Question 1

The nurse is performing an assessment of a female patient's breasts. Which findings indicate the need for further assessment? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A,D,E

Question 2

During an assessment, a female patient asks why the nurse is "feeling her armpit." Which responses are appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

C) "Breast tissue extends into this area." - This response explains that the nurse is feeling the patient's armpit to assess for any abnormalities or lumps in the breast tissue that extends into that area.
E) "The armpits should be part of your breast self-exam." - This response educates the patient on the importance of including the armpit area in their breast self-exams to detect any potential issues early on.

Question 3

The nurse is conducting a presentation to a group of women concerning menopause. Which statements by a participant indicate good understanding of the process? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

C) After menopause, the ovaries often shrink in size due to the decreased production of estrogen and progesterone. This is a natural part of the aging process associated with menopause.E) Graying of pubic hair is a normal part of aging, similar to the graying of hair on the head and other parts of the body. This can occur as hormone levels change during menopause, but it is more directly related to the aging process itself.

Question 4

During a physical examination, a male patient reports discharge from the urinary meatus. The discharge is not visible to the nurse. What is the first action the nurse would ask the patient to take?

Accepted Answer

The nurse would ask the patient to strip the penis to bring the discharge to the meatus for culture. This will provide a specimen for laboratory analysis and diagnosis. The other options do not provide an immediate solution for obtaining a specimen or providing a diagnosis. Waiting for other signs or returning to the clinic may delay treatment and increase the risk of transmission of an STI. Going to the emergency department may be unnecessary and will likely result in a longer wait time and increased costs.

Question 5

A patient presents to the emergency department with swelling and pain in his scrotum. The nurse anticipates dysfunction in which structures? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Swelling and pain in the scrotum may indicate dysfunction in the testes and/or epididymis. Dysfunction in the vas deferens, seminal vesicle, or prostate would not typically present with scrotal swelling and pain.

Question 6

A patient is having a routine prostate examination. Which question is an important part of this examination?

Accepted Answer

Difficulty with urination is a common symptom of prostate issues, so it is an important question to ask during a prostate examination. The other questions are not directly related to this examination.

Question 7

During a vaginal examination of a 33-year-old patient, a nontender mass at the posterolateral portion of the labia majora is noted. The nurse anticipates which diagnosis?

Accepted Answer

A nontender mass at the posterolateral portion of the labia majora is a characteristic finding of a Bartholin cyst. Rectocele is a protrusion of the rectum into the vaginal wall, which presents as a bulge in the posterior vaginal wall. Fistula is an abnormal connection between two body parts or an organ and the skin. Cyst of the Skene's gland presents as a nodule near the urethral opening.

Question 8

The nurse is preparing to examine a male patient's reproductive organs. What nursing actions are part of preparing for this examination? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is preparing to examine a...

Question 9

The nurse is preparing to obtain a sexual history from a male patient. Which question is of the highest importance in this assessment?

Accepted Answer

Asking about same-sex activity is the most important question as it allows the nurse to assess the patient's risk for sexually transmitted infections and tailor education and counseling accordingly. It also shows the nurse is open and inclusive in their care. The other questions are relevant but do not provide the same level of clinical significance.

Question 10

The nurse is providing instruction to a patient who has been diagnosed with prostate cancer. Which statement by the patient would indicate understanding of the nurse's instruction?

Accepted Answer

The answer of The nurse is providing instruction to a...

Question 11

The nurse is assisting the health care provider with a routine prostate examination. The nurse could assist the patient to which positions for this examination? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is assisting the health care...

Question 12

The nurse is assessing the medication history of a patient with an enlarged prostate. The nurse would inquire about the use of which herbal supplement?

Accepted Answer

Saw palmetto is an herbal supplement commonly used for the treatment of enlarged prostate. The other options are not commonly used for this purpose.

Question 13

The nurse is reviewing the laboratory analysis of a female patient's hormones. Increases in which hormone levels would indicate ovulation is occurring?

Accepted Answer

Luteinizing hormone levels increase rapidly just before ovulation, triggering the release of the mature egg from the ovary. Estrogen levels also increase during the menstrual cycle, but a specific increase indicating ovulation is less pronounced. Progesterone levels increase after ovulation and are important in preparing the uterus for implantation of a fertilized egg. Gonadotropin-releasing hormone stimulates the release of luteinizing hormone and follicle-stimulating hormone, but its levels alone do not indicate ovulation.

Question 14

While obtaining a social history on a male patient regarding patterns of alcohol use, the nurse becomes aware that the patient may have a drinking problem. The nurse continues assessing the patient using the CAGE questionnaire. Which questions would the nurse ask? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of While obtaining a social history on a...

Question 15

The nurse is assessing for a left inguinal hernia in a male patient. Which technique should the nurse use?

Accepted Answer

The answer of The nurse is assessing for a left...

Question 16

A female patient is admitted with a painful swelling in the perineal body. Where would the nurse look to assess this lesion?

Accepted Answer

The perineal body is located between the anus and the fourchette (the external junction of the labia minora).

Question 17

During a routine breast examination of a patient, the nurse notes a small amount of nipple discharge. What nursing actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of During a routine breast examination of a...

Question 18

A patient is having a breast examination and is asked by the nurse to position her arms at her sides, then to press her hands to her hips. The patient asks why she has to perform so many different positions for the examination. What rationale would the nurse provide for this request?

Accepted Answer

Positioning the arms in different ways can help the examiner to identify any dimpling caused by a tumor pulling on the ligaments in the breast tissue.

Question 19

A 40-year-old male has reported to the clinic with complaints of impotence. The nurse is reviewing the patient's health history. Which statements by the patient warrant further investigation? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Medications to control blood pressure can cause erectile dysfunction as a side effect. Diabetes can also cause erectile dysfunction due to nerve and blood vessel damage. Therefore, further investigation is necessary regarding these two statements. The history of mumps, vasectomy, and cervical cancer in the patient's spouse may not be relevant to the patient's impotence and do not require further investigation.

Question 20

A patient with a menstrual cycle of 28 days asks about the timing of ovulation. The nurse would respond that ovulation would most likely occur on which days?

Accepted Answer

In a 28-day menstrual cycle, ovulation typically occurs around day 14 to day 16.

Quiz 40: Nursing Assessment of the Patient With Reproductive Disorders

The nurse is performing an assessment of a female patient's breasts. Which findings indicate the need for further assessment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

During an assessment, a female patient asks why the nurse is "feeling her armpit." Which responses are appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

The nurse is conducting a presentation to a group of women concerning menopause. Which statements by a participant indicate good understanding of the process? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.