NURSING > EXAM > NR 511 Davis Questions Week 7 (All)

NR 511 Davis Questions Week 7

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NR 511 Davis Questions Week 7 Question 1. A torsi-year-old man presents to your office with hematuria, hesitancy, and dribbling. Digital rectal examination (DRE) reveals a smooth, moderately enlarged prostate. The client’s prostate-specific antigen (PSA) is 1.2. What is the most appropriate management strategy at this time? 1. Prescribing an alpha-adrenergic blocker. 2. Recommending saw palmetto extract. 3. Prescribing an antibiotic. 4. Referring the client to urology. Question 2. 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? 1. Examine your testicles when you are cold because this makes them more sensitive.” 2. Make sure your hands are dry to create friction.” 3. If you feel firmness above and behind the testicle, make an appointment.” 4. Make an appointment if you note any hard lumps directly on the testicle, regardless of whether they are tender.” Question 3. A male patient presents to the clinic for evaluation of infertility. Subjectively, the patient complains of pain and fullness of the testes and states, “My testicles feel like a bag of worms.” On physical examination, the nurse practitioner notes tortuous veins posterior to and above the testes that extend up into the external inguinal ring. Based on the preceding assessment, the nurse practitioner refers the patient to surgery for a diagnosis of: 1. Hydrocele. 2. Orchitis. 3. Urethritis. 4. Varicocele. Question 6. Milton, a 72-year-old unmarried, sexually active white man, presents to your clinic with complaints of hesitancy, urgency, and occasional uncontrolled dribbling. Although the nurse practitioner suspects benign prostatic hyperplasia, what else should the differential diagnosis include? 1. Antihistamine use. 2. Urethral stricture. 3. Detrusor hyperreflexia. 4. Renal calculi. Question 8. Jeb, a 72-year-old male, is seen at your practice for follow-up of several episodes of orthostatic hypotension. After obtaining a review of systems and a digital rectal examination, it also appears that he has benign prostatic hyperplasia (BPH) with lower urinary tract symptoms. The nurse practitioner reviews his recent ultrasound evaluation, which reports a prostate volume of over 40 mL, and the results of the American Urological Association (AUA) symptom index for BPH, which shows his score to be 12. Based on the preceding information and the patient’s desire for noninvasive medical therapy, what management should he be offered? 1. Prazosin (Minipress). 2. Doxazosin (Cardura). 3. Finasteride (Proscar). 4. Phenoxybenzamine (Dibenzyline). Question 10. Jake, age 62, has a low International Prostate Symptom Score for lower urinary tract symptoms associated with his benign prostatic hyperplasia (BPH). The nurse practitioner should recommend: 1. No treatment at this time. 2. Immediate referral to urology. 3. Balloon dilation. 4. Starting an alpha blocker. Question 11. Drew has erectile dysfunction and says that a friend told him about a method that uses a constricting ring around the base of the penis. What is he referring to? 1. Intracavernous injection therapy. 2. An external vacuum device. 3. Urethral suppositories. 4. Surgery.

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