The nurse taking a focused health history for a client with possible testicular cancer will ask the client about a history of

testicular torsion

sexually transmitted infections

testicular trauma

undescended testicles

Answer and Explanation

The Correct Answer is D

A. Testicular torsion: While testicular torsion is an emergency and can cause pain and damage, it is not directly linked to testicular cancer risk.

B. Sexually transmitted infections: Although STIs can affect reproductive health, they are not a known significant risk factor for testicular cancer.

C. Testicular trauma: Testicular trauma may cause injury but is not a major risk factor for testicular cancer.

D. Undescended testicles: This is the correct answer. Undescended testicles, or cryptorchidism, is a well-established risk factor for testicular cancer, as it increases the likelihood of developing the condition.

Nursing Test Bank

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Correct Answer is A

Explanation

A. A 19-year-old client with menorrhagia who has been using superabsorbent tampons and has fever with weakness: This is the correct choice. Fever and weakness in the context of menorrhagia suggest a possible infection (e.g., toxic shock syndrome) or severe blood loss, which requires immediate evaluation and intervention.

B. A 35-year-old client with heavy spotting after having a progestin-containing IUD (Mirena) inserted a month ago: Spotting after IUD insertion is common and does not suggest an immediate threat to the client’s health.

C. A 39-year-old client who is complaining of 4/10 pain after an abdominal hysterectomy: Mild pain after a hysterectomy is expected and not an emergency.

D. A 42-year-old client with secondary amenorrhea who says that her last menstrual cycle was 3 months ago: While secondary amenorrhea requires evaluation, it is not as urgent as a client with signs of possible infection or blood loss.

A. A breast lump that is small, mobile and rubbery in consistency. B. A breast nodule that is 1 cm in size, nontender, and fixed. C. Bilateral breast nodules that are tender with palpation. D. A breast lump that increases in size before the menstrual period.

Correct Answer is B

Explanation

A. A small, mobile, rubbery lump is often benign, such as a fibroadenoma.

B. A nontender, fixed breast nodule is concerning for malignancy, and further evaluation is necessary, such as imaging or biopsy.

C. Tender, bilateral nodules are commonly seen in benign conditions like fibrocystic breast changes, especially related to the menstrual cycle.

D. A lump that changes in size before menstruation is also typical of benign conditions like fibrocystic changes.

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The nurse taking a focused health history for a client with possible testicular cancer will ask the client about a history of

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Naxlex Comprehensive Predictor Exams

The nurse in the women's health clinic has four clients who are waiting to be seen. Which client should the nurse see first?

Correct Answer is A

Explanation

Which assessment finding in a 36-year-old client is most indicative for further evaluation?

Correct Answer is B

Explanation

The new graduate nurse is assessing a client with an unrepaired abdominal aortic aneurysm. What assessment technique requires further education by the supervising nurse?

A nurse assesses a client after administering the first dose of a nitrate. The client reports a headache. What action would the nurse take?

A client has peripheral arterial disease (PAD). What statement by the client indicates misunderstanding about self-management activities?

A client who has chronic heart failure tells the nurse, "I was fine when I went to bed, but I woke up in the middle of the night feeling like I was suffocating!" The nurse will document this assessment finding as

A client who has been receiving diuretic therapy is admitted to the emergency department with a serum potassium level of 3.0 mEq/L. The nurse should alert the health care provider immediately that the client is on which medication?

The nurse is caring for a client who has frequent gastric pain and dyspepsia. Which procedure would the nurse expect the health care provider to order to make an accurate diagnosis?

A client with gonorrhea is treated with a single IM dose of ceftriaxone (Rocephin) and is given a prescription for doxycycline 100mg BID for 7 days, The nurse explains to the client that this combination is prescribed to