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Exam (elaborations)

Nurs 421 Exam 4 Study Guide with Questions and Answers

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  • Course
  • NUR 421
  • Institution
  • NUR 421

You are caring for an 84 year old male who complains of having a frequent urge to urinate, but is unable to empty his bladder. You suspect the patient has which of the following conditions? A. prostate cancer B. under secretion of dihydrotesterone by the prostate C. testicular torsion D. benign pr...

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  • September 28, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Unknown
  • NUR 421
  • NUR 421
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twishfrancis
Nurs 421 Exam 4 Study Guide with
Questions and Answers
You are caring for an 84 year old male who complains of having a frequent urge to
urinate, but is unable to empty his bladder. You suspect the patient has which of the
following conditions?

A. prostate cancer
B. under secretion of dihydrotesterone by the prostate
C. testicular torsion
D. benign prostatic hyperplasia ✅D. benign prostatic hyperplasia

Which of the following is true of Human Papillomavirus (HPV)?

A. HPV is very rare.
B. HPV is usually seen only in adults with multiple sex partners
C. Most sexually active men and women will acquire genital HPV
D. HPV is not related to cancers ✅C. Most sexually active men and women will acquire
genital HPV

Which of the following are risk factors for ovarian cancer? (Choose all that apply)

A. First generation relative with ovarian cancer
B. Age under 30 at first birth
C. Being overweight or obese
D. Physical activity ✅A, C

The etiology of polycystic ovarian syndrome is best characterized by ___ and ____.

A. Hyperandrogenism and insulin resistance
B. Hyperinsulinemia and polycystic kidneys
C. Obesity and history of sexually transmitted infections
D. type 1 diabetes and hyperandrogenism ✅A. Hyperandrogenism and insulin
resistance

Which of the following signs and symtoms would the nurse expect to see in their patient
with polycystic ovarian syndrome? (Choose all that apply)

A. Menstrual disturbances
B. Hirsutism (facial hair)
C. No symptoms
D. Underweight
E. Amenorrhea
F. infertility ✅A, B, C, E, F

, You are caring for a patient with heavy menstrual cycles and uterine fibroids
(leiomyomas). You understand all the following to be true of uterine leiomyomas,
EXCEPT

A. Uterine fibroids often become cancerous if not treated.
B. Uterine fibroids usually appear and grow during reproductive years.
C. Uterine fibroids degenerate without adequate blood flow
D. Uterine fibroid growth usually decreases after menopause ✅A. Uterine fibroids often
become cancerous if not treated.

Human papilloma virus is a necessary for cervical cancer. True or false? ✅True

Which of the following are risks for breast cancer? (Choose all that apply)

A. No history of breast feeding
B. Late menarche
C. Low postmenopausal estrogen levels
D. Genetic mutations (BRCA1 and/or BRCA2)
E. Being tall and overweight
F. Being short and underweight ✅A, D, E

The ED nurse is caring for a male highschool athlete who has testicular torsion. They
understand that this is a surgical emergency because

A. Testicular torsion interrupts blood flow to the scrotum
B. Testicular torsion causes violent pain on the affected side of the scrotum
C. Testicular torsion may lead to infertility
D. Testicular torsion pain may indicate the presence of testicular tumors ✅A. Testicular
torsion interrupts blood flow to the scrotum

Endometriosis is best described as

A. estrogen independent growth of endometrial tissue outside the endometrium
B. retrograde flow of endometrial tissue that implants on ectopic tissues throughout the
body
C. retrograde flow of endometrial tissue that implants on ectopic tissues within the
reproductive organs only
D. progesterone dependent growth of endometrial tissue outside the endometrium ✅B.
retrograde flow of endometrial tissue that implants on ectopic tissues throughout the
body

The nurse is assessing a client with rheumatoid arthritis. After interacting with the client,
the nurse concludes the client may have decreased pain tolerance. Which statement
made by the client supports the nurse's assessment?

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