size is determined by the size of the ear canal.
• How are hearing changes diagnosed?
• Explain the tests used to diagnose a man with
fertility problems ANSWER Semen analysisBlood
chemistry CBC
Lipid profile urinalysis testosterone prolactin PSA
thyroxin
• Define normal fertility in men ANSWER 2 to 6 mL
containing 20-150 million sperm per mL
• Explain the edu the PN will reinforce for a patient
scheduled for a mammo- gram ANSWER Ask if pregnant
do not apply ointment, body powder or deodorant prior
