NSG6001 week 4 Quiz Test with Verified
Answers
Page | 1 An older male patient reports urinary frequency, back pain, and nocturia. A dipstick
urinalysis reveals hematuria. What will the provider do next to evaluate this condition? -
ANSWER -PSA and perform a digital rectal exam
An older male patient has a screening PSA which is 12 ng/ml. What does this value
indicate? - ANSWER -BPH
A male patient reports nocturia and daytime urinary frequency and urgency without
changes in the force of the urine stream. What is the likely cause of this? - ANSWER -
Lower urinary tract symptoms
A 70-year-old male reports urinary hesitancy, post void dribbling, and a diminished urine
stream. A digital rectal exam reveals and enlarged prostate gland that feels rubbery and
smooth. Which tests will the primary care provider order based on these findings? -
ANSWER -Urinalysis and serum creatinine
The provider orders the oral phosphodiesterase type 5 inhibitor sildenafil to treat erectile
dysfunction in a 65-year-old male patient. What will be included when teaching this patient
about taking this medication. - ANSWER -take on empty stomach
medication may be taken once daily
Which is true about hypoactive sexual desire in older male? - ANSWER -Men with
hypoactive sexual desire may have normal excitement and orgasm
, A young adult male reports a dull pain in the scrotum and the provider notes a bluish color
showing through the skin on the affected side. Palpation reveals a "bag a worms" on the
proximal spermatic cord. What is an important next step in managing this patient? -
ANSWER -Consideration of underlying causes of this finding
Page | 2
An adolescent male reports severe pain in one testicle. The examiner notes edema and
erythema of the scrotum on that side with a swollen, tender spermatic cord and absence of
the cremasteric reflex. What is the most important intervention? - ANSWER -
Immediate referral to the ED
A high school athlete is brought to the emergency department after collapsing during
outdoor practice on a hot day. The patient is weak, irritable and confused. Serum Na 152
mEq/mL and has dry mucous membranes and tachycardia. What is the initial approach for
rehydration in this patient? - ANSWER -Intravenous fluid resuscitation with an
isotonic solution
An elderly patient who is taking thiazide diuretic has been ill with nausea and vomiting and
is brought into the emergency department for evaluation. An assessment reveals oliguria,
hypotension, and tachycardia and serum sodium is 118mEq/mL. What is the treatment -
ANSWER -Emergency volume repletion with 3% NaCl
Which thyroid stimulating hormone level indicates hyperthyroidism? - ANSWER -0.2
Ulu/L
A patient has thyroid nodules and the provider suspects thyroid cancer. To evaluate thyroid
nodules for potential malignancy, which test is performed? - ANSWER -Thyroid
ultrasound
Answers
Page | 1 An older male patient reports urinary frequency, back pain, and nocturia. A dipstick
urinalysis reveals hematuria. What will the provider do next to evaluate this condition? -
ANSWER -PSA and perform a digital rectal exam
An older male patient has a screening PSA which is 12 ng/ml. What does this value
indicate? - ANSWER -BPH
A male patient reports nocturia and daytime urinary frequency and urgency without
changes in the force of the urine stream. What is the likely cause of this? - ANSWER -
Lower urinary tract symptoms
A 70-year-old male reports urinary hesitancy, post void dribbling, and a diminished urine
stream. A digital rectal exam reveals and enlarged prostate gland that feels rubbery and
smooth. Which tests will the primary care provider order based on these findings? -
ANSWER -Urinalysis and serum creatinine
The provider orders the oral phosphodiesterase type 5 inhibitor sildenafil to treat erectile
dysfunction in a 65-year-old male patient. What will be included when teaching this patient
about taking this medication. - ANSWER -take on empty stomach
medication may be taken once daily
Which is true about hypoactive sexual desire in older male? - ANSWER -Men with
hypoactive sexual desire may have normal excitement and orgasm
, A young adult male reports a dull pain in the scrotum and the provider notes a bluish color
showing through the skin on the affected side. Palpation reveals a "bag a worms" on the
proximal spermatic cord. What is an important next step in managing this patient? -
ANSWER -Consideration of underlying causes of this finding
Page | 2
An adolescent male reports severe pain in one testicle. The examiner notes edema and
erythema of the scrotum on that side with a swollen, tender spermatic cord and absence of
the cremasteric reflex. What is the most important intervention? - ANSWER -
Immediate referral to the ED
A high school athlete is brought to the emergency department after collapsing during
outdoor practice on a hot day. The patient is weak, irritable and confused. Serum Na 152
mEq/mL and has dry mucous membranes and tachycardia. What is the initial approach for
rehydration in this patient? - ANSWER -Intravenous fluid resuscitation with an
isotonic solution
An elderly patient who is taking thiazide diuretic has been ill with nausea and vomiting and
is brought into the emergency department for evaluation. An assessment reveals oliguria,
hypotension, and tachycardia and serum sodium is 118mEq/mL. What is the treatment -
ANSWER -Emergency volume repletion with 3% NaCl
Which thyroid stimulating hormone level indicates hyperthyroidism? - ANSWER -0.2
Ulu/L
A patient has thyroid nodules and the provider suspects thyroid cancer. To evaluate thyroid
nodules for potential malignancy, which test is performed? - ANSWER -Thyroid
ultrasound
