NUR 612 – Real Exam 4 2026 100%
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The genitourinary and reproductive systems undergo many age-related changes.
Which of the following statements is true about these changes?
1. The older male patient undergoes more gradual changes than does the older
female patient.
2. The older female patient undergoes more gradual changes than does the older
male patient.
3. Older male and female patients undergo the same changes.
4. The older male patient undergoes less gradual changes than those of the older
female patient.
1. The older male patient undergoes more gradual changes than does the older female
patient.
2. Lucy is a 56-year-old woman experiencing itching, discomfort, and bleeding
after intercourse. Which of the following conditions may be developing in the
patient?
1. Atrophic vaginitis
2. Vaginal cancer
3. Fibroadenoma
4. Cystitis
1. Atrophic vaginitis
Which of the following is the single most signal symptom for possible breast
cancer?
1. Nipple retraction
2. Breast discharge
3. Breast mass
4. Breast redness
3. Breast mass
4. Which of the following conditions presents nonproliferating lesions and does
not affect future cancer risk?
1. Atypical lobular hyperplasia
2. Fat necrosis
3. Radial scar
4. Papilloma
2. Fat necrosis
Mr. Angulo is an 89-year-old patient who was recently an inpatient for pneumonia
and was bedridden for 1 week. He is now presenting dysuria, suprapubic
tenderness accompanied by fever, and increased confusion. Based on his recent
history, which of the following conditions may be developing?
1. Cystitis
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2. Distended bladder
3. Prostate stones
4. Subacute prostatitis
1. Cystitis
Which of the following statements is true for untreated symptomatic cystitis?
1. Untreated symptomatic cystitis can lead to pneumonia.
2. Untreated symptomatic cystitis can resolve on its own.
3. Untreated symptomatic cystitis can lead to pyelonephritis, sepsis, shock, and
death.
4. Untreated symptomatic cystitis can lead to prostatic cancer, vaginitis, and
sepsis.
3. Untreated symptomatic cystitis can lead to pyelonephritis, sepsis, shock, and death.
Women developing ovarian cancer may be asymptomatic, making it hard to
detect until the condition has worsened. Which of the following is the best initial
diagnostic tool for suspected ovarian cancer?
1. Transvaginal ultrasonography
2. Pelvic examination
3. Laparoscopy
4. Complete blood count (CBC)
1. Transvaginal ultrasonography
Prostate cancer is the most common and leading cause of cancer death in men.
Which of the following statements is true about prostate cancer?
1. There is usually a sudden onset of pain in the early stages.
2. Asian men are at highest risk for developing prostate cancer.
3. Development of prostate cancer has been linked with prior vasectomy.
4. There are usually no symptoms with early disease.
4. There are usually no symptoms with early disease.
A nurse practitioner is performing an annual checkup for a female patient. In the
physical examination of the breast, for which of the following should the nurse
practitioner assess? Select all that apply.
1. Temperature
2. Symmetry
3. Dimpling
4. Lumps
5. Size
2. Symmetry
3. Dimpling
4. Lumps
During a breast examination, the patient should be asked if she has which of the
following? Select all that apply.
1. Breast pain
2. Breast atrophy
3. Breast rash
4. Breast trauma
5. Proper suppor