ATI : Review Module Practice Questions

Question 1

Match the STI to its corresponding type of laboratory/diagnostic test.

Answer 1

HPV - pap smear
HSV - viral culture
Chlamydia - cervical culture
Syphilis - VDRL
Trichomonas - wet mount

Question 2

FSH

Answer 2

essential for development of reproduction and fertility in men and women.

secreted by the anterior pituitary gland.

Question 3

progesterone

Answer 3

evaluates problems in pregnancy

Question 4

A nurse is providing instructions to a client prior to an initial mammogram. Which of the following information should the nurse provide prior to the procedure?

Answer 4

avoid wearing deodorant on day of exam.

Question 5

A nurse is providing education to a client prior to an initial Papanicolaou (Pap) test. Which of the following statements should the nurse make?

Answer 5

“You may experience some bleeding after the procedure.”

Question 6

A nurse is providing information to a client who is scheduled for a transrectal ultrasound (TRUS) with a potential biopsy. Which of the following information should the nurse include?

Answer 6

“You may experience hematuria following biopsy.”

Question 7

A nurse is teaching a client who is scheduled for a colposcopy with a cervical biopsy. Which of the following statements should the nurse include during teaching?

Answer 7

“The procedure can cause mild discomfort.”

“Avoid the use of tampons for 2 weeks after the procedure.”

Question 8

A nurse is teaching about menstruation with an adolescent client. Which of the following statements should the nurse include?

Answer 8

“A complete menstrual cycle is about 28 days.”

“Ovulation typically occurs around day 14 of the menstrual cycle.”

“A menstrual period can last up to 8 days.”

Question 9

medications used in the management of PMS (premenstrual syndrome).

Answer 9

Ethinyl estradiol/drospirenone.
Spironolactone.
Fluoxetine.

Question 10

true statements of abnormal uterine bleeding (AUB).

Answer 10

Heavy bleeding can be related to a hormonal imbalance.

May need a D & C to determine cause of bleeding.

Question 11

expected findings of menopause

Answer 11

hot flash.
mood swings.
Report of dyspareunia.
sleep disturbance.

Question 12

A nurse is reviewing the health care record of a client who is asking about conjugated equine estrogens. The nurse should inform the client this medication is contraindicated in which of the following conditions?

Answer 12

Thrombophlebitis.

Estrogen increases the risk of thrombolytic events. Estrogen use is contraindicated for a client who has a history of thrombophlebitis.

Question 13

A nurse is teaching about the mechanism of action of combination oral contraceptives with a group of clients. The nurse should tell the clients that which of the following actions occur with the use of combination oral contraceptives?

Answer 13

Thickening the cervical mucus.

Altering the endometrial lining.

Inhibiting ovulation

Question 14

Location in the gynecologic reproductive system where
fertilization of the ova most commonly occurs

Answer 14

Fallopian tube

Question 15

mons pubis

Answer 15

fatty anterior of the female pubis.

Question 16

menarche

Answer 16

First menstrual cycle for a female.

Question 17

menopause

Answer 17

occurs @ 51 yrs. Absence of menstrual cycle for consecutive 12 months.

Question 18

Dysmenorrhea

Answer 18

painful menstruation thought to be caused by excess secretion of prostaglandin and vasopressin, which cause uterine contractions.

Question 19

amenorrhea

Answer 19

hormone imbalances that prevent ovulation and menstruation

Question 20

Endometriosis

Answer 20

chronic condition caused by endometrial tissue that has moved outside the uterus.

Manifestations include pain and inflammation.

Question 21

Which of the following should the nurse recognize as risk factors for uterine fibroids?

Answer 21

Family history of uterine fibroids .
Early onset of menstruation .

Late menopause .

Question 22

Manifestations of dysfunctional uterine bleeding

Answer 22

menstrual flow of greater than 80 mL during a cycle and anemia.

Question 23

Manifestations of endometriosis

Answer 23

dysmenorrhea, pelvic pain, pain during intercourse, diarrhea or constipation, and infertility.

Question 24

manifestations of uterine fibroids

Answer 24

uterine bleeding, pelvic pain, painful intercourse, anemia, and bowel or bladder dysfunction, including constipation or urinary frequency.

Question 25

teaching about a Pap test

Answer 25

should not have the test while menstruating. This test is performed to detect cervical cancer.

Question 26

human chorionic gonadotropin (HCG)

Answer 26

Hormone produced by the placenta that indicates the progression of pregnancy.

Question 27

myomectomy

Answer 27

A surgical procedure to remove uterine fibroids

Question 28

treatment for prostatitis

Answer 28

Abx and Nsaids

Question 29

when should females perform monthly breast self-exams?

Answer 29

one week after their menses begins, because there are fewer changes in breast tissue during this time for a client who menstruates.

Question 30

expectation of fibrocystic breast changes after menopause

Answer 30

improvement of symptoms and less discomfort

Question 31

untreated syphilis has an increased risk for developing

Answer 31

cardiovascular complications, including inflammation of the aorta and stenosis of the carotid arteries.

Question 32

Complications of untreated herpes

Answer 32

can cause meningitis

Question 33

bacterial vaginosis

Answer 33

white or gray vaginal drainage with a fishy odor

Question 34

Pelvic Inflammatory Disease (PID)

Answer 34

inflammation of the upper gynecologic reproductive tract that is caused by an infection

Question 35

Manifestations of fibrocystic breasts

Answer 35

heavy, swollen and tender breasts. Worse during menstruation.

Question 36

manifestations of prostatitis

Answer 36

Difficulty voiding, dysuria, hematuria, elevated temperature, pain in the lower back, pelvis or genitalia, and sexual dysfunction

Question 37

Side effects of estrogen hormone therapy

Answer 37

Thrombosis (DVT), pulmonary embolism, elevated cholesterol, cardiac disease, ED, breast cancer.

Question 38

types of partner violence

Answer 38

sexual, physical, psychological aggression, stalking

Question 39

The "Five P's" for taking a sexual history

Answer 39

1. Partners 2. Practices 3. Protection from STIs 4. Past history of STIs 5. Pregnancy intention

Question 40

apoptosis

Answer 40

A natural process where the cell dies.

Question 41

angiogenesis

Answer 41

The process by which cancers create their own blood supply.

Question 42

which elevated level could indicate a sign of cancer

Answer 42

calcium level

Question 43

A nurse is caring for a client undergoing brachytherapy. Which safety practice should the nurse ensure the client follows to limit the risk of exposure to others?

Answer 43

Flush the toilet twice after use.

Question 44

nitrosamines

Answer 44

Cancer-causing compounds found in many foods

Question 45

extravasation

Answer 45

Leaking of a vesicant into the surrounding IV site. A vesicant is a drug or medication that irritates or harms the surrounding tissues.

Question 46

A nurse is providing care for a client undergoing radiation therapy to the head and neck. Which manifestations should the nurse educate the client to expect?

Answer 46

Sores in the mouth or throat. Increased risk of infection. Skin irritation and changes in pigmentation.

Question 47

A nurse is caring for a client who has colorectal cancer. Which of the following manifestations should the nurse anticipate with this condition?

Answer 47

Narrowed stool. Gastrointestinal bleeding. Fatigue.

Question 48

A nurse is caring for a client who has pancreatic cancer and is receiving radiation. Which of the following are adverse effects of radiation should the nurse anticipate?

Answer 48

weight loss. vomiting. diarrhea.

Question 49

schwannoma

Answer 49

A nervous system tumor that occurs in the nerve sheath.

Question 50

A nurse is caring for a client who has spinal cancer. Which of the following assessment findings should the nurse anticipate with this condition?

Answer 50

Bowel and bladder incontinence

Question 51

A nurse is caring for a client who is receiving chemotherapy and who describes feeling numbness, tingling, and decreased sensation and coldness in their feet. The nurse should understand that the client is experiencing which of the following complications associated with cancer treatments? Infection Lymphedema Pain Peripheral neuropathy

Answer 51

Peripheral neuropathy

Question 52

A nurse is caring for a client who has been diagnosed with a malignant neoplasm of the right breast. The nurse should anticipate which of the following locations for placement of the implantable port for chemotherapy?

Answer 52

opposite side of cancer. Implanted ports are placed contralateral to the disease, which means on the opposite side of the primary site of the cancer.

Question 53

A nurse is reviewing client intake forms at a dermatology clinic. Which of the following clients should the nurse understand has the highest risk of developing squamous cell carcinoma?

Answer 53

a client who has a history of precancerous actinic keratosis lesions has a higher risk for developing squamous cell carcinoma.

Question 54

A nurse is obtaining a medical history from a client who has a new diagnosis of a brain tumor. The client is 35 years old with no family history of cancer, no exposure to carcinogens or toxins, and no use of tobacco products, and they practice healthy habits in their daily life. Which of the following should the nurse identify as a potential cause of the abnormal cell growth? Age Genetics Cell division errors Environmental factors

Answer 54

Cell division errors

Question 55

A nurse is caring for a client who has colon cancer and staging by the tumor, node, metastasis (TNM) system is TO N1 MX. Which of the following should the nurse understand about the staging?

Answer 55

The primary tumor cannot be located, there is at least one lymph node with cancer, and metastasis cannot be determined.

Question 56

A nurse is caring for a client who is scheduled to start their first round of chemotherapy in 2 days. Which of the following interventions by the nurse is most appropriate at this stage of the client's cancer treatment? Evaluate the client for signs of delirium. Support the client to participate in shared decision making. Ask the client to rate their level of fatigue. Monitor the client's extremities for signs of peripheral neuropathy.

Answer 56

Support the client to participate in shared decision making due to emotional distress.

Question 57

A nurse is caring for a client who has been diagnosed with squamous cell carcinoma of the lung. Which of the following should the nurse know about the client's cancer? The cancer is a type of small cell lung cancer. Squamous cell carcinoma of the lung is most often caused by radon gas exposure. The cancer most likely originated in one of the large central airways. This cancer has probably spread from the peripheral lung tissue.

Answer 57

The cancer most likely originated in one of the large central airways.

Question 58

A nurse is educating clients about breast cancer at a community health event. Which of the following statements should the nurse include in the training? "Breast cancer can occur in any part of the breast, but ductal breast cancer is most common." "Clients should begin annual screening mammography by the age of 30." "Clients who have breast cancer 1 [BRCA1] and breast cancer 2 [BRCA2] gene changes have a decreased risk of breast cancer." "Breastfeeding children increases the risk of breast cancer in people over 40."

Answer 58

"Breast cancer can occur in any part of the breast, but ductal breast cancer is most common."

Question 59

A nurse is caring for a client who has melanoma. Which of the following should the nurse understand about melanoma? Melanoma originates in the basal layer of the epidermis. Melanoma is more likely to metastasize to other areas. Melanoma is the most common skin cancer. Melanoma has scaly, circular patches.

Answer 59

Melanoma is more likely to metastasize to other areas.

Question 60

A carcinoembryonic antigen (CEA) test

Answer 60

a blood test to determine the levels of the tumor marker is part of the follow-up care for clients with colorectal cancer.