Nokea
A ___ is performed to evaluate living tissue to establish or confirm a diagnosis or to follow the course of a disease.
Correct Answer: biopsy
Rationale: Biopsies are procedures in which samples of tissue are taken for evaluation to confirm or locate a lesion.
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A patient, age 26, has had a tubal insufflation (Rubin test) to ascertain whether her fallopian tubes are patent. She complains of pain in her right shoulder. Which response is most appropriate?
- A. Don't worry, that is a normal reaction.'
- B. I'll report the findings immediately to the head nurse.'
- C. That is a symptom that resulted from your position on the operating table.'
- D. That is from the carbon dioxide passing from the fallopian tubes into your abdomen.'
Correct Answer: D
Rationale: The Rubin insufflation test determines tubal patency. Carbon dioxide escapes into the abdominal cavity through the patent left fallopian tube.
Which patient is most at risk for the infection of epididymitis?
- A. 17-year-old athlete who trains for several hours a day
- B. 22-year-old who has been exposed to mumps
- C. 45-year-old who was circumcised at the age of 10
- D. 50-year-old who has smoked for 30 years
Correct Answer: A
Rationale: Symptoms can occur after trauma to the genital area, after instrumentation of the urethra and cystoscopy, and after physical exertion or prolonged sexual activity.
A 20-year-old patient presents in the emergency room with a temperature of 103°F, blood pressure of 92/58, headache, and desquamation of both palms. Which question will the nurse make sure to ask about during the interview?
- A. Any recent traveling outside the country
- B. Immunization against influenza
- C. Method of birth control
- D. Use of tampons
Correct Answer: D
Rationale: These are signs of toxic shock frequently brought on by leaving a tampon in place too long. The nurse should inquire about tampon use, headache, muscle pain, and fatigue.
At which stage of life should a male be taught testicular self-examination (TSE)?
- A. childhood
- B. pre-adolescent
- C. puberty
- D. middle age adult
Correct Answer: C
Rationale: Young men should be taught to perform TSE monthly beginning at puberty.
Which condition would prevent the use of a vaginal hysterectomy?
- A. A woman with more than four pregnancies
- B. Large uterine fibroids
- C. Menorrhagia for over 6 months
- D. Women over the age of 50
Correct Answer: B
Rationale: In the case of large uterine fibroids, a vaginal hysterectomy is not an option.