Walden University NRNP 6540 Final Exam New Latest Version with All Q uestions from Actual Past Exam and Cor rect Answers 1. 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. ---------- Correct Answer ---------- 1. Answer: 1 Page: 281 Feedback 1. This statement is correct. Older male patients undergo more gradual changes than those of older female patients. 2. Older male patients undergo more gradual changes than those of older female patients. 3. Older male patients undergo more gradual changes than those of older female patients. 4. Older male patients undergo more gradual changes than those of older female patients. 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 ---------- Correct Answer ---------- 2. Answer: 1 Page: 282 Feedback 1. Atrophic vaginitis presents symptoms of itching, discomfort, and bleeding after intercourse. 2. Vaginal cancer presents symptoms of a watery vaginal discharge, a lump or mass in the vagina, painful urination, frequent urination, constipation, and pelvic pain. 3. Fibroadenoma is a solid, noncancerous breast lump. 4. Cystitis presents with symptoms of change in urination: dysuria, frequency, urgency, and change in urine character. It also can include suprapubic tenderness and mental status changes. 3. 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 ---------- Correct Answer ---------- 3. Answer: 3 Page: 286 Feedback 1. Other than a mass in the breast, there are no other early signal symptoms. 2. Other than a mass in the breast, there are no other early signal symptoms. 3. Breast mass is the only early signal symptom of breast cancer. 4. Other than a mass in the breast, there are no other early signal symptoms. 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 ---------- Correct Answer ---------- 4. Answer: 2 Page: 287 Feedback 1. Atypical lobular hyperplasia is a proliferating lesion with atypia and has an increase in cancer risk of four to five times. 2. Fat necrosis is a nonproliferating lesion and does not affect future cancer risk. 3. Radial scar is a proliferating lesion without atypia and has an increase in cancer risk of approximately one to two times. 4. Papilloma is a proliferating lesion without atypia and has an increase in cancer risk of approximately one to two times. 5. 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 2. Distended bladder 3. Prostate stones 4.Subacute prostatitis ---------- Correct Answer ---------- 5. Answer: 1 Page: 289 Feedback 1. Symptoms are indicative of cystitis, and because the patient was bedridden and may have had placement of a catheter, this increases the likelihood. 2. Distended bladder is less likely to be the condition the patient is developing, given the history and symptoms. 3. Prostate stones are less likely to be the condition the patient is developing, given the history and symptoms. 4. Subacute prostatitis is less likely to be the condition the patient is developing, given the history and symptoms. 6. 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. -----
----- Correct Answer ---------- 6. Answer: 3 Page: 291 Feedback 1. Pneumonia is a complication in the respiratory system. 2. Treatment is indicated to resolve cystitis. 3. Untreated symptomatic cystitis can lead to pyelonephritis, sepsis, shock, and death. 4. Untreated symptomatic cystitis does not lead to prostatic cancer or vaginitis, but it can lead to sepsis. 7. 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) ---------- Correct Answer ---------- 7. Answer: 1 Page: 294 Feedback 1. Transvaginal ultrasonography is the best initial study for suspected ovarian cancer. 2. Pelvic examination gives limited diagnostic results, as ovarian enlargement cannot always be palpated. 3. Laparoscopy is performed after a histopathological tissue report has been confirmed. 4. A CBC is also part of the initial evaluation, but secondary to transvaginal ultrasonography. 8. 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. ---------- Correct Answer ---------- 8. Answer: 4
----- Correct Answer ---------- 6. Answer: 3 Page: 291 Feedback 1. Pneumonia is a complication in the respiratory system. 2. Treatment is indicated to resolve cystitis. 3. Untreated symptomatic cystitis can lead to pyelonephritis, sepsis, shock, and death. 4. Untreated symptomatic cystitis does not lead to prostatic cancer or vaginitis, but it can lead to sepsis. 7. 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) ---------- Correct Answer ---------- 7. Answer: 1 Page: 294 Feedback 1. Transvaginal ultrasonography is the best initial study for suspected ovarian cancer. 2. Pelvic examination gives limited diagnostic results, as ovarian enlargement cannot always be palpated. 3. Laparoscopy is performed after a histopathological tissue report has been confirmed. 4. A CBC is also part of the initial evaluation, but secondary to transvaginal ultrasonography. 8. 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. ---------- Correct Answer ---------- 8. Answer: 4
