Chapter 40 Medical Surgical Nursing Preparation For Practice 2nd Edition

Chapter 40  Medical Surgical Nursing Preparation For Practice 2nd Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCMA
A 40-year-old male has reported to the clinic with complaints of impotence. The nurse is reviewing the patient’s health history. Which statements by the patient warrant further investigation?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “I take medications to control my blood pressure.”
2. “I had the mumps when I was a boy.”
3. “I had a vasectomy 4 years ago.”
4. “I have had diabetes for several years.”
5. “My wife has a history of cervical cancer.”
Correct Answer: 1,4
Rationale 1: Certain antihypertensive drugs may cause impotence.
Rationale 2: The mumps are a risk factor for male infertility, not impotence.
Rationale 3: A vasectomy results in sterility, not impotence.
Rationale 4: Diabetes mellitus over time may result in vascular damage, leading to impotence.
Rationale 5: The presence of cervical cancer in a partner is not linked to impotence.
Global Rationale:

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 40-3

Question 2
Type: MCSA
The nurse is preparing to obtain a sexual history from a male patient. Which question is of the highest importance in this assessment?
1. “Do you engage in same-sex activity?”
2. “Do you have sex frequently?”
3. “Do you enjoy sexual intercourse?”
4. “Do you engage in masturbation?”
Correct Answer: 1
Rationale 1: Assessing for the risk of sexually transmitted infections and preventing sexually transmitted infections are a priority for this patient. Sexual intercourse with same-sex partners further increases the risk for HIV infection. Determination of same-sex activity by a man is key in assessing risk factors.
Rationale 2: The frequency of sexual intercourse is part of the data collection but does not have the same importance as the determination of risk factors.
Rationale 3: The enjoyment of sexual intercourse is part of the data collection but does not have the same importance as the determination of risk factors.
Rationale 4: Masturbation may be included in the data collection, but it is not as important as the assessment of risk factors.
Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 40-2

Question 3
Type: MCSA
The nurse is providing instruction to a patient who has been diagnosed with prostate cancer. Which statement by the patient would indicate understanding of the nurse’s instruction?
1. “The prostate gland is where sperm are formed.”
2. “The prostate gland is located at the neck of my bladder.”
3. “The prostate gland produces semen.”
4. “The prostate gland is normally very small, only about a quarter of an inch long.”
Correct Answer: 2
Rationale 1: Sperm are formed in the testes.
Rationale 2: The prostate gland is located at the bladder neck.
Rationale 3: Semen is produced by seminal vesicles.
Rationale 4: The normal size of the prostate gland is about 2.5 cm or about 1 inch.
Global Rationale:

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 40-1

Question 4
Type: MCMA
A patient presents to the emergency department with swelling and pain in his scrotum. The nurse anticipates dysfunction in which structures?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Testes
2. Vas deferens
3. Epididymis
4. Seminal vesicle
5. Prostate
Correct Answer: 1,3
Rationale 1: The testes are contained in the scrotum.
Rationale 2: The vas deferens is located in the abdomen.
Rationale 3: The epididymis is located in the scrotum.
Rationale 4: The seminal vesicle is located behind the prostate.
Rationale 5: The prostate is located at the bladder neck.
Global Rationale:

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 40-1