Nursing 245 Final Exam – Questions With Accurate
Solutions
changes in the menstrual cycle - -By definition, dysfunctional uterine bleeding is abnormal
uterine bleeding resulting from
-Endometrial cancer - -Which of the following represents the most commonly occurring
cancer of the female reproductive tract?
-Cryptorchidism can be defined as - -Problems with testicular descent
-The most common cause of amenorrhea is - -pregnancy
-____ is a urologic emergency - -priapism (prolonged erection, cuts off blood supply can
lead to tissue death)
-During the physical assessment of a 68-year-old woman, a finding that the nurse
considers abnormal is - -Serous nipple drainage (yellow)
-During a routine health exam, the pt tells the nurse that she does not perform breast self-
exams as she just has her health care provider do it. What is the best response from the
nurse? - -Breast self exams may help with early detection of a lump, which improves the
chance of successful treatment.
-The nurse provides discharge teaching for a patient who has had a left modified radical
mastectomy and axially lymph node dissection. When teaching the patient about care of the
affected arm, the nurse determines that teaching has been successful when the patients
says - -I should continue to exercise my arm several times a day with finger walking up the
wall of combing my hair.
-A 26-year-old woman is admitted to the emergency department with abdominal cramping
and vaginal bleeding. When the pt learns that the results of a vaginal ultrasound confirm
the presence of an ectopic pregnancy in the left fallopian tube, she crys and is upset. What
is most important response by nurse? - -Monitor patients VS closely for hypovolemic shock
(emotion support important but not as important as physiologic safety ABCs)
-A 46 year old woman tells the nurse that she has not had a period for 3 months and asks if
she is going into menopause. How should the nurse respond? - -What was your menstrual
pattern before your periods stopped?
-A 58 year old woman calls the health clinic stating she has a moderate amount of vaginal
bleeding after 6 years of menopause. What should the nurse tell her to expect at the
appointment? - -A biopsy of the uterine tissue (assessment of the tissue)
, -A pt with stage 0 carcinoma of the cervix that was determined by cervical conization has
been told by her physician she needs no further treatment at this time. She is concerned
about the cancer and asks the nurse wether she should seek a second opinion. How should
the nurse respond? - -If a wide area of normal tissue surrounding the lesion was removed
during the conization, the procedure is considered therapeutic as well as diagnostic.
-A total abdominal hysterectomy is scheduled for a 42 year old woman with multiple
uterine leimyomas. During preoperative teaching about postop expectations, ti is important
for the nurse to inform the patient that. - -Leg exercises with early a frequent ambulation
are necessary to prevent common complications of hysterectomy.
-A young woman is admitted to the hospital with acute pelvic inflammatory disease.
During the nursing history, the nurse notes as a significant risk facto the patients. - -Sexual
activity with multiple partners.
-The physician prescribes terazosin (Hytin) for a 60 year old male patient who has BPH.
The nurse is aware tha the patient needs to be cautioned about the potential side effect of -
-Orthostatic hypotension (Terazosin is a alpha-beta blocker that relaxes muscles of bladder
and prostate. lowers BP by relaxing blood vessels so blood can flow easier through the
body)
-The wife of a patient who has undergone a TURP and has continuous bladder irrigation
asks the nurse whether the irrigation can be stopped because it seems to increase her
husbands pain. the nurses best response to the patients wife is - -The irrigation is needed
to keep the catheter from being occluded by blood clots
-Purpose of a Prostate-specific antigen PSA when an enlarged prostate is palpated during
routine exam. - -PSA levels may be elevated in pts with prostate cancer
-A female pt is beginning androgen therapy. when counseling about possible adverse
effects, the nurse should include? - -Facial har
-A middle aged male on long-term androgen therapy should be evaluated for - -Decreased
HDL (high density is the GOOD cholesterol)
-In addition to ovulation inducing agents, women with PCOS may also be given - -insulin-
sensitizing drugs
-When caring for a male patient who has surgical removal of both testes and is taking
testosterone replacement, then nurse knows that alterations in the patins reproductive
function includes - -Sterility
-When the nurse obtains a health history from a pt, the pt reports that she had cryosurgery
1 year ago. the nurse anticipates that the pt most likely has a hx of - -infection of HPV
, -/a 45 year old male who is taking: metoprolol (hypertension),
atorvastatin(hyperlipidemia), metformin (T2D), and Zantac (GERD) has not been able to
function sexually for about a year. The nurse should anticipate teaching the patient about
the side effects of which of his meds? - -Metoprolol
-A 21 year old female has small painless lumps in her R breast. Family hx of cervical
cancer. Nurses will inform pt that the most likely cause of lump is - -fibroadenoma (non
cancerous breast tumor common in young women)
-A pt with a breast biopsy + for cancer is to undergo lymphatic mapping and sentinel
lymph node dissection. The nurse explain this procedure... - -Reduces the need for
extensive lymph node dissection for pathologic examination
-A pt has a +VDLR (venereal disease) test. the nurses first action should be.. - -Ask the pt
about past treatment for syphilis (Syphilis is a STD has 4 stages: primary, secondary, latent,
tertiary. 1. Sores, 2. fever, rash, swollen lymph nodes 3. no s/sx 4. severe... having syphilis
once does not protect from contracting it again. Cured with correct antibiotics Bacteria
Infection )
-A pt who has undergone a vaginal hysterectomy has not voided for 8 hours after surgery
and is complaining of bladder discomfort. The nurse should... - -perform a bladder scan to
determine bladder volume (assess)
-a 68 year old male taking finasteride for BPH should be made aware that meds in the
classification include - -intrestest in sexual activity may decline while on this med (inhibits
steroid 5-alpha reductase: enzyme necessary to convert testosterone into potent androgen
5-alpha, decreases production of testosterone in prostate gland)
-During the PE of a female pt with HPV infection, the nurse should expect to find - -
multiple coalescing gray warts in the perineal area (HPV: genital warts, leads to cervical
cancer then vulva, males-->airway, anus/rectum)
-a 53 year old male tells the nurse he has had problems maintaining an erection for several
years, and is interesting in trying Viagra. Which of the following is an appropriate action by
the nurse - -Complete a medication history (assess first)
-a 50 year old postmenopausal pt who has had a hysterectomy has moderate to severe
vasomotor symptoms, and is discussing estrogen therapy. the pt is concerned about
adverse effects of ET, the nurse will expalin - -transdermal preparations have fewer side
effects
-A nurse provides teaching to a group of nursing students about the risks and benefits of
hormone therapy. which statement by a student indicates understanding of teaching - -
Principle benefits of ET are suppression of menopausal symptoms and prevention of bone
loss
Solutions
changes in the menstrual cycle - -By definition, dysfunctional uterine bleeding is abnormal
uterine bleeding resulting from
-Endometrial cancer - -Which of the following represents the most commonly occurring
cancer of the female reproductive tract?
-Cryptorchidism can be defined as - -Problems with testicular descent
-The most common cause of amenorrhea is - -pregnancy
-____ is a urologic emergency - -priapism (prolonged erection, cuts off blood supply can
lead to tissue death)
-During the physical assessment of a 68-year-old woman, a finding that the nurse
considers abnormal is - -Serous nipple drainage (yellow)
-During a routine health exam, the pt tells the nurse that she does not perform breast self-
exams as she just has her health care provider do it. What is the best response from the
nurse? - -Breast self exams may help with early detection of a lump, which improves the
chance of successful treatment.
-The nurse provides discharge teaching for a patient who has had a left modified radical
mastectomy and axially lymph node dissection. When teaching the patient about care of the
affected arm, the nurse determines that teaching has been successful when the patients
says - -I should continue to exercise my arm several times a day with finger walking up the
wall of combing my hair.
-A 26-year-old woman is admitted to the emergency department with abdominal cramping
and vaginal bleeding. When the pt learns that the results of a vaginal ultrasound confirm
the presence of an ectopic pregnancy in the left fallopian tube, she crys and is upset. What
is most important response by nurse? - -Monitor patients VS closely for hypovolemic shock
(emotion support important but not as important as physiologic safety ABCs)
-A 46 year old woman tells the nurse that she has not had a period for 3 months and asks if
she is going into menopause. How should the nurse respond? - -What was your menstrual
pattern before your periods stopped?
-A 58 year old woman calls the health clinic stating she has a moderate amount of vaginal
bleeding after 6 years of menopause. What should the nurse tell her to expect at the
appointment? - -A biopsy of the uterine tissue (assessment of the tissue)
, -A pt with stage 0 carcinoma of the cervix that was determined by cervical conization has
been told by her physician she needs no further treatment at this time. She is concerned
about the cancer and asks the nurse wether she should seek a second opinion. How should
the nurse respond? - -If a wide area of normal tissue surrounding the lesion was removed
during the conization, the procedure is considered therapeutic as well as diagnostic.
-A total abdominal hysterectomy is scheduled for a 42 year old woman with multiple
uterine leimyomas. During preoperative teaching about postop expectations, ti is important
for the nurse to inform the patient that. - -Leg exercises with early a frequent ambulation
are necessary to prevent common complications of hysterectomy.
-A young woman is admitted to the hospital with acute pelvic inflammatory disease.
During the nursing history, the nurse notes as a significant risk facto the patients. - -Sexual
activity with multiple partners.
-The physician prescribes terazosin (Hytin) for a 60 year old male patient who has BPH.
The nurse is aware tha the patient needs to be cautioned about the potential side effect of -
-Orthostatic hypotension (Terazosin is a alpha-beta blocker that relaxes muscles of bladder
and prostate. lowers BP by relaxing blood vessels so blood can flow easier through the
body)
-The wife of a patient who has undergone a TURP and has continuous bladder irrigation
asks the nurse whether the irrigation can be stopped because it seems to increase her
husbands pain. the nurses best response to the patients wife is - -The irrigation is needed
to keep the catheter from being occluded by blood clots
-Purpose of a Prostate-specific antigen PSA when an enlarged prostate is palpated during
routine exam. - -PSA levels may be elevated in pts with prostate cancer
-A female pt is beginning androgen therapy. when counseling about possible adverse
effects, the nurse should include? - -Facial har
-A middle aged male on long-term androgen therapy should be evaluated for - -Decreased
HDL (high density is the GOOD cholesterol)
-In addition to ovulation inducing agents, women with PCOS may also be given - -insulin-
sensitizing drugs
-When caring for a male patient who has surgical removal of both testes and is taking
testosterone replacement, then nurse knows that alterations in the patins reproductive
function includes - -Sterility
-When the nurse obtains a health history from a pt, the pt reports that she had cryosurgery
1 year ago. the nurse anticipates that the pt most likely has a hx of - -infection of HPV
, -/a 45 year old male who is taking: metoprolol (hypertension),
atorvastatin(hyperlipidemia), metformin (T2D), and Zantac (GERD) has not been able to
function sexually for about a year. The nurse should anticipate teaching the patient about
the side effects of which of his meds? - -Metoprolol
-A 21 year old female has small painless lumps in her R breast. Family hx of cervical
cancer. Nurses will inform pt that the most likely cause of lump is - -fibroadenoma (non
cancerous breast tumor common in young women)
-A pt with a breast biopsy + for cancer is to undergo lymphatic mapping and sentinel
lymph node dissection. The nurse explain this procedure... - -Reduces the need for
extensive lymph node dissection for pathologic examination
-A pt has a +VDLR (venereal disease) test. the nurses first action should be.. - -Ask the pt
about past treatment for syphilis (Syphilis is a STD has 4 stages: primary, secondary, latent,
tertiary. 1. Sores, 2. fever, rash, swollen lymph nodes 3. no s/sx 4. severe... having syphilis
once does not protect from contracting it again. Cured with correct antibiotics Bacteria
Infection )
-A pt who has undergone a vaginal hysterectomy has not voided for 8 hours after surgery
and is complaining of bladder discomfort. The nurse should... - -perform a bladder scan to
determine bladder volume (assess)
-a 68 year old male taking finasteride for BPH should be made aware that meds in the
classification include - -intrestest in sexual activity may decline while on this med (inhibits
steroid 5-alpha reductase: enzyme necessary to convert testosterone into potent androgen
5-alpha, decreases production of testosterone in prostate gland)
-During the PE of a female pt with HPV infection, the nurse should expect to find - -
multiple coalescing gray warts in the perineal area (HPV: genital warts, leads to cervical
cancer then vulva, males-->airway, anus/rectum)
-a 53 year old male tells the nurse he has had problems maintaining an erection for several
years, and is interesting in trying Viagra. Which of the following is an appropriate action by
the nurse - -Complete a medication history (assess first)
-a 50 year old postmenopausal pt who has had a hysterectomy has moderate to severe
vasomotor symptoms, and is discussing estrogen therapy. the pt is concerned about
adverse effects of ET, the nurse will expalin - -transdermal preparations have fewer side
effects
-A nurse provides teaching to a group of nursing students about the risks and benefits of
hormone therapy. which statement by a student indicates understanding of teaching - -
Principle benefits of ET are suppression of menopausal symptoms and prevention of bone
loss
