Maryville NURS 620 Exam 3 Questions and Answers 2023

Which of the following is not a common cause of chronic renal failure? a. Polycystic kidney disease b. Type 1 diabetes c. Hypothyroidism - Hypothyroidism In clinical practice the NP notes an elevation in the creatinine clearance and understands that this lab test: a. Does not change with the aging process b. Is greater in women than in men c. Approximates the GFR - Approximates the GFR The NP is seeing an 80 YO patient and understands that which of the following is an early finding of chronic renal disease? a. Hyperkalemia b. Persistent proteinuria c. Elevated creatinine level - Persistent proteinuria Which of the following would allow you to rule out a diagnosis of testicular cancer? a. Caucasian race b. Scandinavian background c. Trans-illumination of suspected mass - Trans-illumination of suspected mass Which of the following would not be considered in a patient presenting with erectile dysfunction? a. Hypertension b. Diabetes c. Normal testosterone - Normal testosterone What is the primary treatment for a patient diagnosed with testicular cancer a. Watch and wait b. Check every 3 months c. Lumpectomy d. Radical orchiectomy - Radical orchiectomy Which of the following would be an appropriate treatment for a patient with benign BPH and an AUASI score of 6? a. Prescribe a trial of Flomax b. Reevaluate symptoms in 1-4 months c. Refer to urology for surgery - Reevaluate symptoms in 1-3 months What is the most common diagnosis for a 63 YOM with chief complaint of nocturia? a. Urethral polyps b. BPH c. Psychogenic nocturia - BPH Which of the following would be associated with a diagnosis of testicular torsion? a. Testicle is very low in the scrotum b. Swollen scrotum with erythema c. Absent cremasteric reflex - Absent cremasteric reflex A 60 YOM presents with an enlarged scrotum. The clinician uses a penlight to illuminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find? a. The scrotum would be dark b. The scrotum would be milky white c. The scrotum would appear light pink or yellow - The scrotum would appear light pink or yellow A 19 YOM is seen with complaints of severe testicular pain. The clinician suspects testicular torsion. Which of the following is true? a. Diagnosis is made by CT scan b. Considered urologic emergency - Considered urologic emergency A 30 YOM is seen with CC of loss of libido. Which of the following laboratory tests would help to establish a diagnosis? a. PSA b. Prolactin level c. Testosterone level - Testosterone level What are the most common gram negative bacteria that cause acute and chronic bacterial prostatitis? a. Staph aureus b. Staph pneumonia c. E. coli - E. coli How long should a 56 YOM with chronic bacterial prostatitis be treated with Bactrim? a. 3-6 weeks b. 7-14 days c. 6-12 weeks - 6-12 weeks A 23 YO sexually active male is seen in the clinic with unilateral painful testicular swelling. He is diagnosed with epididymitis. In order to prescribe the correct drug, the clinician must understand that which of the following is the most common causative organism of epididymitis? a. E. coli b. Staph aureus c. Chlamydia - Chlamydia