NRNP 6501 FINAL TEST PREP

NRNP 6501 FINAL TEST PREP CHAPTER 32 1. A nurse recalls the major hormonal determinant of sexual differentiation in utero is: d a. Estrogen b. Progesterone c. Growth hormone d. Testosterone 2. A nurse is preparing to teach about puberty. Which information should the nurse c include? One substance associated with puberty in males and females is the hormone: a. Follicle-stimulating hormone (FSH) b. Luteinizing hormone (LH) c. Leptin d. Estrogen 3. A nurse is discussing female anatomy. Which body structure contains the openings to a the vagina and urinary meatus? a. Vestibule b. Mons pubis c. Introitus d. Perineal body 4. While preparing to teach the staff about female anatomy, which information should b be included? During the years that a woman is more likely to be sexually active, the vagina mucosa is protected from infection by: a. Presence of autoantibodies b. An acidic pH c. Low estrogen levels d. Douching 5. When a staff member asks the nurse what the thick middle layer of the uterine wall is c called, what is the nurse's best response? The: a. Epithelial layer b. Endometrium c. Myometrium d. Perimetrium 6. A nurse recalls the is lined with columnar epithelial cells. b a. Perimetrium b. Endocervical canal c. Myometrium d. Vagina 7. A nurse is preparing to teach about female anatomy. Which information should the c nurse include? The female erectile organ that secretes smegma is called the: a. Introitus b. Bartholin glands c. Clitoris d. Labia minora 8. A nurse is teaching about the menstrual cycle. Spinnbarkeit mucus is present during b which stage of the menstrual cycle? a. Follicular b. Ovulation c. Luteal d. Menstrual 9. When the nurse describes the duct that carries the ovum from the ovary to the d uterus, what is the nurse discussing? The: a. Isthmus b. Corpus c. Endocervical canal d. Fallopian tube 10. A nurse is teaching the staff about female hormones. Which hormone promotes the d formation of channels in the mucus of the cervical os to facilitate sperm movement into the uterus? a. LH b. FSH c. Progesterone d. Estrogen 11. When a patient who is trying to get pregnant asks where the usual site of fertilization c is, how should the nurse respond? The: a. Uterus b. Fimbriae c. Ampulla of the fallopian tubes d. Os of the fallopian tubes 12. A nurse is teaching about the female anatomy. Which information should the nurse c include? Cells of the have receptors for gonadotropins. a. Uterus b. Breast c. Ovary d. Vagina 13. The nurse is preparing to teach the staff about female anatomy. Which information b should the nurse include? The ova are contained within the ovarian: a. Corpus luteum b. Follicle c. Stroma d. Infundibulum 14. Which information indicates the nurse has a good understanding of female anatomy? c Having ejected a mature ovum, the ovarian follicle then develops into: a. An atretic follicle b. A theca cell c. A corpus luteum d. Scar tissue 15. When a staff member asks the nurse what is the most potent of the following a estrogens, what is the nurse's best response? It is: a. Estradiol b. Testosterone c. Estrone d. Estriol 16. Which information indicates the nurse has a good understanding of progesterone? b Progesterone is primarily secreted by the: a. Follicle b. Corpus luteum c. Granulose cells d. Anterior pituitary 17. A 56-year-old female is in menopause. She has ovarian failure. While checking the lab a results, which of the following will the nurse find? a. Increased FSH b. Increased estrogen c. Decreased GnRH d. Decreased LH 18. Progesterone is often referred to as "the hormone of pregnancy," and the patient d asks what this phrase means. How should the nurse respond? Progesterone is the hormone of pregnancy because it: a. Stimulates lactation b. Increases ciliary action in the fallopian tubes c. Thins the endometrium d. Prevents smooth muscle contraction of the uterus 19. When the nurse is teaching about the menstrual cycle, which information should be a included? Menstruation is followed by the phase of the menstrual cycle. a. Follicular b. Luteal c. Secretory d. Ischemic 20. Which information indicates the nurse has a good understanding of the menstrual c cycle? When estrogen and progesterone levels drop, the endometrium enters the phase. a. Proliferative b. Luteal c. Menstrual d. Recovery 21. A staff member asks the nurse when ovulation occurs. What is the nurse's best b response? During the menstrual cycle, ovulation occurs when: a. There is a gradual decrease in estrogen levels. b. Inhibin B sharply spikes. c. A surge in progesterone occurs. d. Activin is released. 22. A nurse remembers the LH surge transforms granulosa cells into: b a. Theca cells b. Corpus luteal cells c. Ova d. Fibroblasts 23. A nurse is teaching about female hormones. Which information should the nurse a include? Endometrial thickening during the proliferative phase is stimulated by increased levels of: a. Estrogen b. Progesterone c. FSH d. Inhibin 24. A student asks the instructor which of the following hormones stimulates follicular a maturation. How should the instructor respond? a. Activin b. Inhibin c. LH d. Follistatin 25. Changes in the cervical mucus can be used to identify the periods in which a female is d most fertile. How should the nurse describe cervical mucus during ovulation? a. Blood-tinged b. Thin and watery c. Absent d. Abundant and elastic 26. A clinician is preparing to teach about spermatogenesis. Which information should c the clinician include? Spermatogenesis occurs in the: a. Epididymis b. Inguinal canals c. Seminiferous tubules d. Vas deferens 27. When a nurse is describing the male anatomy, which paired glands lie posterior to a the urinary bladder in the male? a. Seminal vesicles b. Prostate glands c. Cowper glands d. Parabladder glands 28. A patient asks the nurse what is the most sensitive area of the penis. What is the b nurse's best answer? The area of the penis with the most nerve endings is the: a. Foreskin b. Glans c. Corpora cavernosa d. Corpus spongiosum 29. What term should the nurse use when discussing male sex hormones collectively? d a. Gonadotropins b. Testosterones c. Catabolic steroids d. Androgens 30. When discussing the difference between male and female sex hormones, which b information should the nurse include? The major difference between male and female sex hormone production is that: a. LH has no apparent action in the male. b. Sex hormone production in the male is relatively constant. c. Estrogen is not produced in the male. d. In the male, GnRH does not cause the release of FSH. 31. A nursing student asks the nurse where the glands of Montgomery are located. How b should the nurse reply? The glands of Montgomery are located in the: a. Testes b. Breasts c. Uterus d. Vagina 32. When a staff member asks which structure secretes glucose-rich fluid into the A semen, how should the nurse respond? a. Seminal vesicles b. Ejaculatory duct c. Prostate gland d. Cowper gland 33. When a teenager asks what makes the breast grow, what is the nurse's best D response? The hormone that promotes breast development during puberty is: a. Progesterone b. Prolactin c. Oxytocin d. Estradiol 34. When a breastfeeding mom asks what causes letdown, which information should the nurse give the patient? The hormone that plays a role in breast milk ejection (letdown) during lactation is: a. Cortisol b. Prolactin c. Oxytocin d. Progesterone 35. While speaking to a group of older males, which information should the nurse share? The following is a normal characteristic of aging and the male reproductive system: a. Changes in libido are not related to health status. b. Tissue responsiveness to testosterone is increased. c. Testicles will hypertrophy. d. Refractory time after ejaculation is prolonged. 36. The nurse is discussing information about menopause with an older woman. Which of the following characteristics are associated with declining ovarian function with age? (Select all that apply.) a. Vasomotor flush b. Decline in bone mass c. Decreased risk of coronary disease d. Atrophy of the uterus e. Dysfunctional uterine bleeding 37. A 25-year-old female has a menstrual cycle of 28 days' duration and asks the nurse what day of the cycle will ovulation occur. The nurse responds that ovulation will occur on day . C D a,b,d,e 14 CHAPTER 33 1. The descent of the bladder and the anterior vaginal wall into the Cystocele vaginal canal is called a . 2. Which of the following signs is usually the first clinical manifestation of breast cancer? 3. A 35-year-old nonpregnant female presents with breast discharge and is diagnosed with galactorrhea. The condition is most likely caused by . 4. During a routine pelvic exam, a 34-year-old female is found to have an ovarian cyst containing skin, hair, cartilage, and bone. This cyst is classified as a cyst. 5. A 35-year-old female is diagnosed with ovarian cancer. CT scan reveals that the cancer is limited to the ovaries. It would be classified as stage . 6. A 21-year-old female is infected with human papillomavirus (HPV) following unprotected sexual intercourse with a male she recently met. She is now at higher risk of developing which of the following cancers? 7. A 25-year-old female presents with amenorrhea and hirsutism and is diagnosed with polycystic ovary syndrome (PCOS). Lab testing will most likely reveal . 8. The most commonly occurring cancer of the female reproductive tract is cancer. 9. A 38-year-old female was recently diagnosed with cancer. She learns that her mother almost miscarried while pregnant with her and was given diethylstilbestrol (DES) to prevent it. Which of the following cancers does she most likely have? 10. A 20-year-old female presents with pelvic and back pain severe enough to miss work beginning with the onset of menses. Physical examination supports the diagnosis of primary dysmenorrhea. The most likely cause of her condition is . 11. An 18-year-old female is diagnosed with dysmenorrhea. Which of the following symptoms will she most likely experience? 12. A 30-year-old female with newly diagnosed polycystic ovary syndrome (PCOS) is being counseled by her OB-GYN. The physician indicates that this condition often results in . 13. A 40-year-old female presents with cramping and excessive vaginal bleeding. Ultrasound reveals benign uterine tumors in the smooth muscle cells of the myometrium. These tumors are commonly called . a painless lump Dermoid I Cervical Hyperinsulinemia Endometrial Vaginal elevated prostaglandins Painful menstruation Infertility Leiomyomas 14. A 23-year-old sexually active female presents with white copious Candida albicans discharge and itch and is diagnosed with yeast vaginitis. This condition is caused by overgrowth of which micro-organism? 15. A 35-year-old female is diagnosed with endometriosis. Suppressing which of the following would be the most appropriate medical treatment for this disease? 16. The nurse would anticipate the treatment for pelvic organ prolapse to be . Ovulation A pessary CHAPTER 34 1. A 21-year-old presents with inflammation of the testes and is diagnosed with orchitis. What is the most likely cause of his symptoms? A. Herpes virus. B. Escherichia coli. C. Mumps. D. Cytomegalovirus. 2. A common complaint from men with mild to moderate benign prostatic hypertrophy (BPH) is . A. Decreased urinary stream. B. Infertility. C. Sexual dysfunction. D. Prostatodynia. 3. A 30-year-old presents with penile tenderness and discharge while the physical examination reveals that his foreskin cannot be retracted back of the glans penis. This assessment data is consistent with what condition? A. Paraphimosis. B. Phimosis. C. Peyronie disease. D. Priapism. 4. A 35-year-old presents with symptomology that is associated with syphilis. What organism is responsible for the development of syphilis? A. Treponema pallidum. B. Chlamydia trachomatis. C. Neisseria gonorrhoeae. D. Haemophilus ducreyi. C. Mumps A. Decreased urinary stream B. Phimosis A. Treponema pallidum 5. is an inflammation of the glans penis. A. Phimosis. B. Balanitis. C. Priapism. D. Hydrocele. 6. Cryptorchidism can be defined as . A. A normal development state of the testes. B. An abnormal state in which the testes are overdeveloped. C. Lack of a scrotum. D. Problems with testicular descent. 7. A 38-year-old presents reporting difficulty having sexual intercourse because his penis bends during erection. What term describes this condition? A. Phimosis. B. Cryptorchidism. C. Paraphimosis. D. Peyronie disease. 8. An example of a parasitic sexually transmitted infection (STI) that is transmitted through close skin-to-skin contact is . A. Chlamydia. B Syphilis. C. Scabies. D. Gardnerella. 9. A 25-year-old sexually active male presents with urethritis and epididymitis, and is diagnosed with the most common bacterial STI in the United States. What is this infection? A. Gonorrhea. B. Syphilis. C. Chlamydia. D. Herpes. 10. Symptoms of acute bacterial prostatitis are similar to symptoms of . A. Prostate cancer. B. Benign prostatic hypertrophy (BPH). C. Urinary tract infection (UTI). D. Epididymitis. B. Balanitis D. Problems with testicular descent D. Peyronie disease C. Scabies C. Chlamydia C. Urinary tract infection (UTI) 11. An important factor in the development of benign prostatic hypertrophy (BPH) among Americans is . A. Recurrent prostatitis. B. A diet high in fat. C. Cigarette smoking. D. Increased age. 12. In the majority of cases delayed puberty is due to . A. A disruption in the hypothalamus. B. A disruption in the pituitary. C. Slow maturation D. Ambiguity in sex determination. 13. The patient's medication has a side effect of gynecomastia. The nurse would respond that gynecomastia is . A. Lack of breast development in women. B. Overdevelopment of breast tissue in males. C. A type of breast cancer. D. Inflammation of the mammary glands. D. Increased age C. Slow maturation B. Overdevelopment of breast tissue in males • Question 1 A 15-year-old female presents with flank pain, irritability, malaise, and 1 out of 1 points fever. Tests reveal glomerulonephritis. When the parents ask what could have caused this, how should the nurse respond? Selected Answer: Correct Answer: a. Poststreptococcal infection a. Poststreptococcal infection • Question 2 When a child is admitted with acute renal failure, a clinician realizes the most common cause of acute renal failure is: 1 out of 1 points Selected Answer: Correct Answer: d. Hemolytic uremic syndrome (HUS) d. Hemolytic uremic syndrome (HUS) • Question 3 A 35-year-old hypertensive male begins taking a diuretic. Which of the following common side effects of this medication should the nurse monitor? 1 out of 1 points Selected Answer: Correct Answer: a. Hypokalem ia a. Hypokalem ia • Question 4 1 out of 1 points A 30-year-old male is demonstrating hematuria with red blood cell casts and proteinuria exceeding 3 to 5 g/day, with albumin being the major protein. The most probable diagnosis the nurse will see documented on the chart is: Selected Answer: Correct Answer: c. Acute glomerulonephritis c. Acute glomerulonephritis • Question 5 1 out of 1 points A 7-year-old male presents to his primary care provider for incontinence. His mother indicates that he has never been continent. Which of the following is the most likely diagnosis the nurse will observe on the chart? Selected Answer: Correct Answer: c. Primary enuresis c. Primary enuresis • Question 6 1 out of 1 points A 5-year-old male was diagnosed with glomerulonephritis. History reveals that he had an infection 3 weeks before the onset of this condition. The infection was most likely located in the: Selected Answer: c. Respiratory tract Answer: Respiratory tract • Question 7 1 out of 1 points A 42-year-old female is diagnosed with chronic renal failure, and the nurse is discussing dietary treatment. Which information indicates the nurse understands dietary regimen? Treatment includes restricting: Selected Answer: Correct Answer: c. Protein s c. Protein s • Question 8 1 out of 1 points A urologist is discussing the phagocytic cells that lie between the layers of the renal corpuscle. What is the urologist describing? Selected Answer: Correct Answer: c. Mesangial cells c. Mesangial cells • Question 9 1 out of 1 points When a newborn is admitted with urinary tract infections (UTIs), which type of infection will the nurse look for in the newborn? Selected Answer: Correct Answer: b. Infections caused by bacteria from the gastrointestinal (GI) tract b. Infections caused by bacteria from the gastrointestinal (GI) tract • Question 10 1 out of 1 points A nurse is reviewing urinalysis results and notices glucose is present in the urine. A nurse realizes glucose will be excreted in the urine when: Selected Answer: b. The carrier molecules have reached their maximum Answer: The carrier molecules have reached their maximum • Question 11 1 out of 1 points A 25-year-old female presents with burning urination. She was diagnosed with a urinary tract infection. When the nurse checks the culture results, which of the following organisms is most likely infecting her urinary tract? Selected Answer: Correct Answer: d. Escherichia coli d. Escherichia coli • Question 12 A 45-year-old female presents with hypertension, anorexia, nausea and 1 out of 1 points vomiting, and anemia. She is diagnosed with chronic renal failure. When the patient asks what caused this anemia, how should the nurse respond? Your anemia is caused by: Selected Answer: Correct Answer: b. Inadequate production of erythropoietin b. Inadequate production of erythropoietin • Question 13 1 out of 1 points A 35-year-old female was severely burned and is hospitalized. She is now suffering from acute tubular necrosis (ATN). Which of the following is the most likely diagnosis the nurse will observe on the chart? Selected Answer: Correct Answer: b. Intraren al b. Intraren al • Question 14 1 out of 1 points A nurse is preparing to teach about the loop of Henle. Which information should be included? The descending segment of the loop of Henle primarily allows for: Answer: Correct Answer: Water reabsorption d. Water reabsorption • Question 15 Anemia accompanies chronic renal failure because of: 1 out of 1 points Selected Answer: Correct Answer: c. Inadequate production of erythropoietin c. Inadequate production of erythropoietin • Question 16 1 out of 1 points A 3-year-old female presents with recurrent urinary tract infections (UTIs), fever, poor growth and development, and feeding problems. Tests reveal a retrograde flow of urine from the urinary bladder into the ureters. When giving report to the oncoming shift, the nurse will call this condition: Selected Answer: Correct Answer: a. Vesicoureteral reflux (VUR) a. Vesicoureteral reflux (VUR) • Question 17 1 out of 1 points A 42-year-old male is involved in a motor vehicle accident during which he loses a lot of blood. The nurse realizes he is in acute renal failure caused by: Selected Answer: Correct Answer: c. Inadequate renal blood flow c. Inadequate renal blood flow • Question 18 While turning a patient with chronic renal failure, which principle should the nurse recall? Bone fractures are a risk factor in chronic renal failure 1 out of 1 points Selected Answer: Correct Answer: c. The kidneys fail to activate vitamin D. c. The kidneys fail to activate vitamin D. • Question 19 While planning care for a patient who has acute pyelonephritis. A nurse recalls the most common condition associated with the development of acute pyelonephritis is: 1 out of 1 points Selected Answer: Correct Answer: c. Urinary tract obstruction c. Urinary tract obstruction • Question 20 1 out of 1 points A 75-year-old male reports to his primary care provider loss of urine with cough, sneezing, or laughing. Which of the following is the most likely diagnosis the nurse will observe on the chart? Selected Answer: Correct Answer: b. Stress incontinence b. Stress incontinence • Question 21 1 out of 1 points A 2-year-old male is diagnosed with Wilms tumor. Which of the following clinical conditions is often associated with this disease? Selected Answer: Correct Answer: b. Aniridi a b. Aniridi a • Question 22 1 out of 1 points When the nurse is discussing the sodium-sensing cells of the glomerulus, Selected Answer: Correct Answer: b. Macula densa b. Macula densa • Question 23 1 out of 1 points When describing the male urinary anatomy, which information should the nurse include? The portion of the male urethra that is closest to the bladder is the portion. Selected Answer: Correct Answer: b. Prostati c b. Prostati c • Question 24 1 out of 1 points If a nurse wants to obtain the best estimate of renal function, which test should the nurse monitor? Selected Answer: Correct Answer: a. Glomerular filtration rate (GFR) a. Glomerular filtration rate (GFR) • Question 25 A nurse observes on the chart that a patient is admitted with Wilms tumors. A nurse knows the tumors are found in the: 1 out of 1 points Selected Answer: Correct Answer: a. Kidney s a. Kidney s • Question 26 1 out of 1 points On average the kidneys receive approximately of the cardiac output. Selected Answer: Correct Answer: c. 20% to 25% c. 20% to 25% • Question 27 The urologist is teaching about the nephrons that determine the 1 out of 1 points concentration of the urine. The urologist is discussing the nephrons. Selected Answer: Correct Answer: a. Juxtamedull ary a. Juxtamedull ary • Question 28 1 out of 1 points A 27-year-old male has a severe kidney obstruction leading to removal of the affected kidney. Which of the following would the nurse expect to occur? Selected Answer: Correct Answer: b. Compensatory hypertrophy of the remaining kidney b. Compensatory hypertrophy of the remaining kidney • Question 29 1 out of 1 points A 55-year-old male presents reporting urinary retention. Tests reveal that he has a lower urinary tract obstruction. Which of the following is of most concern to the nurse? Selected Answer: Correct Answer: b. Formation of renal calculi b. Formation of renal calculi • Question 30 A 19-year-old female was involved in a motor vehicle accident during 1 out of 1 points which she sustained a closed head injury. She is now experiencing detrusor sphincter dyssynergia. Which of the following is the most beneficial medication treatment? Selected Answer: Correct Answer: a. Alpha blocker a. Alpha blocker • Question 31 1 out of 1 points A 6-year-old male is experiencing urine reflux from the urinary bladder into a grossly dilated ureter and calyces. He was diagnosed with vesicoureteral reflux. This condition would be graded: Selected d. Answer: IV Correct d. Answer: IV • Question 32 Which of the following clusters of symptoms would make a clinician suspect a child has developed glomerulonephritis? 1 out of 1 points Selected Answer: Correct Answer: d. Gross hematuria, flank pain, and hypertension d. Gross hematuria, flank pain, and hypertension • Question 33 A 25-year-old female is diagnosed with urinary tract obstruction. While planning care, the nurse realizes that the patient is expected to have hydronephrosis and a decreased glomerular filtration rate caused by: 1 out of 1 points Selected Answer: Correct Answer: c. dilation of the renal pelvis and calyces proximal to a blockage. c. dilation of the renal pelvis and calyces proximal to a blockage. • Question 34 1 out of 1 points A nurse is describing the trigone. Which information should be included? The trigone is defined as: Selected Answer: Correct Answer: c. A triangular area between the openings of the two ureters and the urethra c. A triangular area between the openings of the two ureters and the urethra • Question 35 A 29-year-old female presents with cloudy urine, flank pain, hematuria, and fever. Which of the following does the nurse suspect the patient is most likely experiencing? 1 out of 1 points Selected Answer: Correct Answer: a. Acute cystitis a. Acute cystitis • Question 36 1 out of 1 points While planning care for a patient with renal calculi, the nurse remembers the most important factor in renal calculus formation is: Selected Answer: Correct Answer: a. urine pH. a. urine pH. • Question 37 1 out of 1 points A 56-year-old male presents with flank pain and polyuria. Tests reveal that he has an enlarged prostate. Which of the following types of renal failure should the nurse monitor for as it is the most likely to occur? Selected Answer: Correct Answer: d. Postren al d. Postren al • Question 38 A 24-year-old female is diagnosed with renal calculus that is causing obstruction. Which of the following symptoms would she most likely 1 out of 1 points experience? Selected Answer: Correct Answer: b. Hematur ia b. Hematur ia • Question 39 A 60-year-old male is diagnosed with renal failure. While the nurse is reviewing lab results, which of the following lab values would be most consistent with this diagnosis? 1 out of 1 points Selected Answer: Correct Answer: a. Elevated plasma creatinine level a. Elevated plasma creatinine level • Question 40 1 out of 1 points A 30-year-old male is demonstrating hematuria with red blood cell casts and proteinuria exceeding 3 to 5 g/day, with albumin being the major protein. The most probable diagnosis the nurse will see documented on the chart is: Selected Answer: Correct Answer: c. Acute glomerulonephritis c. Acute glomerulonephritis Thursday, November 16, 2017 10:12:25 PM EST A 4-year-old male is diagnosed with nephrotic syndrome. Which of the following assessment findings accompanies this condition? Selected Answer: a. Proteinuria Correct a. Answer: Proteinuria A 25-year-old female is diagnosed with urinary tract obstruction. While planning care, the nurse realizes that the patient is expected to have hydronephrosis and a decreased glomerular filtration rate caused by: Selected Answer: Correct Answer: c. dilation of the renal pelvis and calyces proximal to a blockage. c. dilation of the renal pelvis and calyces proximal to a blockage. When a patient’s renal system secretes rennin, what effect will that cause in the body? It causes the direct activation of: Selected Answer: Correct Answer: a. Angiotensin I a. Angiotensin I When the nurse discusses the glomerulus and Bowman capsule together, it is referred to as the renal: Selected Answer: Correct Answer: a. Corpuscle a. Corpuscle A 2-year-old male is diagnosed with Wilms tumor. Which of the following clinical conditions is often associated with this disease? Selected Answer: Correct Answer: b. Aniridia b. Aniridia A 45-year-old female presents with hypertension, anorexia, nausea and vomiting, and anemia. She is diagnosed with chronic renal failure. When the patient asks what caused this anemia, how should the nurse respond? Your anemia is caused by: Selected Answer: Correct Answer: b. Inadequate production of erythropoietin b. Inadequate production of erythropoietin A nurse observes on the chart that a patient is admitted with Wilms tumors. A nurse knows the tumors are found in the: Selected Answer: Correct Answer: a. Kidneys a. Kidneys On average the kidneys receive approximately of the cardiac output. Selected Answer: Correct Answer: c. 20% to 25% c. 20% to 25% A 5-year-old male was diagnosed with glomerulonephritis. History reveals that he had an infection 3 weeks before the onset of this condition. The infection was most likely located in the: Selected Answer: Correct Answer: c. Respiratory tract c. Respiratory tract When a child is admitted with acute renal failure, a clinician realizes the most common cause of acute renal failure is: Selected Answer: Correct Answer: d. Hemolytic uremic syndrome (HUS) d. Hemolytic uremic syndrome (HUS) A nurse is reviewing urinalysis results and notices glucose is present in the urine. A nurse realizes glucose will be excreted in the urine when: Selected Answer: Correct Answer: b. The carrier molecules have reached their maximum b. The carrier molecules have reached their maximum Which of the following clusters of symptoms would make a clinician suspect a child has developed glomerulonephritis? Selected Answer: Correct Answer: d. Gross hematuria, flank pain, and hypertension d. Gross hematuria, flank pain, and hypertension A 3-year-old female presents with recurrent urinary tract infections (UTIs), fever, poor growth and development, and feeding problems. Tests reveal a retrograde flow of urine from the urinary bladder into the ureters. When giving report to the oncoming shift, the nurse will call this condition: Selected Answer: Correct Answer: a. Vesicoureteral reflux (VUR) a. Vesicoureteral reflux (VUR) While planning care for a patient with renal calculi, the nurse remembers the most important factor in renal calculus formation is: Selected Answer: Correct Answer: a. urine pH. a. urine pH. A urologist is discussing the phagocytic cells that lie between the layers of the renal corpuscle. What is the urologist describing? Selected Answer: Correct Answer: c. Mesangial cells c. Mesangial cells A nurse is preparing to teach about the loop of Henle. Which information should be included? The descending segment of the loop of Henle primarily allows for: Selected Answer: Correct Answer: d. Water reabsorption d. Water reabsorption When a newborn is admitted with urinary tract infections (UTIs), which type of infection will the nurse look for in the newborn? Selected Answer: Correct Answer: b. Infections caused by bacteria from the gastrointestinal (GI) tract b. Infections caused by bacteria from the gastrointestinal (GI) tract A 30-year-old male is demonstrating hematuria with red blood cell casts and proteinuria exceeding 3 to 5 g/day, with albumin being the major protein. The most probable diagnosis the nurse will see documented on the chart is: Selected Answer: Correct Answer: c. Acute glomerulonephritis c. Acute glomerulonephritis A 42-year-old male is involved in a motor vehicle accident during which he loses a lot of blood. The nurse realizes he is in acute renal failure caused by: Selected Answer: c. Inadequate renal blood flow Correct c. Answer: Inadequate renal blood flow A 27-year-old male has a severe kidney obstruction leading to removal of the affected kidney. Which of the following would the nurse expect to occur? Selected Answer: Correct Answer: b. Compensatory hypertrophy of the remaining kidney b. Compensatory hypertrophy of the remaining kidney When describing the male urinary anatomy, which information should the nurse include? The portion of the male urethra that is closest to the bladder is the portion. Selected Answer: Correct Answer: b. Prostatic b. Prostatic When the nurse is discussing the sodium-sensing cells of the glomerulus, what term should the nurse use? Selected Answer: Correct Answer: b. Macula densa b. Macula densa A 7-year-old male presents to his primary care provider for incontinence. His mother indicates that he has never been continent. Which of the following is the most likely diagnosis the nurse will observe on the chart? Selected Answer: Correct Answer: c. Primary enuresis c. Primary enuresis A 29-year-old female presents with cloudy urine, flank pain, hematuria, and fever. Which of the following does the nurse suspect the patient is most likely experiencing? Selected Answer: Correct Answer: a. Acute cystitis a. Acute cystitis A 30-year-old male is demonstrating hematuria with red blood cell casts and proteinuria exceeding 3 to 5 g/day, with albumin being the major protein. The most probable diagnosis the nurse will see documented on the chart is: Selected Answer: Correct Answer: c. Acute glomerulonephritis c. Acute glomerulonephritis A 24-year-old female is diagnosed with renal calculus that is causing obstruction. Which of the following symptoms would she most likely experience? Selected Answer: Correct Answer: b. Hematuria b. Hematuria Anemia accompanies chronic renal failure because of: Selected Answer: Correct Answer: c. Inadequate production of erythropoietin c. Inadequate production of erythropoietin A 25-year-old female presents with burning urination. She was diagnosed with a urinary tract infection. When the nurse checks the culture results, which of the following organisms is most likely infecting her urinary tract? Selected Answer: d. Escherichia coli Correct Answer: d. Escherichia coli A 15-year-old male was diagnosed with pharyngitis. Eight days later he developed acute glomerulonephritis. While reviewing the culture results, which of the following is the most likely cause of this disease? Selected Answer: Correct Answer: d. Group A ß-hemolytic streptococcus d. Group A ß-hemolytic streptococcus A 55-year-old male presents reporting urinary retention. Tests reveal that he has a lower urinary tract obstruction. Which of the following is of most concern to the nurse? Selected Answer: Correct Answer: b. Formation of renal calculi b. Formation of renal calculi A 42-year-old female is diagnosed with chronic renal failure, and the nurse is discussing dietary treatment. Which information indicates the nurse understands dietary regimen? Treatment includes restricting: Selected Answer: Correct Answer: c. Proteins c. Proteins A 75-year-old male reports to his primary care provider loss of urine with cough, sneezing, or laughing. Which of the following is the most likely diagnosis the nurse will observe on the chart? Selected Answer: b. Stress incontinence Correct b. Answer: Stress incontinence When a nurse is checking the urinalysis, plasma proteins should be absent from the urine because: Selected Answer: Correct Answer: d. The negative charge of the glomerular filtration membrane repels the plasma proteins. d. The negative charge of the glomerular filtration membrane repels the plasma proteins. A 6-year-old male is experiencing urine reflux from the urinary bladder into a grossly dilated ureter and calyces. He was diagnosed with vesicoureteral reflux. This condition would be graded: Selected d. Answer: IV Correct d. Answer: IV If a nurse wants to obtain the best estimate of renal function, which test should the nurse monitor? Selected Answer: Correct Answer: a. Glomerular filtration rate (GFR) a. Glomerular filtration rate (GFR) A nurse is describing the trigone. Which information should be included? The trigone is defined as: Selected Answer: Correct Answer: c. A triangular area between the openings of the two ureters and the urethra c. A triangular area between the openings of the two ureters and the urethra When a nurse is preparing to teach about urine, which information should the nurse include? Just before entering the ureter, urine passes through the: Selected Answer: Correct Answer: b. Renal pelvis b. Renal pelvis A 15-year-old female presents with flank pain, irritability, malaise, and fever. Tests reveal glomerulonephritis. When the parents ask what could have caused this, how should the nurse respond? Selected Answer: Correct Answer: a. Poststreptococcal infection a. Poststreptococcal infection The urologist is teaching about the nephrons that determine the concentration of the urine. The urologist is discussing the nephrons. Selected Answer: Correct Answer: a. Juxtamedullary a. Juxtamedullary A 35-year-old female was severely burned and is hospitalized. She is now suffering from acute tubular necrosis (ATN). Which of the following is the most likely diagnosis the nurse will observe on the chart? Selected Answer: Correct Answer: b. Intrarena l b. Intrarena l When insulin binds to its receptors on muscle cells, an increase in glucose uptake by the muscle cells occurs. This is an example of a effect by a hormone. Selected Answer: Correct Answer: d. Direct d. Direct If the patient has a problem with the pineal gland, which substance would the nurse monitor? Selected Answer: Correct Answer: a. Melatonin a. Melatonin A 12-year-old male is newly diagnosed with type 1 DM. Which of the following tests should the nurse prepare the patient to best confirm the diagnosis? Selected Answer: Correct Answer: a. Fasting plasma glucose levels a. Fasting plasma glucose levels A 30-year-old male presents to his primary care provider reporting visual disturbances. CT reveals a pituitary tumor and lab tests reveal elevated prolactin. He is diagnosed with prolactinoma. Which of the following treatments would the nurse help implement? Selected Answer: Correct Answer: a. Dopaminergic agonists a. Dopaminergic agonists If a patient had a problem with the hypothalamus, which of the following hormones would be affected? Selected Answer: c. ACT H Correct c. Answer: ACT H A 30-year-old male is diagnosed with a hormone-secreting tumor of the pancreas alpha cells. Which of the following would the nurse expect to be most likely increased in this patient? Selected Answer: Correct Answer: b. Glucagon b. Glucagon A 35-year-old female took corticosteroid therapy for several months. Which of the following would the nurse expect to find? Selected Answer: Correct Answer: d. Type 2 DM d. Type 2 DM While planning care for a patient from general anesthesia, which principle should the nurse remember? A side effect of some general anesthetic agents is diabetes insipidus. Selected Answer: Correct Answer: b. Nephrogeni c b. Nephrogeni c A patient wants to know what can cause ACTH to be released. How should the nurse respond? Selected Answer: Correct Answer: d. Acute stressors d. Acute stressors When a nurse is assessing the physical features of individuals with Cushing syndrome, these findings will include: Selected Answer: Correct Answer: b. Truncal obesity and moon face b. Truncal obesity and moon face A patient wants to know why ADH is important in the body. What is the nurse’s best response? ADH is important in: Selected Answer: Correct Answer: a. The body’s water balance and urine concentration a. The body’s water balance and urine concentration A 25-year-old male presents to his primary care provider reporting changes in facial features. CT scan reveals a mass on the anterior pituitary, and lab tests reveal severely elevated growth hormone (GH). Which of the following would the nurse also expect to find? Selected Answer: Correct Answer: c. Sexual dysfunction c. Sexual dysfunction An endocrinologist isolated a new hormone and found it to be a water-soluble amine. Which of the following is most like this new hormone? Selected Answer: Correct Answer: d. Epinephrin e d. Epinephrin e A nurse is teaching a patient about insulin. Which information should the nurse include? Insulin is primarily regulated by: Selected Answer: Correct Answer: b. Serum glucose levels b. Serum glucose levels A 39-year-old female just had a baby. Which hormone will prevent excessive uterine bleeding? Selected Answer: Correct Answer: d. Oxytocin d. Oxytocin A 19-year-old female with type 1 DM was admitted to the hospital with the following lab values: serum glucose 500 mg/dl (high), urine glucose and ketones 4+ (high), and arterial pH 7.20 (low). Her parents state that she has been sick with the “flu” for a week. Which of the following statements best explains her acidotic state? Selected Answer: Correct Answer: d. Insulin deficiency promotes lipid metabolism and ketone formation. d. Insulin deficiency promotes lipid metabolism and ketone formation. A nurse recalls insulin has an effect on which of the following groups of electrolytes? Selected Answer: Correct Answer: d. Potassium, magnesium, phosphate d. Potassium, magnesium, phosphate A 44-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for SIADH. Which of the following assessment findings would be expected in this patient? Selected Answer: d. Concentrated urine Correct d. Answer: Concentrated urine What common neurologic disturbances should the nurse assess for in a patient with a pituitary adenoma? Selected Answer: Correct Answer: b. Visual disturbances b. Visual disturbances When a patient wants to know what most commonly causes hypoparathyroidism, how should the nurse reply? It is most commonly caused by: Selected Answer: Correct Answer: c. Parathyroid gland injury c. Parathyroid gland injury A 3-year-old male was diagnosed with congenital hypothyroidism. The parents ask the nurse if left untreated what will happen. What is the nurse’s best response? If left untreated, the child would have: Selected Answer: Correct Answer: a. Mental retardation and stunted growth a. Mental retardation and stunted growth A 45-year-old female has elevated thyroxine production. Which of the following would accompany this condition? Selected Answer: Correct Answer: d. Decreased thyroid-stimulating hormone (TSH) d. Decreased thyroid-stimulating hormone (TSH) A 12-year-old female is newly diagnosed with type 1 DM. When the parents ask what causes this, what is the nurse’s best response? Selected Answer: Correct Answer: c. Immune destruction of the pancreas c. Immune destruction of the pancreas A 22-year-old male is admitted to the intensive care unit with a closed head injury sustained in a motorcycle accident. The injury has caused severe damage to the posterior pituitary. Which of the following complications should the nurse anticipate? Selected Answer: Correct Answer: b. Dehydration from polyuria b. Dehydration from polyuria A 40-year-old male undergoes surgery for a PTH-secreting tumor in which the parathyroid is removed. Which of the following would the nurse expect following surgery? Selected Answer: Correct Answer: c. Decreased calcium reabsorption in the kidney c. Decreased calcium reabsorption in the kidney A 50-year-old female presents with lightheadedness and overall abnormal feelings. Hyperaldosteronism is diagnosed. Which of the following symptoms would the nurse expect? Selected Answer: Correct Answer: c. Hypokalemia c. Hypokalemia While planning care for a patient with hypothyroidism, which principle should the nurse remember? The basal metabolic rate is unusually with hypothyroidism. Selected Answer: b. Low A 50-year-old male patient is deficient in ADH production. Which of the following assessment findings would the nurse expect to find? Selected Answer: Correct Answer: c. ADH is decreased by changes in intravascular volume c. ADH is decreased by changes in intravascular volume A 35-year-old female with Graves disease is admitted to a medical-surgical unit. While the nurse is reviewing the lab tests, which results would the nurse expect to find? Selected Answer: Correct Answer: a. High levels of circulating thyroid-stimulating antibodies a. High levels of circulating thyroid-stimulating antibodies A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH). Which of the following electrolyte imbalances would be expected in this patient? Selected Answer: Correct Answer: a. Hyponatremia a. Hyponatremia Visual disturbances are a common occurrence in patients with untreated Graves disease. The endocrinologist explains to the patient that the main cause of these complications is: Selected Answer: b. Orbital edema and protrusion of the eyeball A 50-year-old male patient presents with polyuria and extreme thirst. He was given exogenous ADH. For which of the following conditions would this treatment be effective? Selected Answer: Correct Answer: a. Neurogenic diabetes insipidus a. Neurogenic diabetes insipidus A 15-year-old female presents with breast discharge, dysmenorrhea, and excessive excitability. Tests reveal that all her pituitary hormones are elevated. What does the nurse suspect as the most likely cause for these assessment findings? Selected Answer: Correct Answer: a. A pituitary adenoma a. A pituitary adenoma A 25-year-old male presents with fatigue, constipation, and sexual dysfunction. Tests reveal all pituitary hormones are normal and no masses are present. The nurse suspects the most likely cause of his symptoms is a dysfunction in the: Selected Answer: Correct Answer: d. Pituitary stalk d. Pituitary stalk A student asks the instructor which of the following is the most potent naturally occurring glucocorticoid. How should the instructor respond? Selected Answer: Correct Answer: c. Cortisol c. Cortisol Prolonged diarrhea is more serious in children than adults because: Selected Answer: Correct Answer: b. Fluid reserves are lower in children. b. Fluid reserves are lower in children. Which of the following symptoms would help a health care provider distinguish between ulcerative colitis and Crohn disease? Selected Answer: Correct Answer: d. Malabsorption d. Malabsorption The most common disorder associated with upper GI bleeding is: Selected Answer: Correct Answer: c. Esophageal varices c. Esophageal varices When an infant has increased bilirubin production and impaired hepatic excretion of bilirubin, what does the nurse suspect is occurring in the patient? Selected Answer: Correct Answer: b. Physiologic jaundice b. Physiologic jaundice An 8-week-old female is diagnosed with a congenital heart disease and Down syndrome. Her parents report that she has difficulty defecating. X-ray reveals anorectal malformation that causes complete obstruction often referred to as: Selected Answer: b. Imperforate anus Correct Answer: b. Imperforate anus A 40-year-old female presents complaining of pain near the midline in the epigastrium. Assuming the pain is caused by a stimulus acting on an abdominal organ, the pain felt is classified as: Selected Answer: Correct Answer: a. Visceral a. Visceral A 40-year-old male develops an intestinal obstruction related to protrusion of the intestine through the inguinal ring. This condition is referred to as: Selected Answer: Correct Answer: c. A hernia c. A hernia Manifestations associated with hepatic encephalopathy from chronic liver disease are the result of: Selected Answer: Correct Answer: c. Impaired ammonia metabolism c. Impaired ammonia metabolism A 60-year-old male is diagnosed with cancer of the esophagus. Which of the following factors most likely contributed to his disease? Selected Answer: Correct Answer: a. Reflux esophagitis a. Reflux esophagitis The most common cause of chronic vascular insufficiency among the elderly is: Selected Answer: Correct Answer: d. Atherosclerosis d. Atherosclerosis The most common clinical manifestation of portal hypertension is bleeding. Selected Answer: Correct Answer: c. Esophageal c. Esophageal A 27-year-old male presents with fever, GI bleeding, hepatomegaly, and transient joint pain. He reports that as a child he received blood transfusions following a motor vehicle accident. He also indicates he was vaccinated against hepatitis B. Which of the following types of hepatitis does the clinician think he most likely has? Selected c. Answer: C Correct c. Answer: C A 6-month-old male infant is brought to the ER after the sudden development of abdominal pain, irritability, and vomiting followed by passing of “currant jelly” stool. Ultrasound reveals intestinal obstruction in which the ileum collapsed through the ileocecal valve and invaginated into the large intestine. This type of obstruction is referred to as: Selected Answer: Correct Answer: c. Intussusception c. Intussusception Early identification and treatment for metabolic disorders is important because: Selected Answer: Correct Answer: a. Permanent damage to vital organs can be prevented. a. Permanent damage to vital organs can be prevented. A 55-year-old female has general symptoms of gallstones but is also jaundiced. IV cholangiography would most likely reveal that the gallstones are obstructing the: Selected Answer: Correct Answer: c. Cystic duct c. Cystic duct The primary complication of enterocolitis associated with Hirschsprung disease is related to which finding? Selected Answer: Correct Answer: a. Fecal impaction a. Fecal impaction A 24-year-old male who sustained a head injury and fractured femur develops a stress ulcer. A common clinical manifestation of this ulcer is: Selected Answer: Correct Answer: b. Bleeding b. Bleeding A 60-year-old male presents with GI bleeding and abdominal pain. He reports that he takes NSAIDs daily to prevent heart attack. Tests reveal that he has a peptic ulcer. The most likely cause of this disease is: Selected Answer: Correct Answer: c. Inhibiting mucosal prostaglandin synthesis c. Inhibiting mucosal prostaglandin synthesis A 10-month-old is brought to the pediatrician by the mother who states the baby has been experiencing colicky pain followed by vomiting, sweating, nausea, and irritability. Testing reveals a condition in which one part of the intestine telescopes into another. From which type of intestinal obstruction is he suffering? Selected Answer: Correct Answer: d. Intussuscepti on d. Intussuscepti on Acute pancreatitis often manifests with pain to which of the following regions? Selected Answer: Correct Answer: c. Epigastric c. Epigastric The exocrine portion of the pancreas contains: Selected Answer: Correct Answer: c. Ducts c. Ducts A 22-year-old male underwent brain surgery to remove a tumor. Following surgery, he experienced a peptic ulcer. His ulcer is referred to as a(n) ulcer. Selected Answer: Correct Answer: b. Cushing b. Cushing In alcoholic cirrhosis, hepatocellular damage is caused by: Selected Answer: Correct Answer: a. Acetaldehyde accumulation a. Acetaldehyde accumulation A 16-year-old female presents with abdominal pain in the right lower quadrant. Physical examination reveals rebound tenderness and a low-grade fever. A possible diagnosis would be: Selected Answer: Correct Answer: c. Appendicitis c. Appendicitis Reflux esophagitis is defined as a(n): Selected Answer: Correct Answer: b. Inflammatory response to gastroesophageal reflux b. Inflammatory response to gastroesophageal reflux Outbreaks of hepatitis often occur in young children attending day care centers and can be attributed to poor hand washing. Selected a. Answer: A Correct a. Answer: A Chronic gastritis is classified according to the: Selected Answer: Correct Answer: b. Location of lesions b. Location of lesions A 50-year-old male is experiencing reflux of chyme from the stomach. He is diagnosed with gastroesophageal reflux. This condition is caused by: Selected Answer: Correct Answer: c. Loss of muscle tone at the lower esophageal sphincter c. Loss of muscle tone at the lower esophageal sphincter Where does the nurse expect the obstruction to be in a patient with extrahepatic portal hypertension? Selected Answer: Correct Answer: c. Hepatic portal vein c. Hepatic portal vein A 45-year-old male complains of heartburn after eating and difficulty swallowing. He probably has: Selected Answer: Correct Answer: d. Hiatal hernia d. Hiatal hernia A 55-year-old male died in a motor vehicle accident. Autopsy revealed an enlarged liver caused by fatty infiltration, testicular atrophy, and mild jaundice secondary to cirrhosis. The most likely cause of his condition is: Selected Answer: Correct Answer: c. Alcoholism c. Alcoholism Which of the following characteristics is associated with an acute occlusion of mesenteric blood flow to the small intestine? Selected Answer: Correct Answer: a. Often precipitated by an embolism a. Often precipitated by an embolism A 13-year-old female confides to her mother that she binge eats and induces vomiting to prevent weight gain. This disease is referred to as: Selected Answer: b. Bulimia nervosa Correct Answer: b. Bulimia nervosa An 8-week-old male was recently diagnosed with cystic fibrosis. Which of the following digestive alterations would be expected? Selected Answer: Correct Answer: d. Malabsorption d. Malabsorption For the patient experiencing esophageal reflux, the nurse would expect which sphincter to be malfunctioning? Selected Answer: Correct Answer: a. Pyloric b. Lower esophageal Course NURS-6501N-36,Advanced Pathophysiology.2018 Summer Qtr Test Quiz - Week 11 Status Completed Attempt Score 40 out of 40 points Time Elapsed 35 minutes out of 45 minutes Instructions Please answer each question below and click Submit when you have completed the Quiz. Results Displayed • Question 1 0 out of 0 points Submitted Answers, Correct Answers, Feedback When completing this quiz, did you comply with Code of Conduct including the expectations for academic integrity? Selected Answer: Correct Answer: Yes Yes • Question 2 1 out of 1 points A 20-year-old female presents with pelvic and back pain severe enough to miss work. She reports that the pain occurs with the onset of menses. Physical examination fails to find pelvic pathology. The most likely cause of her condition is: Selected Answer: c. Elevated prostaglandins Correct Answer: c. Elevated prostaglandins • Question 3 1 out of 1 points Which of the following signs is usually the first clinical manifestation of breast cancer? Selected Answer: d. A painless lump Correct Answer: d. A painless lump • Question 4 1 out of 1 points A 21-year-old female is infected with human papillomavirus (HPV) following unprotected sexual intercourse with a male she recently met. She is now at higher risk of developing which of the following cancers? Selected Answer: a. Cervical Correct Answer: a. Cervical • Question 5 1 out of 1 points A 25-year-old sexually active female presents with urethritis, dysuria, and cervical discharge. She is diagnosed with the most common bacteria STI in the United States. The student would identify this infection is due to: Selected Answer: c. Chlamydi a Correct Answer: c. Chlamydi a • Question 6 1 out of 1 points A 23-year-old sexually active female presents with white copious discharge and itch. She is diagnosed with yeast vaginitis caused by overgrowth of which microorganism? Selected Answer: c. Candida albicans Correct Answer: c. Candida albicans • Question 7 1 out of 1 points When the nurse describes the duct that carries the ovum from the ovary to the uterus, what is the nurse discussing? The: Selected Answer: d. Fallopian tube Correct Answer: d. Fallopian tube • Question 8 1 out of 1 points A 30-year-old male presents with penile tenderness and discharge. Physical examination reveals that his foreskin cannot be retracted back over the glans penis. He is suffering from: Selected Answer: b. Phimosis Correct Answer: b. Phimosis • Question 9 1 out of 1 points A 21-year-old male presents with inflammation of the testes. He has a high fever and edema and redness of the testes. Which organism is the most likely the cause of his symptoms? Selected Answer: c. Mumps Correct Answer: c. Mumps • Question 10 1 out of 1 points A 38-year-old female was recently diagnosed with cancer. She learns that her mother almost miscarried while pregnant with her and was given diethylstilbestrol (DES) to prevent it. Which of the following cancers does she most likely have? Selected Answer: b. Vaginal Correct Answer: b. Vaginal • Question 11 1 out of 1 points The most commonly occurring cancer of the female reproductive tract is cancer. Selected Answer: a. Cervical Correct Answer: a. Cervical • Question 12 1 out of 1 points Copy of A 25-year-old female presents with amenorrhea and hirsutism. She is diagnosed with PCOS. Lab testing will most likely reveal: Selected Answer: d. Hyperinsulinemia Correct Answer: d. Hyperinsulinemia • Question 13 1 out of 1 points During a routine pelvic exam, a 34-year-old female is found to have an ovarian cyst containing skin, hair, cartilage, and bone. This cyst is classified as a cyst. Selected Answer: b. Dermoid Correct Answer: b. Dermoid • Question 14 1 out of 1 points Progesterone is often referred to as “the hormone of pregnancy,” and the patient asks what this phrase means. How should the nurse respond? Progesterone is the hormone of pregnancy because it: Selected Answer: d. Prevents smooth muscle contraction of the uterus Correct Answer: d. Prevents smooth muscle contraction of the uterus • Question 15 1 out of 1 points When discussing the difference between male and female sex hormones, which information should the nurse include? The major difference between male and female sex hormone production is that: Selected Answer: b. Sex hormone production in the male is relatively constant. Correct Answer: b. Sex hormone production in the male is relatively constant. • Question 16 1 out of 1 points When a staff member asks the nurse what is the most potent of the following estrogens, what is the nurse’s best response? It is: Selected Answer: a. Estradiol Correct Answer: a. Estradiol • Question 17 1 out of 1 points While speaking to a group of older males, which information should the nurse share? The following is a normal characteristic of aging and the male reproductive system: Selected Answer: d. Refractory time after ejaculation is prolonged. Correct Answer: d. Refractory time after ejaculation is prolonged. • Question 18 1 out of 1 points A 56-year-old female is in menopause. She has ovarian failure. While checking the lab results, which of the following will the nurse find? Selected Answer: a. Increased FSH Correct Answer: a. Increased FSH • Question 19 1 out of 1 points A nurse is teaching the staff about female hormones. Which hormone promotes the formation of channels in the mucus of the cervical os to facilitate sperm movement into the uterus? Selected Answer: d. Estrogen Correct Answer: d. Estrogen • Question 20 1 out of 1 points The patient’s medication has a side effect of gynecomastia. The patient asks the nurse to define this term. The nurse would respond that gynecomastia is: Selected Answer: b. Overdevelopment of breast tissue in males Correct Answer: b. Overdevelopment of breast tissue in males • Question 21 1 out of 1 points A 35-year-old nonpregnant female presents complaining of breast discharge. She is diagnosed with galactorrhea. The condition is most likely caused by: Selected Answer: b. Hormonal imbalances Correct Answer: b. Hormonal imbalances • Question 22 1 out of 1 points A student asks the instructor which of the following hormones stimulates follicular maturation. How should the instructor respond? Selected Answer: c. LH Correct Answer: c. LH • Question 23 1 out of 1 points A nursing student asks the nurse where the glands of Montgomery are located. How should the nurse reply? The glands of Montgomery are located in the: Selected Answer: b. Breasts Correct Answer: b. Breasts • Question 24 1 out of 1 points Copy of The nurse would anticipate the treatment for pelvic organ prolapse to be: Selected Answer: b. A pessary Correct Answer: b. A pessary • Question 25 1 out of 1 points is inflammation of the glans penis. Selected Answer: b. Balanitis Correct Answer: b. Balanitis • Question 26 1 out of 1 points When a breastfeeding mom asks what causes letdown, which information should the nurse give the patient? The hormone that plays a role in breast milk ejection (letdown) during lactation is: Selected Answer: c. Oxytocin Correct Answer: c. Oxytocin • Question 27 1 out of 1 points An example of a parasitic STI that is transmitted through close skin-to-skin contact is: Selected Answer: c. Scabies Correct Answer: c. Scabies • Question 28 1 out of 1 points A 19-year-old female presents with genital warts. Which of the following would cause this condition? Selected Answer: c. HPV Correct Answer: c. HPV • Question 29 1 out of 1 points An 18-year-old female is diagnosed with dysmenorrhea. Which of the following symptoms will she most likely experience? Selected Answer: b. Painful menstruation Correct Answer: b. • Question 30 1 out of 1 points A 25-year-old female presents with amenorrhea and hirsutism. She is diagnosed with PCOS. Lab testing will most likely reveal: Selected Answer: d. Hyperinsulinemia Correct Answer: d. Hyperinsulinemia • Question 31 1 out of 1 points While preparing to teach the staff about female anatomy, which information should be included? During the years that a woman is more likely to be sexually active, the vagina mucosa is protected from infection by: Selected Answer: b. An acidic pH Correct Answer: b. An acidic pH • Question 32 1 out of 1 points A patient asks the nurse what is the most sensitive area of the penis. What is the nurse’s best answer? The area of the penis with the most nerve endings is the: Selected Answer: b. Glans Correct Answer: b. Glans • Question 33 1 out of 1 points When a staff member asks the nurse what the thick middle layer of the uterine wall is called, what is the nurse’s best response? The: Selected Answer: c. Myometrium Correct Answer: c. Myometrium • Question 34 1 out of 1 poi