NR 511 Davis Questions Week 7

NR 511 Davis Questions Week 7 Question 1. A torsi-year-old man presents to your office with hematuria, hesitancy, and dribbling. Digital rectal examination (DRE) reveals a smooth, moderately enlarged prostate. The client’s prostate-specific antigen (PSA) is 1.2. What is the most appropriate management strategy at this time?

• Prescribing an alpha-adrenergic blocker.
• Recommending saw palmetto extract.
• Prescribing an antibiotic.
• Referring the client to urology.

Question 2. Regular testicular self-exams have not been studied enough to show if they lower the risk of dying from testicular cancer. This is why the American Cancer Society and other agencies do not have a recommendation about regular testicular self-exams for all men. Still, some practitioners do recommend that all men examine their testicles monthly after reaching puberty. If you are teaching a patient how to do a testicular self-examination, which of the following do you tell him?

• Examine your testicles when you are cold because this makes them more sensitive.”
• Make sure your hands are dry to create friction.”
• If you feel firmness above and behind the testicle, make an appointment.”
• Make an appointment if you note any hard lumps directly on the testicle, regardless of whether

they are tender.”

Question 3. A male patient presents to the clinic for evaluation of infertility. Subjectively, the patient complains of pain and fullness of the testes and states, “My testicles feel like a bag of worms.” On physical examination, the nurse practitioner notes tortuous veins posterior to and above the testes that extend up into the external inguinal ring. Based on the preceding assessment, the nurse practitioner refers the patient to surgery for a diagnosis of:

• Hydrocele.
• Orchitis.
• Urethritis.
• Varicocele.

Question 6. Milton, a 72-year-old unmarried, sexually active white man, presents to your clinic with complaints of hesitancy, urgency, and occasional uncontrolled dribbling. Although the nurse practitioner suspects benign prostatic hyperplasia, what else should the differential diagnosis include?

• Antihistamine use.
• Urethral stricture.
• Detrusor hyperreflexia. This study source was downloaded by 100000823742721 from CourseHero.com on 06-04-2022 17:14:39 GMT -05:00

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• Renal calculi.

Question 8. Jeb, a 72-year-old male, is seen at your practice for follow-up of several episodes of orthostatic hypotension. After obtaining a review of systems and a digital rectal examination, it also appears that he has benign prostatic hyperplasia (BPH) with lower urinary tract symptoms. The nurse practitioner reviews his recent ultrasound evaluation, which reports a prostate volume of over 40 mL, and the results of the American Urological Association (AUA) symptom index for BPH, which shows his score to be 12. Based on the preceding information and the patient’s desire for noninvasive medical therapy, what management should he be offered?

• Prazosin (Minipress).
• Doxazosin (Cardura).
• Finasteride (Proscar).
• Phenoxybenzamine (Dibenzyline).

Question 10. Jake, age 62, has a low International Prostate Symptom Score for lower urinary tract symptoms associated with his benign prostatic hyperplasia (BPH). The nurse practitioner should

recommend:

• No treatment at this time.
• Immediate referral to urology.
• Balloon dilation.
• Starting an alpha blocker.

Question 11. Drew has erectile dysfunction and says that a friend told him about a method that uses a constricting ring around the base of the penis. What is he referring to?

• Intracavernous injection therapy.
• An external vacuum device.
• Urethral suppositories.
• Surgery.

Question 12. John asks for a prescription for sildenafil (Viagra). He says that the only medication he takes is isosorbide mononitrate (Monoket) oral tablets and that he has diabetes that he controls with diet alone. What should the nurse practitioner tell him?

• “Let’s try a sample and see how you do.”
• “Viagra is contraindicated with isosorbide mononitrate; let’s discuss other options.”
• “Because of your history of diabetes, we can’t use it.” This study source was downloaded by 100000823742721 from CourseHero.com on 06-04-2022 17:14:39 GMT -05:00

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• “I’d better refer you to a urologist.”

Question 14. A patient is being treated for erectile dysfunction. The patient is morbidly obese and is also being treated for cardiovascular disease and coagulopathy. Which of the following medications would be contraindicated?

• Topical testosterone (AndroGel).
• Sildenafil (Viagra).
• Alprostadil (Caverject).
• Subcutaneous pellet testosterone (Testopel).

Question 15. A patient’s chief complaint is heaviness in the scrotum. The nurse practitioner notes swelling of the testes, along with warm scrotal skin. Which of the following diagnoses is most probable

• Cryptorchidism.
• Orchitis.
• Testicular torsion.
• Epididymitis.

Question 16. Martin is complaining of erectile dysfunction. He also has a condition that has reduced arterial blood flow to his penis. The most common cause of this condition is:

• Epilepsy.
• Multiple sclerosis.
• Diabetes mellitus.
• Parkinson disease.

Question 17. Tommy, age 15, comes to the clinic in acute distress with “belly pain.” When obtaining his history, the nurse practitioner (NP) finds that he fell off his bike this morning and has vomited. Upon closer examination, the NP determines the belly pain to be left-sided groin pain or pain in his left testicle. He is afebrile and reports no dysuria. Which of the following diagnoses is most likely?

• Testicular torsion.
• Epididymitis.
• Hydrocele.
• Varicocele.

This study source was downloaded by 100000823742721 from CourseHero.com on 06-04-2022 17:14:39 GMT -05:00

https://www.coursehero.com/file/97365584/Week-7-Davis-Edgepdf/

Question 19. Morris, age 52, is in a new relationship and is not sure whether his erectile dysfunction is organic or is caused by stress about his performance. What simple test could you suggest to determine if he has the ability to have an erection?

• Nocturnal penile tumescence and rigidity (NPTR) test.
• Penile duplex ultrasonography.
• Intracavernous injection.
• Serum prostate-specific antigen (PSA).

Something about hydrocele and hernia Bowel sounds could be heard

Something about unilateral pain ultrasound This study source was downloaded by 100000823742721 from CourseHero.com on 06-04-2022 17:14:39 GMT -05:00

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