Nursing 245 Final Exam Questions All
Answered Correct Rated A+.
changes in the menstrual cycle - Answer By definition, dysfunctional uterine bleeding is
abnormal uterine bleeding resulting from
Endometrial cancer - Answer Which of the following represents the most commonly occurring
cancer of the female reproductive tract?
Cryptorchidism can be defined as - Answer Problems with testicular descent
The most common cause of amenorrhea is - Answer pregnancy
____ is a urologic emergency - Answer priapism (prolonged erection, cuts off blood supply can
lead to tissue death)
During the physical assessment of a 68-year-old woman, a finding that the nurse considers
abnormal is - Answer Serous nipple drainage (yellow)
During a routine health exam, the pt tells the nurse that she does not perform breast self-exams
as she just has her health care provider do it. What is the best response from the nurse? -
Answer Breast self exams may help with early detection of a lump, which improves the chance
of successful treatment.
The nurse provides discharge teaching for a patient who has had a left modified radical
mastectomy and axially lymph node dissection. When teaching the patient about care of the
affected arm, the nurse determines that teaching has been successful when the patients says -
Answer I should continue to exercise my arm several times a day with finger walking up the
wall of combing my hair.
A 26-year-old woman is admitted to the emergency department with abdominal cramping and
vaginal bleeding. When the pt learns that the results of a vaginal ultrasound confirm the
presence of an ectopic pregnancy in the left fallopian tube, she crys and is upset. What is most
important response by nurse? - Answer Monitor patients VS closely for hypovolemic shock
(emotion support important but not as important as physiologic safety ABCs)
,A 58 year old woman calls the health clinic stating she has a moderate amount of vaginal
bleeding after 6 years of menopause. What should the nurse tell her to expect at the
appointment? - Answer A biopsy of the uterine tissue (assessment of the tissue)
A pt with stage 0 carcinoma of the cervix that was determined by cervical conization has been
told by her physician she needs no further treatment at this time. She is concerned about the
cancer and asks the nurse wether she should seek a second opinion. How should the nurse
respond? - Answer If a wide area of normal tissue surrounding the lesion was removed during
the conization, the procedure is considered therapeutic as well as diagnostic.
A total abdominal hysterectomy is scheduled for a 42 year old woman with multiple uterine
leimyomas. During preoperative teaching about postop expectations, ti is important for the
nurse to inform the patient that. - Answer Leg exercises with early a frequent ambulation are
necessary to prevent common complications of hysterectomy.
A young woman is admitted to the hospital with acute pelvic inflammatory disease. During the
nursing history, the nurse notes as a significant risk facto the patients. - Answer Sexual activity
with multiple partners.
The physician prescribes terazosin (Hytin) for a 60 year old male patient who has BPH. The nurse
is aware tha the patient needs to be cautioned about the potential side effect of - Answer
Orthostatic hypotension (Terazosin is a alpha-beta blocker that relaxes muscles of bladder and
prostate. lowers BP by relaxing blood vessels so blood can flow easier through the body)
The wife of a patient who has undergone a TURP and has continuous bladder irrigation asks the
nurse whether the irrigation can be stopped because it seems to increase her husbands pain.
the nurses best response to the patients wife is - Answer The irrigation is needed to keep the
catheter from being occluded by blood clots
Purpose of a Prostate-specific antigen PSA when an enlarged prostate is palpated during routine
exam. - Answer PSA levels may be elevated in pts with prostate cancer
A female pt is beginning androgen therapy. when counseling about possible adverse effects, the
nurse should include? - Answer Facial har
A middle aged male on long-term androgen therapy should be evaluated for - Answer
Decreased HDL (high density is the GOOD cholesterol)
, When caring for a male patient who has surgical removal of both testes and is taking
testosterone replacement, then nurse knows that alterations in the patins reproductive function
includes - Answer Sterility
When the nurse obtains a health history from a pt, the pt reports that she had cryosurgery 1
year ago. the nurse anticipates that the pt most likely has a hx of - Answer infection of HPV
/a 45 year old male who is taking: metoprolol (hypertension), atorvastatin(hyperlipidemia),
metformin (T2D), and Zantac (GERD) has not been able to function sexually for about a year. The
nurse should anticipate teaching the patient about the side effects of which of his meds? -
Answer Metoprolol
A 21 year old female has small painless lumps in her R breast. Family hx of cervical cancer.
Nurses will inform pt that the most likely cause of lump is - Answer fibroadenoma (non
cancerous breast tumor common in young women)
A pt with a breast biopsy + for cancer is to undergo lymphatic mapping and sentinel lymph node
dissection. The nurse explain this procedure... - Answer Reduces the need for extensive lymph
node dissection for pathologic examination
A pt has a +VDLR (venereal disease) test. the nurses first action should be.. - Answer Ask the pt
about past treatment for syphilis (Syphilis is a STD has 4 stages: primary, secondary, latent,
tertiary. 1. Sores, 2. fever, rash, swollen lymph nodes 3. no s/sx 4. severe... having syphilis once
does not protect from contracting it again. Cured with correct antibiotics Bacteria Infection )
A pt who has undergone a vaginal hysterectomy has not voided for 8 hours after surgery and is
complaining of bladder discomfort. The nurse should... - Answer perform a bladder scan to
determine bladder volume (assess)
a 68 year old male taking finasteride for BPH should be made aware that meds in the
classification include - Answer intrestest in sexual activity may decline while on this med
(inhibits steroid 5-alpha reductase: enzyme necessary to convert testosterone into potent
androgen 5-alpha, decreases production of testosterone in prostate gland)
During the PE of a female pt with HPV infection, the nurse should expect to find - Answer
multiple coalescing gray warts in the perineal area (HPV: genital warts, leads to cervical cancer
then vulva, males-->airway, anus/rectum)
Answered Correct Rated A+.
changes in the menstrual cycle - Answer By definition, dysfunctional uterine bleeding is
abnormal uterine bleeding resulting from
Endometrial cancer - Answer Which of the following represents the most commonly occurring
cancer of the female reproductive tract?
Cryptorchidism can be defined as - Answer Problems with testicular descent
The most common cause of amenorrhea is - Answer pregnancy
____ is a urologic emergency - Answer priapism (prolonged erection, cuts off blood supply can
lead to tissue death)
During the physical assessment of a 68-year-old woman, a finding that the nurse considers
abnormal is - Answer Serous nipple drainage (yellow)
During a routine health exam, the pt tells the nurse that she does not perform breast self-exams
as she just has her health care provider do it. What is the best response from the nurse? -
Answer Breast self exams may help with early detection of a lump, which improves the chance
of successful treatment.
The nurse provides discharge teaching for a patient who has had a left modified radical
mastectomy and axially lymph node dissection. When teaching the patient about care of the
affected arm, the nurse determines that teaching has been successful when the patients says -
Answer I should continue to exercise my arm several times a day with finger walking up the
wall of combing my hair.
A 26-year-old woman is admitted to the emergency department with abdominal cramping and
vaginal bleeding. When the pt learns that the results of a vaginal ultrasound confirm the
presence of an ectopic pregnancy in the left fallopian tube, she crys and is upset. What is most
important response by nurse? - Answer Monitor patients VS closely for hypovolemic shock
(emotion support important but not as important as physiologic safety ABCs)
,A 58 year old woman calls the health clinic stating she has a moderate amount of vaginal
bleeding after 6 years of menopause. What should the nurse tell her to expect at the
appointment? - Answer A biopsy of the uterine tissue (assessment of the tissue)
A pt with stage 0 carcinoma of the cervix that was determined by cervical conization has been
told by her physician she needs no further treatment at this time. She is concerned about the
cancer and asks the nurse wether she should seek a second opinion. How should the nurse
respond? - Answer If a wide area of normal tissue surrounding the lesion was removed during
the conization, the procedure is considered therapeutic as well as diagnostic.
A total abdominal hysterectomy is scheduled for a 42 year old woman with multiple uterine
leimyomas. During preoperative teaching about postop expectations, ti is important for the
nurse to inform the patient that. - Answer Leg exercises with early a frequent ambulation are
necessary to prevent common complications of hysterectomy.
A young woman is admitted to the hospital with acute pelvic inflammatory disease. During the
nursing history, the nurse notes as a significant risk facto the patients. - Answer Sexual activity
with multiple partners.
The physician prescribes terazosin (Hytin) for a 60 year old male patient who has BPH. The nurse
is aware tha the patient needs to be cautioned about the potential side effect of - Answer
Orthostatic hypotension (Terazosin is a alpha-beta blocker that relaxes muscles of bladder and
prostate. lowers BP by relaxing blood vessels so blood can flow easier through the body)
The wife of a patient who has undergone a TURP and has continuous bladder irrigation asks the
nurse whether the irrigation can be stopped because it seems to increase her husbands pain.
the nurses best response to the patients wife is - Answer The irrigation is needed to keep the
catheter from being occluded by blood clots
Purpose of a Prostate-specific antigen PSA when an enlarged prostate is palpated during routine
exam. - Answer PSA levels may be elevated in pts with prostate cancer
A female pt is beginning androgen therapy. when counseling about possible adverse effects, the
nurse should include? - Answer Facial har
A middle aged male on long-term androgen therapy should be evaluated for - Answer
Decreased HDL (high density is the GOOD cholesterol)
, When caring for a male patient who has surgical removal of both testes and is taking
testosterone replacement, then nurse knows that alterations in the patins reproductive function
includes - Answer Sterility
When the nurse obtains a health history from a pt, the pt reports that she had cryosurgery 1
year ago. the nurse anticipates that the pt most likely has a hx of - Answer infection of HPV
/a 45 year old male who is taking: metoprolol (hypertension), atorvastatin(hyperlipidemia),
metformin (T2D), and Zantac (GERD) has not been able to function sexually for about a year. The
nurse should anticipate teaching the patient about the side effects of which of his meds? -
Answer Metoprolol
A 21 year old female has small painless lumps in her R breast. Family hx of cervical cancer.
Nurses will inform pt that the most likely cause of lump is - Answer fibroadenoma (non
cancerous breast tumor common in young women)
A pt with a breast biopsy + for cancer is to undergo lymphatic mapping and sentinel lymph node
dissection. The nurse explain this procedure... - Answer Reduces the need for extensive lymph
node dissection for pathologic examination
A pt has a +VDLR (venereal disease) test. the nurses first action should be.. - Answer Ask the pt
about past treatment for syphilis (Syphilis is a STD has 4 stages: primary, secondary, latent,
tertiary. 1. Sores, 2. fever, rash, swollen lymph nodes 3. no s/sx 4. severe... having syphilis once
does not protect from contracting it again. Cured with correct antibiotics Bacteria Infection )
A pt who has undergone a vaginal hysterectomy has not voided for 8 hours after surgery and is
complaining of bladder discomfort. The nurse should... - Answer perform a bladder scan to
determine bladder volume (assess)
a 68 year old male taking finasteride for BPH should be made aware that meds in the
classification include - Answer intrestest in sexual activity may decline while on this med
(inhibits steroid 5-alpha reductase: enzyme necessary to convert testosterone into potent
androgen 5-alpha, decreases production of testosterone in prostate gland)
During the PE of a female pt with HPV infection, the nurse should expect to find - Answer
multiple coalescing gray warts in the perineal area (HPV: genital warts, leads to cervical cancer
then vulva, males-->airway, anus/rectum)
