ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 52 : Introduction to the Female and Male Reproductive Systems Questions
Question 1 of 5
The client states to the nurse that he is very anxious about having prostate cancer ever since his prostate-specific antigen (PSA) test came back elevated. The client asks, 'Which diagnostic test produces definitive results if cancer is present?' The nurse is most correct to state which of the following?
Correct Answer: B
Rationale: Obtaining an actual piece of the tissue and analyzing it for cancer is a definitive test when cancer is found. A transrectal ultrasonography is a test to view the prostate gland from different angles. This test provides additional data on the status of the prostate gland. The tumor marker studies include the prostate-specific antigen (PS
A) level. This antigen indicates a potential problem but is not definitive. PSA elevations have been noted for reasons other than cancer. A digital rectal exam provides data on the shape, size, and texture of the prostate gland.
Question 2 of 5
The nurse is instructing a couple in the early stages of infertility testing who has just found that the male has a slightly low sperm count. Which easy change can a nurse suggest to a male client?
Correct Answer: B
Rationale: Wearing loose fitting underwear allows the scrotum to pull the testes closer to the body to maintain proper temperature for sperm production or allow the testes to be farther from the body. Because the testes cannot produce viable sperm when temperatures are at or above body temperature, their location within the scrotal sac ensures optimal conditions. There is no evidence that the client cannot ride motorcycles. Taking a general multivitamin is encouraged for overall health. Daily sexual intercourse is not encouraged because it is most important to have sufficient sperm present during a female's ovulation period.
Question 3 of 5
The client is asking the nurse to explain the typical treatment expected when a class 4 Papanicolaou test is reported. The nurse is most correct to state which of the following?
Correct Answer: C
Rationale: A class 4 Papanicolaou test (Pap test) is strongly suggestive of malignancy. Further testing is needed to confirm the type and extent of cancer. The nurse would not suggest that no treatment is needed or to wait for 3 months. The nurse would also not suggest a typical treatment without further diagnostic testing.
Question 4 of 5
The nurse is preparing the female client for a pelvic examination. Into which position will the nurse assist the client?
Correct Answer: A
Rationale: For a pelvic examination, the nurse is most correct to assist the client to the lithotomy position. In this position, the client lies on the back with the legs bent and spread. Many times, the feet are in lithotomy stirrups. The supine position is flat on the back. The Trendelenburg position provides the feet higher than the head at a 15?° to 30?° angle. The lateral recumbent position is a side-lying position.
Question 5 of 5
The nurse is preparing a client for a pelvic examination. Which nursing question is essential for the nurse to ask?
Correct Answer: D
Rationale: Prior to a pelvic examination, the nurse offers the client the use of the restroom to void. It is most important for the client to empty the bladder so that the physician can feel pelvic structures more clearly and for the comfort of the client. Asking client history questions is completed at the beginning of the appointment. It is important to offer assistance to those who may need help in assuming the lithotomy position.