UNIT 4 QUIZ

Question 1

Men whose sexual partners have been diagnosed with Trichomonas vaginalis will likely exhibit:
Select one:
a. Numerous pustules on the penile shaft
b. No symptoms of infection
c. Copious amounts of frothy discharge from the penis
d. Redness and pain at the urethral meatus

Answer 1

b. No symptoms of infection

Question 2

A client visits the OB/GYN clinic complaining of low abdominal pain, purulent cervical discharge, and painful intercourse. The health care worker (HCW) diagnoses pelvic inflammatory disease. The HCW educates the client about that fact that this disease may be associated with:
Select one: 
a. Serous luteal ovarian cysts 
b. Ruptured tubal pregnancy 
c. Chronic endometriosis 
d. STI polymicrobial infection

Answer 2

d. STI polymicrobial infection

Question 3

What supplement would be safest for a diabetic female athlete wishing to improve athletic performance?
Select one: 
a. Bee pollen
b. Wild yam 
c. Damiana 
d. Spirulina

Answer 3

b. Wild yam

Question 4

The nurse is caring for a postmenopausal patient taking estradiol (Estrace) to reduce signs and symptoms of menopause. What other benefit will result from this medication?
Select one:
a. Reduced risk of endometriosis
b. Reduced risk of uterine cancer
c. Reduced risk of dysfunctional uterine bleeding
d. Reduced risk of osteoporosis

Answer 4

d. Reduced risk of osteoporosis

Question 5

29-year-old client had a Papanicolaou smear performed during her most recent visit to her primary care provider. This diagnostic procedure aims to identify:
Select one:
a. Human papillomavirus (HPV) antibodies
b. Cervical polyps
c. Atypical cervix cellular changes
d. Lesions at the transformation zone

Answer 5

c. Atypical cervix cellular changes

Question 6

Which of the following statements are accurate when it comes to changes in the male reproductive system as one ages? Select all that apply.
Select one or more:
a. Sexual energy levels decrease as one ages with decreasing testosterone levels.
b. The force of ejaculation increases with age.
c. The testes become smaller and lose their firmness.
d. The prostate gland enlarges with age.
e. Androgen hormone levels increase with age.

Answer 6

A,C,D

Question 7

A patient comes to the clinic for a 1-month follow-up appointment. The patient tells the nurse he or she has been taking chlorothiazide (Diruil) for a month and now has leg cramps and "feels tired all the time." What will the nurse consider as the cause of the patient's symptoms?
Select one: 
a. Hyperkalemia 
b. Hypercalcemia 
c. Hypokalemia
 d. Hypocalcemia

Answer 7

c. Hypokalemia

Question 8

The clinic nurse is providing care for a patient with a urinary tract infection (UTI). Which drug would the nurse expect to administer to this patient?
Select one: 
a. Solifenacin 
b. Alfuzosin 
c. Pentosan polysulfate sodium 
d. Norfloxacin

Answer 8

d. Norfloxacin

Question 9

Which of the following assessments is most likely to reveal a potential exacerbation in a 70-year-old client’s diagnosis of benign prostatic hyperplasia (BPH)?
Select one:
a. Blood test for white blood cells and differential
b. Urine testing for microalbuminuria
c. Digital rectal examination
d. Sperm morphology testing

Answer 9

c. Digital rectal examination

Question 10

When educating a group of teenagers about sexually transmitted infections (STIs), the school nurse also mentions that cervical cancer has been associated with which of the following viral infections?
Select one: 
a. Human papilloma 
b. Herpes simplex 
c. Varicella zoster 
d. Chlamydia trachomatis

Answer 10

a. Human papilloma

Question 11

A patient with benign prostatic hyperplasia has been self-treating with an herbal called saw palmetto. The nurse would know which drug is contraindicated in this patient?
Select one:

a. Terazosin (Hytrin)
b. Alfuzosin (Uroxatral)
c. Finasteride (Proscar)
d. Tamsulosin (Flomax)

Answer 11

c. Finasteride (Proscar)

Question 12

A 16-year-old boy is diagnosed with delayed onset of puberty and the physician has ordered testosterone, intramuscular (IM), once every 2 weeks. What nursing intervention would be important to the patient?
Select one:
a. Decrease exercise while on this hormonal treatment.
b. Discuss changes that will occur in his body. c. Have patient fast before injection.
d. Have patient reduce protein intake.

Answer 12

b. Discuss changes that will occur in his body.

Question 13

A 77-year-old man has been placed on alfuzosin (Uroxatral) for his benign prostatic hyperplasia (BPH). The nurse explains to the patient that because of the medication he is taking, it will be necessary to monitor for what? (Select all that apply.)
Select one or more: 
a. Fluid intake 
b. Intraocular pressure 
c. Blood pressure 
d. Bladder emptying 
e. Pulse pressure

Answer 13

b. Intraocular pressure
c. Blood pressure
d. Bladder emptying

Question 14

A female athlete is using high doses of anabolic steroids to enhance her performance. The nurse warns this patient that such use of anabolic steroids is likely to result in what?
Select one: 
a. Masculinization 
b. Obesity 
c. Immobility of joints 
d. Hypotension

Answer 14

a. Masculinizatio

Question 15

A patient with a seizure disorder taking phenytoin (Dilantin) requests a prescription for an oral contraceptive. What is the nurse’s priority response?
Select one:
a. “The effect of oral contraceptives containing progestin is reduced by phenytoin.”
b. “You will need to increase the dosage of your phenytoin once you start contraceptives.”
c. “The effect of oral contraceptives containing progestin and estrogen is reduced by phenytoin.”
d. “The effect of oral contraceptives containing estrogen is reduced by phenytoin.”

Answer 15

c. “The effect of oral contraceptives containing progestin and estrogen is reduced by phenytoin.”

Question 16

A client presents to the GYN clinic complaining of large amounts of frothy yellow-green discharge that smells very foul. Immediately, the health care provider is thinking this client most likely has:
Select one: 
a. Trichomoniasis 
b. Bacterial vaginosis 
c. Candidiasis 
d. Chlamydial infection

Answer 16

a. Trichomoniasis

Question 17

A client presents to the out-client clinic complaining of gray discharge that has a fishy odor. The health care provider sees "clue cells" on wet-mount microscopic exam. This would most likely lead to the diagnosis of:
Select one: 
a. Trichomonas vaginalis 
b. Chlamydial 
c. Bacterial vaginosis 
d. Syphilis

Answer 17

c. Bacterial vaginosis

Question 18

When evaluating a client with suspected benign prostatic hypertrophy (BPH), the health care worker should collect data related to which of the following signs/symptoms? Select all that apply.
Select one or more: 
a. Straining to empty the bladder 
b. Enlarged inguinal lymph nodes 
c. Frequency of erectile dysfunction 
d. Urinary frequency issues 
e. Weak urine stream

Answer 18

A, D, E

Question 19

While taking the history of a female client complaining of irregular, very painful bleeding occurring after menopause, the health care provider is alert to which of the following high-risk indicators of ovarian cancer?
Select one:
a. Oral contraceptive use for many years
b. Mammary duct ectasia
c. Never had any children
d. Lactation history

Answer 19

c. Never had any children

Question 20

A 91-year-old patient is being discharged on the diuretic spironolactone (Aldactone). What is the major adverse effect of this type of medication?
Select one: 
a. Hyperkalemia 
b. Hypertension 
c. Hypokalemia 
d. Gastric irritation

Answer 20

a. Hyperkalemia