Download NU665C/ NU 665C FINAL EXAM: (NEW 2025/ 2026 UPDATE)| QS & AS| GRADE A and more Exams Nursing in PDF only on Docsity!
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NU665C/ NU 665C FINAL EXAM: (NEW 2025 /
2026 UPDATE)| QS & AS| GRADE A| 100%
CORRECT (VERIFIED ANSWERS)
The nurse is part of a planning committee developing a disaster response plan for a hospital that serves as the major trauma center for the local area. The committee has identified that the most likely cause of a disaster in the community is a devastating tornado that significantly damages most major structures, including hospitals of all sizes, in the community. What component of the plan is least likely to be realistic? - ANS ✓Transfer all noncritical patients to smaller hospitals in the community. The nurse is preparing to assist with triage of victims from a large mass casualty incident. The patients are sorted into categories at the door of the facility. What category will receive care last? - ANS ✓Expectant The nurse is assisting with triage in the emergency department. A large group of patients from a mass casualty incident arrive. These patients have been classified at the scene as minimal, delayed, immediate, and expectant. What is the best nursing approach? - ANS ✓Reassess and reclassify patients quickly to determine the order of treatment. The nurse is caring for a patient who was exposed to a high dose of external radiation. What is the least likely nursing action? - ANS ✓Assist in removing penetrating radioactive materials. The nurse is caring for a patient who has been exposed to radiation. The patient has been increasingly unstable, with decreasing lymphocytes, leukocytes, thrombocytes, and erythrocytes, along with shock, diarrhea, and altered level of consciousness for some weeks. Today, there is clear evidence of worsening shock, subnormal body temperature, and increased
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intracranial pressure. The family asks what the patients prognosis is. The best nursing response is based on what rationale? - ANS ✓Increased intracranial pressure following other symptoms is a sign of impending death. The nurse is caring for a patient with a suspected cyanide exposure. The patient is anxious and hyperventilating. What is the nursing priority of care? - ANS ✓Give cyanide antidote. The nurse is assisting with the initial care and assessment of a group of patients with a massive topical toxic chemical exposure. What is the best way to decontaminate these patients? - ANS ✓Soap-and-water shower first for most chemicals A worker in a tanning factory comes to the emergency department with itchy, popular lesions on his hands and arms. Some of the lesions have black eschar in the center and some are vesicular. What biological exposure is most likely? - ANS ✓Cutaneous anthrax A patient and his family have been exposed to probable anthrax spores through contaminated postal contents within the past 8 hours. Upon arrival at the emergency department, all members of the family are anxious and say they are afraid of dying. The best nursing response is based on what rationale? - ANS ✓Antibiotic therapy is very effective for cutaneous anthrax. A male client asks the nurse about the purpose of the prostate gland. The nurse should respond that it is a structure that: - ANS ✓provides a milky alkaline substance that neutralizes the acidity of the male urethra and the female vagina. A 50-year-old male client has had a prostate-specific antigen test. The nurse realizes that the normal range for this test would be: - ANS ✓3.0 to 4 ng/mL. A male client, having difficulty voiding, tells the nurse that he thinks something is wrong with his penis. The nurse reviews the structures of the penis with the client and explains that the structure that surrounds the urethra is the: - ANS ✓corpus spongiosum.
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A female client has an infection of the paraurethral glands. When asked by the client what these glands do, the nurse should respond: - ANS ✓These glands function like the prostate gland in the male. These glands secrete mucus. These glands are located inside the urethra. The nurse is instructing a postmenopausal client in the importance of having serum lipid levels analyzed because after menopause, which of the following changes can occur? - ANS ✓Total cholesterol increases, low-density lipoprotein increases, triglycerides increase, high-density lipoprotein decreases The nurse is reviewing the physiological sexual response pattern within males and females and realizes that which of the following occur in both genders? - ANS ✓Resolution, orgasm, plateau, excitement A female client is concerned that she has not had sexual intercourse with her husband for over 2 months. Which of the following can the nurse respond as causes for an alteration in sexual functioning? - ANS ✓Chronic illnesses, physical disabilities, negative body image, medications, surgical procedures The nurse is concerned that a female client might be experiencing intimate partner violence. Which of the following assessment questions can be used to gain more information from the client? - ANS ✓In the last year have you been hit, slapped, or physically hurt by someone? Within the last year has someone made you do something sexual that you did not want to do? Are you afraid of your partner or anyone else? A client who has just given birth is planning on breastfeeding the baby. The nurse realizes that which of the following hormones influences breast milk secretion? - ANS ✓Prolactin The nurse is instructing a female client about breast self-examination. Which of the following instructions would not be correct for the nurse to provide? - ANS ✓An inverted nipple is not a cause for alarm. A client who has been breastfeeding a newborn for the last 3 months is experiencing an inflammation of the breast. The nurse realizes this client is experiencing: - ANS ✓mastitis.
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During the examination of a female clients breasts, the nurse determines that which of the following assessment findings would be normal? - ANS ✓Symmetrical nipples The nurse is instructing a female client on the importance of having routine mammograms because mammograms: - ANS ✓can detect masses before they become palpable. The nurse is instructing a female client on what should be done if a lump is discovered while performing breast self-examination (BSE). What should the nurse instruct the client to do? - ANS ✓Call her physician and immediately schedule an appointment. The nurse determines that a female client has a lower risk for developing breast cancer when which of the following is assessed? - ANS ✓Breastfeeding The nurse should instruct the client that when performing a breast self- examination, pay particular attention to which of the following areas since the greatest number of malignancies are found in this breast area? - ANS ✓Upper outer quadrant of the breast to the axilla The nurse should instruct a client, diagnosed with mastalgia, to do which of the following? - ANS ✓Decrease the intake of caffeine. A female client tells the nurse that she is planning on having plastic surgery to correct a minor facial defect and then have her breasts done. The nurse would identify which of the following nursing diagnoses as being appropriate for this client? - ANS ✓Body dysmorphic disorder The nurse is determining if a female client is at risk for benign breast disease. Which of the following is a risk factor for this disorder? - ANS ✓Caffeine use A client is scheduled for a prophylactic mastectomy. The nurse should remind the client that skin flaps will be left after the surgery for: - ANS ✓reconstruction.
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nongonococcal urethritis. What sexually transmitted disease has she most probably been exposed to? - ANS ✓Chlamydia A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding? - ANS ✓Bacterial Vaginosis Which of the following medications is the treatment of choice for trichomonas? - ANS ✓Metronidazole A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician would be most appropriate? - ANS ✓"We will order a mammogram and ultrasound to help establish a diagnosis." A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority? - ANS ✓Pregnancy test A 42-year-old woman presents to the clinic with complaints of painful intercourse for the last month. Which of the following should be explored as the likely cause of her dyspareunia? - ANS ✓Menopause A 36-year-old woman is seen with complaints of vaginal itching, burning, and discharge. On potassium hydroxide (KOH) wet mount of vaginal discharge, the clinician notices hyphae. Which of the following treatments would be appropriate? - ANS ✓Fluconazole A 21 - year-old woman is seen in the clinic requesting birth control pills. Which of the following tests is essential before prescribing any oral contraceptive? - ANS ✓Pregnancy test A 40-year-old woman is seen for her yearly examination. She is single and not in a monogamous relationship. Her social history includes smoking cigarettes "occasionally" and drinking about two beers a day. Her body mass index (BMI) is 25. She is requesting birth control. Which of the following methods would be best for this patient? - ANS ✓Condom
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A 44-year-old patient with breast cancer is prescribed tamoxifen by her surgeon. She is complaining about hot flashes. Which of the following responses by the clinician would be most appropriate? - ANS ✓"The hot flashes are a result of the antiestrogenic effects of tamoxifen." A 32-year-old woman is seen in the clinic because she has been unable to get pregnant after 12 months of unprotected sex. In order to determine the cause of the infertility, the clinician should question her about which of these possible causes? - ANS ✓Pelvic inflammatory disease When assessing a woman for infertility, which of the following tests should be done first? - ANS ✓Analysis of partner's sperm A 15-year-old girl is seen in the clinic because she has not yet had her first period. Which of the following questions would help the clinician determine the cause? - ANS ✓"How long have you been underweight?" What is the most common cause of secondary amenorrhea? - ANS ✓Pregnancy A 22-year-old woman is diagnosed with premenstrual syndrome. Which of the following lifestyle changes should the clinician suggest to help minimize the patient's symptoms? - ANS ✓Regular exercise A 25-year-old woman is seen in the clinic complaining of painful menstruation. Which of the following pelvic pathologies is the most common cause of dysmenorrhea? - ANS ✓Endometriosis A 26-year-old woman tells the clinician that she has endometriosis, because she has frequent pelvic pain. The clinician also should consider which of these differential diagnoses? - ANS ✓Ovarian cysts Which of the following would be appropriate treatment for a woman with mild endometriosis? - ANS ✓Oral contraceptives A 45-year-old woman is seen in the clinic with abnormal uterine bleeding and pain during intercourse. The clinician should consider which of the following diagnoses? - ANS ✓Leiomyoma, pregnancy, ovarian cancer
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A 76-year-old man is seen in the office for complaints of urinary incontinence. The clinician should explore which of these causes of incontinence in men? - ANS ✓Urinary tract infection (UTI) A 14-year-old male is seen with complaints of severe testicular pain. The clinician suspects testicular torsion. Which of the following is the appropriate action? - ANS ✓Refer to a urologist immediately. An 82-year-old man is seen in the primary care office with complaints of dribbling urine and difficulty starting his stream. Which of the following should be included in the list of differential diagnoses? - ANS ✓Benign prostatic hyperplasia (BPH), Parkinson's disease, Prostate cancer Which of the following would be an appropriate treatment for a patient with mild BPH? - ANS ✓Re-evaluate symptoms in 1 to 3 months. A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following laboratory tests would help establish a diagnosis? - ANS ✓Testosterone level Which of the following should be considered in a patient presenting with erectile dysfunction? - ANS ✓Diabetes mellitus, hypertension, atherosclerosis A 35-year-old man presents with complaints of painful erections, and he notices his penis is crooked when erect. What is the most likely diagnosis? - ANS ✓Peyronie's disease The patient with BPH is seen for follow-up. He has been taking finasteride (Proscar) for 6 months. The clinician should assess this patient for which of these side effects? - ANS ✓Erectile dysfunction The clinician should prescribe an antibiotic that covers which of these organisms for a patient with acute prostatitis? - ANS ✓Gram-negative bacillus The 56-year-old man with chronic prostatitis should be treated with trimethoprim 80 mg- sulfamethoxazole 400 mg (TMP-SMX, Bactrim) for how long? - ANS ✓6 to 12 weeks
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A 46-year-old man presents with urinary hesitancy and low back pain. He has no history of UTI. Digital rectal examination (DRE) reveals a normal prostate, and a diagnosis of prostatodynia is made. Which is the appropriate treatment? - ANS ✓Terazosin 2 mg PO once a day A 23-year-old sexually active man is seen in the clinic with unilateral painful testicular swelling, and he is diagnosed with epididymitis. In order to prescribe the correct drug, the clinician must understand that which of these is the most common causative organism? - ANS ✓Chlamydia trachomatis Which test is used to confirm a diagnosis of epididymitis? - ANS ✓Ultrasound of the scrotum Treatment for epididymitis includes which of the following? - ANS ✓Scrotal elevation Which of the following data is indicative of testicular torsion? - ANS ✓Absent cremasteric reflex 60 - year-old man presents with an enlarged scrotum. The clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find? - ANS ✓The scrotum will appear light pink or yellow. During a DRE on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious? - ANS ✓An enlarged rubbery gland A 78-year-old man is diagnosed with C2 prostate cancer, and he asks the clinician what that means. In order to answer the patient, the clinician must have which of these understandings of the Jewett rating system? - ANS ✓The cancer involves the seminal vesicles. A 58-year-old patient has been receiving leuprolide as treatment for prostate cancer. The clinician should instruct the patient about which of these side effects? - ANS ✓Risk of osteoporosis. May have hot flushes. May have impotence
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urinary collection bag. How should the nurse respond? - ANS ✓Blood clots are common during this time frame and will start to decrease in a day. A client is being screened for prostate cancer. What tests would be completed at this time? - ANS ✓Prostate-specific antigen (PSA) and digital rectal examination The nurse is instructing a client about testicular self-examination (TSE). Which of the following would not be included in these instructions? - ANS ✓TSE should be performed monthly by every male older than age 40. A male client is diagnosed with orchitis. The nurse should assess the client for which of the following? - ANS ✓Recent infection with mumps A client is diagnosed with a spermatocele. The nurse should instruct the client on which of the following? - ANS ✓The potential need for surgery to correct the disorder A client is diagnosed with a varicocele. The nurse realizes that this client is likely to develop: - ANS ✓infertility. A newborn male child is diagnosed with cryptorchidism. The nurse should prepare to administer which of the following to this client? - ANS ✓Human chorionic gonadotropin medication A client is experiencing priapism. Which of the following should the nurse do first to help the client? - ANS ✓Apply ice packs to the perineum. A client is diagnosed with testicular torsion. Which of the following might be indicated for this client? - ANS ✓Manually untwist the testicle, orchiopexy, testicle removal, pain management, application of ice and a scrotal support A client is diagnosed with epididymitis. The nurse should instruct the client on which of the following as treatment for the disorder? - ANS ✓Broad spectrum antibiotics, NSAIDs, bed rest, elevate the scrotum, apply cold packs Which of the following should the nurse instruct a client who is recovering from a vasectomy? - ANS ✓Use ice packs to control postoperative bleeding.
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Wear cotton jockey type briefs for scrotal support. Use warm sitz baths to aid in comfort. Recognize the signs and symptoms of postoperative infection. The nurse is assessing a client diagnosed with balanitis and posthitis. Which of the following will the nurse most likely assess in this client? - ANS ✓Penile discharge, pain, erythema, edema The nurse is assessing a client who is experiencing erectile dysfunction. For which of the following should the nurse assess the client? - ANS ✓Diagnosis of diabetes mellitus, thyroid disease, chronic renal failure, multiple sclerosis, Parkinson's disease During data collection the nurse notes the presence of a chancre on a male patients penis. For which sexually transmitted infection should the nurse focus additional data collection? - ANS ✓Syphilis A patient is diagnosed with a parasitic infection caused by close contact with another persons genitals. For which infection should the nurse plan care? - ANS ✓Phthirus ubis It is documented in the medical record that a patient has gummas. For which sexually transmitted infection should the nurse plan care? - ANS ✓Syphilis The nurse is assisting with teaching a 22-year-old female patient who is diagnosed with a sexually transmitted infection (STI). She says, I dont understand. My boyfriend always wears a condom. Which understanding by the nurse should guide teaching in this situation? - ANS ✓Condoms can decrease the risk of STIs, but they are not foolproof. The nurse is providing care for a patient with genital herpes who has vesicular lesions. What term should the nurse use to describe these lesions to the patient? - ANS ✓Blisters Human papillomavirus (HPV) produces verrucous growths. What term should the nurse use to describe these lesions to the patient? - ANS ✓Warts
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The nurse is identifying ways for a young adult to reduce the risk of contracting a sexually transmitted infection (STI). What should the nurse teach about the relationship between consumption of alcohol and immediate risk of contracting an STI? - ANS ✓Alcohol may reduce inhibitions The nurse reviews the ways to prevent condom breakage with a patient. Which patient statement indicates that more teaching is necessary? - ANS ✓Before I use a condom, I should inflate it and check it for holes and leaks. The nurse is assisting with the admission of a known intravenous drug abuser to a medical unit. In addition to drug abuse, which disorder in the patients history is most consistent with a diagnosis of hepatitis? - ANS ✓Jaundice The nurse is teaching a patient the importance of completing treatment for gonorrhea. On which information is the nurse basing this teaching? - ANS ✓Men and women may be asymptomatic and still transmit the infection. The nurse is assisting in the preparation of a teaching seminar for adolescents to prevent the development of a sexually transmitted infection (STI). Which nonsexual activity should the nurse teach that may transmit a sexually transmitted infection (STI)? - ANS ✓Sharing intravenous drug equipment A patient asks for the best way to prevent contracting a sexually transmitted infection (STI). What response should the nurse make to this patients question? - ANS ✓Abstinence A patient diagnosed with genital warts asks how they developed. Which pathogen should the nurse explain as causing genital warts? - ANS ✓Human papillomavirus The nurse is caring for a 76-year-old retired man who is undergoing evaluation for dementia. What would be an important part of the mans history to report to the physician? - ANS ✓The patient has a history of syphilis
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A patient is undergoing treatment that involves the burning of lesions with heat or chemical agents. The nurse recognizes that this patient most likely has which condition? - ANS ✓Genital warts The nurse is providing care for a newborn. Which intervention should the nurse make to prevent development of ophthalmia neonatorum? - ANS ✓Antibiotic eyedrops The nurse is preparing a poster presentation identifying the frequency of sexually transmitted infections (STIs) in the United States. Which STI should the nurse highlight as being the most commonly diagnosed? - ANS ✓Trichomoniasis The nurse is preparing a poster presentation identifying the frequency of sexually transmitted infections (STIs) in the United States. Which STI should the nurse highlight as being the most commonly diagnosed? - ANS ✓Chlamydia While assisting a health care provider (HCP) conduct a pelvic examination, the patient complains of severe pain during the bimanual examination. For which health problem should the nurse suspect this patient is going to need care? - ANS ✓Pelvic inflammatory disease While assisting with care, the nurse counsels the patient diagnosed with a sexually transmitted infection (STI) about notification of sexual partners. Which patient statement indicates the need for further teaching? - ANS ✓Reporting regulations are the same throughout the country. The nurse is assisting with teaching a patient who has been exposed to hepatitis B. Which symptoms should the nurse explain may occur before jaundice appears? - ANS ✓Rash, nausea, muscle or joint pain The nurse is reviewing prescribed laboratory tests for a patient demonstrating manifestations of syphilis. What diagnostic tests should the nurse expect to be prescribed for this patient? - ANS ✓RPR, VDRL, ELISA, culture
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nonarticular in origin. Which of the following is an example of an articular structure? - ANS ✓Synovium You have detected the presence of crepitus on examination of a patient with a musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with both active and passive movement. These findings suggest that the origin of the musculoskeletal complaint is: - ANS ✓Articular Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain? - ANS ✓Morning stiffness Which of the following statements concerning the musculoskeletal examination is true? - ANS ✓The uninvolved side should be examined initially and then compared to the involved side. You are performing muscle strength testing on a patient presenting with musculoskeletal pain and find that the patient has complete ROM with gravity eliminated. Which numeric grade of muscle strength would you give this patient? - ANS ✓ 2 Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited movement in her right shoulder. She denies any history of trauma. Her examination reveals a 75% reduction in both active and passive ROM of the right shoulder. Mrs. Gray also is experiencing tenderness with motion and pain at the deltoid insertion. Her medical history is significant for type 1 diabetes mellitus and hypertension. Her social history reveals that she is a secretary and that she is right- handed. Based on her examination and medical history, you suspect adhesive capsulitis, or "frozen shoulder." Which clue in Mrs. Gray's history supports this diagnosis? - ANS ✓Her history of diabetes mellitus Jennifer is an 18-year-old who comes to the emergency room after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing severe pain and limited ROM in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation? - ANS ✓There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses.
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Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal tunnel syndrome. She has two young children and asks the clinician what the chances are that they also will develop carpal tunnel syndrome. Which of the following responses would be correct regarding the risk of developing carpal tunnel syndrome? - ANS ✓Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to account for about one-half the risk of developing carpal tunnel. Which of the following statements is true regarding the treatment of carpal tunnel syndrome? - ANS ✓The goal of treatment is to prevent flexion and extension movements of the wrist. Splints are used in carpal tunnel syndrome, because they allow for free movement of the fingers and thumb while maintaining the wrist in a neutral position. Corticosteroid injections are discouraged in the treatment of carpal tunnel syndrome because of the risks for median nerve damage, scarring, and infection. Sam is a 25-year-old who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc? - ANS ✓Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain. The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to manage his symptoms of pain and discomfort. Which of the following statements would be most appropriate when teaching Sam about the use of NSAIDs? - ANS ✓"You should start with the lowest dose that is effective in managing your pain, because long-term use of NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and hemorrhage." Janet is a 30-year-old who has recently been diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equina compression. Which of the following is a sign or symptom of cauda equina compression? - ANS ✓Paresthesia of the perineum and buttocks
