question

Which of the following cancers of the female genitourinary tract can be detected by routine screening methods and has a nearly 100% survival rate with treatment?

answer

B. Cancer of the cervix

question

Which of the following statements is true as it relates to ovarian cancer?

answer

A. Is often asymptomatic until the disease is far advanced

question

Which patient is most likely to have erectile dysfunction?

answer

B. Middle-aged man who has had DM for 25 years.

question

The reason that antibiotic therapy predisposes women to vulvovaginal candidiasis is that it:

answer

B. Suppresses the normal protective flora.

question

Which one of the following types of vaginal discharge is characteristic of a trichomonas infection?

answer

C. Copious frothy green or yellow and foul smelling excretion

question

Without treatment, which infection may progress to damage the aorta, liver, and CNS?

answer

A. Syphilis

question

The nurse, collecting data on the reproductive system from a female patient, is told that the patient has a vaginal discharge that is cottage cheese like in appearance. The nurse recognizes this as:

answer

C. Candida albicans infection

question

Following an accident at a track meet, a young male is brought to the emergency department by his father. As the patient is being assessed he cries out and says that he is having intense pain in his genitalia and begins to vomit. Based on these initial finds, the nurse suspects:

answer

D. Testicular torsion

question

Uterine prolapse, cystocele, and rectocele may all be the result of:

answer

D. Pregnancy and childbirth

question

For which problem are Kegel exercises recommended?

answer

C. Cystocele

question

The nurse working in the hospital emergency department is assigned to care for these four patients, which patient will the nurse attend to first?

answer

D. A 19-year-old who has had an erection for "10 or 11 hours" and is complaining of severe pain

question

The patient with Pelvic Inflammatory Disorder from gonorrhea asked how this can cause sterility. Which is the nurse's response?

answer

C. If the infection is present in the fallopian tubes, it can cause scarring to block the tubes permanently.

question

Which term describes a fluid accumulation that forms around the testis?

answer

B. Hydrocele

question

Which of the following infections can lead to the development of reproductive and anal cancers?

answer

D. Human Papillomavirus (HPV)

question

Teaching for the patient with endometriosis should include the signs and symptoms of common complications which include:

answer

D. Infertility

question

Which of the following applies to benign prostatic hyperplasia?

answer

C. Manifestations include hesitancy, dribbling, and frequency.

question

Which of the following symptoms are associated with prostatitis?

answer

C. Dysuria, nocturia, and recurrent UTIs.

question

Which assessment finding in the patient indicates the highest risk of a malignant breast lesion?

answer

D. Nipple discharge and dimpling

question

Which STD are bacterial infections that are treatable with antibiotics? (Select all that apply)

answer

A. Chlamydia C. Gonorrhea D. Syphilis

question

Which of the following statements regarding stomach cancer is true?

answer

C. Gastric cancer is associated with salted, pickled, preserved, and charcoaled foods.

question

Which of the following is the most common cause of gastritis?

answer

D. H. pylori

question

Which of the following is a common complication of Crohn's disease?

answer

B. Fistula formation

question

What is the underlying pathology experienced by people with irritable bowel syndrome?

answer

D. Increased response to stretching and discomfort resulting in intestinal motility

question

Which of the following is a risk factor for developing diverticular disease?

answer

C. Chronic constipation

question

Crohn's disease is characterized by:

answer

A. Patchy areas and ulcerations or skip lesions of the intestinal wall.

question

Which of the following patients is more likely to develop pancreatitis?

answer

B. A patient with a stone lodged in the pancreatic duct.

question

Which of the following patients is most at risk for developing Hepatitis B?

answer

B. 24 year-old college student who has had several sexual partners.

question

Which of the following patients would be most at risk for an intestinal obstruction?

answer

A. An elderly patient who is on bed rest because of post-operative abdominal surgery.

question

Which of the following statements regarding diverticulosis of the colon would indicate a need for further teaching?

answer

B. A high-fiber diet can lead to the formation of diverticular disease.

question

The nurse is caring for a patient with renal failure and chronic gastritis. The patient tells the nurse that he takes 2 teaspoons of sodium bicarbonate every night before bed to prevent heartburn. What is the nurse's best response?

answer

B. "I will let your doctor know so that a safer antacid can be prescribed for you."

question

The nurse is caring for a patient who is being discharged following surgery for oral cancer. Which sign will the patient be instructed to watch for that indicates possible metastasis of the cancer?

answer

D. Small hard lumps on the side of the neck or under the chin.

question

The nurse is caring for male patient with peptic ulcer disease. Which assessment finding indicates to the nurse that the patient most likely has an ulcer in the stomach rather than the duodenum?

answer

A. The patient is underweight.

question

Which teaching is a priority for the patient with gastroesophageal reflux?

answer

D. Eat four to six small meals a day.

question

A patient is admitted with progressive dysphagia. Which assessment finding does the nurse expect in this patient?

answer

D. Weight loss

question

Which of the following patients would be most at risk for the development of carcinoma of the liver?

answer

C. A 65 year old patient with a history of cirrhosis

question

The nurse conducts a physical assessment for a patient with nausea, vomiting, and severe abdominal pain. The nurse notes that the abdomen is rigid and the patient's temperature is 101.1 F (38.4 C). Which condition does the nurse suspect based on this info?

answer

D. Perforated gastric ulcer with peritonitis.

question

The nurse monitors for which complication in the patient with end-stage cirrhosis who develops severe vomiting with blood?

answer

B. Esophageal varices

question

Decreased synthesis of which substance in the patient diagnosed with liver failure would be responsible for development of ascites?

answer

C. Albumin

question

For the patient diagnosed with Hepatitis A, asking how the infection may have been contracted, which response by the nurse is correct?

answer

B. "You may have been exposed through contaminated shellfish."

question

Acute lower right quadrant pain associated with rebound tenderness and systemic signs of inflammation are indicative of:

answer

C. Appendicitis

question

A patient is admitted to the health care facility with a diagnosis of a bleeding gastric ulcer. Nurse expects the patient's stools to be:

answer

C. Black and tarry

question

Epigastric pain that is relieved by food is suggestive of:

answer

D. Duodenal ulcer

question

The nurse is caring for a female patient with cholelithiasis. Which assessment findings from the patient's history and physical examination may have contributed to the development of this condition?

answer

A. BMI is 46

question

When taking the blood pressure of a patient after a parathyroidectomy to treat hyperparathyroidism, the nurse notes that the patient's hand has gone into flexion contractions. Which does the nurse determine may be the cause of this symptom?

answer

C. Hypocalcemia

question

Which alteration in vital signs is the most indicative of hypothyroidism?

answer

D. Apical pulse of 50 beat per minute

question

The nurse correlates the polyuria seen in patients with diabetes mellitus with which physiologic response?

answer

C. Osmotic effects of glucosuria

question

The nurse assesses for which clinical manifestation in a patient with uncontrolled diabetes mellitus and ketoacidosis?

answer

C. Increased rate and depth of respiration

question

A patient with diabetes has retinopathy, nephropathy, and peripheral neuropathy. What should the nurse teach this patine about exercise?

answer

D. Swimming or water aerobics 30 minutes each day would be the safest exercise routine for you.

question

The nurse determines that which arterial blood gas values are consistent with ketoacidosis in a patient with diabetes?

answer

B. pH 7.28, HCO3 18 mEq/L, PCO2 34 mmHg

question

When performing an assessment, the nurse detects a fruity odor on the patient's breath. Which will the nurse do next?

answer

A. Assess blood sugar level

question

Which dietary modification will the nurse provide for the patient with hyperthyroidism?

answer

C. Increased calories, proteins, and carbohydrates

question

Which of the following does NOT occur in Addison's disease?

answer

A. Exophthalmos

question

Signs and symptoms of diabetes mellitus includes all except:

answer

D. Swollen ankles

question

The patient on an intensified insulin regimen consistently has a fasting blood glucose level between 70 and 80 mg/dL, a postprandial blood glucose level below 180 mg/dL, and a hemoglobin A1C level of 5.5%. What is the nurse's interpretation of these findings?

answer

B. Good control of blood glucose

question

What test provides a good measure of blood glucose levels over the previous 2-3 months?

answer

C. Glycosated hemoglobin test (HgbA1C)

question

What is the primary cause of type 1 diabetes?

answer

D. Destruction of pancreatic cells by an autoimmune reaction.

question

Which of the following conditions may cause immunosuppression resulting in delayed wound healing?

answer

C. Cushing's disease

question

Your patient has acromegaly. You would expect:

answer

A. Your patient to have an overactive pituitary gland.

question

The nurse assesses the patient with a diagnosis of thyroid storm. Which classic signs and symptoms associated with thyroid storm indicate the priority need for immediate nursing intervention?

answer

C. Fever, tachycardia, and dysrhythmias

question

An incoherent female patient with a history of hypothyroidism is brought to the emergency department by the rescue squad. Physical and laboratory findings reveal hypothermia, hypoventilation, respiratory acidosis, bradycardia, hypotension, and nonpitting edema of the face and pretibial edema. Knowing that these findings suggest severe hypothyroidism, the nurse prepares to take emergency action to treat this potential complication of:

answer

C. Myxedema Coma

question

Which of the following meals is most likely to exacerbate an individual's celiac disease?

answer

C. Spaghetti with meatballs and garlic bread.

question

Antibody testing has confirmed that a man is positive for Hepatitis A virus (HAV). Which of the patient's statements suggests that he understands his new diagnosis?

answer

A. "I don't know why I didn't bother to get vaccinated against this."

question

A clinical manifestation of IBS is abdominal pain that is:

answer

B. Relieved by defecation

question

Which of the following patients should the nurse observe most closely for the signs and symptoms of paralytic ileus?

answer

B. A patient who is postoperative day 1 following gall bladder surgery.

question

Which of the following patients likely faces the greatest risk of a gastrointestinal bleed?

answer

B. A man who takes NSAIDS with each meal to control symptoms of osteoarthritis.

question

Which of the following statements is true of colorectal cancer?

answer

D. Most cases are quite advanced before symptoms become apparent.

question

A hospital patient with a diagnosis of type 1 diabetes has been administered a scheduled dose of regular insulin. Which of the following effects will result from the action of insulin?

answer

A. Promotion of glucose uptake by target cells.

question

As part of maintaining homeostasis, hormones secreted by endocrine cells are metabolize by the liver to:

answer

D. Prevent accumulation.

question

The iatrogenic form of Cushing's syndrome is caused by:

answer

B. Long-term cortisone therapy

question

Diabetic ketoacidosis (DKA) more commonly occurs in patients with type 1 diabetes, when the lack of insulin leads to the break down of ________ that causes excess ketone production by the liver.

answer

D. Fat

question

Which of the following assessment questions is most likely to address the causation of a woman's new case of candidiasis?

answer

C. "Have you been on antibiotics recently?"

question

Which of the following signs and symptoms is most clearly suggestive of primary genital herpes in a male patient?

answer

A. Tingling and burning sensation followed by eruption of vesicles on the penis

question

A 22-year-old patient had a Papanicolaou smear performed during her most recent visit to her primary care provider. This diagnostic procedure aims to identify:

answer

B. Dysplastic cervical cells

question

In the lactating woman, mastitis is usually the result of:

answer

A. Ascending bacterial infection.

question

Which of the following assessment findings of a male patient constitutes a criterion for the diagnosis of metabolic syndrome? (Select all that apply)

answer

A. The patient's blood pressure is consistently in the range of 140/90 B. The patient has a total cholesterol level of 350 D. The patient has a waist circumference of 48 inches

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