Medical Surgical Practice Test 2 Reproductive and Urinary 25 Questions

Last updated on October 8th, 2021 at 09:54 am

25 questions including SATA questions to test your knowledge of the Reproductive and Urinary Systems. These questions do include rationales to help you pass your nursing school and NCLEX examinations.

#1. When teaching a client about ovarian cancer, the nurse should include which information in the teaching plan? Select all that apply.

Details about the prognosis

Staging and grading of ovarian cancer

Need for routine colonoscopy beginning at age 30

Procedures for diagnosis if there is a pelvic mass

Symptoms occurring early in the disease process

Answer: Staging and grading of ovarian cancer Procedures for diagnosis if there is a pelvic mass Rationale: Client teaching emphasizes the importance of regular gynecologic examinations. If a pelvic mass is found, completely explain the procedures for diagnosis. Explain presurgical and postsurgical instructions, and explain the terminology particular to staging and grading of cancer, when appropriate. Refer all questions about the prognosis to the HCP. Routine colonoscopies are typically begun at age 50 unless family history warrants otherwise. Ovarian tumors are commonly occult until symptoms of advanced disease are present.

#2. A male client reports having impotence. The nurse should teach the client that which medication is a contributing factor to impotence?

Aspirin

Antihypertensives

NSAIDs

Anticoagulants

Answer: Antihypertensives

Rationale: Antihypertensives, especially beta-blockers such as propanolol, can cause impotence. When a male client has impotence, the nurse should always examine his medication regimen as a potential contributing factor. Aspirin, NSAIDs, and anticoagulants do not cause erectile dysfunction.

#3. A 30-year old client is being treated for epididymitis. What information should the nurse include in the teaching plan about the likely cause of epididymitis?

Virus

Parasite

Sexually transmitted infection

Protozoon

Answer: Sexually transmitted infection

Rationale: Among men younger than age 35, epididymitis is most frequently caused by a sexually transmitted infection. The nurse should always include safe sex teaching for a client with epididymitis. The client should also be advised against anogenital intercourse because this is a mode of transmission of gram-negative rods to the epididymis.

#4. The head nurse is observing a student nurse care for a patient with a urinary catheter. The nurse intervenes when:

The student nurse ensures that the drainage bag does not touch the floor.

The student nurse performs hand hygiene prior to and after handling the catheter, tubing, or drainage bag.

The student nurse instructs the relative on washing the perineal area.

The student nurse raises the urine bag to a level higher than the patient’s bladder.

Answer: The student nurse raises the urine bag to a level higher than the patient’s bladder.

Rationale: Raising the urine bag above the level of the bladder will cause contaminated urine in the urine bag to flow back to the bladder, increasing the risk of catheter-associated urinary tract infection.

#5. A 26-year-old female contracts urinary tract infection and gets admitted to the nursing unit. Upon assessment, the physician orders IV antibiotics and a urine culture. What does the bedside nurse do first?

Collect the urine sample after the first dose of the antibiotic.

Collect the urine sample then start the antibiotic.

Start the antibiotic and collect the urine sample anytime.

Question the doctor’s orders.

Answer: Collect the urine sample then start the antibiotic.

Rationale: Antibiotics taken before a urine culture may affect the results of the culture

Results