NR 511 Final question to review
A 14 year old male is seen with complains of severe testicular pain. The clinician suspects
testicular torsion. Which of the following is the appropriate actions
A Refer to a urologist immediately
B Obtain a CT scan
C Instruct the patient to elevate the scrotum
D Prescribe Ibuprofen - correct answer-A Refer to a urologist immediately
A 22 year old male is seen in the clinic because he found a hard lump in his testicle when
performing testicular self exam. Which of the following should be included in the list of
differential diagnosis
A Testicular cancer
B Inguinal hernia
C Varicocele
D All of the above - correct answer-D All of the above
A 23 year old male patient with hemophilia A says, How can I keep my children from having
hemophilia A. What of the following is the informative response.
A You need to select a very dependable mode of birth control
B You can only pass hemophilia B to your sons
C Your daughter may be a carrier and her children may have hemophilia A. Your son is not at
risk
D Your sons should have coagulation studies - correct answer-C Your daughter may be a
carrier and her children may have hemophilia A. Your son is not at risk
A 23 year old sexually active man is seen in the clinic with unilateral painful testicular
swelling and he is diagnosed with epididymitis. In order to prescribe the correct drug, the
clinician much understand that which of these is the most common causative organism?
A E Coli
B S Aureus
C Chlamydia trachomatis
D Pseudomonas aeruginosa - correct answer-C Chlamydia trachomatis
A 27 year old patient with hypothyroidism is referred to the dietitian for dietary consultation.
What should nutritional interventions include
A Frequent small meals high in carbs
B Calorie restricted meals
C caffeine rich beverages
D Fluid restrictions - correct answer-B Calorie restricted meals
A 30 year old man is seen with a CC of loss of libido. Which of the following lab tests would
help establish a diagnosis
A Testosterone level
B PSA
C Nocturnal penile tumescence and rigidity
,D Prolactin level - correct answer-A Testosterone level
A 35 year old man presents with companies of painful erections, and he notices his penis is
crooked when erect. What is the most likely diagnosis
A Peyronies disease
B Damage to the pudendal artery
C Scarring of the cavernosa
D All of the above - correct answer-A Peyronies disease
A 46 year old man presents with urinary hesitancy and low back pain. he has no history of
UTI. DRE reveals a normal prostate and a diagnosis of prostatodynia is made. Which is the
appropriate treatment?
A Terazosin 2 mg PO once a day
B Ice pack to the scrotal area
C Saw palmetto 320 mg per day
D All of the above - correct answer-A Terazosin 2 mg PO once a day
A 58 year old patient has been receiving leuprolide as treatment for prostate cancer. The
clinician should instruct the patient about which of these side effects
A Risk of osteopo
B May have hot flashes
C May have impotence
D All of the above - correct answer-D All of the above
A 60 year old man presents with an enlarged scrotum. The clinician uses a penlights to
transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to
find
A The scrotum will be dark
B The scrotum will appear light pink or yellow
C The scrotum will appear milky white
D The internal structures will be clearly visible - correct answer-B The scrotum will appear
light pink or yellow
A 63 year old man is seen in the clinic with a CC of nocturia. Which of the following should
be included in the differential diagnosis.
A Psychogenic nocturia
B Urethral polyp
C Irritative posterior urethral lesion
D BPH - correct answer-BPH
A 70 y/o female has fallen 2 weeks ago and developed immediate pain in her left wrist. She
thought she just bruised it but it worried because it has not improved. She has used Tylenol
and ice at home, and that has helped slightly. You examine her and find she has moderate
swelling and ecchymosis but no overtly obvious deformity. Her ROM is uncomfortable and
severely diminished due to the pain. No crepitus is heard or felt. Her fingers are warm, her
pulse is strong, and capillary refill is less than 2 seconds. What should you do?
A. Make an immediate referral for an orthopedic evaluation without further assessment
B. Tell her that it takes time for these bruises to improve so she should be patient
,C. Obtain a wrist x ray and place her wrist in a splint or prescribe splint
D Send her to the emergency room for reduction of this obvious fracture. - correct
answer-Obtain a wrist x ray and place her wrist in a splint or prescribe splint
A 76 year old man is seen in the office for complaints of urinary incontinence. The clinician
should explore which of these causes of incontinence in men
A Urethral polyps
B UTI
C Anticholinergic medication
D All of the above - correct answer-UTI
A 78 year old man is diagnosed with C2 prostate cancer, and he asks the clinician what that
means. In order to answer the patient, the clinician must have which of these understandings
of the Jewett rating system
A The cancer involves the seminal vesicles
B There is metastatic disease to regional lymph nodes
C The cancer is confined to the capsule
D These is metastasis to distant organs - correct answer-A The cancer involves the seminal
vesicles
A benign tumor of the adrenal medulla that secretes epinephrine and norepinephrine is
called
A pheochromocytoma
B Cushings syndrome
C Graves disease
D Addisions disease - correct answer-A pheochromocytoma
A client diagnosed with BPH should be instructed to do which of the following
A Do nothing since this disorder does not require and follow up
B Decrease water intake to avoid dribbling
C Void every 2-3 hours
D Wear scrotal support - correct answer-C Void every 2-3 hours
A client is being screened for prostate cancer. What tests would be completed at this time
A DRE and transrectal US
B Biopsy of prostate and MRI
C CBC and PSA
D PSA and PRE - correct answer-D PSA and PRE
A client is diagnosed with a spermatocele. The nurse should instruct the client on which of
the following
A The use of heat to reduce the size of the inflamed area
B The potential need for surgery to correct the disorder
C The use of ice packs to reduce the side of the inflamed area
C The importance of using antibiotics to treat the disorder - correct answer-B The potential
need for surgery to correct the disorder
A client is diagnosed with a varicocele. The nurse realizes that this client is likely to develop
, A Hydrocele
B Prostate cancer
C Prostatitis
D Infertility - correct answer-D Infertility
A client is experiencing priapism. Which of the following should the nurse do first to help the
client
A Apply ice packs to the perineum
B Prepare for emergency surgery
C Prepare for an aspiration of blood from the penis
D Apply heat to the perineum - correct answer-A Apply ice packs to the perineum
A client recovering from a transurethral resection of the prostate (TURP) with a continuous
bladder irrigation system to a three way indwelling urinary catheter, tells the nurse he has to
void. What nursing intervention should the nurse perform
A Call the physician
B Increase the flow of the irrigant
C Irrigate the catheter
D Tell the client to void - correct answer-C Irrigate the catheter
A client who is 12 hours postop after a TURP is concerned about the blood clots in the
catheter and urinary collection bag. How should the nurse respond
A I need to call your physician
B I will need to stop the bladder irrigation
C Blood clots are common during this time frame and will start to decrease in a day
D You need to stop moving and irritating the bladder - correct answer-C Blood clots are
common during this time frame and will start to decrease in a day
A frantic family member is distressed about the flaccid paralysis of her son following a spinal
cord injury several hours ago. What does the nurse know about this condition?
A. It is an ominous indicator of permanent paralysis
B. it is possibly a temporary condition and will clear
C. It degenerates into a spastic paralysis
D. It will progress up the cord to cause seizures - correct answer-it is possibly a temporary
condition and will clear
A male client is diagnosed with orchitis. The nurse should assess the client for which of the
following
A Recent infection with mumps
B Recent diagnosis of prostatitis
C History of type 2 DM
B Diagnosis of renal insufficiency - correct answer-A Recent infection with mumps
A newborn male child is diagnosed with cryptorchidism. The nurse should prepare to
administer which of the following to this client
A IV Fluids
B Antipyretic medication
C Human chorionic gonadotropin medication
A 14 year old male is seen with complains of severe testicular pain. The clinician suspects
testicular torsion. Which of the following is the appropriate actions
A Refer to a urologist immediately
B Obtain a CT scan
C Instruct the patient to elevate the scrotum
D Prescribe Ibuprofen - correct answer-A Refer to a urologist immediately
A 22 year old male is seen in the clinic because he found a hard lump in his testicle when
performing testicular self exam. Which of the following should be included in the list of
differential diagnosis
A Testicular cancer
B Inguinal hernia
C Varicocele
D All of the above - correct answer-D All of the above
A 23 year old male patient with hemophilia A says, How can I keep my children from having
hemophilia A. What of the following is the informative response.
A You need to select a very dependable mode of birth control
B You can only pass hemophilia B to your sons
C Your daughter may be a carrier and her children may have hemophilia A. Your son is not at
risk
D Your sons should have coagulation studies - correct answer-C Your daughter may be a
carrier and her children may have hemophilia A. Your son is not at risk
A 23 year old sexually active man is seen in the clinic with unilateral painful testicular
swelling and he is diagnosed with epididymitis. In order to prescribe the correct drug, the
clinician much understand that which of these is the most common causative organism?
A E Coli
B S Aureus
C Chlamydia trachomatis
D Pseudomonas aeruginosa - correct answer-C Chlamydia trachomatis
A 27 year old patient with hypothyroidism is referred to the dietitian for dietary consultation.
What should nutritional interventions include
A Frequent small meals high in carbs
B Calorie restricted meals
C caffeine rich beverages
D Fluid restrictions - correct answer-B Calorie restricted meals
A 30 year old man is seen with a CC of loss of libido. Which of the following lab tests would
help establish a diagnosis
A Testosterone level
B PSA
C Nocturnal penile tumescence and rigidity
,D Prolactin level - correct answer-A Testosterone level
A 35 year old man presents with companies of painful erections, and he notices his penis is
crooked when erect. What is the most likely diagnosis
A Peyronies disease
B Damage to the pudendal artery
C Scarring of the cavernosa
D All of the above - correct answer-A Peyronies disease
A 46 year old man presents with urinary hesitancy and low back pain. he has no history of
UTI. DRE reveals a normal prostate and a diagnosis of prostatodynia is made. Which is the
appropriate treatment?
A Terazosin 2 mg PO once a day
B Ice pack to the scrotal area
C Saw palmetto 320 mg per day
D All of the above - correct answer-A Terazosin 2 mg PO once a day
A 58 year old patient has been receiving leuprolide as treatment for prostate cancer. The
clinician should instruct the patient about which of these side effects
A Risk of osteopo
B May have hot flashes
C May have impotence
D All of the above - correct answer-D All of the above
A 60 year old man presents with an enlarged scrotum. The clinician uses a penlights to
transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to
find
A The scrotum will be dark
B The scrotum will appear light pink or yellow
C The scrotum will appear milky white
D The internal structures will be clearly visible - correct answer-B The scrotum will appear
light pink or yellow
A 63 year old man is seen in the clinic with a CC of nocturia. Which of the following should
be included in the differential diagnosis.
A Psychogenic nocturia
B Urethral polyp
C Irritative posterior urethral lesion
D BPH - correct answer-BPH
A 70 y/o female has fallen 2 weeks ago and developed immediate pain in her left wrist. She
thought she just bruised it but it worried because it has not improved. She has used Tylenol
and ice at home, and that has helped slightly. You examine her and find she has moderate
swelling and ecchymosis but no overtly obvious deformity. Her ROM is uncomfortable and
severely diminished due to the pain. No crepitus is heard or felt. Her fingers are warm, her
pulse is strong, and capillary refill is less than 2 seconds. What should you do?
A. Make an immediate referral for an orthopedic evaluation without further assessment
B. Tell her that it takes time for these bruises to improve so she should be patient
,C. Obtain a wrist x ray and place her wrist in a splint or prescribe splint
D Send her to the emergency room for reduction of this obvious fracture. - correct
answer-Obtain a wrist x ray and place her wrist in a splint or prescribe splint
A 76 year old man is seen in the office for complaints of urinary incontinence. The clinician
should explore which of these causes of incontinence in men
A Urethral polyps
B UTI
C Anticholinergic medication
D All of the above - correct answer-UTI
A 78 year old man is diagnosed with C2 prostate cancer, and he asks the clinician what that
means. In order to answer the patient, the clinician must have which of these understandings
of the Jewett rating system
A The cancer involves the seminal vesicles
B There is metastatic disease to regional lymph nodes
C The cancer is confined to the capsule
D These is metastasis to distant organs - correct answer-A The cancer involves the seminal
vesicles
A benign tumor of the adrenal medulla that secretes epinephrine and norepinephrine is
called
A pheochromocytoma
B Cushings syndrome
C Graves disease
D Addisions disease - correct answer-A pheochromocytoma
A client diagnosed with BPH should be instructed to do which of the following
A Do nothing since this disorder does not require and follow up
B Decrease water intake to avoid dribbling
C Void every 2-3 hours
D Wear scrotal support - correct answer-C Void every 2-3 hours
A client is being screened for prostate cancer. What tests would be completed at this time
A DRE and transrectal US
B Biopsy of prostate and MRI
C CBC and PSA
D PSA and PRE - correct answer-D PSA and PRE
A client is diagnosed with a spermatocele. The nurse should instruct the client on which of
the following
A The use of heat to reduce the size of the inflamed area
B The potential need for surgery to correct the disorder
C The use of ice packs to reduce the side of the inflamed area
C The importance of using antibiotics to treat the disorder - correct answer-B The potential
need for surgery to correct the disorder
A client is diagnosed with a varicocele. The nurse realizes that this client is likely to develop
, A Hydrocele
B Prostate cancer
C Prostatitis
D Infertility - correct answer-D Infertility
A client is experiencing priapism. Which of the following should the nurse do first to help the
client
A Apply ice packs to the perineum
B Prepare for emergency surgery
C Prepare for an aspiration of blood from the penis
D Apply heat to the perineum - correct answer-A Apply ice packs to the perineum
A client recovering from a transurethral resection of the prostate (TURP) with a continuous
bladder irrigation system to a three way indwelling urinary catheter, tells the nurse he has to
void. What nursing intervention should the nurse perform
A Call the physician
B Increase the flow of the irrigant
C Irrigate the catheter
D Tell the client to void - correct answer-C Irrigate the catheter
A client who is 12 hours postop after a TURP is concerned about the blood clots in the
catheter and urinary collection bag. How should the nurse respond
A I need to call your physician
B I will need to stop the bladder irrigation
C Blood clots are common during this time frame and will start to decrease in a day
D You need to stop moving and irritating the bladder - correct answer-C Blood clots are
common during this time frame and will start to decrease in a day
A frantic family member is distressed about the flaccid paralysis of her son following a spinal
cord injury several hours ago. What does the nurse know about this condition?
A. It is an ominous indicator of permanent paralysis
B. it is possibly a temporary condition and will clear
C. It degenerates into a spastic paralysis
D. It will progress up the cord to cause seizures - correct answer-it is possibly a temporary
condition and will clear
A male client is diagnosed with orchitis. The nurse should assess the client for which of the
following
A Recent infection with mumps
B Recent diagnosis of prostatitis
C History of type 2 DM
B Diagnosis of renal insufficiency - correct answer-A Recent infection with mumps
A newborn male child is diagnosed with cryptorchidism. The nurse should prepare to
administer which of the following to this client
A IV Fluids
B Antipyretic medication
C Human chorionic gonadotropin medication
