Nclex-Rn Practice Questions-Care Of Adult - Genitourinary Disorders Part 1
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Question 1 |
Which statement by the nurse best explains why it’s important to empty the bowel before treatment with intracavitary radiation for cancer of the cervix?
A | “Feces in the bowel increase the risk for ileus.” |
B | “An empty bowel allows the applicator to be positioned with little or no discomfort.” |
C | “Bowel movements increase the risk of inadvertent contamination of the vagina and urethra.” |
D | “Pressure changes in the pelvis associated with bowel movements can alter the position of the applicator and the radiation source.” |
Question 2 |
Which nursing intervention would be correct for a woman having intracavitary radiation for cancer of the cervix?
A | High-residue diet |
B | Fowler’s position when in bed |
C | Intermittent urinary catheterization |
D | Bed rest |
Question 3 |
Which assessment finding would be a cause for alarm in a client taking finasteride (Proscar)?
A | Azotemia |
B | Breast enlargement |
C | Decreased prostate size |
D | Flushing |
Question 4 |
The nurse is aware that perineal pain in the absence of any observable cause is suggestive of which condition?
A | Endometriosis |
B | Internal hemorrhoids |
C | Prostatitis |
D | Renal calculus |
Question 5 |
Which comment made by a client being treated for chronic prostatitis indicates to the nurse that further teaching is necessary?
A | “I miss not being able to have sex.” |
B | “I enjoy frequent soaking in a hot tub of water.” |
C | “Cutting down on coffee hasn’t been as hard as I expected.” |
D | “I’m used to getting up and moving, not just sitting for long periods.” |
Question 6 |
Which assessment finding is expected in a client receiving bicalutamide (Casodex) and leuprolide (Lupron) for advanced prostate cancer?
A | Abdominal distention |
B | Acromegaly |
C | Colicky pain |
D | Hot flashes |
Question 7 |
What is the most important information for the nurse to give a client to decrease the risk of toxic shock syndrome?
A | Avoid douching. |
B | Wear loose cotton underwear. |
C | Use pads, not tampons, overnight. |
D | Avoid sexual intercourse during menses. |
Question 8 |
A nursing diagnosis addressing risk for impaired tissue integrity would be most appropriate for which client?
A | A client with endometriosis |
B | A client taking oral contraceptives |
C | A client with a vaginal packing in place |
D | A client having reconstructive breast surgery |
Question 9 |
The nurse administers tamsulosin (Flomax) to a client with benign prostatic hyperplasia (BPH)? The nurse is aware that which of the following is a priority assessment?
A | Voiding pattern |
B | Size of the prostate |
C | Creatinine clearance |
D | Serum testosterone level |
Question 10 |
The nurse reviews a client’s history and determines that which factor indicates a risk for candidiasis?
A | Nulliparity |
B | Menopause |
C | Use of corticosteroids |
D | Use of spermicidal jelly |
Question 11 |
The nurse is reviewing clients’ lab results. Which client is at greatest risk for having a false-positive Venereal Disease Research Laboratory (VDRL) result?
A | An alcoholic |
B | A narcotics addict |
C | A transfusion recipient |
D | A breast-feeding mother |
Question 12 |
Which statement made by a client with a chlamydial infection indicates an understanding of the potential complications?
A | “I’m glad I’m not pregnant; I’d hate to have a malformed baby from this disease.” |
B | “I hope this medicine works before this disease gets into my urine and destroys my kidneys.” |
C | “If I had known a diaphragm would put me at risk for this, I would’ve taken birth control pills.” |
D | “I need to treat this infection so it doesn’t spread into my pelvis because I want to have children someday.” |
Question 13 |
A client with genital herpes asks the nurse what comfort measure can be recommended. What is the best response by the nurse?
A | Wear loose cotton underwear. |
B | Apply a water-based lubricant to the lesions. |
C | Rub rather than scratch in response to an itch. |
D | Pour hydrogen peroxide and water over the lesions. |
Question 14 |
Giving instructions for breast self-examination is particularly important for clients with which medical problem?
A | Cervical dysplasia |
B | A dermoid cyst |
C | Endometrial polyps |
D | Ovarian cancer |
Question 15 |
A postoperative client who is at risk for evisceration has returned to the unit after an abdominal hysterectomy. The nurse would assess the client for which of the following?
A | Tachycardia accompanied by a weak, thready pulse |
B | Hypotension with a decreased level of consciousness (LOC) |
C | Shallow, rapid respirations and increasing vaginal drainage |
D | Low-grade fever with increasing serosanguineous incisional drainage |
Question 16 |
Which nursing intervention is appropriate for a client who had breast reconstruction surgery?
A | Prevent hypothermia. |
B | Maintain even pressure on the wound. |
C | Position the client on the operative side. |
D | Raise the client’s arms over her head four times daily |
Question 17 |
Which finding indicates that oxycodone (OxyContin) given to a client with breast cancer metastasized to the bone is exerting the desired effect?
A | Bone density is increased. |
B | Pain is 0 to 2 on a 10-point scale. |
C | Alpha-fetoprotein level is decreased. |
D | Serum calcium level is within normal range. |
Question 18 |
A client who had intracavitary radiation treatment for cancer of the cervix 1 month earlier reports small amounts of vaginal bleeding. The nurse interprets this as which of the following?
A | Recurrence of the carcinoma |
B | Development of a rectovaginal fistula |
C | Expected effect of the radiation therapy |
D | Infection secondary to a change in vaginal flora |
Question 19 |
A physician tells a client to return 1 week after treatment to have a repeat culture done to verify the cure. This order would be appropriate for a woman with which condition?
A | Genital warts |
B | Genital herpes |
C | Gonorrhea |
D | Syphilis |
Question 20 |
The nurse is reviewing discharge instructions for a client who had a dilation and curettage procedure. Which statement should the nurse include in the discharge instructions?
A | Tampons may be used during exercise. |
B | Avoid strenuous work and sexual intercourse for at least 2 weeks. |
C | Stay on bed rest for 3 days; then gradually resume normal activity. |
D | Take a soaking tub bath each day to promote relaxation. |
Question 21 |
Which instruction should the nurse give to a client with prostatitis who’s receiving co-trimoxazole double strength (Bactrim DS)?
A | Don’t expect improvement of symptoms for 7 to 10 days. |
B | Drink six to eight glasses of fluid daily while taking this medication. |
C | If a sore mouth or throat develops, take the medication with milk or an antacid. |
D | Use a sunscreen of at least SPF-15 with para-aminobenzoic acid (PABA) to protect against drug-induced photosensitivity. |
Question 22 |
A nurse enters the room of a client who had a left modified mastectomy 8 hours earlier. Which assessment indicates that the nursing assistant assigned to the client needs further instruction and guidance?
A | The client is squeezing a ball in her left hand. |
B | The client is wearing a robe with elastic cuffs. |
C | The client’s affected arm is elevated on a pillow. |
D | A blood pressure cuff is on the client’s right arm. |
Question 23 |
A 19-year-old woman reports an intermittent milky vaginal discharge. She is not sexually active and denies itching or burning. Which factor is the most likely cause of the milky-appearing discharge?
A | Inadequate cleaning of the perineal area |
B | Sensitivity to a feminine hygiene product |
C | Normal fluctuation in estrogen and progesterone levels |
D | Reaction to heat and moisture from wearing tight clothing |
Question 24 |
In which group is it most important for a client to understand the importance of an annual Papanicolaou test?
A | Clients with a history of recurrent candidiasis |
B | Clients with a pregnancy before age 20 |
C | Clients infected with the human papillomavirus (HPV) |
D | Clients with a long history of oral contraceptive use |
Question 25 |
A 22-year-old female visiting the clinic describes her chief complaint as “frothy greenish vaginal discharge.” The nurse anticipates setting up for a wet mount procedure to diagnose which of the following?
A | Candidiasis |
B | Gardnerella vaginalis vaginitis |
C | Gonorrhea |
D | Trichomoniasis |
Question 26 |
A 27-year-old man arrives at the clinic with priapism. The nurse is aware that the client is at risk for which condition?
A | Disseminated intravascular coagulation (DIC) |
B | Hydronephrosis |
C | Penile gangrene |
D | Testicular atrophy |
Question 27 |
A 32-year-old client has an elevated temperature and decreased hematocrit when she returns for a follow-up visit after having a vaginal hysterectomy. The nurse is aware that the client may be experiencing which of the following?
A | Hematoma |
B | Hypovolemia |
C | Infection |
D | Thromboembolism |
Question 28 |
Which client is at greatest risk for dehydration?
A | A 48-year-old having intracavitary radiation for cancer of the cervix |
B | A 59-year-old 1 week after a radical vulvectomy |
C | A 67-year-old receiving adjuvant tamoxifen therapy for breast cancer |
D | A 72-year-old with a vesicovaginal fistula |
Question 29 |
Which assessment finding is abnormal in a 72-year-old male client?
A | Decreased sperm count |
B | Small, firm testes on palpation |
C | History of slowed sexual response |
D | Decreased plasma testosterone level |
Question 30 |
Which treatment is appropriate for a client with cervical polyps who has been treated with cryosurgery?
A | Daily douche |
B | Oral antibiotics |
C | Intravaginal antibiotic cream |
D | Use of tampons for 72 hours |
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