Deck 50: Assessment of Reproductive System

Question 1

Which information shown in the accompanying figure and obtained by the nurse about a 72-yr-old man who is complaining of erectile dysfunction is most important to communicate to the health care provider?

A)Recent knee surgery
B)Use of antihypertensives
C)Low position of left testis
D)Pulse and blood pressure level

Answer 1

Use of antihypertensives

Question 2

A woman calls the clinic because she is having an unusually heavy menstrual flow. She tells the nurse that she has saturated three tampons in the past 2 hours. The nurse estimates that the amount of blood loss over the past 2 hours is _____ mL.

A)20 to 30
B)30 to 40
C)40 to 60
D)60 to 90

Answer 2

60 to 90

Question 3

After a 26-yr-old patient has been treated for pelvic inflammatory disease,the nurse will plan to teach about the

A)use of hormone therapy (HT).
B)potential complication of infertility.
C)irregularities in the menstrual cycle.
D)changes in secondary sex characteristics.

Answer 3

potential complication of infertility.

Question 4

An 18-yr-old female patient who has been admitted to the emergency department after a motor vehicle crash is scheduled for chest and abdominal x-rays. Which information may alter the plans for the x-rays?

A)Report of abdominal pain
B)Positive result of hCG test
C)Blood pressure of 172/88 mm Hg
D)Temperature of 102.1°F (38.9°C)

Question 5

Which finding from the nurse's physical assessment of a 42-yr-old male patient should be reported to the health care provider?

A)One testis hangs lower than the other.
B)Genital hair distribution is diamond shaped.
C)Clear discharge is present at the penile meatus.
D)Inguinal lymph nodes are nonpalpable bilaterally.

Question 6

A 49-yr-old man who has type 2 diabetes,high blood pressure,hyperlipidemia,and gastroesophageal reflux tells the nurse that he has had recent difficulty in achieving an erection. Which of the following drugs from his current medications list may cause erectile dysfunction (ED)?

A)Ranitidine (Zantac)
B)Atorvastatin (Lipitor)
C)Propranolol (Inderal)
D)Metformin (Glucophage)

Question 7

The following patients call the outpatient clinic. Which phone call should the nurse return first?

A)A 44-yr-old patient who has bloody discharge after a hysteroscopy earlier today
B)A 64-yr-old patient who is experiencing shoulder pain after a laparoscopy yesterday
C)A 34-yr-old patient who is short of breath after having a pelvic CT with contrast dye
D)A 54-yr-old patient who has severe breast tenderness following a needle aspiration breast biopsy

Question 8

A couple is scheduled to have a Huhner test for infertility. In preparation for the test,the nurse will instruct the couple about

A)being sedated during the procedure.
B)determining the estimated time of ovulation.
C)experiencing shoulder pain after the procedure.
D)refraining from intercourse before the appointment.

Question 9

A 68-yr-old male patient tells the nurse that he is worried because he does not respond to sexual stimulation the same way he did when he was younger. Which is the nurse's best response to the patient's concern?

A)"Interest in sex frequently decreases as men get older."
B)"Many men need additional sexual stimulation with aging."
C)"Erectile dysfunction is a common problem with older men."
D)"Tell me more about how your sexual response has changed."

Question 10

A 24-yr-old woman says she wants to begin using oral contraceptives. Which information from the nursing assessment is important to report to the health care provider before a prescription is considered?

A)The patient quit smoking 5 months previously.
B)The patient's blood pressure is 150/86 mm Hg.
C)The patient has not been vaccinated for rubella.
D)The patient has chronic iron-deficiency anemia.

Question 11

After scheduling a patient with a possible ovarian cyst for ultrasound,the nurse will teach the patient that she should

A)expect to receive IV contrast during the procedure.
B)drink several glasses of fluids before the procedure.
C)experience mild abdominal cramps after the procedure.
D)discontinue taking aspirin for 7 days before the procedure.

Question 12

Which question should the nurse ask when assessing a 60-yr-old patient who has a history of benign prostatic hyperplasia (BPH)?

A)"Have you noticed any unusual discharge from your penis?"
B)"Has there been any change in your sex life in the past year?"
C)"Has there been a decrease in the force of your urinary stream?"
D)"Have you been experiencing any difficulty in achieving an erection?"

Question 13

A 19-yr-old patient calls the school clinic and tells the nurse,"My menstrual period is very heavy this time. I have to change my tampon every 4 hours." Which action should the nurse take next?

A)Tell the patient that her flow is not unusually heavy.
B)Schedule the patient for an appointment later that day.
C)Ask the patient how heavy her usual menstrual flow is.
D)Have the patient call again if the heavy flow continues.

Question 14

The nurse is providing teaching by telephone to a patient who is scheduled for a pelvic examination and Pap test next week. The nurse instructs the patient that she should

A)not have sexual intercourse the day before the Pap test.
B)shower, but not take a tub bath, before the examination.
C)avoid douching for at least 24 hours before the examination.
D)schedule to have the Pap test just after her menstrual period.

Question 15

The nurse will plan to teach a 51-yr-old man who is scheduled for an annual physical examination about a(n)

A)increased risk for testicular cancer.
B)possible changes in erectile function.
C)normal decreases in testosterone level.
D)prostate specific antigen (PSA) testing.

Question 16

The nurse is assessing the sexual-reproductive functional health pattern of a 32-yr-old woman. Which question is most useful in determining the patient's sexual orientation and related risk factors?

A)"Do you have sex with men, women, or both?"
B)"Which gender do you prefer to have sex with?"
C)"What types of sexual activities do you prefer?"
D)"Are you heterosexual, homosexual, or bisexual?"

Question 17

The nurse explains to a patient being prepared for colposcopy with a cervical biopsy that the procedure

A)involves dilation of the cervix and biopsy of the tissue lining the uterus.
B)will take place in a same-day surgery center so that local anesthesia can be used.
C)requires that the patient have nothing to eat or drink for 6 hours before the procedure.
D)is similar to a speculum examination of the cervix and should result in little discomfort.

Question 18

A 22-yr-old patient reports her concern about not having a menstrual period for the past 7 months. Which statement by the patient indicates a possible related factor to the amenorrhea?

A)"I drink at least 3 glasses of nonfat milk every day."
B)"I run 7 to 8 miles every day to manage my weight."
C)"I am not sexually active but currently I have an IUD."
D)"I was treated for a sexually transmitted infection 2 years ago."

Question 19

A patient in the sexually transmitted infection clinic has a positive Venereal Disease Research Laboratory (VDRL)test,but no chancre is visible on assessment. The nurse will plan to send specimens for

A)Gram stain.
B)cytologic studies.
C)rapid plasma reagin (RPR) agglutination.
D)fluorescent treponemal antibody absorption (FTA-Abs).