Nursing 245 Final Exam Questions and
Answers
changes in the menstrual cycle - Answer-By definition, dysfunctional uterine bleeding is abnormal
uterine bleeding resulting from
Endometrial cancer - Answer-Which of the following represents the most commonly occurring cancer of
the female reproductive tract?
Cryptorchidism can be defined as - Answer-Problems with testicular descent
The most common cause of amenorrhea is - Answer-pregnancy
____ is a urologic emergency - Answer-priapism (prolonged erection, cuts off blood supply can lead to
tissue death)
During the physical assessment of a 68-year-old woman, a finding that the nurse considers abnormal is -
Answer-Serous nipple drainage (yellow)
During a routine health exam, the pt tells the nurse that she does not perform breast self-exams as she
just has her health care provider do it. What is the best response from the nurse? - Answer-Breast self
exams may help with early detection of a lump, which improves the chance of successful treatment.
,The nurse provides discharge teaching for a patient who has had a left modified radical mastectomy and
axially lymph node dissection. When teaching the patient about care of the affected arm, the nurse
determines that teaching has been successful when the patients says - Answer-I should continue to
exercise my arm several times a day with finger walking up the wall of combing my hair.
A 26-year-old woman is admitted to the emergency department with abdominal cramping and vaginal
bleeding. When the pt learns that the results of a vaginal ultrasound confirm the presence of an ectopic
pregnancy in the left fallopian tube, she crys and is upset. What is most important response by nurse? -
Answer-Monitor patients VS closely for hypovolemic shock (emotion support important but not as
important as physiologic safety ABCs)
A 46 year old woman tells the nurse that she has not had a period for 3 months and asks if she is going
into menopause. How should the nurse respond? - Answer-What was your menstrual pattern before
your periods stopped?
A 58 year old woman calls the health clinic stating she has a moderate amount of vaginal bleeding after
6 years of menopause. What should the nurse tell her to expect at the appointment? - Answer-A biopsy
of the uterine tissue (assessment of the tissue)
A pt with stage 0 carcinoma of the cervix that was determined by cervical conization has been told by
her physician she needs no further treatment at this time. She is concerned about the cancer and asks
the nurse wether she should seek a second opinion. How should the nurse respond? - Answer-If a wide
area of normal tissue surrounding the lesion was removed during the conization, the procedure is
considered therapeutic as well as diagnostic.
A total abdominal hysterectomy is scheduled for a 42 year old woman with multiple uterine leimyomas.
During preoperative teaching about postop expectations, ti is important for the nurse to inform the
patient that. - Answer-Leg exercises with early a frequent ambulation are necessary to prevent common
complications of hysterectomy.
A young woman is admitted to the hospital with acute pelvic inflammatory disease. During the nursing
history, the nurse notes as a significant risk facto the patients. - Answer-Sexual activity with multiple
partners.
,The physician prescribes terazosin (Hytin) for a 60 year old male patient who has BPH. The nurse is
aware tha the patient needs to be cautioned about the potential side effect of - Answer-Orthostatic
hypotension (Terazosin is a alpha-beta blocker that relaxes muscles of bladder and prostate. lowers BP
by relaxing blood vessels so blood can flow easier through the body)
The wife of a patient who has undergone a TURP and has continuous bladder irrigation asks the nurse
whether the irrigation can be stopped because it seems to increase her husbands pain. the nurses best
response to the patients wife is - Answer-The irrigation is needed to keep the catheter from being
occluded by blood clots
Purpose of a Prostate-specific antigen PSA when an enlarged prostate is palpated during routine exam. -
Answer-PSA levels may be elevated in pts with prostate cancer
A female pt is beginning androgen therapy. when counseling about possible adverse effects, the nurse
should include? - Answer-Facial har
A middle aged male on long-term androgen therapy should be evaluated for - Answer-Decreased HDL
(high density is the GOOD cholesterol)
In addition to ovulation inducing agents, women with PCOS may also be given - Answer-insulin-
sensitizing drugs
When caring for a male patient who has surgical removal of both testes and is taking testosterone
replacement, then nurse knows that alterations in the patins reproductive function includes - Answer-
Sterility
When the nurse obtains a health history from a pt, the pt reports that she had cryosurgery 1 year ago.
the nurse anticipates that the pt most likely has a hx of - Answer-infection of HPV
, /a 45 year old male who is taking: metoprolol (hypertension), atorvastatin(hyperlipidemia), metformin
(T2D), and Zantac (GERD) has not been able to function sexually for about a year. The nurse should
anticipate teaching the patient about the side effects of which of his meds? - Answer-Metoprolol
A 21 year old female has small painless lumps in her R breast. Family hx of cervical cancer. Nurses will
inform pt that the most likely cause of lump is - Answer-fibroadenoma (non cancerous breast tumor
common in young women)
A pt with a breast biopsy + for cancer is to undergo lymphatic mapping and sentinel lymph node
dissection. The nurse explain this procedure... - Answer-Reduces the need for extensive lymph node
dissection for pathologic examination
A pt has a +VDLR (venereal disease) test. the nurses first action should be.. - Answer-Ask the pt about
past treatment for syphilis (Syphilis is a STD has 4 stages: primary, secondary, latent, tertiary. 1. Sores, 2.
fever, rash, swollen lymph nodes 3. no s/sx 4. severe... having syphilis once does not protect from
contracting it again. Cured with correct antibiotics Bacteria Infection )
A pt who has undergone a vaginal hysterectomy has not voided for 8 hours after surgery and is
complaining of bladder discomfort. The nurse should... - Answer-perform a bladder scan to determine
bladder volume (assess)
a 68 year old male taking finasteride for BPH should be made aware that meds in the classification
include - Answer-intrestest in sexual activity may decline while on this med (inhibits steroid 5-alpha
reductase: enzyme necessary to convert testosterone into potent androgen 5-alpha, decreases
production of testosterone in prostate gland)
During the PE of a female pt with HPV infection, the nurse should expect to find - Answer-multiple
coalescing gray warts in the perineal area (HPV: genital warts, leads to cervical cancer then vulva,
males-->airway, anus/rectum)
a 53 year old male tells the nurse he has had problems maintaining an erection for several years, and is
interesting in trying Viagra. Which of the following is an appropriate action by the nurse - Answer-
Complete a medication history (assess first)
Answers
changes in the menstrual cycle - Answer-By definition, dysfunctional uterine bleeding is abnormal
uterine bleeding resulting from
Endometrial cancer - Answer-Which of the following represents the most commonly occurring cancer of
the female reproductive tract?
Cryptorchidism can be defined as - Answer-Problems with testicular descent
The most common cause of amenorrhea is - Answer-pregnancy
____ is a urologic emergency - Answer-priapism (prolonged erection, cuts off blood supply can lead to
tissue death)
During the physical assessment of a 68-year-old woman, a finding that the nurse considers abnormal is -
Answer-Serous nipple drainage (yellow)
During a routine health exam, the pt tells the nurse that she does not perform breast self-exams as she
just has her health care provider do it. What is the best response from the nurse? - Answer-Breast self
exams may help with early detection of a lump, which improves the chance of successful treatment.
,The nurse provides discharge teaching for a patient who has had a left modified radical mastectomy and
axially lymph node dissection. When teaching the patient about care of the affected arm, the nurse
determines that teaching has been successful when the patients says - Answer-I should continue to
exercise my arm several times a day with finger walking up the wall of combing my hair.
A 26-year-old woman is admitted to the emergency department with abdominal cramping and vaginal
bleeding. When the pt learns that the results of a vaginal ultrasound confirm the presence of an ectopic
pregnancy in the left fallopian tube, she crys and is upset. What is most important response by nurse? -
Answer-Monitor patients VS closely for hypovolemic shock (emotion support important but not as
important as physiologic safety ABCs)
A 46 year old woman tells the nurse that she has not had a period for 3 months and asks if she is going
into menopause. How should the nurse respond? - Answer-What was your menstrual pattern before
your periods stopped?
A 58 year old woman calls the health clinic stating she has a moderate amount of vaginal bleeding after
6 years of menopause. What should the nurse tell her to expect at the appointment? - Answer-A biopsy
of the uterine tissue (assessment of the tissue)
A pt with stage 0 carcinoma of the cervix that was determined by cervical conization has been told by
her physician she needs no further treatment at this time. She is concerned about the cancer and asks
the nurse wether she should seek a second opinion. How should the nurse respond? - Answer-If a wide
area of normal tissue surrounding the lesion was removed during the conization, the procedure is
considered therapeutic as well as diagnostic.
A total abdominal hysterectomy is scheduled for a 42 year old woman with multiple uterine leimyomas.
During preoperative teaching about postop expectations, ti is important for the nurse to inform the
patient that. - Answer-Leg exercises with early a frequent ambulation are necessary to prevent common
complications of hysterectomy.
A young woman is admitted to the hospital with acute pelvic inflammatory disease. During the nursing
history, the nurse notes as a significant risk facto the patients. - Answer-Sexual activity with multiple
partners.
,The physician prescribes terazosin (Hytin) for a 60 year old male patient who has BPH. The nurse is
aware tha the patient needs to be cautioned about the potential side effect of - Answer-Orthostatic
hypotension (Terazosin is a alpha-beta blocker that relaxes muscles of bladder and prostate. lowers BP
by relaxing blood vessels so blood can flow easier through the body)
The wife of a patient who has undergone a TURP and has continuous bladder irrigation asks the nurse
whether the irrigation can be stopped because it seems to increase her husbands pain. the nurses best
response to the patients wife is - Answer-The irrigation is needed to keep the catheter from being
occluded by blood clots
Purpose of a Prostate-specific antigen PSA when an enlarged prostate is palpated during routine exam. -
Answer-PSA levels may be elevated in pts with prostate cancer
A female pt is beginning androgen therapy. when counseling about possible adverse effects, the nurse
should include? - Answer-Facial har
A middle aged male on long-term androgen therapy should be evaluated for - Answer-Decreased HDL
(high density is the GOOD cholesterol)
In addition to ovulation inducing agents, women with PCOS may also be given - Answer-insulin-
sensitizing drugs
When caring for a male patient who has surgical removal of both testes and is taking testosterone
replacement, then nurse knows that alterations in the patins reproductive function includes - Answer-
Sterility
When the nurse obtains a health history from a pt, the pt reports that she had cryosurgery 1 year ago.
the nurse anticipates that the pt most likely has a hx of - Answer-infection of HPV
, /a 45 year old male who is taking: metoprolol (hypertension), atorvastatin(hyperlipidemia), metformin
(T2D), and Zantac (GERD) has not been able to function sexually for about a year. The nurse should
anticipate teaching the patient about the side effects of which of his meds? - Answer-Metoprolol
A 21 year old female has small painless lumps in her R breast. Family hx of cervical cancer. Nurses will
inform pt that the most likely cause of lump is - Answer-fibroadenoma (non cancerous breast tumor
common in young women)
A pt with a breast biopsy + for cancer is to undergo lymphatic mapping and sentinel lymph node
dissection. The nurse explain this procedure... - Answer-Reduces the need for extensive lymph node
dissection for pathologic examination
A pt has a +VDLR (venereal disease) test. the nurses first action should be.. - Answer-Ask the pt about
past treatment for syphilis (Syphilis is a STD has 4 stages: primary, secondary, latent, tertiary. 1. Sores, 2.
fever, rash, swollen lymph nodes 3. no s/sx 4. severe... having syphilis once does not protect from
contracting it again. Cured with correct antibiotics Bacteria Infection )
A pt who has undergone a vaginal hysterectomy has not voided for 8 hours after surgery and is
complaining of bladder discomfort. The nurse should... - Answer-perform a bladder scan to determine
bladder volume (assess)
a 68 year old male taking finasteride for BPH should be made aware that meds in the classification
include - Answer-intrestest in sexual activity may decline while on this med (inhibits steroid 5-alpha
reductase: enzyme necessary to convert testosterone into potent androgen 5-alpha, decreases
production of testosterone in prostate gland)
During the PE of a female pt with HPV infection, the nurse should expect to find - Answer-multiple
coalescing gray warts in the perineal area (HPV: genital warts, leads to cervical cancer then vulva,
males-->airway, anus/rectum)
a 53 year old male tells the nurse he has had problems maintaining an erection for several years, and is
interesting in trying Viagra. Which of the following is an appropriate action by the nurse - Answer-
Complete a medication history (assess first)
