NU 225 Quiz #3 All Combined Questions With
Answers 100% Pass
The nurse teaches a 30-yr-old man with a family history of prostate cancer about dietary
factors associated with prostate cancer. The nurse determines that teaching is
successful if the patient selects which menu?
Grilled steak, French fries, and vanilla shake
Hamburger with cheese, pudding, and coffee
Baked chicken, peas, apple slices, and skim milk
Grilled cheese sandwich, onion rings, and hot tea - ANSWER Baked chicken, peas,
apple slices, and skim milk
A diet high in red meat and high-fat dairy products along with a low intake of vegetables
and fruits may increase the risk of prostate cancer.
A woman with chlamydial infection complains of pelvic pain, nausea, vomiting, fever,
and abnormal vaginal bleeding. What might be the possible cause of these symptoms?
A. Pelvic inflammatory disease
B. Ectopic pregnancy
C. Infertility
D. Reactive arthritis - ANSWER A. Pelvic inflammatory disease
The nurse teaching a young women's community service group about breast self-
examination (BSE) will include that
,a. BSE will reduce the risk of dying from breast cancer.
b. BSE should be done daily while taking a bath or shower.
c. annual mammograms should be scheduled in addition to BSE.
d. performing BSE after the menstrual period is more comfortable. - ANSWER D
Performing BSE at the end of the menstrual period will reduce the breast tenderness
associated with the procedure. The evidence is not clear that BSE reduces mortality
from breast cancer. BSE should be done monthly. Annual mammograms are not
routinely scheduled for women younger than age 40 years, and newer guidelines
suggest delaying them until age 50.
Symptoms of BPH are primarily caused by
a. obstruction of the urethra
b. untreated chronic prostatitis
c. decreased bladder compliance
d. excessive secretion of testosterone - ANSWER a. obstruction of the urethra
1. A 34-year-old woman who is discussing contraceptive options with the nurse says, "I
want to have children, but not for a few years." Which response by the nurse is
appropriate?
a.
"If you do not become pregnant within the next few years, you never will."
b.
"You may have more difficulty becoming pregnant after about age 35."
c.
"You have many years of fertility left, so there is no rush to have children."
,d.
"You should plan to stop taking oral contraceptives several years before you want to
become pregnant." - ANSWER B
The probability of successfully becoming pregnant decreases after age 35, although
some patients may have no difficulty in becoming pregnant. Oral contraceptives do not
need to be withdrawn for several years for a woman to become pregnant. Although the
patient may be fertile for many years, it would be inaccurate to indicate that there is no
concern about fertility as she becomes older. Although the risk for infertility increases
after age 35, not all patients have difficulty in conceiving.
DIF: Cognitive Level: Apply (application) REF: 1283
TOP: Nursing Process: Implementation MSC:
To determine the severity of the symptoms for a patient with benign prostatic
hyperplasia (BPH), the nurse will ask the patient about
a. blood in the urine. .
b. lower back or hip pain.
c. force of urinary stream
d. erectile dysfunction (ED). - ANSWER ANS: C
The American Urological Association Symptom Index for a patient with BPH asks
questions
about the force and frequency of urination, nocturia, and so on. Blood in the urine, ED,
and
back or hip pain are not typical symptoms of BPH.
DIF: Cognitive Level: Apply (application) REF: 1268
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
Which task can the nurse delegate to an unlicensed assistive personnel (UAP) in the
care of a patient who has recently undergone prostatectomy?
Assessing the patient's incision
, Irrigating the patient's urinary catheter
Reporting complaints of pain or bladder spasms
Evaluating the patient's pain and selecting analgesia - ANSWER Reporting complaints of
pain or bladder spasms
Cleaning around the catheter, recording intake and output, and reporting complaint of
pain or bladder spasms to the registered nurse are appropriate tasks for delegation to
the UAP. Selecting analgesia, irrigating the patient's catheter, and assessing the
incision are not appropriate skills or tasks for unlicensed personnel.
A patient who has been recently diagnosed with benign prostatic hyperplasia (BPH) tells
the nurse that he does not want to have a transurethral resection of the prostate (TURP)
because it might affect his ability to have sexual intercourse. Which action should the
nurse take?
a. Discuss alternative methods of sexual expression.
b. Teach about medication for erectile dysfunction (ED).
c. Clarify that TURP does not commonly affect erection.
d. Offer reassurance that fertility is not affected by TURP. - ANSWER ANS: C
ED is not a concern with TURP, although retrograde ejaculation is likely, and the nurse
should discuss this with the patient. Erectile function is not usually affected by a TURP,
so the
patient will not need information about penile implants or reassurance that other forms
of
sexual expression may be used. Because the patient has not asked about fertility,
reassurance
about sperm production does not address his concerns.
DIF: Cognitive Level: Apply (application) REF: 1272
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
Answers 100% Pass
The nurse teaches a 30-yr-old man with a family history of prostate cancer about dietary
factors associated with prostate cancer. The nurse determines that teaching is
successful if the patient selects which menu?
Grilled steak, French fries, and vanilla shake
Hamburger with cheese, pudding, and coffee
Baked chicken, peas, apple slices, and skim milk
Grilled cheese sandwich, onion rings, and hot tea - ANSWER Baked chicken, peas,
apple slices, and skim milk
A diet high in red meat and high-fat dairy products along with a low intake of vegetables
and fruits may increase the risk of prostate cancer.
A woman with chlamydial infection complains of pelvic pain, nausea, vomiting, fever,
and abnormal vaginal bleeding. What might be the possible cause of these symptoms?
A. Pelvic inflammatory disease
B. Ectopic pregnancy
C. Infertility
D. Reactive arthritis - ANSWER A. Pelvic inflammatory disease
The nurse teaching a young women's community service group about breast self-
examination (BSE) will include that
,a. BSE will reduce the risk of dying from breast cancer.
b. BSE should be done daily while taking a bath or shower.
c. annual mammograms should be scheduled in addition to BSE.
d. performing BSE after the menstrual period is more comfortable. - ANSWER D
Performing BSE at the end of the menstrual period will reduce the breast tenderness
associated with the procedure. The evidence is not clear that BSE reduces mortality
from breast cancer. BSE should be done monthly. Annual mammograms are not
routinely scheduled for women younger than age 40 years, and newer guidelines
suggest delaying them until age 50.
Symptoms of BPH are primarily caused by
a. obstruction of the urethra
b. untreated chronic prostatitis
c. decreased bladder compliance
d. excessive secretion of testosterone - ANSWER a. obstruction of the urethra
1. A 34-year-old woman who is discussing contraceptive options with the nurse says, "I
want to have children, but not for a few years." Which response by the nurse is
appropriate?
a.
"If you do not become pregnant within the next few years, you never will."
b.
"You may have more difficulty becoming pregnant after about age 35."
c.
"You have many years of fertility left, so there is no rush to have children."
,d.
"You should plan to stop taking oral contraceptives several years before you want to
become pregnant." - ANSWER B
The probability of successfully becoming pregnant decreases after age 35, although
some patients may have no difficulty in becoming pregnant. Oral contraceptives do not
need to be withdrawn for several years for a woman to become pregnant. Although the
patient may be fertile for many years, it would be inaccurate to indicate that there is no
concern about fertility as she becomes older. Although the risk for infertility increases
after age 35, not all patients have difficulty in conceiving.
DIF: Cognitive Level: Apply (application) REF: 1283
TOP: Nursing Process: Implementation MSC:
To determine the severity of the symptoms for a patient with benign prostatic
hyperplasia (BPH), the nurse will ask the patient about
a. blood in the urine. .
b. lower back or hip pain.
c. force of urinary stream
d. erectile dysfunction (ED). - ANSWER ANS: C
The American Urological Association Symptom Index for a patient with BPH asks
questions
about the force and frequency of urination, nocturia, and so on. Blood in the urine, ED,
and
back or hip pain are not typical symptoms of BPH.
DIF: Cognitive Level: Apply (application) REF: 1268
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
Which task can the nurse delegate to an unlicensed assistive personnel (UAP) in the
care of a patient who has recently undergone prostatectomy?
Assessing the patient's incision
, Irrigating the patient's urinary catheter
Reporting complaints of pain or bladder spasms
Evaluating the patient's pain and selecting analgesia - ANSWER Reporting complaints of
pain or bladder spasms
Cleaning around the catheter, recording intake and output, and reporting complaint of
pain or bladder spasms to the registered nurse are appropriate tasks for delegation to
the UAP. Selecting analgesia, irrigating the patient's catheter, and assessing the
incision are not appropriate skills or tasks for unlicensed personnel.
A patient who has been recently diagnosed with benign prostatic hyperplasia (BPH) tells
the nurse that he does not want to have a transurethral resection of the prostate (TURP)
because it might affect his ability to have sexual intercourse. Which action should the
nurse take?
a. Discuss alternative methods of sexual expression.
b. Teach about medication for erectile dysfunction (ED).
c. Clarify that TURP does not commonly affect erection.
d. Offer reassurance that fertility is not affected by TURP. - ANSWER ANS: C
ED is not a concern with TURP, although retrograde ejaculation is likely, and the nurse
should discuss this with the patient. Erectile function is not usually affected by a TURP,
so the
patient will not need information about penile implants or reassurance that other forms
of
sexual expression may be used. Because the patient has not asked about fertility,
reassurance
about sperm production does not address his concerns.
DIF: Cognitive Level: Apply (application) REF: 1272
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
