Nokea
Which is true of prostate cancer?
- A. It is commonly lethal.
- B. It is one of the less common forms of cancer.
- C. Family history does not appear to be a risk factor.
- D. Ethnicity is a risk factor.
Correct Answer: D
Rationale: The correct answer is D. Ethnicity is a risk factor for prostate cancer. African American men have a higher risk compared to other ethnicities. This is supported by research and epidemiological studies. Choice A is incorrect as prostate cancer, when detected early, has a high survival rate. Choice B is also incorrect as prostate cancer is one of the most common cancers in men. Choice C is incorrect as having a family history of prostate cancer is a known risk factor.
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A 67-year-old man who was admitted for a transurethral resection and fulguration of a stage A bladder tumor is ready for discharge. In his discharge teaching plan the nurse should reinforce the importance of his physician for
- A. periodic cystoscopies
- B. headaches
- C. routine urinalysis
- D. increased daily urinary output
Correct Answer: A
Rationale: Periodic cystoscopies are important to monitor for recurrence of bladder tumors.
When does a nurse use transillumination of the scrotum?
- A. When the patient has tortuosity of the veins along the spermatic cord
- B. When the patient has an indirect hernia
- C. When there is a mass or fluid in the epididymis
- D. When there is twisting of the testicle and spermatic cord
Correct Answer: C
Rationale: Transillumination of the scrotum is used when there is a mass or fluid in the epididymis. Transillumination helps to differentiate between solid masses and fluid-filled structures. It is not used for tortuosity of veins (A), indirect hernia (B), or twisting of the testicle and spermatic cord (D). Vein tortuosity is diagnosed through physical examination, hernias are detected through palpation, and testicular torsion is confirmed through Doppler ultrasound.
A chancre usually appears on the external genitalia in which of the following condition:
- A. Syphilis
- B. Gonorrhea
- C. Trichomoniasis
- D. Herpes genitalis
Correct Answer: A
Rationale: Rationale: A chancre is a painless ulcer that is characteristic of primary syphilis infection. It usually appears on the external genitalia as a result of Treponema pallidum infection. This is distinct from the other conditions listed: Gonorrhea presents with urethritis and discharge, Trichomoniasis with vaginal discharge and irritation, and Herpes genitalis with painful vesicles or ulcers. Syphilis is the only condition among the choices that typically presents with a chancre on the external genitalia.
Patella is a
- A. Irregular bone
- B. Short bone
- C. Sesamoid bone
- D. Flat bone
Correct Answer: C
Rationale: The patella is a sesamoid bone located within the tendon of the quadriceps femoris muscle. Sesamoid bones are small, round bones embedded within tendons, providing protection and improving the mechanical advantage of the muscle. It is not irregular (A), short (B), or flat (D) as it does not fit the structural characteristics of those bone types. Therefore, the correct answer is C.
A client has been advised to use a pessary to provide support to the uterus. The nurse educates the client about pessary management and the precautions related to its use. In which of the following situations should the client report to the physician?
- A. Regarding a Pap test of the client
- B. Regarding the maintenance of a pessary
- C. When a white or yellow discharge from the vagina develops
- D. Regarding a culture and sensitivity test of vagina
Correct Answer: C
Rationale: Abnormal discharge can indicate infection or other complications requiring medical attention.