Published - Thu, 23 Feb 2023
NCLEX-PN Exam Questions - Part 97
1. If a client has chronic renal failure, which of the following sexual complications is the client at risk of developing?
A) retrograde ejaculation
B) decreased plasma testosterone
C) hypertrophy of testicles
D) state of euphoria
2. When an elder client asks the nurse whether he will be capable of sexual activity in old age, the best response by the nurse is:
A) 'Elder adults are psychologically and physically capable of engaging in sexual activity regardless of age-related changes.'
B) 'If you haven - t been sexually active throughout your life, you will not be able to participate in sexual activity in old age.'
C) 'When intercourse isn - t possible, many of your sexual needs can be met through intimacy and touch.'
D) 'You might find it takes longer for you to achieve an erection, but you can maintain it for a longer time.'
3. The teaching plan for gay or lesbian parents who want to disclose their homosexuality to their children should include all of the following instructions except:
A) disclose the information before the child knows or suspects.
B) be comfortable with your sexual preference first.
C) have the discussion in a quiet place where interruptions are unlikely.
D) explain how your relationship with the child changes because of the discussion.
4. When a client describes their family as having multiple wives, all of whom are sisters, married to one man, the nurse documents the family structure as?
A) polyandry
B) soronal
C) nonsororal
D) sororate
5. Which of the following syndromes associated with incomplete lesions of the spinal cord is a result of damage to one-half of the spinal cord?
A) Brown-Séquard syndrome
B) posterior cord syndrome
C) central cord syndrome
D) cauda equina syndrome
A) retrograde ejaculation
B) decreased plasma testosterone
C) hypertrophy of testicles
D) state of euphoria
2. When an elder client asks the nurse whether he will be capable of sexual activity in old age, the best response by the nurse is:
A) 'Elder adults are psychologically and physically capable of engaging in sexual activity regardless of age-related changes.'
B) 'If you haven - t been sexually active throughout your life, you will not be able to participate in sexual activity in old age.'
C) 'When intercourse isn - t possible, many of your sexual needs can be met through intimacy and touch.'
D) 'You might find it takes longer for you to achieve an erection, but you can maintain it for a longer time.'
3. The teaching plan for gay or lesbian parents who want to disclose their homosexuality to their children should include all of the following instructions except:
A) disclose the information before the child knows or suspects.
B) be comfortable with your sexual preference first.
C) have the discussion in a quiet place where interruptions are unlikely.
D) explain how your relationship with the child changes because of the discussion.
4. When a client describes their family as having multiple wives, all of whom are sisters, married to one man, the nurse documents the family structure as?
A) polyandry
B) soronal
C) nonsororal
D) sororate
5. Which of the following syndromes associated with incomplete lesions of the spinal cord is a result of damage to one-half of the spinal cord?
A) Brown-Séquard syndrome
B) posterior cord syndrome
C) central cord syndrome
D) cauda equina syndrome
1. Right Answer: B
Explanation: Untreated chronic renal failure causes decreased testosterone levels, atrophy of testicles, and decreased spermatogenesis. Retrograde ejaculation is not a complication of chronic renal failure. It is a complication of transurethral resection of the prostate. In chronic renal failure, the testicles atrophy; they do not hypertrophy. Chronic renal failure produces a state of depression, not euphoria. Health Promotion and Maintenance
2. Right Answer: A
Explanation: To provide the best response, the nurse must identify what the elder is asking. Concern is being expressed about whether elders can engage in sexual activity.The most therapeutic response by the nurse is Choice 1. In this choice, the nurse acknowledges that elders can physically engage in sexual activity and have no psychological barriers to the same. All of the other choices contain facts but are not the best initial response. Choice 1 opens the conversation for the expression of further concerns about sexual issues. Choice 2 is true; past sexual function is predictive of sexual function in elder adults. An elder adult must have been sexually active as a younger adult to engage in intercourse in old age. This does not mean, however, that the elder adult cannot experience sexual intimacy in other ways. The need for intimacy is especially important for elder adults. If they have lost meaningful relationships or are having difficulty with intercourse, they might be able to experience intimacy through touch. As males age, they find it takes longer to achieve an erection, but that when its achieved, the erection lasts longer. In addition, elder males require direct stimulation to achieve an erection. Health Promotion and Maintenance
3. Right Answer: D
Explanation: Children of gay and lesbian parents should be reassured that their relationship with their parent will not change because of the discussion. Choices 1, 2, and 3 are all important aspects of the disclosure. As children grow, they might have additional questions. Preschool children might not understand the absence of a father or mother. Schoolage children might be troubled that their family isnt like their friends families. Adolescents might become reluctant to discuss it or accept it even though they expressed acceptance at an earlier age. In general the earlier children are informed, the easier it is for them to accept and assimilate the information.Nurses need to be nonjudgmental and learn how to express and accept these differences so that they can keep the nurse-child-family relationship intact. HealthPromotion and Maintenance
4. Right Answer: B
Explanation: The practice of polygamy refers to having multiple wives or husbands. When there are multiple wives who are sisters, the polygamy is designated as soronal.When the wives are not sisters it is nonsororal. Polyandry refers to multiple husbands and is rare. Some cultures practice a polygamy designated as sororate.Sororate polygamy specifies that a husband must marry his wifes sister if she dies. These marriages are successive rather than concurrent. Health Promotion andMaintenance
5. Right Answer: A
Explanation: Brown-Squard syndrome is a result of damage to one-half of the spinal cord. The other choices are also incomplete lesions of the spinal cord, but they have different defining characteristics. Reduction of Risk Potential
Explanation: Untreated chronic renal failure causes decreased testosterone levels, atrophy of testicles, and decreased spermatogenesis. Retrograde ejaculation is not a complication of chronic renal failure. It is a complication of transurethral resection of the prostate. In chronic renal failure, the testicles atrophy; they do not hypertrophy. Chronic renal failure produces a state of depression, not euphoria. Health Promotion and Maintenance
2. Right Answer: A
Explanation: To provide the best response, the nurse must identify what the elder is asking. Concern is being expressed about whether elders can engage in sexual activity.The most therapeutic response by the nurse is Choice 1. In this choice, the nurse acknowledges that elders can physically engage in sexual activity and have no psychological barriers to the same. All of the other choices contain facts but are not the best initial response. Choice 1 opens the conversation for the expression of further concerns about sexual issues. Choice 2 is true; past sexual function is predictive of sexual function in elder adults. An elder adult must have been sexually active as a younger adult to engage in intercourse in old age. This does not mean, however, that the elder adult cannot experience sexual intimacy in other ways. The need for intimacy is especially important for elder adults. If they have lost meaningful relationships or are having difficulty with intercourse, they might be able to experience intimacy through touch. As males age, they find it takes longer to achieve an erection, but that when its achieved, the erection lasts longer. In addition, elder males require direct stimulation to achieve an erection. Health Promotion and Maintenance
3. Right Answer: D
Explanation: Children of gay and lesbian parents should be reassured that their relationship with their parent will not change because of the discussion. Choices 1, 2, and 3 are all important aspects of the disclosure. As children grow, they might have additional questions. Preschool children might not understand the absence of a father or mother. Schoolage children might be troubled that their family isnt like their friends families. Adolescents might become reluctant to discuss it or accept it even though they expressed acceptance at an earlier age. In general the earlier children are informed, the easier it is for them to accept and assimilate the information.Nurses need to be nonjudgmental and learn how to express and accept these differences so that they can keep the nurse-child-family relationship intact. HealthPromotion and Maintenance
4. Right Answer: B
Explanation: The practice of polygamy refers to having multiple wives or husbands. When there are multiple wives who are sisters, the polygamy is designated as soronal.When the wives are not sisters it is nonsororal. Polyandry refers to multiple husbands and is rare. Some cultures practice a polygamy designated as sororate.Sororate polygamy specifies that a husband must marry his wifes sister if she dies. These marriages are successive rather than concurrent. Health Promotion andMaintenance
5. Right Answer: A
Explanation: Brown-Squard syndrome is a result of damage to one-half of the spinal cord. The other choices are also incomplete lesions of the spinal cord, but they have different defining characteristics. Reduction of Risk Potential
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