NSG 6001 Week 4 Questions and Correct Answers |
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PSA and perform a digital rectal exam
Ans: An older male patient reports urinary frequency, back pain, and
nocturia. A dipstick urinalysis reveals hematuria. What will the provider
do next to evaluate this condition?
BPH
Ans: An older male patient has a screening PSA which is 12 ng/ml. What
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does this value indicate.
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UTI
Ans: A male patient reports nocturia and daytime urinary frequency and
urgency without changes in the force of the urine stream. What is the
likely cause of this?
2026
Urinalysis and serum creatinine
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Ans: A 70 year old male reports urinary hesitancy, post void dribbling,
and a diminished urine stream. A digital rectal exam reveals an enlarged
prostate gland that feels rubbery and smooth. Which tests will the
primary care provider order based on these findings?
Take on an empty stomach
The medication effects may last for 24-36 hours
Medication may be taken once daily
Ans: The provider orders the oral phosphodiesterase type 5 inhibitor
Sildenafil to treat erectile dysfunction in a 65-year-old male patient. What
will be included when teaching this patient about taking this medication?
Select all that apply.
, 2 for specific request mail
Hypoactive sexual desire in older men is related to sexual aversion.
Ans: Which is true about hypoactive sexual desire in older men?
Referral to an emergency department for surgical consultation.
Ans: A young adult male reports a dull pain in the scrotum and the
provider notes a bluish color showing through the skin on the affected
side. Palpation reveals a "bag of worms" on the proximal spermatic cord.
What is an important next step in managing this patient?
Doppler ultrasound to assess testicular blood flow.
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Ans: An adolescent male reports severe pain in one testicle. The
examiner notes edema and erythema of the scrotum on that side with a
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swollen, tender spermatic cord and absence of the cremasteric reflex.
What is the most important intervention?
Intravenous fluid resuscitation with an isotonic solution.
2026
Ans: A high school athlete is brought to the emergency department after
collapsing during outdoor practice on a hot day. The patient is weak,
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irritable, and confused. Serum NA is 152 mEq/ml and has dry mucous
membranes and tachycardia. What is the initial approach for rehydration
in this patient?
Emergency volume repletion with 3% NaCl.
Ans: An elderly patient who is taking thiazide diuretic has been ill with
nausea and vomiting and is brought into the emergency department for
evaluation. An assessment reveals oliguria, hypertension, and
tachycardia and serum sodium is 118 mEq/ml. What is the treatment?
0.2 Ulu/L
Ans: Which thyroid stimulating hormone level indicates
hyperthyroidism?