Maryville NURS 620 Exam 3
Which of the following is not a common cause of chronic renal failure?
a. Polycystic kidney disease
b. Type 1 diabetes
c. Hypothyroidism - ANSHypothyroidism
In clinical practice the NP notes an elevation in the creatinine clearance and understands that
this lab test:
a. Does not change with the aging process
b. Is greater in women than in men
c. Approximates the GFR - ANSApproximates the GFR
The NP is seeing an 80 YO patient and understands that which of the following is an early
finding of chronic renal disease?
a. Hyperkalemia
b. Persistent proteinuria
c. Elevated creatinine level - ANSPersistent proteinuria
Which of the following would allow you to rule out a diagnosis of testicular cancer?
a. Caucasian race
b. Scandinavian background
c. Trans-illumination of suspected mass - ANSTrans-illumination of suspected mass
Which of the following would not be considered in a patient presenting with erectile dysfunction?
a. Hypertension
b. Diabetes
c. Normal testosterone - ANSNormal testosterone
What is the primary treatment for a patient diagnosed with testicular cancer
a. Watch and wait
b. Check every 3 months
c. Lumpectomy
d. Radical orchiectomy - ANSRadical orchiectomy
Which of the following would be an appropriate treatment for a patient with benign BPH and an
AUASI score of 6?
a. Prescribe a trial of Flomax
b. Reevaluate symptoms in 1-4 months
c. Refer to urology for surgery - ANSReevaluate symptoms in 1-3 months
What is the most common diagnosis for a 63 YOM with chief complaint of nocturia?
, a. Urethral polyps
b. BPH
c. Psychogenic nocturia - ANSBPH
Which of the following would be associated with a diagnosis of testicular torsion?
a. Testicle is very low in the scrotum
b. Swollen scrotum with erythema
c. Absent cremasteric reflex - ANSAbsent cremasteric reflex
A 60 YOM presents with an enlarged scrotum. The clinician uses a penlight to illuminate the
scrotum. In a patient with a hydrocele, what would the clinician expect to find?
a. The scrotum would be dark
b. The scrotum would be milky white
c. The scrotum would appear light pink or yellow - ANSThe scrotum would appear light pink or
yellow
A 19 YOM is seen with complaints of severe testicular pain. The clinician suspects testicular
torsion. Which of the following is true?
a. Diagnosis is made by CT scan
b. Considered urologic emergency - ANSConsidered urologic emergency
A 30 YOM is seen with CC of loss of libido. Which of the following laboratory tests would help to
establish a diagnosis?
a. PSA
b. Prolactin level
c. Testosterone level - ANSTestosterone level
What are the most common gram negative bacteria that cause acute and chronic bacterial
prostatitis?
a. Staph aureus
b. Staph pneumonia
c. E. coli - ANSE. coli
How long should a 56 YOM with chronic bacterial prostatitis be treated with Bactrim?
a. 3-6 weeks
b. 7-14 days
c. 6-12 weeks - ANS6-12 weeks
A 23 YO sexually active male is seen in the clinic with unilateral painful testicular swelling. He is
diagnosed with epididymitis. In order to prescribe the correct drug, the clinician must understand
that which of the following is the most common causative organism of epididymitis?
a. E. coli
b. Staph aureus
c. Chlamydia - ANSChlamydia
Which of the following is not a common cause of chronic renal failure?
a. Polycystic kidney disease
b. Type 1 diabetes
c. Hypothyroidism - ANSHypothyroidism
In clinical practice the NP notes an elevation in the creatinine clearance and understands that
this lab test:
a. Does not change with the aging process
b. Is greater in women than in men
c. Approximates the GFR - ANSApproximates the GFR
The NP is seeing an 80 YO patient and understands that which of the following is an early
finding of chronic renal disease?
a. Hyperkalemia
b. Persistent proteinuria
c. Elevated creatinine level - ANSPersistent proteinuria
Which of the following would allow you to rule out a diagnosis of testicular cancer?
a. Caucasian race
b. Scandinavian background
c. Trans-illumination of suspected mass - ANSTrans-illumination of suspected mass
Which of the following would not be considered in a patient presenting with erectile dysfunction?
a. Hypertension
b. Diabetes
c. Normal testosterone - ANSNormal testosterone
What is the primary treatment for a patient diagnosed with testicular cancer
a. Watch and wait
b. Check every 3 months
c. Lumpectomy
d. Radical orchiectomy - ANSRadical orchiectomy
Which of the following would be an appropriate treatment for a patient with benign BPH and an
AUASI score of 6?
a. Prescribe a trial of Flomax
b. Reevaluate symptoms in 1-4 months
c. Refer to urology for surgery - ANSReevaluate symptoms in 1-3 months
What is the most common diagnosis for a 63 YOM with chief complaint of nocturia?
, a. Urethral polyps
b. BPH
c. Psychogenic nocturia - ANSBPH
Which of the following would be associated with a diagnosis of testicular torsion?
a. Testicle is very low in the scrotum
b. Swollen scrotum with erythema
c. Absent cremasteric reflex - ANSAbsent cremasteric reflex
A 60 YOM presents with an enlarged scrotum. The clinician uses a penlight to illuminate the
scrotum. In a patient with a hydrocele, what would the clinician expect to find?
a. The scrotum would be dark
b. The scrotum would be milky white
c. The scrotum would appear light pink or yellow - ANSThe scrotum would appear light pink or
yellow
A 19 YOM is seen with complaints of severe testicular pain. The clinician suspects testicular
torsion. Which of the following is true?
a. Diagnosis is made by CT scan
b. Considered urologic emergency - ANSConsidered urologic emergency
A 30 YOM is seen with CC of loss of libido. Which of the following laboratory tests would help to
establish a diagnosis?
a. PSA
b. Prolactin level
c. Testosterone level - ANSTestosterone level
What are the most common gram negative bacteria that cause acute and chronic bacterial
prostatitis?
a. Staph aureus
b. Staph pneumonia
c. E. coli - ANSE. coli
How long should a 56 YOM with chronic bacterial prostatitis be treated with Bactrim?
a. 3-6 weeks
b. 7-14 days
c. 6-12 weeks - ANS6-12 weeks
A 23 YO sexually active male is seen in the clinic with unilateral painful testicular swelling. He is
diagnosed with epididymitis. In order to prescribe the correct drug, the clinician must understand
that which of the following is the most common causative organism of epididymitis?
a. E. coli
b. Staph aureus
c. Chlamydia - ANSChlamydia
