NURS 3661 Exam 3 Part 2 Questions With Complete
Solutions
A 14-year-old is brought to the clinic by her mother. The mother
explains to the nurse that her daughter has just started using
tampons, but is not yet sexually active. The mother states I am
very concerned because my daughter is having a lot of stabbing
pain and burning. What might the nurse suspect is the problem
with the 14-year-old? Correct Answers Vulvodynia
A 20 year-old is brought in by ambulance to the emergency
department after being involved in a motorcycle accident. The
patient has an open fracture of his tibia. The wound is highly
contaminated and
there
is extensive soft-tissue damage. How would this patients
fracture likely be graded? Correct Answers Grade III
A 21-year-old male has just been diagnosed with a
spondyloarthropathy. What will be a priority nursing
intervention for this patient? Correct Answers Teaching about
symptom management
A 22-year-old male is being discharged home after surgery for
testicular cancer. The patient is scheduled to begin
chemotherapy in 2 weeks. The patient tells the nurse that he
doesnt think he can take weeks or months of chemotherapy,
stating that he has researched the adverse effects online. What is
the most appropriate nursing action for this patient at this time?
Correct Answers Provide empathy and encouragement in an
effort to foster a positive outlook.
,A 23-year-old woman comes to the free clinic stating I think I
have a lump in my breast. Do I have cancer? The nurse instructs
the patient that a diagnosis of breast cancer is confirmed by
what? Correct Answers Fine-needle aspiration
A 25-year-old man is involved in a motorcycle accident and
injures his arm. The physician diagnoses the man with an intra-
articular fracture and splints the injury. The nurse implements
the teaching plan developed for this patient. What sequela of
intra-articular fractures should the nurse describe regarding this
patient? Correct Answers Post-traumatic arthritis
A 25-year-old patient diagnosed with invasive cervical cancer
expresses a desire to have children. What procedure might the
physician offer as treatment? Correct Answers Radical
trachelectomy
A 27-year-old female patient is diagnosed with invasive cervical
cancer and is told she needs to have a hysterectomy. One of the
nursing diagnoses for this patient is disturbed body image
related to perception of femininity. What intervention would be
most appropriate for this patient? Correct Answers Reassure
the patient that she will still be able to have intercourse with
sexual satisfaction and orgasm.
A 29-year-old patient has just been told that he has testicular
cancer and needs to have surgery. During a presurgical
appointment, the patient admits to feeling devastated that he
requires surgery, stating that it will leave him emasculated and a
shell of a man. The nurse should identify what nursing diagnosis
,when planning the patients subsequent care? Correct Answers
Disturbed Body Image Related to Effects of Surgery
A 30-year-old patient has come to the clinic for her yearly
examination. The patient asks the nurse about ovarian cancer.
What should the nurse state when describing risk factors for
ovarian cancer? Correct Answers Most cases of ovarian cancer
are considered to be random, with no obvious causation.
A 31-year-old patient has returned to the post-surgical unit
following a hysterectomy. The patients care plan addresses the
risk of hemorrhage. How should the nurse best monitor the
patients postoperative blood loss? Correct Answers Count and
inspect each perineal pad that the patient uses.
A 32-year-old patient comes to the clinic complaining of
shoulder tenderness, pain, and limited movement. Upon
assessment the nurse finds edema. An MRI shows hemorrhage
of the rotator cuff tendons and the patient is diagnosed with
impingement syndrome. What action should the nurse
recommend in order to promote healing? Correct Answers
Support the affected arm on pillows at night.
A 35-year-old father of three tells the nurse that he wants
information on a vasectomy. What would the nurse tell him
about ejaculate after a vasectomy? Correct Answers There is
no noticeable decrease in the amount of ejaculate even though it
contains no sperm.
A 35-year-old man is seen in the clinic because he is
experiencing recurring episodes of urinary frequency, dysuria,
, and fever. The nurse should recognize the possibility of what
health problem? Correct Answers Chronic bacterial prostatitis
A 35-year-old mother of three young children has been
diagnosed with stage II breast cancer. After discussing treatment
options with her physician, the woman goes home to talk to her
husband, later calling the nurse for clarification of some points.
The patient tells the nurse that the physician has recommended
breast conservation surgery followed by radiation. The patients
husband has done some online research and is asking why his
wife does not have a modified radical mastectomy to be sure all
the cancer is gone. What would be the nurses best response?
Correct Answers According to current guidelines, breast
conservation combined with radiation is as effective as a
modified radical mastectomy.
A 40-year-old woman was diagnosed with Raynauds
phenomenon several years earlier and has sought care because
of a progressive worsening of her symptoms. The patient also
states that many of her skin surfaces are stiff, like the skin is
being stretched from all directions. The nurse should recognize
the need for medical referral for the assessment of what health
problem? Correct Answers Scleroderma
A 42 year-old patient tells the nurse that she has found a painless
lump in her right breast during her monthly self-examination.
She says that she is afraid that she has cancer. Which assessment
finding would most strongly suggest that this patients lump is
cancerous? Correct Answers A nonmobile mass with irregular
edges
Solutions
A 14-year-old is brought to the clinic by her mother. The mother
explains to the nurse that her daughter has just started using
tampons, but is not yet sexually active. The mother states I am
very concerned because my daughter is having a lot of stabbing
pain and burning. What might the nurse suspect is the problem
with the 14-year-old? Correct Answers Vulvodynia
A 20 year-old is brought in by ambulance to the emergency
department after being involved in a motorcycle accident. The
patient has an open fracture of his tibia. The wound is highly
contaminated and
there
is extensive soft-tissue damage. How would this patients
fracture likely be graded? Correct Answers Grade III
A 21-year-old male has just been diagnosed with a
spondyloarthropathy. What will be a priority nursing
intervention for this patient? Correct Answers Teaching about
symptom management
A 22-year-old male is being discharged home after surgery for
testicular cancer. The patient is scheduled to begin
chemotherapy in 2 weeks. The patient tells the nurse that he
doesnt think he can take weeks or months of chemotherapy,
stating that he has researched the adverse effects online. What is
the most appropriate nursing action for this patient at this time?
Correct Answers Provide empathy and encouragement in an
effort to foster a positive outlook.
,A 23-year-old woman comes to the free clinic stating I think I
have a lump in my breast. Do I have cancer? The nurse instructs
the patient that a diagnosis of breast cancer is confirmed by
what? Correct Answers Fine-needle aspiration
A 25-year-old man is involved in a motorcycle accident and
injures his arm. The physician diagnoses the man with an intra-
articular fracture and splints the injury. The nurse implements
the teaching plan developed for this patient. What sequela of
intra-articular fractures should the nurse describe regarding this
patient? Correct Answers Post-traumatic arthritis
A 25-year-old patient diagnosed with invasive cervical cancer
expresses a desire to have children. What procedure might the
physician offer as treatment? Correct Answers Radical
trachelectomy
A 27-year-old female patient is diagnosed with invasive cervical
cancer and is told she needs to have a hysterectomy. One of the
nursing diagnoses for this patient is disturbed body image
related to perception of femininity. What intervention would be
most appropriate for this patient? Correct Answers Reassure
the patient that she will still be able to have intercourse with
sexual satisfaction and orgasm.
A 29-year-old patient has just been told that he has testicular
cancer and needs to have surgery. During a presurgical
appointment, the patient admits to feeling devastated that he
requires surgery, stating that it will leave him emasculated and a
shell of a man. The nurse should identify what nursing diagnosis
,when planning the patients subsequent care? Correct Answers
Disturbed Body Image Related to Effects of Surgery
A 30-year-old patient has come to the clinic for her yearly
examination. The patient asks the nurse about ovarian cancer.
What should the nurse state when describing risk factors for
ovarian cancer? Correct Answers Most cases of ovarian cancer
are considered to be random, with no obvious causation.
A 31-year-old patient has returned to the post-surgical unit
following a hysterectomy. The patients care plan addresses the
risk of hemorrhage. How should the nurse best monitor the
patients postoperative blood loss? Correct Answers Count and
inspect each perineal pad that the patient uses.
A 32-year-old patient comes to the clinic complaining of
shoulder tenderness, pain, and limited movement. Upon
assessment the nurse finds edema. An MRI shows hemorrhage
of the rotator cuff tendons and the patient is diagnosed with
impingement syndrome. What action should the nurse
recommend in order to promote healing? Correct Answers
Support the affected arm on pillows at night.
A 35-year-old father of three tells the nurse that he wants
information on a vasectomy. What would the nurse tell him
about ejaculate after a vasectomy? Correct Answers There is
no noticeable decrease in the amount of ejaculate even though it
contains no sperm.
A 35-year-old man is seen in the clinic because he is
experiencing recurring episodes of urinary frequency, dysuria,
, and fever. The nurse should recognize the possibility of what
health problem? Correct Answers Chronic bacterial prostatitis
A 35-year-old mother of three young children has been
diagnosed with stage II breast cancer. After discussing treatment
options with her physician, the woman goes home to talk to her
husband, later calling the nurse for clarification of some points.
The patient tells the nurse that the physician has recommended
breast conservation surgery followed by radiation. The patients
husband has done some online research and is asking why his
wife does not have a modified radical mastectomy to be sure all
the cancer is gone. What would be the nurses best response?
Correct Answers According to current guidelines, breast
conservation combined with radiation is as effective as a
modified radical mastectomy.
A 40-year-old woman was diagnosed with Raynauds
phenomenon several years earlier and has sought care because
of a progressive worsening of her symptoms. The patient also
states that many of her skin surfaces are stiff, like the skin is
being stretched from all directions. The nurse should recognize
the need for medical referral for the assessment of what health
problem? Correct Answers Scleroderma
A 42 year-old patient tells the nurse that she has found a painless
lump in her right breast during her monthly self-examination.
She says that she is afraid that she has cancer. Which assessment
finding would most strongly suggest that this patients lump is
cancerous? Correct Answers A nonmobile mass with irregular
edges
