Advanced Practice Nursing In The Care Of Older Adults By Laurie Kennedy – Test Bank

Chapter 11: Urological and Gynecological Disorders

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. Which ethnic group has the highest incidence of prostate cancer?
A. Asians
B. Hispanics
C. African Americans
D. American Indians

____ 2. Men with an initial PSA level below 2.5 ng/ml can reduce their screening frequency to what intervals?
A. Every 6 months
B. Yearly
C. Every 2 years
D. Every 2 to 4 years

____ 3. All of the following may be reasons associated with an elevated PSA besides prostate cancer except:
A. Prostatitis
B. Urinary tract infection
C. Perineal trauma
D. Digital rectal exam

____ 4. In the diagnosis of acute bacterial prostatitis, a midstream urine culture is of benefit. To be diagnostic, the specimen should reveal how many white blood cells per high-power field?
A. Five
B. Ten
C. Fifteen
D. Twenty

____ 5. In chronic bacterial prostatitis, what is the organism most commonly associated with the disease?
A. Klebsiella
B. Proteus
C. Pseudomonas
D. Escherichia coli

____ 6. In acute prostatitis, an exam of the prostate may find the gland to be:
A. Nodular
B. Cool and pliable
C. Swollen and tender
D. Asymmetrical

____ 7. All of the following antimicrobials may be indicated in chronic bacterial prostatitis except:
A. Ciprofloxacin
B. Levofloxacin
C. Trimethoprim
D. Azithromycin

____ 8. Age-related changes in the bladder, urethra, and ureters include all of the following in older women except:
A. Increased estrogen production’s influence on the bladder and ureter
B. Decline in bladder outlet function
C. Decline in ureteral resistance pressure
D. Laxity of the pelvic muscle

____ 9. Mr. Jones is a 68-year-old retired Air Force pilot that has been diagnosed with prostate cancer in the past week. He has never had a surgical procedure in his life and seeks clarification on the availability of treatments for prostate cancer. He asks the nurse practitioner to tell him the side effects of a radical prostatectomy. Which of the following is NOT a potential side effect of this procedure?
A. Urinary incontinence
B. Impotence
C. Dribbling urine
D. Selected low back pain

____ 10. The nurse practitioner is evaluating a patient’s pelvic muscle strength by digital examination. This is performed when:
A. A male patient complains of nocturia and dribbling
B. The nurse practitioner needs to confirm a cystocele or stress incontinence
C. The patient reports sudden loss of large amounts of urine or urge incontinence
D. The nurse practitioner suspects overflow incontinence

Chapter 11: Urological and Gynecological Disorders
Answer Section

MULTIPLE CHOICE

1. ANS: C PTS: 1

2. ANS: C PTS: 1

3. ANS: B PTS: 1

4. ANS: B PTS: 1

5. ANS: D PTS: 1

6. ANS: C PTS: 1

7. ANS: D PTS: 1

8. ANS: A PTS: 1

9. ANS: D PTS: 1

10. ANS: B PTS: 1