Exam 1 RNSG 1538 Practice Questions
With Correct Answers
A 52-year-old man tells the nurse that he decided to seek treatment for
| | | | | | | | | | | | |
erectile dysfunction (ED) because
| | |
his wife is losing patience with the situation. The most appropriate
| | | | | | | | | | |
nursing diagnosis for the patient is
| | | | |
a. situational low self-esteem related to effects of ED.
| | | | | | | |
b. ineffective role performance related to effects of ED.
| | | | | | | |
c. anxiety related to inability to have sexual intercourse.
| | | | | | | |
d. ineffective sexuality patterns related to infrequent intercourse. -
| | | | | | | | |
CORRECT ANSWER✔✔-ANS: B | |
The patients statement indicates that the relationship with his wife is his
| | | | | | | | | | |
primary concern. Although anxiety, low self-esteem, and ineffective
| | | | | | | | |
sexuality patterns may also be concerns, the patient information
| | | | | | | | |
suggests that |
addressing the role performance problem will lead to the best outcome
| | | | | | | | | | |
for this patient.
| |
A 22-year-old man tells the nurse at the health clinic that he has
| | | | | | | | | | | | |
recently had some problems with erectile
| | | | |
,dysfunction. Which question should the nurse ask first to assess for
| | | | | | | | | | |
possible etiologic factors? | |
a. Do you experience an unusual amount of stress?
| | | | | | | |
b. Do you use any recreational drugs or drink alcohol?
| | | | | | | | |
c. Do you have chronic cardiovascular or peripheral vascular disease?
| | | | | | | | |
d. d. Do you have a history of an erection that lasted for 6 hours or
| | | | | | | | | | | | | | | |
more? - CORRECT ANSWER✔✔-ANS: B
| | | |
A common etiologic factor for erectile dysfunction (ED) in younger men
| | | | | | | | | | |
is use of recreational drugs or alcohol. Stress, priapism, and
| | | | | | | | | |
cardiovascular illness also contribute to ED, but they are not common | | | | | | | | | | |
etiologic
factors in younger men. | | |
A 58-year-old man with erectile dysfunction (ED) tells the nurse he is
| | | | | | | | | | | |
interested in using sildenafil (Viagra). Which action should the nurse
| | | | | | | | | |
take first?
|
a. Assure the patient that ED is common with aging.
| | | | | | | | |
b. Ask the patient about any prescription drugs he is taking.
| | | | | | | | | |
c. Tell the patient that Viagra does not always work for ED.
| | | | | | | | | | |
d. Discuss the common adverse effects of erectogenic drugs. - CORRECT
| | | | | | | | | | |
ANSWER✔✔-ANS: B |
Because some medications can cause ED and patients using nitrates
| | | | | | | | | |
should not take sildenafil, the nurse should first assess for prescription
| | | | | | | | | | |
drug use. The nurse may want to teach the patient about realistic
| | | | | | | | | | | |
,expectations and adverse effects of sildenafil therapy, but this should
| | | | | | | | | |
not be the first action. Although ED does increase with aging, it may be
| | | | | | | | | | | | | |
secondary to medication use or cardiovascular disease.
| | | | | |
The nurse in a health clinic receives requests for appointments from
| | | | | | | | | | |
several patients. Which patient should
| | | |
be seen by the health care provider first?
| | | | | | |
a. A 48-year-old man who has perineal pain and a temperature of 100.4
| | | | | | | | | | | | |
F
b. A 58-year-old man who has a painful erection that has lasted over 6
| | | | | | | | | | | | | |
hours
c. A 38-year-old man who states he had difficulty maintaining an
| | | | | | | | | | |
erection last night | |
d. A 68-year-old man who has pink urine after a transurethral resection
| | | | | | | | | | | |
of the prostate (TURP) 3 days ago - CORRECT ANSWER✔✔-ANS: B
| | | | | | | | | |
Priapism can cause complications such as necrosis or hydronephrosis,
| | | | | | | | |
and this patient should be treated immediately. The other patients do
| | | | | | | | | | |
not require immediate action to prevent serious complications.
| | | | | | |
A nurse is reviewing concepts related to physiological responses that
| | | | | | | | | |
occur during sexual acts. Which statement should the nurse identify as
| | | | | | | | | | |
not being accurate?
| |
a. During resolution, ADH and oxytocin are released.
| | | | | | |
b. Most often in males, orgasm occurs with ejaculation.
| | | | | | | |
, c. Genital congestion occurs as part of a reflexive response.
| | | | | | | | |
d. Dopamine secretion acts as an inhibitory transmitter. - CORRECT
| | | | | | | | | |
ANSWER✔✔-ANS: D |
The general phases of sexual arousal include motivation, arousal, genital
| | | | | | | | |
congestion, orgasm
| |
and resolution. Dopamine secretion is considered to be an excitatory
| | | | | | | | | |
and released during the arousal stage. Orgasm and ejaculation occur
| | | | | | | | | |
more frequently in males. Genital congestion is under reflexive
| | | | | | | | |
autonomic response. |
The nurse is obtaining a sexual history from an adolescent patient.
| | | | | | | | | | |
Which finding has the greatest implication for this patient's care?
| | | | | | | | |
a. Patient denies any sexual activity.
| | | | |
b. Patient states that he/she uses "safe sex" practices.
| | | | | | | |
c. Patient states that he/she is in a monogamous relationship.
| | | | | | | | |
d. Patient has been intimate with more than one person in the last year.
| | | | | | | | | | | | |
- CORRECT ANSWER✔✔-ANS: D
| | | |
The Center for Disease Control (CDC) had identified the 5P's with regard
| | | | | | | | | | | |
to obtaining information for a sexual history. They focus on partners,
| | | | | | | | | | |
practices, protection from infection, past history of infection, and
| | | | | | | | |
prevention of pregnancy. An individual who has had more than one
| | | | | | | | | | |
partner within the time frame should be questioned regarding condom
| | | | | | | | | |
use. Denial of sexual activity is part of the patient's self-disclosure. The
| | | | | | | | | | | |
patient stating that he/she is in a monogamous relationship again
| | | | | | | | | |
represents self-disclosure. Use of "safe sex" practices may need to be
| | | | | | | | | | |
With Correct Answers
A 52-year-old man tells the nurse that he decided to seek treatment for
| | | | | | | | | | | | |
erectile dysfunction (ED) because
| | |
his wife is losing patience with the situation. The most appropriate
| | | | | | | | | | |
nursing diagnosis for the patient is
| | | | |
a. situational low self-esteem related to effects of ED.
| | | | | | | |
b. ineffective role performance related to effects of ED.
| | | | | | | |
c. anxiety related to inability to have sexual intercourse.
| | | | | | | |
d. ineffective sexuality patterns related to infrequent intercourse. -
| | | | | | | | |
CORRECT ANSWER✔✔-ANS: B | |
The patients statement indicates that the relationship with his wife is his
| | | | | | | | | | |
primary concern. Although anxiety, low self-esteem, and ineffective
| | | | | | | | |
sexuality patterns may also be concerns, the patient information
| | | | | | | | |
suggests that |
addressing the role performance problem will lead to the best outcome
| | | | | | | | | | |
for this patient.
| |
A 22-year-old man tells the nurse at the health clinic that he has
| | | | | | | | | | | | |
recently had some problems with erectile
| | | | |
,dysfunction. Which question should the nurse ask first to assess for
| | | | | | | | | | |
possible etiologic factors? | |
a. Do you experience an unusual amount of stress?
| | | | | | | |
b. Do you use any recreational drugs or drink alcohol?
| | | | | | | | |
c. Do you have chronic cardiovascular or peripheral vascular disease?
| | | | | | | | |
d. d. Do you have a history of an erection that lasted for 6 hours or
| | | | | | | | | | | | | | | |
more? - CORRECT ANSWER✔✔-ANS: B
| | | |
A common etiologic factor for erectile dysfunction (ED) in younger men
| | | | | | | | | | |
is use of recreational drugs or alcohol. Stress, priapism, and
| | | | | | | | | |
cardiovascular illness also contribute to ED, but they are not common | | | | | | | | | | |
etiologic
factors in younger men. | | |
A 58-year-old man with erectile dysfunction (ED) tells the nurse he is
| | | | | | | | | | | |
interested in using sildenafil (Viagra). Which action should the nurse
| | | | | | | | | |
take first?
|
a. Assure the patient that ED is common with aging.
| | | | | | | | |
b. Ask the patient about any prescription drugs he is taking.
| | | | | | | | | |
c. Tell the patient that Viagra does not always work for ED.
| | | | | | | | | | |
d. Discuss the common adverse effects of erectogenic drugs. - CORRECT
| | | | | | | | | | |
ANSWER✔✔-ANS: B |
Because some medications can cause ED and patients using nitrates
| | | | | | | | | |
should not take sildenafil, the nurse should first assess for prescription
| | | | | | | | | | |
drug use. The nurse may want to teach the patient about realistic
| | | | | | | | | | | |
,expectations and adverse effects of sildenafil therapy, but this should
| | | | | | | | | |
not be the first action. Although ED does increase with aging, it may be
| | | | | | | | | | | | | |
secondary to medication use or cardiovascular disease.
| | | | | |
The nurse in a health clinic receives requests for appointments from
| | | | | | | | | | |
several patients. Which patient should
| | | |
be seen by the health care provider first?
| | | | | | |
a. A 48-year-old man who has perineal pain and a temperature of 100.4
| | | | | | | | | | | | |
F
b. A 58-year-old man who has a painful erection that has lasted over 6
| | | | | | | | | | | | | |
hours
c. A 38-year-old man who states he had difficulty maintaining an
| | | | | | | | | | |
erection last night | |
d. A 68-year-old man who has pink urine after a transurethral resection
| | | | | | | | | | | |
of the prostate (TURP) 3 days ago - CORRECT ANSWER✔✔-ANS: B
| | | | | | | | | |
Priapism can cause complications such as necrosis or hydronephrosis,
| | | | | | | | |
and this patient should be treated immediately. The other patients do
| | | | | | | | | | |
not require immediate action to prevent serious complications.
| | | | | | |
A nurse is reviewing concepts related to physiological responses that
| | | | | | | | | |
occur during sexual acts. Which statement should the nurse identify as
| | | | | | | | | | |
not being accurate?
| |
a. During resolution, ADH and oxytocin are released.
| | | | | | |
b. Most often in males, orgasm occurs with ejaculation.
| | | | | | | |
, c. Genital congestion occurs as part of a reflexive response.
| | | | | | | | |
d. Dopamine secretion acts as an inhibitory transmitter. - CORRECT
| | | | | | | | | |
ANSWER✔✔-ANS: D |
The general phases of sexual arousal include motivation, arousal, genital
| | | | | | | | |
congestion, orgasm
| |
and resolution. Dopamine secretion is considered to be an excitatory
| | | | | | | | | |
and released during the arousal stage. Orgasm and ejaculation occur
| | | | | | | | | |
more frequently in males. Genital congestion is under reflexive
| | | | | | | | |
autonomic response. |
The nurse is obtaining a sexual history from an adolescent patient.
| | | | | | | | | | |
Which finding has the greatest implication for this patient's care?
| | | | | | | | |
a. Patient denies any sexual activity.
| | | | |
b. Patient states that he/she uses "safe sex" practices.
| | | | | | | |
c. Patient states that he/she is in a monogamous relationship.
| | | | | | | | |
d. Patient has been intimate with more than one person in the last year.
| | | | | | | | | | | | |
- CORRECT ANSWER✔✔-ANS: D
| | | |
The Center for Disease Control (CDC) had identified the 5P's with regard
| | | | | | | | | | | |
to obtaining information for a sexual history. They focus on partners,
| | | | | | | | | | |
practices, protection from infection, past history of infection, and
| | | | | | | | |
prevention of pregnancy. An individual who has had more than one
| | | | | | | | | | |
partner within the time frame should be questioned regarding condom
| | | | | | | | | |
use. Denial of sexual activity is part of the patient's self-disclosure. The
| | | | | | | | | | | |
patient stating that he/she is in a monogamous relationship again
| | | | | | | | | |
represents self-disclosure. Use of "safe sex" practices may need to be
| | | | | | | | | | |
