CNUR 203 EVALUATION EXAM ACTUAL QUESTIONS
AND SOLUTIONS GRADED A+
✔✔What amount of urinary retention should be evaluated? - ✔✔>150-200 mL
✔✔What causes urinary retention? - ✔✔1. Ineffective detrusor muscle contraction
length 2.obstructions
✔✔What is nursing care for urinary retention? - ✔✔Scheduled toileting, double-voiding,
catheterization, meds- ( adrenergic antagonists, cholinergic UT stimulants)
✔✔Is urinary incontinence a normal part of aging? - ✔✔No (even though it is more
common in elderly age and severity increases with age)
✔✔What is urge incontinence? - ✔✔involuntary urine loss from overactive detrusor
muscle in bladder ( physiological urge followed by involuntary voiding
✔✔What causes overflow incontinence? - ✔✔Inability to void normally -> overdistention
of bladder. Bladder outlet obstruction , under active detrusor muscle, surgical anesthetic
✔✔What is functional incontinence? - ✔✔Caused by problems that prevent you from
getting to the bathroom in time to avoid an accident (trouble walking from arthritis).
✔✔Which STIs are nationally reportable? - ✔✔Chlamydia, gonorrhoea, and syphilis
✔✔Which STI's are bacterial? - ✔✔chlamydia, gonorrhea, syphilis
✔✔What is problematic about Chlamydia? - ✔✔It is often asymptomatic?
✔✔What testing is used to diagnose both gonorrea and chlamydia? - ✔✔NAAT from
swab of bodily fluid
✔✔What dos NAAT stand do? - ✔✔Nucleic acid amplification test
✔✔What are the s/s of syphilis? - ✔✔-primary: single, painless chancre if untx, heals in
few wks
-secondary: low-grade fever, malaise, sore throat, HA, lymphadenopathy & rash
-tertiary: gummas of skin, bone, mucous membranes, heart & liver, CNS involvement
(paresis, optic atrophy), CV involvement (aortic aneurysm, aortic valve insuff)
✔✔What is a gummas in tertiary syphilis - ✔✔Destructive lesions
✔✔What is the CHANCRE of syphilis? - ✔✔painless superficial ulcer with a clean base
and a form indurated margins
, ✔✔Which bacterial STD has three distinct stages? - ✔✔syphills
✔✔Which bacterial STI passes to the newborn in vaginal childbirth? - ✔✔Both
gonorrhea and syphilis
✔✔What causes genital herpes? - ✔✔HSV-2
✔✔What are the clinical manifestations of genital heroes? - ✔✔Burning, itching, tingling
at transmission site, smell vesicular lesions in genital area, fever, headache, dysuria
✔✔What are complications for untreated genital herpes? - ✔✔Aseptic meningitis, lower
motor neuron damage— atomic bladder, erectile dysfunction, constipation
✔✔What is the treatment for genital herpes? - ✔✔acyclovir and other antiviral drugs
✔✔How is HPV diagnosed? - ✔✔HPV DNA & RNA testing
✔✔What is endometriosis? - ✔✔Growth of endometrial tissue outside of uterus
✔✔What are the Ron factors for endometriosis? - ✔✔Early menarche, family Hx, short
OR heavy menstrual cycles, late menopause
✔✔What is dysmenorrhea? - ✔✔painful menstruation
✔✔What are the common manifestations s of endometriosis? - ✔✔Irregular bleeding,
chronic pelvic pain, infertility, and less common is back pain, painful BMs, dysuria
✔✔How is endometriosis diagnosed? - ✔✔laparoscopy
✔✔What are the complications from endometriosis? - ✔✔Ruptured pelvic cysts,
adhesions, R/f CVD, depression, anxiety, infertility, underweight
✔✔What are the treatments for endometriosis? - ✔✔Danazol (steroid that inhibits
menstrual cycle)
Hormones (birth control) and aromatase: decrease estrogen
Surgery
Hysterectomy with bilateral salpingo-oophorectomy (the uterus, fallopian tubes, cervix,
and ovaries)
✔✔What is a leiomyoma? - ✔✔benign tumor of smooth muscle
✔✔What are the risk factors of uterine fibroids? - ✔✔Obesity
Age (30- menopause)
AND SOLUTIONS GRADED A+
✔✔What amount of urinary retention should be evaluated? - ✔✔>150-200 mL
✔✔What causes urinary retention? - ✔✔1. Ineffective detrusor muscle contraction
length 2.obstructions
✔✔What is nursing care for urinary retention? - ✔✔Scheduled toileting, double-voiding,
catheterization, meds- ( adrenergic antagonists, cholinergic UT stimulants)
✔✔Is urinary incontinence a normal part of aging? - ✔✔No (even though it is more
common in elderly age and severity increases with age)
✔✔What is urge incontinence? - ✔✔involuntary urine loss from overactive detrusor
muscle in bladder ( physiological urge followed by involuntary voiding
✔✔What causes overflow incontinence? - ✔✔Inability to void normally -> overdistention
of bladder. Bladder outlet obstruction , under active detrusor muscle, surgical anesthetic
✔✔What is functional incontinence? - ✔✔Caused by problems that prevent you from
getting to the bathroom in time to avoid an accident (trouble walking from arthritis).
✔✔Which STIs are nationally reportable? - ✔✔Chlamydia, gonorrhoea, and syphilis
✔✔Which STI's are bacterial? - ✔✔chlamydia, gonorrhea, syphilis
✔✔What is problematic about Chlamydia? - ✔✔It is often asymptomatic?
✔✔What testing is used to diagnose both gonorrea and chlamydia? - ✔✔NAAT from
swab of bodily fluid
✔✔What dos NAAT stand do? - ✔✔Nucleic acid amplification test
✔✔What are the s/s of syphilis? - ✔✔-primary: single, painless chancre if untx, heals in
few wks
-secondary: low-grade fever, malaise, sore throat, HA, lymphadenopathy & rash
-tertiary: gummas of skin, bone, mucous membranes, heart & liver, CNS involvement
(paresis, optic atrophy), CV involvement (aortic aneurysm, aortic valve insuff)
✔✔What is a gummas in tertiary syphilis - ✔✔Destructive lesions
✔✔What is the CHANCRE of syphilis? - ✔✔painless superficial ulcer with a clean base
and a form indurated margins
, ✔✔Which bacterial STD has three distinct stages? - ✔✔syphills
✔✔Which bacterial STI passes to the newborn in vaginal childbirth? - ✔✔Both
gonorrhea and syphilis
✔✔What causes genital herpes? - ✔✔HSV-2
✔✔What are the clinical manifestations of genital heroes? - ✔✔Burning, itching, tingling
at transmission site, smell vesicular lesions in genital area, fever, headache, dysuria
✔✔What are complications for untreated genital herpes? - ✔✔Aseptic meningitis, lower
motor neuron damage— atomic bladder, erectile dysfunction, constipation
✔✔What is the treatment for genital herpes? - ✔✔acyclovir and other antiviral drugs
✔✔How is HPV diagnosed? - ✔✔HPV DNA & RNA testing
✔✔What is endometriosis? - ✔✔Growth of endometrial tissue outside of uterus
✔✔What are the Ron factors for endometriosis? - ✔✔Early menarche, family Hx, short
OR heavy menstrual cycles, late menopause
✔✔What is dysmenorrhea? - ✔✔painful menstruation
✔✔What are the common manifestations s of endometriosis? - ✔✔Irregular bleeding,
chronic pelvic pain, infertility, and less common is back pain, painful BMs, dysuria
✔✔How is endometriosis diagnosed? - ✔✔laparoscopy
✔✔What are the complications from endometriosis? - ✔✔Ruptured pelvic cysts,
adhesions, R/f CVD, depression, anxiety, infertility, underweight
✔✔What are the treatments for endometriosis? - ✔✔Danazol (steroid that inhibits
menstrual cycle)
Hormones (birth control) and aromatase: decrease estrogen
Surgery
Hysterectomy with bilateral salpingo-oophorectomy (the uterus, fallopian tubes, cervix,
and ovaries)
✔✔What is a leiomyoma? - ✔✔benign tumor of smooth muscle
✔✔What are the risk factors of uterine fibroids? - ✔✔Obesity
Age (30- menopause)
