NR 511 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NR 511 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) 1. Which of the following would be considered the highest risk factor for the development of testicular cancer? A. cryptorchidism B. caucasian race C. HIV infection D. hormonal imbalance in utero Correct Answer A. cryptorchidism 2. Benign prostatic hypertrophy is a common finding as men age. Classically, this condition may begin with difficulty initiating the urinary stream, hesitancy, urgency, postvoid dribbling, urinary frequency, nocturia, urinary retention, sensation of a full bladder immediately after voiding, and incontinence. These preceding symptoms would also cause the NP to consider what other condition as a differential diagnosis? A. epididymitis B. testicular cancer C. cancer of the prostate D. balanitis Correct Answer C. cancer of the prostate 3. The NP percusses for pain at the costovertebral angle when examining a male patient. What condition is the provider assessing for? A. urethritis B. pyelonephritis C. kidney stone D. bladder tumor Correct Answer B. pyelonephritis 4. The main principle of management for prostatitis is to treat the patient on an outpatient basis if he is afebrile. All of the following antibiotics are recommended in the pharmacologic treatment in men with bacterial prostatitis except A. penicillin B. nitrofurantoin (Macrobid) C. doxycycline (Vibramycin) D. quinolones (e.g., Ciprofloxacin) Correct Answer A. penicillin 5. A patient presents to the practitioner with scrotal pain. The examinations of his scrotum, penis, and rectum are normal. Which of the following conditions outside of the scrotum may present as scrotal pain? A. inguinal herniation and peritonitis B. renal colic and cardiac ischemia C. pancreatitis and Crohn's disease D. polyarteritis nodosa and ulcerative colitis Correct Answer A. inguinal herniation and peritonitis 6. Jordan, age 32, appears with a rapid onset of unilateral scrotal pain radiating up to the groin and flank. The NP is trying to differentiate between epididymitis and testicular torsion. Which test should be the provider's first choice? A. X-ray B. Ultrasound C. Technetium scan D. Physical examination Correct Answer B. Ultrasound 7. Which of the following scrotal disorders is most common in adolescents? A. acute epididymitis B. testicular torsion C. atrophic testes D. scrotal edema Correct Answer B. testicular torsion 8. A 63 year old man presents to you with hematuria, hesitancy, and dribbling. Digital rectal exam (DRE) reveals a moderately enlarged prostate that is smooth. The client's prostate-specific antigen (PSA) is 1.2. What is the most appropriate management strategy for you to follow at this time? A. prescribe an alpha adrenergic blocker B. recommend saw palmetto extract C. prescribe an antibiotic D. refer the client to urology Correct Answer A. prescribe an alpha adrenergic blocker 9. Regular testicular self-exams have not been studied enough to show if they lower the risk of dying from testicular cancer. This is why the American Cancer Society and other agencies do not have a recommendation about regular testicular self-exams for all men. Still, some practitioners do recommend that all men examine their testicles monthly after puberty. If teaching a patient how to do a testicular self-examination, which of the following do you tell him? A. "Examine your testicles when you are cold because this makes them more sensitive." B. "Make sure your hands are dry to create friction." C. "If you feel firmness above and behind the testicle, make an appointment." D. "Make an appointment if you note any hard lumps directly on the testicle, whether they are tender or not." Correct Answer D. "Make an appointment if you note any hard lumps directly on the testicle, whether they are tender or not." 10. Austin, age 63, has been on finasteride (Proscar) for 6 months for BPH. A decrease in his PSA from the original value of 5.4 has not occurred. Your initial expectation is A. that his PSA would remain stable, neither increasing nor decreasing B. that Austin's dosage should be reduced only after he has been on the medication for approximately 12 months C. that a significant reduction in the overall PSA would occur if the level is associated with true BPH D. that an elevation of the antigen would occur because of the effect of the alpha-adrenergic antagonist Correct Answer C. that a significant reduction in the overall PSA would occur if the level is associated with true BPH 11. What is the most common cause of male infertility? A. Azoospermia B. a problem with sperm motility C. a varicocele D. antisperm antibodies Correct Answer C. a varicocele 12. The NP is debating prescribing testosterone therapy for a male patient with a low testosterone level. In reviewing the