Question 1

During the physical assessment of a 68-year-old woman,which of the following is a finding that the nurse considers abnormal?&#10;A) Pendulous breasts&#10;B) Nonpalpable ovaries&#10;C) Serous nipple drainage&#10;D) Atrophy of vaginal tissue

Accepted Answer

Serous nipple drainage can be a sign of breast cancer or a breast infection and should be evaluated further. Pendulous breasts, nonpalpable ovaries, and atrophy of vaginal tissue are normal age-related changes.

Question 2

Which of the following is an age-related change in male sexual functioning?&#10;A) Increased force of ejaculation&#10;B) Increased rigidity of erection&#10;C) Increased interest in sex&#10;D) Decreased libido

Accepted Answer

Decreased libido is a common age-related change in male sexual functioning. As men age, they may experience a decrease in their sex drive or interest in sex. This may be due to decreased levels of testosterone or other hormonal changes. Other aspects of male sexual function, such as the force of ejaculation and the rigidity of erections, may not necessarily decrease with age.

Question 3

During the nursing assessment of a 62-year-old man,the patient tells the nurse that he does not respond to sexual stimulation the way he did when he was younger.What is the best response to the patient's comment?

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

"Tell me more about how your response has changed."

Accepted Answer

This response encourages the patient to provide more information about his sexual response and can help the nurse gain a better understanding of the issue. It also shows the patient that the nurse is listening and cares about their concerns. A, C, and D may be true statements, but they do not address the patient's specific concern or provide an opportunity for further exploration.

Question 4

When the nurse obtains a health history from a patient,the patient reports that she had cryosurgery 1 year ago.What does the nurse anticipate that the patient most likely has a history of?&#10;A) Obstructed fallopian tubes&#10;B) Abnormal menstrual cycles&#10;C) Abnormal cells detected by a Pap smear&#10;D) A protrusion of the urinary bladder through the vaginal wall

Accepted Answer

Cryosurgery is a procedure in which abnormal cells are frozen and destroyed. It is most commonly used to treat abnormal cells detected by a Pap smear. Therefore, the nurse can anticipate that the patient most likely has a history of abnormal cells detected by a Pap smear.

Question 5

The nurse's best response to the patient who asks &#34;what is a varicocelectomy&#34; is which one of the following?&#10;A) Removal of part of the ductus deferens&#10;B) Correction of axial rotation of the spermatic cord&#10;C) Repair of a varicose vein of the scrotum&#10;D) Skin graft to repair an injury to the testicle

Accepted Answer

A varicocelectomy is a surgical procedure performed to correct a varicose vein in the scrotum. The procedure involves ligating or removing the affected veins in order to improve sperm count and quality in men with infertility issues.

Question 6

When the nurse is performing a physical assessment of a male patient's reproductive system,which of the following findings does the nurse identify as abnormal?&#10;A) Absence of a prepuce&#10;B) Clear penile discharge&#10;C) One testis descended lower than the other&#10;D) Ability to palpate the abdominal wall along the inguinal canal

Accepted Answer

Clear penile discharge can indicate infection or inflammation in the urethra or prostate gland. The other findings mentioned are within normal variations or expected findings.

Question 7

What is the name of the process that reduces the number of primordial follicles from 2 to 4 million at birth to approximately 300,000 to 400,000 at menarche?&#10;A) Phagocytosis&#10;B) Pinocytosis&#10;C) Atresia&#10;D) Active transport

Accepted Answer

The process that reduces the number of primordial follicles is called atresia. At birth, a female has approximately 2 to 4 million primordial follicles. By the time of menarche, the number of follicles has decreased to approximately 300,000 to 400,000. Atresia is the process by which the majority of the follicles are lost, as they undergo degeneration and are reabsorbed. Phagocytosis, pinocytosis, and active transport are not involved in this process.

Question 8

A patient considering a vasectomy as a means of contraception asks the nurse what is involved in the procedure.The nurse explains that which of the following structures is partially removed?&#10;A) Epididymis&#10;B) Spermatic cord&#10;C) Ductus deferens&#10;D) Ejaculatory duct

Accepted Answer

A vasectomy involves the surgical removal or blocking of the ductus deferens, which are tubes that transport sperm from the testes to the urethra. This prevents sperm from reaching the seminal fluid that is ejaculated during sexual intercourse. The other structures listed (epididymis, spermatic cord, ejaculatory duct) are not typically removed during a vasectomy.

Question 9

A woman calls the clinic because she is having an unusually heavy menstrual flow.She tells the nurse that she has saturated two pads in the past 2 hours.At which of the following approximate amounts does the nurse estimate the amount of blood loss?

A) 10 to 20 mL
B) 20 to 30 mL
C) 30 to 40 mL
D) 40 to 60 mL

Accepted Answer

The average amount of blood loss during a menstrual cycle is estimated to be 30 to 40 mL. However, if a woman is saturating two pads in 2 hours, this indicates a very heavy flow, which is typically defined as greater than 80 mL of blood loss per cycle. Therefore, the nurse can estimate that the amount of blood loss in this case is likely between 40 to 60 mL.

Question 10

Before a woman uses oral contraceptives,the nurse should question the patient about a history of which one of the following disorders?&#10;A) Rubella&#10;B) Anemia&#10;C) Mumps&#10;D) Cholecystitis

Accepted Answer

Cholecystitis is a disorder that involves inflammation of the gallbladder. Women with this disorder may have an increased risk of developing gallstones while using oral contraceptives. Therefore, it is important for the nurse to question the patient about any history of cholecystitis prior to initiating use of oral contraceptives. The other options (rubella, anemia, mumps) are not directly related to the use of oral contraceptives.

Question 11

What is the range of length of a menstrual cycle?&#10;A) 5 to 7 days&#10;B) 21 to 28 days&#10;C) 20 to 40 days&#10;D) 21 to 35 days

Accepted Answer

The answer of What is the range of length of...

Question 12

When is menopause usually considered to be complete?&#10;A) Cessation of menses for a period of 1 year&#10;B) Once a woman turns 55 years of age&#10;C) When estrogen levels drop 10% below normal&#10;D) Once ovulation has ceased for a period of 2 years

Accepted Answer

The answer of When is menopause usually considered to be...

Question 13

A patient with a possible ovarian cyst is scheduled for ultrasonography.The nurse will teach the patient which of the following?&#10;A) She should not eat or drink for 4 hours before the procedure.&#10;B) She will experience minimal discomfort during the procedure.&#10;C) She should discontinue taking aspirin before the procedure.&#10;D) She will receive intravenous contrast solution during the procedure.

Accepted Answer

The answer of A patient with a possible ovarian cyst...

Question 14

Because of the location of the prostate gland in the male reproductive system,when caring for a patient with prostate problems,the nurse should monitor the patient for which of the following?&#10;A) Constipation&#10;B) Low back pain&#10;C) Penile discharge&#10;D) Urinary symptoms

Accepted Answer

The answer of Because of the location of the prostate...

Question 15

A 42-year-old man tells the nurse that he has not been able to function sexually for about the last year.The nurse asks the patient specifically about medications he is taking,with the knowledge that erectile dysfunction may occur with the use of which of the following drugs?

A) Antilipemics
B) Antihypertensives
C) Oral hypoglycemic agents
D) H₂-receptor blocking agents

Accepted Answer

The answer of A 42-year-old man tells the nurse that...

Question 16

When preparing a patient for colposcopy with a cervical biopsy,what should the nurse explain to the patient about the procedure?&#10;A) It requires surgical anaesthesia and overnight hospitalization.&#10;B) It involves dilation of the cervix and biopsy of the tissue lining the uterus.&#10;C) It is similar to a speculum examination of the cervix and should result in little or no pain.&#10;D) It is a surgical procedure that permits visualization of the uterus,ovaries,and fallopian tubes.

Accepted Answer

The answer of When preparing a patient for colposcopy with...

Question 17

When scheduling a patient for a pelvic examination and Pap smear,what should the nurse instruct the patient to do?&#10;A) The patient should not douche for 24 hours before the examination.&#10;B) The patient should not have sexual intercourse for 2 days before the examination.&#10;C) The patient should schedule the examination for the first day of her menstrual period.&#10;D) The patient should shower before the examination but avoid tub baths the day before the examination.

Accepted Answer

The answer of When scheduling a patient for a pelvic...

Question 18

A young man is suspected of having syphilis.Which of the following tests does the nurse recognize as the one most commonly used for initial screening for syphilis as it yields information in the fastest way possible?

A) Venereal Disease Research Laboratory (VDRL)testing for antibodies
B) A blood culture of the microorganism
C) A dark-field microscopy direct examination culture of a specimen of drainage from an active chancre
D) Fluorescent treponemal antibody absorption (FTA-Abs)testing for antibodies to treponema

Accepted Answer

The answer of A young man is suspected of having...

Question 19

A couple who has not been able to conceive is scheduled for a Huhner test for infertility.In preparation for the test,what should the nurse inform the couple to do?&#10;A) Refrain from sexual intercourse for 1 week before the test to allow sperm counts to increase.&#10;B) Have intercourse at the estimated time of ovulation and come to the health clinic 2 to 8 hours after intercourse.&#10;C) Expect to have sexual intercourse at the clinic so that sperm evaluation can be made immediately following intercourse.&#10;D) Bring the man's semen specimen no older than 2 hours to be implanted into the woman's cervix at the clinic.

Accepted Answer

The answer of A couple who has not been able...

Deck 53: Nursing Assessment: Reproductive System