NCLEX Review Questions

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Chapter 17

This activity contains 15 questions.

Which of the following are significant renal changes at the ninth decade of life? (Select all that apply.)

	Increased glomerular filtration rate
	Decreased glomerular filtration rate
	Lower creatinine clearance rate
	Less concentrated urine-specific gravity

The older person with chronic renal failure (CRF) can experience generalized edema, altered cognition, anorexia, and weight loss. To help improve the person's quality of life (QOL), which of the following healthcare providers should be contacted promptly?

	Certified dietitian
	Infectious disease person
	Nephrologist
	Surgeon

Which of the following responses would be accurate if given to the nurse during an initial interview from a patient with benign prostatic hypertrophy (BPH)?

	"I have pain and swelling of my both ankles."
	"I frequently drink wine with my evening meals."
	"I have difficulty starting a stream of urine, and it is a weak stream."
	"My bladder doesn't feel empty after I urinate, and I have to strain to pass the urine."

Which of the following herbal preparations might a patient with a diagnosis of BPH disclose during the initial interview?

	Hawthorne (Crataegus)
	Licorice (Glycyrrhiza)
	Saw palmetto extract (Serenoa repens)
	Ma Huang (Ephedra sinica)

The most commonly used screening tests for prostate cancer are: (Select all that apply.)

	Transrectal ultrasound (TRUS).
	Magnetic resonance imaging of the prostate.
	Digital rectal examination (DRE).
	Prostate-specific antigen (PSA) testing.

Which of the following alpha-blocking agents are currently prescribed for persons with BPH?
(Select all that apply.)

	Tamsulosin (Flomax)
	Doxazosin mesylate (Cardura)
	Verapamil (Calan)
	Tamoxifen (Nolvadex)

In assessing the patient with stress incontinence, the nurse should anticipate which of these signs or symptoms?

	Pain on urination
	A brownish urethral discharge
	Voiding excessive amounts of urine
	Loss of urine when laughing, coughing, or sneezing

An 80-year-old nursing home resident is diagnosed with stress incontinence. In managing the care of this client, the registered nurse delegates care of the client's hygiene to a certified nursing attendant (CNA). The CNA should assign the highest priority to which of the following during hygiene care?

	Anxiety related to fear of falls
	Pain related to force of urine
	Excellent skin care
	Fluid volume deficit

Which of the following muscle exercises is frequently taught by nurses when caring for clients with urge or stress urinary incontinence?

	Abdominal exercises
	Kegel exercises
	Buerger Allen's exercises
	Aerobic exercises

Which of the following complementary, non-prescribed products have been shown to relieve hot flashes in post-menopausal women? (Select all that apply.)

	Soy products
	Black cohosh (Cimicifuga racemosa)
	Milk thistle (Silybum)
	Ginkgo biloba (GBE)

Current recommendations from the American Heart Association for post-menopausal women includes the use of hormonal replacement therapy (HRT) for:
(Select all that apply)

	Relief of vasomotor symptoms related to menopause.
	Women at high risk for osteoporosis.
	Prevention of colorectal cancer.
	#1 only

A 65-year-old female is admitted to the GYN unit with complaints of low pelvic pain and low back pain. To arrive at a tentative nursing diagnosis related to endometrial cancer, the nurse should focus her questions on which of the following?

	Post-menopausal bleeding
	Vaginal itching
	Dysuria
	Constipation

Which of the following statements is accurate pertaining to women over age 65 and cervical cancer and Papanicolaou test (Pap Smear)?

	Cervical cancer in the older woman is not a primary concern, because Pap smear is usually negative.
	It is important to understand that the human papillomavirus (HPV) is related only to early-onset sex, not to older women.
	Current recommendations are that women over age 65 with history of regular, normal Pap smear are not at high risk for cervical cancer.
	Current recommendations are that African-American women are at higher risk for cervical cancer and should receive yearly Pap tests.

A 76-year-old patient is receiving tamoxifen (Nolvadex) for breast cancer. To which of the following would the nurse give priority during tamoxifen therapy?

	Monitor for drug-to-drug interactions.
	Monitor for signs of dehydration and nausea.
	Monitor for occasional headache and limb pain.
	Monitor for menstrual irregularity and vaginal discharge.

Which of the following factors can cause significant arterial damage to penile blood flow, resulting in erectile dysfunction? (Select all that apply.)

	Poor return of blood through the penal veins
	Hypertension
	Diabetes mellitus
	Dyslipidemia

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NCLEX Review Questions

Which of the following are significant renal changes at the ninth decade of life? (Select all that apply.)

The older person with chronic renal failure (CRF) can experience generalized edema, altered cognition, anorexia, and weight loss. To help improve the person's quality of life (QOL), which of the following healthcare providers should be contacted promptly?

Which of the following responses would be accurate if given to the nurse during an initial interview from a patient with benign prostatic hypertrophy (BPH)?

Which of the following herbal preparations might a patient with a diagnosis of BPH disclose during the initial interview?

The most commonly used screening tests for prostate cancer are: (Select all that apply.)

Which of the following alpha-blocking agents are currently prescribed for persons with BPH? (Select all that apply.)

In assessing the patient with stress incontinence, the nurse should anticipate which of these signs or symptoms?

Which of the following muscle exercises is frequently taught by nurses when caring for clients with urge or stress urinary incontinence?

Which of the following complementary, non-prescribed products have been shown to relieve hot flashes in post-menopausal women? (Select all that apply.)

Current recommendations from the American Heart Association for post-menopausal women includes the use of hormonal replacement therapy (HRT) for: (Select all that apply)

A 65-year-old female is admitted to the GYN unit with complaints of low pelvic pain and low back pain. To arrive at a tentative nursing diagnosis related to endometrial cancer, the nurse should focus her questions on which of the following?

Which of the following statements is accurate pertaining to women over age 65 and cervical cancer and Papanicolaou test (Pap Smear)?

A 76-year-old patient is receiving tamoxifen (Nolvadex) for breast cancer. To which of the following would the nurse give priority during tamoxifen therapy?

Which of the following factors can cause significant arterial damage to penile blood flow, resulting in erectile dysfunction? (Select all that apply.)

Which of the following alpha-blocking agents are currently prescribed for persons with BPH?
(Select all that apply.)

Current recommendations from the American Heart Association for post-menopausal women includes the use of hormonal replacement therapy (HRT) for:
(Select all that apply)