Question 1

A male client is scheduled for an outpatient cystourethrography to evaluate the degree of obstruction by an enlarged prostate. Which nursing care will the nurse provide after the procedure?

Accepted Answer

B

Question 2

The nurse is collecting health history on a female client who is considered a high-risk pregnancy. Which information will the nurse record if the patient has had four pregnancies, a miscarriage at 16 weeks, one 22-week stillborn delivery, and delivery at term to a set of twins and a single birth?

Accepted Answer

G4P2A1 is the correct notation. "G" stands for gravida, indicating the number of pregnancies, which is 4 in this case. "P" stands for para, indicating the number of births past 20 weeks, which is 2 (the twins count as one pregnancy and the single birth as another). "A" stands for abortions/miscarriages before 20 weeks, which is 1 (the miscarriage at 16 weeks). The 22-week stillborn is counted under "P" because it occurred past 20 weeks.

Question 3

The nurse is collecting information from a female patient who is 55 years of age. The patient is postmenopausal for 8 years. The patient is also small boned, Caucasian, and has never been pregnant. Which type of bone testing does the nurse suggest to the patient?

Accepted Answer

A dual energy x-ray absorptiometry (DEXA) scan is the most appropriate bone testing for this patient. It is the gold standard for measuring bone mineral density (BMD), which is crucial for assessing the risk of osteoporosis, especially in postmenopausal women who are at increased risk due to factors like age, small bone structure, being Caucasian, and nulliparity (never having been pregnant).

Question 4

A female patient is scheduled for laparoscopy for determination of endometriosis. Following the procedure, which nursing care will the nurse perform?

Accepted Answer

After a laparoscopy, carbon dioxide used to inflate the abdomen can cause referred pain in the neck, shoulders, and upper back. Monitoring for this pain is important for patient comfort and management.

Question 5

The nurse reviews laboratory values for a male patient with an elevated PSA level and notes that the alkaline phosphatase and serum calcium levels are also elevated. Which condition do these findings suggest to the nurse?

Accepted Answer

Elevated PSA (Prostate-Specific Antigen) levels can indicate prostate cancer. When alkaline phosphatase and serum calcium levels are also elevated, it suggests that the cancer may have metastasized to the bone, as these are markers that can indicate bone involvement.

Question 6

The nurse is preparing a presentation about the normal reproductive system of the female. Which condition is incorrect?

Accepted Answer

The normal pH of the vagina is acidic, not alkaline. This acidic environment helps to prevent the growth of many harmful microbes.

Question 7

After finding a mass in the scrotum of a male patient, the nurse provides the HCP with a flashlight and turns off the lights. For which reason did the nurse perform these actions?

Accepted Answer

Transillumination of the testes is a diagnostic technique where a light is shone through the scrotum to identify the nature of a mass. If the mass transilluminates (light passes through), it suggests that the mass is fluid-filled, such as a hydrocele or spermatocele, rather than solid, which could indicate a more serious condition like testicular cancer. The nurse provided the flashlight and turned off the lights to facilitate this examination.

Question 8

The licensed practical nurse is providing instructions on testicular self-examination. Which statements do the nurse include in this teaching? (Select all that apply.)

Accepted Answer

Testicular self-examinations should be done monthly, ideally in the shower when the scrotum is relaxed. The left testicle often hangs lower than the right. Any lumps or unusual changes should prompt a call to the doctor.

Question 9

The nurse is collecting data from a female patient regarding normal function baselines of the reproductive system. Which question is appropriate for the nurse to ask?

Accepted Answer

This question is appropriate as it directly relates to assessing the normal function baselines of the reproductive system by inquiring about any changes in sexual functioning and desire.

Question 10

A female patient is scheduled for her first pelvic examination. Which action by the nurse will provide the patient with physical comfort?

Accepted Answer

Instructing the patient to blow out a deep breath as the speculum is inserted can help relax the pelvic muscles, making the insertion of the speculum more comfortable.

Question 11

The nurse is assisting the HCP in a procedure used for cytology of the surface of the cervix. Which procedure does the nurse understand is being performed?

Accepted Answer

The Papanicolaou test, commonly known as a Pap smear, is a procedure used for cytology of the surface of the cervix to screen for cervical cancer and precancerous conditions.

Question 12

The nurse is preparing a presentation about the normal reproductive system of the male. Which statement is incorrect?

Accepted Answer

The arterioles of the penis actually dilate (not constrict) to allow blood to flow into the penis, which is necessary for an erection. Constriction would impede the blood flow necessary for an erection.

Question 13

A patient is scheduled for a surgical biopsy for removal of a lesion suspected to be breast cancer. Which care by the nurse is most important?

Accepted Answer

Presenting a calm and understanding attitude is the most important care by the nurse because it can help to reduce the patient's anxiety and fear.

Question 14

The nurse is in the initial stage of physical examination with a male patient. Which observation by the nurse is most likely unrelated to a hormone imbalance?

Accepted Answer

Short stature can be influenced by a variety of factors including genetics, nutrition, and overall health during childhood and adolescence, rather than being directly indicative of a hormone imbalance. Gynecomastia, absence of facial hair, and lack of pubic hair are more directly related to hormonal imbalances.

Question 15

The nurse is discussing menstruation with a patient who is present for her yearly physical. The patient is 11 years of age and states, "I have not had a period yet and I hear so much at school it is confusing." Which detail about the function is unnecessary at this time?

Accepted Answer

The detail about the process being related to fluctuating estrogen and progesterone hormones might be too complex and unnecessary for an 11-year-old who has not yet started menstruating and is just beginning to learn about the topic. Simplified explanations focusing on what to expect physically (such as cycle length, duration of bleeding, and cramping) are more appropriate and less confusing at this stage.

Question 16

A female patient has not achieved pregnancy after 8 months of attempting to do so and is undergoing hormone testing. Which additional reason other than infertility does the nurse identify for hormone testing?

Accepted Answer

Hormone testing can be used to assess hormone-producing tumors, which may affect fertility and other health aspects.

Question 17

The nurse is providing information on breast self-examination to a female patient. Which palpation pattern does the nurse instruct the patient to use when performing this examination?

Accepted Answer

The key to effective breast self-examination is using a pattern that is consistent and thorough, ensuring that all areas of the breast tissue are examined. While specific patterns like spiral, parallel lines, or wheel-spoke can be recommended, the most important aspect is that the individual uses a method that covers the entire breast consistently. This allows for better familiarity with the normal state of the breasts and makes it easier to notice any changes.

Question 18

A female patient who is 40 years of age is scheduled for a baseline mammography. The patient becomes concerned when she learns a digital mammography is planned. The client states, "I thought that test was for high risk women." Which answer by the nurse is most appropriate?

Accepted Answer

Digital mammography allows for computerized images, enabling radiologists to examine specific areas more closely, which can be particularly beneficial for all women, not just those at high risk.

Question 19

The nurse is reviewing the anatomy of the reproductive tract with a female patient. Which structures do the nurse identify as being part of the vulva? (Select all that apply.)

Accepted Answer

The vulva includes the external parts of the female genitalia, such as the mons pubis (A), Bartholin's glands (B), and the clitoris (D). The cervix (C) and vagina (E) are internal parts of the female reproductive tract and not considered part of the vulva.

Question 20

A 60-year-old patient receives information that a prostate-specific antigen (PSA) laboratory value is 11 ng/mL. Which intervention by the health care provider (HCP) does the nurse expect?

Accepted Answer

The answer of A 60-year-old patient receives information that a...

Quiz 41: Genitourinary and Reproductive System Function and Assessment