NURS 6531 FINAL EXAM 2020 Moussa Class
SUMMER QTR WEEK 11 WALDEN UNIVERSITY
VERSION 3 WITH ALL 100 QUESTIONS AND
CORRECT ANSWERS GRADED A/ NURS 6531
PRACTICE CARE OF ADULTS LATEST FINAL EXAM
2024 (NEWEST!)
The daughter of an elderly confused patient reports that her parent is having
urinary incontinence several times each day. What will the provider do initially?
a. Obtain a urine sample for urinalysis (UA) and possible culture
b. Order serum creatinine and blood urea nitrogen tests
c. Perform a bladder scan to determine distention and retention
d. Tell the daughter that this is expected given her mother's age and confusion - -
ANSWER--ANS: A
When incontinence occurs, UA is performed initially to exclude hematuria, pyuria,
glucosuria, or proteinuria and possible infection. Serum creatinine and BUN may
be performed if renal disease is suspected. Bladder scans may be performed if the
UA is normal to evaluate physiologic causes. It is not correct to offer reassurance
without ruling out other causes.
The provider is evaluating a patient for potential causes of urinary incontinence
and performs a postvoid residual (PVR) test which yields 30 mL of urine. What is
the interpretation of this
result?
,NURS 6531 FINAL EXAM 2020 Moussa Class
SUMMER QTR WEEK 11 WALDEN UNIVERSITY
VERSION 3 WITH ALL 100 QUESTIONS AND
CORRECT ANSWERS GRADED A/ NURS 6531
PRACTICE CARE OF ADULTS LATEST FINAL EXAM
2024 (NEWEST!)
a. The patient may have overflow incontinence.
b. The patient probably has a urinary tract infection (UTI).
c. This is a normal result.
d. This represents incomplete emptying. - -ANSWER--ANS: C
A PVR less than 50 mL is considered normal and this result does not indicate any
abnormality.
The provider is counseling a patient who has stress incontinence about ways to
minimize accidents. What will the provider suggest initially?
a. Increasing fluid intake to dilute the urine
b. Referral to a physical therapist
c. Taking pseudoephedrine daily
d. Voiding every 2 hours during the day - -ANSWER--ANS: D
Timed voiding is useful to help minimize stress incontinence and is used initially.
Increasing fluid intake will increase symptoms. PT referral may be done if other
,NURS 6531 FINAL EXAM 2020 Moussa Class
SUMMER QTR WEEK 11 WALDEN UNIVERSITY
VERSION 3 WITH ALL 100 QUESTIONS AND
CORRECT ANSWERS GRADED A/ NURS 6531
PRACTICE CARE OF ADULTS LATEST FINAL EXAM
2024 (NEWEST!)
measures fail to help with exercises to strengthen the pelvic floor muscles.
Pseudoephedrine is useful, but not an initial therapy.
An older male patient reports urinary frequency, back pain, and nocturia. A
dipstick urinalysis reveals hematuria. What will the provider do next to evaluate
this condition?
a. Order a PSA and perform a digital rectal exam (DRE)
b. Refer for a biopsy
c. Refer the patient to a urologist
d. Schedule a transurethral ultrasound (TRUS) - -ANSWER--ANS: A
Patients with symptoms of potential prostate cancer should be screened with PSA
and DRE. Referral to a urologist is the next step even with normal findings, since
PSA is occasionally normal. The urologist may order TRUS or biopsy.
An older male patient has a screening prostate-specific antigen (PSA) which is 12
ng/mL. What does this value indicate?
a. A normal result
, NURS 6531 FINAL EXAM 2020 Moussa Class
SUMMER QTR WEEK 11 WALDEN UNIVERSITY
VERSION 3 WITH ALL 100 QUESTIONS AND
CORRECT ANSWERS GRADED A/ NURS 6531
PRACTICE CARE OF ADULTS LATEST FINAL EXAM
2024 (NEWEST!)
b. Benign prostatic hypertrophy
c. Early prostate cancer
d. Prostate cancer - -ANSWER--ANS: D
A PSA greater than 10 ng/mL suggests prostate cancer. A level between 4 and 10
ng/mL may be early prostate cancer or a benign condition. A level less than 4
ng/mL is normal.
A patient is diagnosed with prostate cancer and diagnostic testing reveals disease
that has gone past the prostatic capsule without evidence of metastasis. The
patient does not wish to undergo treatment. What will the provider tell this
patient?
a. Chemotherapy is indicated to provide cure for this cancer.
b. Monitoring prostate-specific antigen (PSA) with regular digital rectal
examination (DRE) is an acceptable option.
c. Palliative radiation therapy is necessary to improve quality of life.
d. This level of disease requires intervention with hormonal therapy. - -ANSWER--
ANS: B
SUMMER QTR WEEK 11 WALDEN UNIVERSITY
VERSION 3 WITH ALL 100 QUESTIONS AND
CORRECT ANSWERS GRADED A/ NURS 6531
PRACTICE CARE OF ADULTS LATEST FINAL EXAM
2024 (NEWEST!)
The daughter of an elderly confused patient reports that her parent is having
urinary incontinence several times each day. What will the provider do initially?
a. Obtain a urine sample for urinalysis (UA) and possible culture
b. Order serum creatinine and blood urea nitrogen tests
c. Perform a bladder scan to determine distention and retention
d. Tell the daughter that this is expected given her mother's age and confusion - -
ANSWER--ANS: A
When incontinence occurs, UA is performed initially to exclude hematuria, pyuria,
glucosuria, or proteinuria and possible infection. Serum creatinine and BUN may
be performed if renal disease is suspected. Bladder scans may be performed if the
UA is normal to evaluate physiologic causes. It is not correct to offer reassurance
without ruling out other causes.
The provider is evaluating a patient for potential causes of urinary incontinence
and performs a postvoid residual (PVR) test which yields 30 mL of urine. What is
the interpretation of this
result?
,NURS 6531 FINAL EXAM 2020 Moussa Class
SUMMER QTR WEEK 11 WALDEN UNIVERSITY
VERSION 3 WITH ALL 100 QUESTIONS AND
CORRECT ANSWERS GRADED A/ NURS 6531
PRACTICE CARE OF ADULTS LATEST FINAL EXAM
2024 (NEWEST!)
a. The patient may have overflow incontinence.
b. The patient probably has a urinary tract infection (UTI).
c. This is a normal result.
d. This represents incomplete emptying. - -ANSWER--ANS: C
A PVR less than 50 mL is considered normal and this result does not indicate any
abnormality.
The provider is counseling a patient who has stress incontinence about ways to
minimize accidents. What will the provider suggest initially?
a. Increasing fluid intake to dilute the urine
b. Referral to a physical therapist
c. Taking pseudoephedrine daily
d. Voiding every 2 hours during the day - -ANSWER--ANS: D
Timed voiding is useful to help minimize stress incontinence and is used initially.
Increasing fluid intake will increase symptoms. PT referral may be done if other
,NURS 6531 FINAL EXAM 2020 Moussa Class
SUMMER QTR WEEK 11 WALDEN UNIVERSITY
VERSION 3 WITH ALL 100 QUESTIONS AND
CORRECT ANSWERS GRADED A/ NURS 6531
PRACTICE CARE OF ADULTS LATEST FINAL EXAM
2024 (NEWEST!)
measures fail to help with exercises to strengthen the pelvic floor muscles.
Pseudoephedrine is useful, but not an initial therapy.
An older male patient reports urinary frequency, back pain, and nocturia. A
dipstick urinalysis reveals hematuria. What will the provider do next to evaluate
this condition?
a. Order a PSA and perform a digital rectal exam (DRE)
b. Refer for a biopsy
c. Refer the patient to a urologist
d. Schedule a transurethral ultrasound (TRUS) - -ANSWER--ANS: A
Patients with symptoms of potential prostate cancer should be screened with PSA
and DRE. Referral to a urologist is the next step even with normal findings, since
PSA is occasionally normal. The urologist may order TRUS or biopsy.
An older male patient has a screening prostate-specific antigen (PSA) which is 12
ng/mL. What does this value indicate?
a. A normal result
, NURS 6531 FINAL EXAM 2020 Moussa Class
SUMMER QTR WEEK 11 WALDEN UNIVERSITY
VERSION 3 WITH ALL 100 QUESTIONS AND
CORRECT ANSWERS GRADED A/ NURS 6531
PRACTICE CARE OF ADULTS LATEST FINAL EXAM
2024 (NEWEST!)
b. Benign prostatic hypertrophy
c. Early prostate cancer
d. Prostate cancer - -ANSWER--ANS: D
A PSA greater than 10 ng/mL suggests prostate cancer. A level between 4 and 10
ng/mL may be early prostate cancer or a benign condition. A level less than 4
ng/mL is normal.
A patient is diagnosed with prostate cancer and diagnostic testing reveals disease
that has gone past the prostatic capsule without evidence of metastasis. The
patient does not wish to undergo treatment. What will the provider tell this
patient?
a. Chemotherapy is indicated to provide cure for this cancer.
b. Monitoring prostate-specific antigen (PSA) with regular digital rectal
examination (DRE) is an acceptable option.
c. Palliative radiation therapy is necessary to improve quality of life.
d. This level of disease requires intervention with hormonal therapy. - -ANSWER--
ANS: B
