MED- SURG TEST PRACTICE
QUESTIONS WITH ANSWERS
1. A 72-year-old man asks the nurse whether it is normal for him to have erectile dysfunction at
his age. The best response by the nurse includes what information? - correct answer: a.
Physiologic changes of aging may require increased stimulation for an erection to occur.
1. The nurse knows that which structure of the female breast carries milk from the alveoli to the
lactiferous sinuses? - correct answer: DUCTS
1. What describes Montgomery's tubercles in the female breast? - correct answer: Sebaceous-
like glands on areola
1. Which statement accurately describes the female reproductive system? - correct answer: a. A
middle-aged woman is considered to be in menopause when she has not had a menstrual
period for 1 year.
1. What are characteristics of LH? - correct answer: a. Completes follicle maturation
b. Stimulates testosterone production
c. Called interstitial cell-stimulating hormone (TCSH) in men.
1. FSH is secreted by the anterior pituitary gland in both women and men. Which characteristics
describe FSH? - correct answer: a. Increased at onset of menopause.
b. Responsible for spermatogenesis.
c. Stimulates growth and maturity of ovarian follicles.
,1. A new patient is being assessed by the nurse. Which information would identify the need for
further examination for benign prostatic hyperplasia BPH)? - correct answer: a. A slow and
difficult start of a urinary stream.
1. The nurse is assessing Mr. White, an aging adult man. What should the nurse note as a
normal finding? - correct answer: a. Decreased penis size.
1. The nurse is assessing Mrs. Green, an aging adult woman. What does the nurse note as a
normal finding? - correct answer: VAGINAL DRYNESS
1. A 28 year-old female patient is at the clinic today. She reports having white, curd-like vaginal
drainage and itching. Which problem would be suspected? - correct answer: a. Candidiasis.
2. The nurse practitioner is examining the female's reproductive system. The nurse would note
which finding as abnormal? - correct answer: a. Reddened base of the vulva.
1. Which of the following laboratory tests are used to diagnose Chlamydia? - correct answer: a.
Gram stain.
b. Nucleic acid amplified test (NAAT)
1. Why is the serum estradiol laboratory test used? - correct answer: . Measure ovarian
function.
1. A patient is status-post dilation and curettage (D&C). What complication is it most important
for the nurse to assess? - correct answer: HEMORRHAGE
1. Which of the following diagnostic tests of the female reproductive system are operative
procedures requiring surgical anesthesia? - correct answer: a. D&C.
b. Conization.
, c. Colposcopy.
d. Laparoscopy.
1. A couple is having trouble getting pregnant. Which fertility test requires a couple to have no
sexual intercourse for 2 to 3 days before the test? - correct answer: a. Semen analysis
1. The nurse is performing a breast exam on Ms. Green. The nurse would be most concerned
when the patient's breast examination reveals which finding? - correct answer: a. An immobile,
hard, nontender lesion in the upper outer quadrant
1. A male post-mastectomy patient develops lymphedema of the affected arm. What does the
nurse teach the patient to do? - correct answer: a. Protect the arm from any type of trauma.
2. A 37-year-old female patient who had a mastectomy is undergoing radiation for the
treatment of breast cancer. She has a nursing diagnosis of disturbed body image. What is an
appropriate nursing intervention for this patient? - correct answer: a. Arrange for a Reach-to-
Recovery visitor or similar resource available in the community.
1. A 46-year-old patient is undergoing a mammoplasty for breast reconstruction following a
mastectomy 1 year ago. During the preoperative preparation of the patient, what is most
important for the nurse to do? - correct answer: a. Ensure that the patient has realistic
expectations about the outcome and complications of the surgery.
2. Mrs. Good is undergoing a modified radical mastectomy for cancer of the breast. She has
agreed to use tissue expansion and an implant for breast reconstruction. What should the nurse
teach the patient about tissue expansion? - correct answer: a. Injections of sterile saline into the
expander will be needed over weeks to months.
1. The nurse is teaching a 24-year-old woman who wants to learn breast self exam(BSE). The
nurse knows that it is most important to do what? - correct answer: Provide time for a return
demonstration.
QUESTIONS WITH ANSWERS
1. A 72-year-old man asks the nurse whether it is normal for him to have erectile dysfunction at
his age. The best response by the nurse includes what information? - correct answer: a.
Physiologic changes of aging may require increased stimulation for an erection to occur.
1. The nurse knows that which structure of the female breast carries milk from the alveoli to the
lactiferous sinuses? - correct answer: DUCTS
1. What describes Montgomery's tubercles in the female breast? - correct answer: Sebaceous-
like glands on areola
1. Which statement accurately describes the female reproductive system? - correct answer: a. A
middle-aged woman is considered to be in menopause when she has not had a menstrual
period for 1 year.
1. What are characteristics of LH? - correct answer: a. Completes follicle maturation
b. Stimulates testosterone production
c. Called interstitial cell-stimulating hormone (TCSH) in men.
1. FSH is secreted by the anterior pituitary gland in both women and men. Which characteristics
describe FSH? - correct answer: a. Increased at onset of menopause.
b. Responsible for spermatogenesis.
c. Stimulates growth and maturity of ovarian follicles.
,1. A new patient is being assessed by the nurse. Which information would identify the need for
further examination for benign prostatic hyperplasia BPH)? - correct answer: a. A slow and
difficult start of a urinary stream.
1. The nurse is assessing Mr. White, an aging adult man. What should the nurse note as a
normal finding? - correct answer: a. Decreased penis size.
1. The nurse is assessing Mrs. Green, an aging adult woman. What does the nurse note as a
normal finding? - correct answer: VAGINAL DRYNESS
1. A 28 year-old female patient is at the clinic today. She reports having white, curd-like vaginal
drainage and itching. Which problem would be suspected? - correct answer: a. Candidiasis.
2. The nurse practitioner is examining the female's reproductive system. The nurse would note
which finding as abnormal? - correct answer: a. Reddened base of the vulva.
1. Which of the following laboratory tests are used to diagnose Chlamydia? - correct answer: a.
Gram stain.
b. Nucleic acid amplified test (NAAT)
1. Why is the serum estradiol laboratory test used? - correct answer: . Measure ovarian
function.
1. A patient is status-post dilation and curettage (D&C). What complication is it most important
for the nurse to assess? - correct answer: HEMORRHAGE
1. Which of the following diagnostic tests of the female reproductive system are operative
procedures requiring surgical anesthesia? - correct answer: a. D&C.
b. Conization.
, c. Colposcopy.
d. Laparoscopy.
1. A couple is having trouble getting pregnant. Which fertility test requires a couple to have no
sexual intercourse for 2 to 3 days before the test? - correct answer: a. Semen analysis
1. The nurse is performing a breast exam on Ms. Green. The nurse would be most concerned
when the patient's breast examination reveals which finding? - correct answer: a. An immobile,
hard, nontender lesion in the upper outer quadrant
1. A male post-mastectomy patient develops lymphedema of the affected arm. What does the
nurse teach the patient to do? - correct answer: a. Protect the arm from any type of trauma.
2. A 37-year-old female patient who had a mastectomy is undergoing radiation for the
treatment of breast cancer. She has a nursing diagnosis of disturbed body image. What is an
appropriate nursing intervention for this patient? - correct answer: a. Arrange for a Reach-to-
Recovery visitor or similar resource available in the community.
1. A 46-year-old patient is undergoing a mammoplasty for breast reconstruction following a
mastectomy 1 year ago. During the preoperative preparation of the patient, what is most
important for the nurse to do? - correct answer: a. Ensure that the patient has realistic
expectations about the outcome and complications of the surgery.
2. Mrs. Good is undergoing a modified radical mastectomy for cancer of the breast. She has
agreed to use tissue expansion and an implant for breast reconstruction. What should the nurse
teach the patient about tissue expansion? - correct answer: a. Injections of sterile saline into the
expander will be needed over weeks to months.
1. The nurse is teaching a 24-year-old woman who wants to learn breast self exam(BSE). The
nurse knows that it is most important to do what? - correct answer: Provide time for a return
demonstration.
