Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
• PublisherPublished
by Mosby Copyright© 2023
• ISBN: 9780323776714
,TEST BANK
1. MCQ
Clinical Scenario:
A 57-year-old client presents to the clinic with fever, chills,
dysuria, perineal pain, and a tender, enlarged prostate on
examination.
Question Stem:
What is the nurse’s priority action?
Answer Options:
A. Encourage increased oral fluids and schedule follow-up in
one week.
B. Obtain a urine specimen for culture before starting
antibiotics.
C. Teach the client to avoid all sexual activity permanently.
D. Administer an alpha-blocker and reassess urinary stream.
Correct Answer:
B. Obtain a urine specimen for culture before starting
antibiotics.
Detailed Rationale:
The findings are consistent with acute bacterial prostatitis. A
urine culture should be obtained before antibiotic therapy to
,identify the causative organism and guide treatment. Early
culture collection supports evidence-informed antimicrobial
management.
Incorrect Option Analysis:
• A: Fluids are helpful, but delaying evaluation is unsafe with
fever and systemic symptoms.
• C: Sexual abstinence may be temporary during treatment,
not permanent.
• D: Alpha-blockers may help urinary symptoms, but they do
not address the immediate infectious priority.
Nursing Process Linkage:
Assessment
NCJMM Competencies:
Recognize Cues, Analyze Cues, Take Action
Difficulty:
Moderate
Bloom’s Level:
Apply
NCLEX Client Needs:
Physiological Adaptation
Key Learning Objective:
Identify priority actions for suspected acute bacterial
prostatitis.
, 2. MCQ
Clinical Scenario:
A client who is uncircumcised reports swelling of the glans,
severe pain, and inability to return the foreskin to its normal
position after cleaning.
Question Stem:
Which condition is the nurse most concerned about?
Answer Options:
A. Phimosis
B. Paraphimosis
C. Peyronie disease
D. Penile cancer
Correct Answer:
B. Paraphimosis
Detailed Rationale:
Paraphimosis occurs when the foreskin is retracted behind the
glans and cannot be returned to its normal position. This can
compromise circulation and is a urologic emergency.
Incorrect Option Analysis:
• A: Phimosis is inability to retract the foreskin, not inability
to return it.
• C: Peyronie disease causes penile curvature from fibrous
plaque, not foreskin trapping.
7th Edition
• Author(s)Shannon Perry
• PublisherPublished
by Mosby Copyright© 2023
• ISBN: 9780323776714
,TEST BANK
1. MCQ
Clinical Scenario:
A 57-year-old client presents to the clinic with fever, chills,
dysuria, perineal pain, and a tender, enlarged prostate on
examination.
Question Stem:
What is the nurse’s priority action?
Answer Options:
A. Encourage increased oral fluids and schedule follow-up in
one week.
B. Obtain a urine specimen for culture before starting
antibiotics.
C. Teach the client to avoid all sexual activity permanently.
D. Administer an alpha-blocker and reassess urinary stream.
Correct Answer:
B. Obtain a urine specimen for culture before starting
antibiotics.
Detailed Rationale:
The findings are consistent with acute bacterial prostatitis. A
urine culture should be obtained before antibiotic therapy to
,identify the causative organism and guide treatment. Early
culture collection supports evidence-informed antimicrobial
management.
Incorrect Option Analysis:
• A: Fluids are helpful, but delaying evaluation is unsafe with
fever and systemic symptoms.
• C: Sexual abstinence may be temporary during treatment,
not permanent.
• D: Alpha-blockers may help urinary symptoms, but they do
not address the immediate infectious priority.
Nursing Process Linkage:
Assessment
NCJMM Competencies:
Recognize Cues, Analyze Cues, Take Action
Difficulty:
Moderate
Bloom’s Level:
Apply
NCLEX Client Needs:
Physiological Adaptation
Key Learning Objective:
Identify priority actions for suspected acute bacterial
prostatitis.
, 2. MCQ
Clinical Scenario:
A client who is uncircumcised reports swelling of the glans,
severe pain, and inability to return the foreskin to its normal
position after cleaning.
Question Stem:
Which condition is the nurse most concerned about?
Answer Options:
A. Phimosis
B. Paraphimosis
C. Peyronie disease
D. Penile cancer
Correct Answer:
B. Paraphimosis
Detailed Rationale:
Paraphimosis occurs when the foreskin is retracted behind the
glans and cannot be returned to its normal position. This can
compromise circulation and is a urologic emergency.
Incorrect Option Analysis:
• A: Phimosis is inability to retract the foreskin, not inability
to return it.
• C: Peyronie disease causes penile curvature from fibrous
plaque, not foreskin trapping.
