Nokea
Which breast palpation technique is most correct?
- A. Examine the breast while using the heel of the hand.
- B. Examine the breast while using the index finger only.
- C. Examine the breast while using the index finger and thumb.
- D. Examine the breast while using the pads of the fingertips.
Correct Answer: D
Rationale: Using the pads of the fingertips allows for better sensitivity to detect lumps or changes in breast tissue during palpation, making it the most effective technique for BSE.
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The client is eight (8) hours post-transurethral prostatectomy for cancer of the prostate. Which nursing intervention is priority at this time?
- A. Control postoperative pain.
- B. Assess abdominal dressing.
- C. Encourage early ambulation to prevent DVT.
- D. Monitor fluid and electrolyte balance.
Correct Answer: D
Rationale: Fluid and electrolyte balance is critical post-TURP due to irrigation and bleeding risks (e.g., hyponatremia). Pain, dressings, and ambulation are important but secondary.
The 80-year-old male client has been diagnosed with cancer of the prostate. Which treatment should the nurse discuss with the client?
- A. Radiation therapy every day for four (4) weeks.
- B. Radical prostatectomy with lymph node dissection.
- C. Diethylstilbestrol (DES), an estrogen, daily.
- D. Penile implants to maintain sexual functioning.
Correct Answer: A
Rationale: Radiation therapy is often preferred for elderly patients with prostate cancer, balancing efficacy and lower surgical risk. Prostatectomy is invasive, DES is rarely used, and penile implants are unrelated.
The client is diagnosed with benign uterine fibroid tumors. Which question should the nurse ask to determine if the client is experiencing a complication?
- A. How many periods have you missed?'
- B. Do you get short of breath easily?'
- C. How many times have you been pregnant?'
- D. Where is the location of the pain you are having?'
Correct Answer: D
Rationale: Pain location helps identify complications like fibroid degeneration or pressure on organs. Missed periods are common, shortness of breath is unrelated, and pregnancy history is less relevant.
Which staff nurse is best suited to care for a client with a radioactive implant?
- A. A male nurse with oncology nursing experience
- B. A female nurse who has had a hysterectomy
- C. A male nurse whose mother died of cancer
Correct Answer: A
Rationale: Oncology experience equips the nurse to safely manage a client with a radioactive implant, regardless of gender or personal history.
The client has failed to conceive after many attempts over a three (3)-year time period and asks the nurse, 'I have tried everything. What should I do now?' Which statement is the nurse’s best response?
- A. By “everything” do you mean you have consulted an infertility specialist?'
- B. You have tried everything. This must be hard for you. Would you like to talk?'
- C. You should get on an adoption list because it can take a long time.'
- D. You need to relax and not try so hard. It is your nerves preventing conception.'
Correct Answer: A
Rationale: Referring to an infertility specialist is proactive, addressing potential medical causes. Emotional support is secondary, adoption is premature, and blaming nerves is unhelpful.