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NR511 WEEK 7 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NR511 WEEK 7 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NR511 WEEK 7 QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
A patient's chief complaint is heaviness in the scrotum. The nurse practitioner notes swelling of the
testes, along with warm scrotal skin. Which of the following diagnoses is most probable?
Cryptorchidism
Orchitis
Testicular torsion
epididymitis - ANSWER Orchitis
John asks for a prescription for sildenafil (Viagra). He says that the only medication he takes is isosorbide
mononitrate (Monoket) oral tablets and that he has diabetes that he controls with diet alone. What
should the nurse practitioner tell him?
"Let's try a sample and see how you do."
"Viagra is contraindicated with isosorbide mononitrate; let's discuss other options."
"Because of your history of diabetes, we can't use it."
"I'd better refer you to a urologist." - ANSWER "Viagra is contraindicated with isosorbide mononitrate;
let's discuss other options."
Regular testicular self-exams have not been studied enough to show if they lower the risk of dying from
testicular cancer. This is why the American Cancer Society and other agencies do not have a
recommendation about regular testicular self-exams for all men. Still, some practitioners do recommend
that all men examine their testicles monthly after reaching puberty. If you are teaching a patient how to
do a testicular self-examination, which of the following do you tell him?
"Examine your testicles when you are cold because this makes them more sensitive."
"Make sure your hands are dry to create friction."
"If you feel firmness above and behind the testicle, make an appointment."
"Make an appointment if you note any hard lumps directly on the testicle, regardless of whether they
are tender." - ANSWER "Make an appointment if you note any hard lumps directly on the testicle,
regardless of whether they are tender."
, Max, age 70, is obese. He is complaining of a bulge in his groin that has been there for months. He states
that it is not painful, but it is annoying. The practitioner notes that the origin of the swelling is above the
inguinal ligament and directly behind and through the external ring. This finding is most indicative of
a(n):
Indirect inguinal hernia.
Direct inguinal hernia.
Femoral hernia.
Strangulated hernia. - ANSWER Direct inguinal hernia
Reiter syndrome is a complication of:
Bacterial vaginosis.
Syphilis.
Chlamydia.
Gonorrhea. - ANSWER Chlamydia
Josh and Martha have 5 children and do not want any more. Josh said he heard about a no-scalpel
vasectomy (NSV) and asks the nurse practitioner how it works. What would be the best response?
"For the vasectomy to be permanent, you must have the vas deferens excised."
"It's safer for Martha to be sterilized."
"A loop of vas deferens is delivered through the scrotal skin and occluded."
"The testes are twisted, which occludes the vas deferens." - ANSWER "A loop of vas deferens is delivered
through the scrotal skin and occluded."
Roger, a healthy 68-year-old man, comes in to see you with a complaint of sudden episodes of an urgent
need to void. He has had several episodes of moderate amounts of unintentional urine loss during these
times. Other than these episodes, he is voiding in amounts "normal" for him, with no leakage when he
coughs or sneezes. The practitioner's initial diagnosis is which type of incontinence?
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