NSG 210 medsurg test 3 Questions and Answers Latest Updated
The nurse is assisting a 30-year-old client in scheduling an appointment for a cervical
... [Show More] biopsy. The nurse would recommend that the client schedule the testing at which time?
1 week after completion of the client's menstrual cycle.
Which of the following would be most important for the nurse to include to ensure a thorough baseline history related to the reproductive system?
Age of menarche.
The nurse is providing teaching to a client who is scheduled for a mammogram. Which of the following would the nurse include as a way to avoid artifacts on the x-ray film?
Avoid using a deodorant with aluminum hydroxide.
During a physical examination, the nurse inspects the eternal genitalia of a male client. Which of the following would the nurse identify as an abnormality?
Skin lesions.
Which of the following client statements indicates successful teaching of a client who is scheduled to have a Pap test?
I will stop using any vaginal medications at least 48 hours before the test.
The nurse is describing various terms related to the male reproductive system. Which term would the nurse use to describe the discharge of semen from the penis? Ejaculation.
A group of students are reviewing information related to the male reproductive system structures. The students demonstrate understanding of the information when they identify which structure as an accessory organ?
Seminal vesicles.
Which of the following would the nurse expect to be done to assess the size of the prostate?
Digital rectal examination.
Which of the following instructions would be appropriate to include when preparing a woman for an abdominal ultrasound? Drink at least 1 quart of water an hour before the test.
The expert nurse is assisting a novice nurse insert a Foley catheter. The novice nurse has tried unsuccessfully to insert the catheter, and the expert nurse is providing verbal guidance while spreading which area to reveal the urethral opening?
Labia majora and minora.
The nurse is outlining the female internal reproductive structures on a diagram. Where on the diagram would the nurse highlight the typical site of ovum fertilization?
The nurse would highlight the fallopian tube.
The nurse is caring for a client who states having an irregular menstrual period. Which diagnostic test provides information of the body's ability to ovulate?
Serum follicle- stimulating hormone.
A client presents with symptoms of menstrual difficulties and infertility. Which hormone is essential in the maintenance of the endometrium?
Progesterone.
The nurse is obtaining a health history at the client's annual gynecologic exam. Which of the following statements regarding a Papanicolaou test (Pap test) for cancer screening would delay the exam?
My menstrual period began yesterday.
A mother of an adolescent female is asking the nurse for guidelines of when her daughter should have her first Papanicolaou test (Pap test) and then the subsequent frequency. The nurse is most correct to state which?
The first Pap test should be no later than age 21 years and then every 3 to 5 years afterward.
A nurse is caring for a client following a culdoscopy. Which assessment data would the licensed practical nurse report to the registered nurse?
Skin, cold; pulse, 110 beat/minute; blood pressure, 104/64 mm Hg.
What information would the nurse give the client when the client inquires what makes breast milk production? Prolactin.
The nurse is completing community education when asked by a client without health insurance why a mammogram is needed if the women are completing breast self- examinations at home. The nurse is most correct to respond stating which of the following?
Mammograms can detect cysts or tumors too small to palpate.
The nurse is relating health education to male students when asked where sperm is actually made. Which location is most correct?
In the testes within the scrotum.
When instructing clients at a prenatal class, the nurse is most correct to state which medical name as being removed during circumcision?
The prepuce.
A nurse is employed by a fertility clinic. Diagnostic testing is being completed to determine the source of the male not producing viable sperm to enable ovum fertilization. Which male structures does the nurse consider if the problem is narrowed to sperm survivability?
Prostate gland.
The nurse is obtaining a health history from a 58-year-old client stating that he is having difficulty obtaining an erection during sexual activity. The client asks how an erectile medication works and if there are any side effects to the medication. The nurse explains the action of the medication and directions for use and warns of which side effect related to the client's history?
Angina with nitrate use.
The nurse is obtaining a history from a male client who states having difficulty achieving and sustaining an erection. When reviewing the medication history, which medication classification does the nurse anticipate?
Antihypertensives.
The client is asking the nurse to explain the typical treatment expected when a class 4 Papanicolaou test is reported. The nurse is most correct to state which of the following?
Further evaluation is needed for potential malignancy.
The nurse is preparing the female client for a pelvic examination. In which position will the nurse assist the client?
Lithotomy position.
Which nursing question is essential when caring for a client prior to a pelvic examination?
Would you like to void at this time?
When describing sexually transmitted infections and testing, the nurse explains that a client is typically tested for chlamydia, gonorrhea, and syphilis at the same time for which reason?
It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI).
Which of the following should a nurse consider when assessing older clients with a sexually transmitted infection (STI)?
Abandon biases that older adults are sexually inactive.
An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?
Syphilis.
The nurse is instructing a client on proper procedures to protect herself from sexually transmitted infections (STIs). Which statement, made by the client, needs clarification?
I consider myself protected because I am on birth control pills.
The nurse is addressing a multidisciplinary panel stating the need for continued education on sexually transmitted infections (STI). One of the points is the fact that the statistics of infection are underreported. Which of the following is the main cause that statistics are underreported?
Only certain STIs are reported to the Centers for Disease Control and Prevention.
The nurse is caring for a female diagnosed with a sexually transmitted infection (STI). The client states that her sister also has an STI. Which instruction, by the nurse, provides the rationale for females obtaining infections more frequently than males?
The vagina is more conducive to microbial growth.
The nurse is instructing an adolescent on ways to prevent sexually transmitted infections (STIs). When evaluating the options, which is best when the client states being sexually active?
Use a latex condom with a spermicide.
The nurse is instructing an adolescent female on potential vaccinations available. Which vaccination would the nurse state that decreases the risk of cervical cancer?
Human papilloma viral (HPV)
A client with erectile dysfunction who had a penile implant inserted has been taught how to identify malfunction of the device. Which of the following if stated by the client as indicative of malfunction would indicate to the nurse that the client has understood the teaching?
Underinflation or bulging of the cylinders during inflation.
The nurse is obtaining a medication history from a client who is reporting erectile dysfunction. Which medication would the nurse identify as being least likely to contribute to the client's condition?
Ibuprofen.
A client with erectile dysfunction has opted to self-administer a urethral suppository as a means to produce an erection. Which of the following agents would most likely be used?
Alprostadil.
Which nursing assessment finding is most significant in determining the plan of care in a client with erectile dysfunction?
Medication use.
The nurse knows that the safest treatment for erectile dysfunction in a client with coronary artery disease (CAD) includes which of the following medications?
Apomorphine (Uprima).
Which pharmacologic agents pose the greatest risk for urinary retention in a client with benign prostatic hyperplasia (BPH)?
Antihistamines.
In a client with benign prostatic hyperplasia (BPH), which assessment finding provides the best indication of urinary retention?
Frequency.
Immediately following a transurethral resection of the prostate (TURP), which is the best method to determine if active bleeding is occurring? Assess catheter tubing.
A client who is diagnosed with stage II prostate cancer asks the nurse if a transurethral resection of the prostate (TURP) can be done for this disorder. Which is the best response by the nurse?
A TURP is a removal of only a portion of the prostate gland.
A client with history of type 2 diabetes mellitus and coronary artery disease has been diagnosed with stage III prostate cancer and opts for treatment with diethylstilbestrol (DES). Which is the most important nursing assessment finding in this client?
Elevated blood sugar.
A client comes to the outpatient clinic for information on a vasectomy. Which instruction should be included by the nurse?
Vasectomies should be considered a
permanent means of birth control.
Following a vasectomy, which is the most important instruction to provide to the client?
Use another form a birth control until further notice.
When caring for a client with polycystic ovarian syndrome, the nurse will focus teaching needs in the management of which associated problems? Select all that apply.
Hypertension, Hyperlipidemia, Infertility
While collecting data on reproductive history, the client discloses early menarche, early sexual engagement, chlamydia infection, and treatment for gonorrhea. The nurse knows that this client is at highest risk for the development of which of the following?
Sexually Transmitted Infections, Cervical cancer.
A young client has just completed the 6-month series of Gardasil vaccine. Which comment by the client would alert the nurse that further teaching is needed?
This vaccine will prevent human papilloma virus (HPV) from occurring. [Show Less]