Milena Milo

Question 1

A client with genital herpes asks the nurse about what to expect with the infection. Which response would be mostappropriate?

a. “Once you take the medication, the infection will be gone for good.”
b. “Even though you don’t have symptoms, you could still spread the infection.”
c. “You can expect other outbreaks, each of which will be longer than the first.”
d. “You might have to try several different medications before finding one that works.”

Answer 1

b. “Even though you don’t have symptoms, you could still spread the infection.”

Question 2

The nurse would refer a client, age 54, for follow-up for suspected endometrial carcinoma if she reports which of the following?
A) Use of oral contraceptives between ages 18 and 25
B) Onset of painless, red postmenopausal bleeding
C) Menopause occurring at age 46
D) Use of intrauterine device for 3 years

Answer 2

B) Onset of painless, red postmenopausal bleeding

Question 3

The nurse is explaining the events that lead up to ovulation. Which hormone would the nurse identify as being primarily responsible for 
ovulation? 
A) Estrogen  
B) Progesterone  
C) Follicle-stimulating hormone  
D) Luteinizing hormone

Answer 3

D) Luteinizing hormone

Question 4

28- What should a nurse explain to a young man being treated for infertility as the purpose of a semen analysis?

a. Determine the history of sexually transmitted infections.
b. Evaluate the potential for genetic problems.
c. Determine whether any urethral obstructions are present.
d. Microscopically assess the sperm for number and motility.

Answer 4

d. Microscopically assess the sperm for number and motility.

Question 5

A woman who is 2 weeks postpartum calls the clinic and says, My left breast hurts. After further assessment on the phone, the nurse suspects the woman has mastitis. In addition to pain, the nurse would assess for which of the following?
A)An inverted nipple on the affected breast
B) No breast milk in the affected breast
C) An ecchymotic area on the affected breast D)Hardening of an area in the affected breast

Answer 5

D)Hardening of an area in the affected breast

Question 6

74- A tendency of biologic systems to maintain stability of the internal environment while continually adjusting to changes is homeostasis. True o False

Answer 6

True

Question 7

20- Which client is at greatest risk for developing Chlamydia trachomatis infection?

1. 35-year-old woman on oral contraceptives.
2. 22-year-old mother of two, developed dyspareunia.
3. 16-year-old, sexually active, using no contraceptive.
4. 48-year-old woman with hot flashes and night sweats.

Answer 7

3. 16-year-old, sexually active, using no contraceptive.

Question 8

A woman is scheduled for an anterior and posterior colporrhaphy as treatment for a cystocele. When the nurse is explaining this treatment to the client, which description would be most appropriate to include?

a. “This procedure helps to tighten the vaginal wall in the front and back so that your bladder and urethra are in the proper position.”
b. “Your uterus will be removed through your vagina, helping to relieve the organ that is putting the pressure on your bladder.”
c. “This is a series of exercises that you will learn to do so that you can strengthen your bladder muscles.”
d. “These are plastic devices that your primary care provider will insert into your vagina to provide support to the uterus and keep it in the proper position.”

Answer 8

a. “This procedure helps to tighten the vaginal wall in the front and back so that your bladder and urethra are in the proper position.”

Question 9

The nurse would expect which client to be at a high risk for developing a pelvic support disorder?

a. an 18-year-old college freshman
b. a 29-year-old mother of one son
c. a 60-year-old mother with four children
d. a 30-year-old who just gave birth to twin girls

Answer 9

c. a 60-year-old mother with four children

Question 10

When teaching a group of postmenopausal women about hot flashes and night sweats, the nurse would address which of the following as the primary cause? A)Poor dietary intake
B) Estrogen deficiency
C) Active lifestyle
D)Changes in vaginal pH

Answer 10

B) Estrogen deficiency

Question 11

A woman comes to the clinic complaining of a vaginal discharge. The nurse suspects trichomoniasis based on which of the following? (Select all that apply.)  
A) Urinary frequency 
B) Yellow/green discharge 
C) Joint pain  
D) Blister-like lesions 
E) Muscle aches

Answer 11

A) Urinary frequency

B) Yellow/green discharge

Question 12

54- A client comes to the clinic complaining of severe menstrual cramps. She has never been pregnant, has been diagnosed with ovarian cysts, and has had an intrauterine device (IUD) for 2 years. What is the most likely reason for this client’s complaint?

1. Menorrhagia.
2. Hypermenorrhea.
3. Primary dysmenorrhea.
4. Secondary dysmenorrhea.

Answer 12

4. Secondary dysmenorrhea.

Question 13

A woman who is 6 months postpartum calls the clinic and reports flu-like symptoms, an elevated temperature, and pain and redness throughout her left breast. What would the nurse suspect first?

a. mastitis
b. inflammatory breast cancer
c. intraductal papilloma
d. duct ectasia

Answer 13

a. mastitis

Question 14

36- A 16-year-old girl seen in the student health clinic has been diagnosed with Trichomonas vaginalis and given medication for the infection. What should a nurse explains about treatment of the girl’s sexual partner?

a. He will require a 1-day treatment with the same drug.
b. He will not develop the infection or require treatment.
c. He will be treated, although he is asymptomatic.
d. He is required by law to be examined by a physician.

Answer 14

c. He will be treated, although he is asymptomatic.

Question 15

A client is scheduled to have a Pap smear. After the nurse teaches the client about the Pap smear, which of the following client statements indicates successful teaching?
A) I need to douche the night before with a mild vinegar solution.
B) I will take a bath first thing that morning to make sure I’m clean.
C) I will not engage in sexual intercourse for 48 hours before the test.
D) I will get a clean urine specimen when I first wake up the morning of the test.

Answer 15

C) I will not engage in sexual intercourse for 48 hours before the test.

Question 16

Which approach would be most appropriate when counseling a woman who is a suspected victim of violence?
A) Offer her a pamphlet about the local battered women’s shelter.
B) Call her at home to ask her some questions about her marriage.
C) Wait until she comes in a few more times to make a better assessment.
D) Ask, Have you ever been physically hurt by your partner?

Answer 16

D) Ask, Have you ever been physically hurt by your partner?

Question 17

62- What is the major focus of the nurse practitioner (NP)?

1. Leadership.
2. Tertiary prevention.
3. Physical and psychosocial clinical assessment.
4. Independent care of the high-risk, pregnant client.

Answer 17

3. Physical and psychosocial clinical assessment.

Question 18

When preparing a teaching plan for a woman with mastitis, the nurse would include which instruction?

a. Cease breastfeeding to prevent transmission to the infant.
b. Limit fluid intake to minimize swelling.
c. Apply warm compresses to the affected breast.
d. Avoid the use of a supportive bra to prevent pressure on the inflamed breast.

Answer 18

c. Apply warm compresses to the affected breast.

Question 19

During a routine health check-up, a young adult woman asks the nurse about ways to prevent endometrial cancer. Which of the following would the nurse most likely include? (Select all that apply.) 
A) Eating a high-fat diet 
B) Having regular pelvic exams 
C) Engaging in daily exercise 
D) Becoming pregnant 
E) Using estrogen contraceptives

Answer 19

B) Having regular pelvic exams
C) Engaging in daily exercise
D) Becoming pregnant

Question 20

55- Which issues should the nurse consider when counseling a client on contraceptive methods?

1. Age at menarche.
2. Anxiety level.
3. Future childbearing plans
4. Whether the client is a vegetarian.

Answer 20

3. Future childbearing plans

Question 21

75- The term that a nurse uses to refer to persons who fail to maintain treatment protocols is non-adherence. True o False

Answer 21

True

Question 22

A nurse is reviewing sperm count results for a couple trying to conceive. Which results would concern the nurse?

a. 10 million per mL of seminal fluid
b. 20 million per mL of seminal fluid
c. 30 million per mL of seminal fluid
d. 40 million per mL of seminal fluid

Answer 22

a. 10 million per mL of seminal fluid

Question 23

35- A nurse is instructing a patient on breast self-examination. When is the best time of the month to instruct this patient to perform a breast self-examination?

a. Before the menstrual period.
b. During the menstrual period.
c. After the menstrual period.
d. On the first day of the month.

Answer 23

c. After the menstrual period.

Question 24

During a clinical breast examination, the nurse palpates a well-defined, firm, mobile lump in a 60-year-old woman’s left breast. The nurse n o t i f i e s t h e
physician. Which of the following would the nurse anticipate the physician to order next?
A) Mammogram
B) Hormone receptor status
C) Fine-needle aspiration
D) Genetic testing for BRCA

Answer 24

A) Mammogram

Question 25

``` A client is suspected of having endometrial cancer. The nurse would most likely prepare the client for which procedure to confirm the diagnosis? A) Transvaginal ultrasound B) Colposcopy C) Pap smear D) Endometrial biopsy ```

Answer 25

D) Endometrial biopsy

Question 26

71- A female client is considering ovulation-inducing medications to achieve pregnancy. What should the nurse explain as potential adverse effects of this type of assisted reproductive technology (ART)? Select all that apply. 1. Miscarriage. 2. Preterm birth. 3. Neonatal morbidity. 4. Multifetal pregnancy. 5. Pelvic inflammatory disease.

Answer 26

1. Miscarriage. 2. Preterm birth. 3. Neonatal morbidity. 4. Multifetal pregnancy

Question 27

Which hormone stimulates the release of the follicle-stimulating hormone (FSH) from both male and female glands? a. growth hormone-releasing hormone (GHRH) b. thyrotropin-releasing hormone (TRH) c. gonadotropin-releasing hormone (GnRH) d. prolactin-releasing hormone (PRH)

Answer 27

c. gonadotropin-releasing hormone (GnRH)

Question 28

17- A 16-year-old girl asks, “Do I need to have a Pap smear just because I’m sexually active?” What is the nurse’s correct response? 1. “No, you do not need to be screened for cervical cancer until you are 21 years old.” 2. “Yes, all sexually active females should be screened for both cervical cancer and human papilloma virus (HPV).” 3. “Yes, all women under the age of 29 should be screened for both cervical cancer and human papilloma virus (HPV).” 4. “No, but you will need to begin your screenings for both cervical cancer and human papilloma virus (HPV) when you are 18 years old.”

Answer 28

1. “No, you do not need to be screened for cervical cancer until you are 21 years old.”

Question 29

26- During an assessment, the nurse determine which patient is at highest risk for cervical cancer? 1- A 21-year-old who reports first sexual partner at the age of 14 and that she has had at least 10 sex partners. 2- A 60-year-old with a history of syphilis and cigarette smoking. 3- A 32-year-old in a monogamous relationship who declined the HPV vaccine. 4- None of the patients are at risk for cervical cancer.

Answer 29

1- A 21-year-old who reports first sexual partner at the age of 14 and that she has had at least 10 sex partners.

Question 30

A 25-year-old woman is at the primary care provider for her annual check up. The nurse educated the woman on risks for cervical cancer. Which question would be important to ask as part of a risk screening? a. “Were you sexually active at an early age?” b. “Do you have a history of high blood pressure?” c. “Have you had problems trying to get pregnant?” d. “How long have you been severely overweight?”

Answer 30

a. “Were you sexually active at an early age?”

Question 31

10- Which .client in the gynecology clinic should the nurse assess first? 1. 31-year-old, reports increasing dyspareunia. 2. 15-year-old, no menses for past 4 months. 3. 22-year-old, using tampons, T = 102°F, P = 122, BP = 70/55. 4. 18-year-old seeking information on contraception methods.

Answer 31

3. 22-year-old, using tampons, T = 102°F, P = 122, BP = 70/55.

Question 32

After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines that the teaching was successful when the woman identifies which hormone produced as being the basis for pregnancy tests? a. human placental lactogen (hPL) b. estrogen (estriol) c. progesterone (progestin) d. human chorionic gonadotropin (hCG)

Answer 32

d. human chorionic gonadotropin (hCG)

Question 33

A woman is admitted for repair of cystocele and rectocele. She has nine living children. In taking her health history, which of the following would the nurse expect to find? A) Sporadic vaginal bleeding accompanied by chronic pelvic pain B) Heavy leukorrhea with vulvar pruritus C) Menstrual irregularities and hirsutism on the chin D) Stress incontinence with feeling of low abdominal pressure

Answer 33

D) Stress incontinence with feeling of low abdominal pressure

Question 34

19- A client diagnosed with polycystic ovarian disease (PCOS) asks why spironolactone (Aldactone) has been prescribed. How should the nurse respond? 1. “Spironolactone is often used to reduce complications associated with PCOS, including rectocele.” 2. “Menstrual irregularities related to polycystic ovarian disease are treated using spironolactone.” 3. “Condylomata acuminata, which are sometimes caused by polycystic ovarian disease, are treated with spironolactone.” 4. “Spironolactone may be used to decrease symptoms associated with PCOS, such as excessive hair growth and acne.”

Answer 34

4. “Spironolactone may be used to decrease symptoms associated with PCOS, such as excessive hair growth and acne.”

Question 35

A breast biopsy indicates the presence of malignant cells, and the client is scheduled for a mastectomy. Which nursing diagnosis would the nurse most likely include in the client's preoperative plan of care as the priority? a. risk for deficient fluid volume b. activity intolerance c. disturbed body image d. impaired urinary elimination

Answer 35

c. disturbed body image

Question 36

After teaching a class on preventing pelvic inflammatory disease, the instructor determines that the teaching was successful when the class identifies which of the following as an effective method? A) Advising sexually active females to use hormonal contraception B) Encouraging vaginal douching on a weekly basis. C) Emphasizing the need for infected sexual partners to receive treatment D) Promoting routine treatment for asymptomatic females as risk

Answer 36

C) Emphasizing the need for infected sexual partners to receive treatment

Question 37

60-A nurse is teaching a classroom of teenage girls about the female reproductive system. After teaching, the nurse asks the students to describe the release of an ovum during ovulation. Which response indicates that teaching has been effective? 1. “Ovulation is when the uterus releases an unfertilized egg or ovum.” 2. “During ovulation, an egg is released from the ovary and enters the fallopian tube.” 3. “The endometrium is where the eggs are formed and released into the fallopian tube.” 4. “Around the middle of the menstrual cycle, one of the fallopian tubes releases an egg.”

Answer 37

2. “During ovulation, an egg is released from the ovary and enters the fallopian tube.”

Question 38

A woman is diagnosed with endometrial polyps after undergoing a hysteroscopy. When reviewing the documentation about the findings of this procedure, the nurse would expect to see the polpys being described as which color? a. Cherry-red b. Grayish-white c. Mucopurulent d. Greenish-yellow

Answer 38

a. Cherry-red

Question 39

A nurse is assessing a 20-year-old female. Which data finding taken during the history would indicate endometrial cancer? a. vaginal bleeding that is painless and abnormal b. diagnosis of diabetes mellitus c. diagnosis of liver disease d. severe back pain

Answer 39

a. vaginal bleeding that is painless and abnormal

Question 40

The nurse is reviewing with a new client the diagnosis of polycystic ovarian syndrome (PCOS). Which long-term health problems would the nurse review as a risk with this syndrome? a. migraine b. celiac disease c. type 2 diabetes d. cellulitis

Answer 40

c. type 2 diabetes

Question 41

``` Evaluation of a woman with breast cancer reveals t h a t h e r mass is approximately 1.25 inches in diameter. Three adjacent lymph nodes are positive. The nurse interprets this as indicating that the woman has which stage of breast cancer? A) 0 B) I C) II D) III ```

Answer 41

C) II

Question 42

Which of the following instructions would the nurse include when preparing a woman for a Pap smear? A) Refrain from sexual intercourse for 1 week before the test. B) Wear cotton panties on the day of the test. C) Avoid taking any medications for 24 hours. D) Do not douche for 48 hours before the test

Answer 42

D) Do not douche for 48 hours before the test

Question 43

``` 1A group of nurses are researching information about risk factors for intimate partner violence in men. Which of the following would the nurses expect to find related to the individual person? (Select all that apply.) A) Dysfunctional family system B)  Low academic achievement C)  Victim of childhood violence D)  Heavy alcohol consumption E)  Economic stress ```

Answer 43

B)  Low academic achievement C)  Victim of childhood violence D)  Heavy alcohol consumption

Question 44

48- The nurse is teaching a class to women who were recently diagnosed with benign breast disease (BBD), commonly known as fibrocystic breast disease. One of the participants reports increased swelling, pain, and pressure in her breasts just before menstruation. What is the best response by the nurse? 1. “It’s best to make an appointment with an oncologist.” 2. “The pain may be caused by thinning of the normal breast tissue.” 3. “Consider asking your healthcare provider about adding a mild diuretic to your regimen.” 4. “Breast swelling, and pressure are expected symptoms, but pain is abnormal and should be evaluated by your physician.”

Answer 44

3. “Consider asking your healthcare provider about adding a mild diuretic to your regimen.

Question 45

59- The nurse is reviewing a list of families scheduled for clinic visits. Which family would benefit from genetic counseling? 1. Family who has a child with cystic fibrosis. 2. Family whose youngest child is overweight. 3. Family whose oldest child wears eyeglasses. 4. Family who has a neighbor with Down syndrome.

Answer 45

1. Family who has a child with cystic fibrosis.

Question 46

A client is undergoing routine screening for breast cancer. The nurse would provide teaching about which test? a. mammography b. magnetic resonance mammography c. fine-needle aspiration biopsy d. sterotactic needle-guided biopsy

Answer 46

a. mammography

Question 47

A nurse working in a pediatrician's office has requested that a generic brand of cotton swabs be ordered in place of a more expensive brand name. Which trend in today's health care environment is most related to this nurse's action? a. initiating cost containment b. increasing health insurance coverage cost c. increasing use of technology d. increasing reliance on home care

Answer 47

a. initiating cost containment

Question 48

40- A woman calls the clinic office and asks the nurse why she is having spotting between her monthly periods when she is taking birth control pills to control the menorrhagia. What is the nurse’s most appropriate response? a. “It is important to take the pill at the same time each day.” b. “Irregular spotting is to be expected with oral contraceptives.” c. “The pills are still safe. Continue to take them, regardless.” d. “Physicians are still uncertain as to how oral contraceptives function.”

Answer 48

a. “It is important to take the pill at the same time each day.”

Question 49

``` After teaching a group of students about cervical cancer, the instructor determines that the teaching was successful when the students identify w h i c h o f t h e following as the area included with a cone biopsy? A) Clitoris B) Uterine fundus C) Ovarian follicle D) Transformation zone ```

Answer 49

D) Transformation zone

Question 50

22- The nurse is explaining a client’s abnormal Pap smear results. Which statement should the nurse include? 1. “Your cervix needs to be treated with cryotherapy.” 2. “The Pap smear is used to diagnose cervical cancer.” 3. “Colposcopy to further examine your cervix is the next step.” 4. “A loop electrosurgical excision procedure (LEEP) is needed.”

Answer 50

3. “Colposcopy to further examine your cervix is the next step.”

Question 51

68- The emergency room nurse is caring for a victim of sexual assault. What pharmacologic intervention should the nurse prepare to discuss with the victim? Select all that apply. 1. Prophylactic analgesics. 2. Postcoital contraceptive therapy. 3. Prophylactic immunizations for tetanus. 4. Postexposure prophylaxis with HIV antiviral medications. 5. Prophylactic treatment for sexually transmitted infections (STIs).

Answer 51

2. Postcoital contraceptive therapy. 4. Postexposure prophylaxis with HIV antiviral medications. 5. Prophylactic treatment for sexually transmitted infections (STIs).

Question 52

A nurse is conducting a class on breast cancer prevention. Which statement would the nurse most likely include in the discussion? A) Most often a lump is felt before it is seen. B) Early breast cancer usually has some symptoms. C) If the mass is not painful, it is usually benign. D) If lump is palpable, it has been there for some time.

Answer 52

D) If lump is palpable, it has been there for some time.

Question 53

4- A 12-year-old pediatric client is in need of surgery. Which healthcare member is legally responsible for obtaining informed consent for an invasive procedure? 1. The nurse. 2. The physician. 3. The social worker. 4. The unit secretary.

Answer 53

2. The physician.

Question 54

A nurse is providing care to a woman who has just delivered a healthy newborn. Which action would least likely demonstrate application of the concept of family centered care? A) Focusing on the birth as a normal healthy event for the family B) Creating opportunities for the family to make informed decisions C) Encouraging the woman to keep her other children at home D) Fostering a sense of respect for the mother and the family

Answer 54

C) Encouraging the woman to keep her other children at home

Question 55

16- A woman has been unable to complete a full-term pregnancy because the fertilized ovum failed to implant in the uterus. Which hormone is most likely causing this client’s issues with pregnancy? 1. Estrogen. 2. Progesterone. 3. LH (luteinizing hormone). 4. FSH (follicle-stimulating hormone).

Answer 55

2. Progesterone.

Question 56

A client in the clinic requests birth control pills to prevent pregnancy. Upon taking a sexual history, the nurse realizes that the client has multiple partners. Which type of contraception would be the best for the nurse to suggest? a. birth control pills b. condoms c. calendar method d. natural method

Answer 56

b. condoms

Question 57

As a result of loss of estrogen, perimenopausal women have decreased vaginal lubrication. What may occur as a result? a. frequent urination b. excess fatigue c. painful intercourse d. painful menses

Answer 57

c. painful intercourse

Question 58

7- The nurse is teaching a client who recently learned that she is pregnant. Which hormone should the nurse instruct as being secreted by the fertilized egg? 1. Estrogen. 2. Progesterone. 3. Luteinizing hormone. 4. Human chorionic gonadotropin (hCG).

Answer 58

4. Human chorionic gonadotropin (hCG).

Question 59

A male client asks the nurse to explain which structure is cut during a vasectomy. What response should the nurse give the client? a. the vas deferens b. the epididymis c. the ejaculatory ducts d. the scrotum

Answer 59

a. the vas deferens

Question 60

A 30-year-old female is attending a health fair for women. The nurse at the fair is reviewing risk factors for cervical cancer. Which important risk factor should the nurse include at the fair? a. one life partner b. first intercourse after age 25 c. exposure to diethylstilbestrol (DES) in utero d. protected sexual intercourse

Answer 60

c. exposure to diethylstilbestrol (DES) in utero

Question 61

While obtaining a health history from a male adolescent during a well checkup, the nurse assesses his sexual behavior and risk for sexually transmitted infections. Based on the information, the nurse plans to teach the adolescent about using a condom. What statement would the nurse include in the teaching plan? a. “You can reuse a condom if it's within 3 hours.” b. “Store your condoms in your wallet so they are ready for use.” c. “Put the condom on before engaging in any genital contact.” d. “Use petroleum jelly with a latex condom for extra lubrication.”

Answer 61

c. “Put the condom on before engaging in any genital contact.”

Question 62

``` A woman who delivered a healthy newborn several hours ago asks the nurse, Why am I perspiring so much? The nurse integrates knowledge that a decrease in which hormone plays a role in this occurrence? A)  Estrogen B)  hCG C)  hPL D)  Progesterone ```

Answer 62

A)  Estrogen

Question 63

A nurse educator is conducting a class on intimate partner violence for a group of new graduate nurses during orientation. Which statement by the educator best reflects current practice regarding these problems in women's health? a. "Asking every client about intimate partner and family violence is the best way to elicit accurate infor-mation." b. "The nurse should screen for these problems at every client encounter." c. "The nurse is not legally responsible for reporting suspected intimate partner violence." d. "Since families are more stable than in the past, nurses are not as concerned about these problems as they used to be."

Answer 63

b. "The nurse should screen for these problems at every client encounter."

Question 64

During a follow-up visit to the clinic, a victim of sexual assault reports that she has changed her job and moved to another town. She tells the nurse, I pretty much stay to myself at work and at home. The nurse interprets these findings to indicate that the client is in which phase of rape recovery? A)  Disorganization B)  Denial C)  Reorganization D)  Integration

Answer 64

C)  Reorganization

Question 65

32- A nurse is teaching a health class for 12- and 13-year-old girls about routine vaginal hygiene. What should the nurse be sure to include? a. Wear clean polyester panties daily and at night. b. Douche weekly with a mild vinegar solution. c. Wash the external and internal genitalia daily. d. Wipe the perineal–anal area from front to back.

Answer 65

d. Wipe the perineal–anal area from front to back.

Question 66

63- The nurse tells family members the sex of a newborn baby without first consulting the parents. Which act did this nurse commit? 1. Negligence. 2. Malpractice. 3. A breach of ethics. 4. Breach of privacy.

Answer 66

4. Breach of privacy.

Question 67

``` A client with advanced breast cancer, who has had both chemotherapy and radiation therapy, is to start hormonal therapy. Which agent would the nurse expect the client to receive? A) Progestins B) Tamoxifen C) Cortisone D) Estrogen ```

Answer 67

B) Tamoxifen

Question 68

``` A nurse is assisting with the collection of a Pap smear. When collecting the specimen, which of the following is done first? A) Insertion of the speculum B) Swabbing of the endocervix C) Spreading of the labia D) Insertion of the cytobrush ```

Answer 68

C) Spreading of the labia

Question 69

A nurse is caring for a pregnant woman who has come to the prenatal clinic for a follow-up visit. During the visit, the woman asks the nurse, "I've heard about something called a doula. Can you explain what this is? Which response by the nurse would be most appropriate? a. "A doula is someone with advanced medical training who helps you during birth." b. "A doula is just like a midwife except usually a family member." c. "A doula is someone who assists you during birth and afterwards offers support to you and your family." d. "A doula is a nurse with an advanced training in caring for women having a normal pregnancy and birth."

Answer 69

c. "A doula is someone who assists you during birth and afterwards offers support to you and your family."

Question 70

29- What should a patient’s home instructions following a vasectomy include? a. Postoperative care consists of warm Sitz baths. b. Vasectomies should be seen as usually permanent but are sometimes reversible. c. Sexual intercourse should be delayed for up to 3 months. d. The surgical procedure may interfere with ejaculation.

Answer 70

b. Vasectomies should be seen as usually permanent but are sometimes reversible.

Question 71

``` A woman comes to the clinic complaining of a vaginal discharge. The nurse suspects trichomoniasis based on which of the following? (Select all that apply.) A) Urinary frequency B) Yellow/green discharge C) Joint pain D) Blister-like lesions E) Muscle aches ```

Answer 71

A) Urinary frequency | B) Yellow/green discharge

Question 72

61- The school nurse is teaching a health class to middle school children. Which structure should the nurse explain as secreting follicle-stimulating hormone (FSH) and luteinizing hormone (LH)? 1. Hypothalamus. 2. Anterior pituitary. 3. Posterior pituitary. 4. Ovaries and testes.

Answer 72

2. Anterior pituitary.

Question 73

Which factor in a client’s history indicates she is at risk for candidiasis? a. nulliparity b. menopause c. use of corticosteroids d. use of spermicidal jelly

Answer 73

c. use of corticosteroids

Question 74

The nurse explains to a client with a family history of breast cancer the difference between benign and malignant neoplasms. Which description is a characteristic of a malignant neoplasm? a. round or oval shape b. irregular shape and hard c. movable d. smooth border

Answer 74

b. irregular shape and hard

Question 75

A woman is admitted for repair of cystocele and rectocele. She has nine living children. In taking her health history, what would the nurse expect to find? a. sporadic vaginal bleeding accompanied by chronic pelvic pain b. heavy leukorrhea with vulvar pruritus c. menstrual irregularities and hirsutism on the chin d. stress incontinence with feeling of low abdominal pressure

Answer 75

d. stress incontinence with feeling of low abdominal pressure

Question 76

3- During the hospital admission process, a child’s parent asks for information about family-centered care. What should the nurse explain to this parent? 1. Mother is the principal caregiver in each family. 2. Father is the leader in each home; thus, all communications should include him. 3. Family serves as the constant influence and continuing support in the child’s life. 4. Child’s physician is the key person in ensuring the health of a child is maintained.

Answer 76

3. Family serves as the constant influence and continuing support in the child’s life.

Question 77

``` Which finding would the nurse expect to find in a client with endometriosis? A)  Hot flashes B)  Dysuria C)  Fluid retention D)  Fever ```

Answer 77

B)  Dysuria

Question 78

34- A patient tells a nurse that she is afraid of getting cervical cancer because her mother died of cervical cancer. What is the most appropriate response by the nurse? a. “You need to a have a pelvic examination every 6 months because of your history.” b. “If you have regular Pap smears, cervical cancer is usually diagnosed early and cured.” c. “There’s no need to worry so much. Cervical cancer does not run in families.” d. “Cervical cancer is sexually transmitted. Don’t switch partners often, and you don’t have to worry.”

Answer 78

b. “If you have regular Pap smears, cervical cancer is usually diagnosed early and cured.”

Question 79

25- A 31-year-old woman with normal ovaries, a normal prolactin level, and an intact pituitary gland is undergoing initial pharmacologic treatment of anovulation. Which medication should the nurse anticipate being prescribed for this client? 1. Bromocriptine (Parlodel). 2. Metformin (Glucophage). 3. Clomiphene citrate (Clomid or Serophene). 4. Human menopausal gonadotropins (hMGs).

Answer 79

3. Clomiphene citrate (Clomid or Serophene).

Question 80

When integrating the principles of family-centered care, the nurse would include which of the following? A) Childbirth is viewed as a procedural event B) Families are unable to make informed choices C) Childbirth results in changes in relationships D) Families require little information to make appropriate decisions

Answer 80

C) Childbirth results in changes in relationships

Question 81

``` When describing the hormones involved in the menstrual cycle, a nurse identifies which hormone as responsible for initiating the cycle? A)  Estrogen B)  Luteinizing hormone C)  Progesterone D)  Prolactin ```

Answer 81

B)  Luteinizing hormone

Question 82

52- The nurse learns that a client is being considered for a total abdominal hysterectomy. Which health problem should the nurse suspect this client is experiencing? 1. Small ovarian cysts. 2. Ovarian cancer 3. PID. 4. Vaginal Atrophy.

Answer 82

2. Ovarian cancer

Question 83

An older pregnant woman has come to the clinic for her first prenatal visit. She asks the nurse about age guidelines for genetic counseling and prenatal testing. The nurse informs the client that genetic counseling and prenatal testing should be performed for all pregnant women in which age group? a. 18 to 25 b. 25 to 30 c. 35 and older d. 18 and under

Answer 83

c. 35 and older

Question 84

Prenatal testing is used to assess for genetic risks and to identify genetic disorders. In explaining to a couple about an elevated alphafetoprotein screening test result, the nurse would discuss the need for: A)  Special care needed for a Down syndrome infant B)  A more specific determination of the acidbase status C)  Further, more definitive evaluations to conclude anything D)  Immediate termination of the pregnancy based on results

Answer 84

C)  Further, more definitive evaluations to conclude anything

Question 85

11- Which statement indicates that client teaching about vaginal infections has been effective? 1. “The fishy vaginal odor I have is caused by a bacterial infection.” 2. “I can use this antiyeast medication weekly to prevent another infection.” 3. “My diabetes is unrelated to the frequency of my vaginal yeast infections.” 4. “I should douche weekly to prevent a recurrence of my bacterial vaginosis.”

Answer 85

1. “The fishy vaginal odor I have is caused by a bacterial infection.”

Question 86

``` A nurse is conducting a class for a local woman's group about recommendations for a Pap smear. One of the participants asks, At what age should a woman have her first Pap smear? The nurse responds by stating that a woman should have her first Pap smear at which age? A) 18 B) 21 C) 25 D) 28 ```

Answer 86

B) 21

Question 87

``` A woman comes to the clinic and asks the nurse about when she should have her first mammogram. Using the recommendations of the American Cancer Society, which would the nurse suggest? A) 30 years B) 35 years C) 40 years D) 45 years ```

Answer 87

C) 40 years

Question 88

A woman who is 2 weeks postpartum calls the clinic and says, My left breast hurts. After further assessment on the phone, the nurse suspects the woman has mastitis. In addition to pain, the nurse would assess for which of the following?

Answer 88

Hardening of an area in the affected breast

Question 89

A client is scheduled to have a screening mammogram. When teaching the woman about this test, the nurse should include which instruction? a. "Schedule the procedure just before your menses." b. "Don't use deodorant that day because it may interfere with the X-ray image." c. "You can leave your necklace on, but you'll need to take off your watch and earrings." d. "You'll need to take a narcotic analgesic for any discomfort afterwards."

Answer 89

b. "Don't use deodorant that day because it may interfere with the X-ray image."

Question 90

46- A patient with a chlamydial infection is taking a 7-day course of doxycycline (Vibramycin). What information should the nurse provide? a. Return in 1 month for a follow-up culture. b. Take the drug on an empty stomach with a minimum of fluid. c. Delay sexual activity until cured. d. Expect genital or anal itching or burning.

Answer 90

c. Delay sexual activity until cured.

Question 91

``` A woman is diagnosed with adenocarcinoma of the endometrium in situ. The nurse interprets this as indicating which of the following about the cancer? A) Spread to the uterine muscle wall B) Found on the endometrial surface C) Spread to the cervix D) Invaded the bladder ```

Answer 91

B) Found on the endometrial surface

Question 92

8- The nurse is presenting a community education session on female hormones. Which participant statement indicates the need for further information? 1. “Estrogen is what causes females to look female.” 2. “Prostaglandin is responsible for achieving conception.” 3. “Progesterone is present at the end of the menstrual cycle.” 4. “The presence of some hormones causes others to be secreted.”

Answer 92

2. “Prostaglandin is responsible for achieving conception

Question 93

``` A client with trichomoniasis is to receive metronidazole (Flagyl). The nurse instructs the client to avoid which of the following while taking this drug? A)  Alcohol B)  Nicotine C)  Chocolate D)  Caffeine ```

Answer 93

A)  Alcohol

Question 94

A female client has been admitted to the inpatient psychiatric facility with a diagnosis of posttraumatic stress disorder after a history of violence by her boyfriend. During the initial assessment interview, which assessment would be the priority? a. nutritional status b. hydration status c. sleep patterns d. suicide risk

Answer 94

d. suicide risk

Question 95

A nurse is teaching a class on X-linked recessive disorders. Which of the following statements would the nurse most likely include? A) Males are typically carriers of the disorders. B) No male-to-male transmission occurs. C) Daughters are more commonly affected with the disorder. D) Both sons and daughters have a 50% risk of the disorder.

Answer 95

B) No male-to-male transmission occurs.

Question 96

When teaching a woman how to perform Kegel exercises, the client asks what muscles are being helped with these exercises. The nurse would include reference to which muscles in the response? a. gluteus b. lower abdominal c. pelvic floor d. diaphragmatic

Answer 96

c. pelvic floor

Question 97

A group of students are preparing a class discussion about rape and sexual assault. Which of the following would the students include as being most accurate? (Select all that apply.) A) Most victims of rape tell someone about it. B) Few women falsely cry rape. C) Women have rape fantasies desiring to be raped. D) A rape victim feels vulnerable and betrayed afterwards. E) Medication and counseling can help a rape victim cope.

Answer 97

B) Few women falsely cry rape. D) A rape victim feels vulnerable and betrayed afterwards. E) Medication and counseling can help a rape victim cope.

Question 98

14- During an assessment, the nurse notices that an African American baby has a darker, slightly bluish patch about 5 by 7 cm on the buttocks and lower back. What should the nurse do? 1. Chart the presence of a Mongolian spot. 2. Ask the mother about the cause of the bruise. 3. Confer with the physician about the possibility of a bleeding tendency. 4. Call the Department of Social Services (DSS) to report this sign of abuse.

Answer 98

1. Chart the presence of a Mongolian spot.

Question 99

``` During her gynecologic checkup, a 17-year-old girl states that recently she has been experiencing cramping and pain during her menstrual periods. The nurse would document this complaint as: A)Amenorrhea. B) Dysmenorrhea. C)Dyspareunia. D)Premenstrual syndrome (PMS). ```

Answer 99

B) Dysmenorrhea.

Question 100

Which instruction should the nurse give to a client with genital herpes to help control the infection? a. Avoid sexual contact until sores heal. b. Apply antibacterial medication. c. Avoid people with upper respiratory infections. d. Apply imiquimod cream.

Answer 100

a. Avoid sexual contact until sores heal.

Question 101

``` After teaching a class on sexual violence, the instructor determines that the teaching was successful when the class identifies which of the following as a type of sexual violence. (Select all that apply.) A)  Female genital cutting B)  Bondage C)  Infanticide D)  Human trafficking E)  Rape ```

Answer 101

``` A)  Female genital cutting B)  Bondage C)  Infanticide D)  Human trafficking E)  Rape ```

Question 102

56- Which client is not a good candidate for Depo-Provera (DMPA)? 1. One with a vaginal prolapse. 2. One who weighs 200 pounds. 3. One who wishes to breastfeed. 4. One who wishes to get pregnant within 3 months.

Answer 102

4. One who wishes to get pregnant within 3 months.

Question 103

``` The nurse encourages a female client with human papillomavirus (HPV) to receive continued follow-up care because she is at risk for: A) Infertility B) Dyspareunia C) Cervical cancer D) Dysmenorrhea ```

Answer 103

C) Cervical cancer

Question 104

Assessment of a client reveals evidence of a cystocele. The nurse interprets this as: a. herniation of the rectum into the vagina. b. protrusion of intestinal wall into the vagina. c. downward displacement of the cervix. d. bulging of the bladder into the vagina.

Answer 104

d. bulging of the bladder into the vagina.

Question 105

The primary goal when working with victims of intimate partner violence is to: A) Convince them to leave the abuser soon B) Help them cope with their life as it is C)Empower them to regain control of their life D) Arrest the abuser so he or she can't abuse again

Answer 105

C)Empower them to regain control of their life

Question 106

A nurse is teaching a class on X-linked recessive disorders. Which of the following statements would the nurse most likely include? A)Males are typically carriers of the disorders. B) No male-to-male transmission occurs. C) Daughters are more commonly affected with the disorder. D)Both sons and daughters have a 50% risk of the disorder.

Answer 106

B) No male-to-male transmission occurs.

Question 107

In the female reproductive system, the hormones estrogen and progesterone are produced by the: a. vagina. b. Bartholin's glands. c. Skene's glands. d. ovaries.

Answer 107

d. ovaries.

Question 108

18- The nurse is caring for a client diagnosed with endometriosis. Which statement by the client requires immediate follow-up? 1. “I’ve noticed my voice is lower since I started taking danazol.” 2. “I am having many hot flashes since I had the Lupron injection.” 3. “The pain I experience with intercourse is becoming more severe.” 4. “My leg has become painful and swollen since I started taking birth control pills.”

Answer 108

4. “My leg has become painful and swollen since I started taking birth control pills.”

Question 109

42- A woman diagnosed with gonorrhea is astounded and states that she had no idea that she had an STI. What should the nurse explain about gonorrhea? a. It produces no symptoms in half of those in the early stages of the infection. b. It always produces a foul vaginal discharge. c. It causes a vaginal chancre that is not easily detected. d. It may appear to be an upper respiratory infection in the early stages of the infection.

Answer 109

a. It produces no symptoms in half of those in the early stages of the infection.

Question 110

24- A client who has been unable to conceive asks the nurse if it is her fault or her husband’s fault that they have not been able to become pregnant. What is the nurse’s best response? 1. “The male infertility factors are more common than female.” 2. “Female infertility issues are more common than male issues.” 3. “The testing the doctor will order will determine who is at fault.” 4. “We will know more about what is causing your infertility after some tests are done.”

Answer 110

4. “We will know more about what is causing your infertility after some tests are done.”

Question 111

30- After a physician has left the room of a 30-year-old man who has been diagnosed with testicular cancer, the patient covers his face with both hands and sighs. What is the nurse’s most therapeutic intervention at this time? a. Ask the patient, “Do you want to talk about your cancer?” b. Leave the room and pull the door closed. c. Go to the nurse’s station and call the patient’s wife. d. Complete the patient care as quickly as possible.

Answer 111

a. Ask the patient, “Do you want to talk about your cancer?”

Question 112

72- During an assessment the nurse suspects that a client is at risk for developing a cystocele. What findings did the nurse use to come to this conclusion? Select all that apply. 1. Age 68. 2. Body mass index (BMI) 32. 3. Pregnant seven times. 4. History of diabetes. 5. Takes hormone replacement therapy.

Answer 112

1. Age 68. 2. Body mass index (BMI) 32. 3. Pregnant seven times.

Question 113

Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides care for a client with this condition should be aware that the optimal pharmacologic therapy for pain relief is: A) acetaminophen B) Oral contraceptives (OCPs). C) Nonsteroidal antiinflammatory drugs (NSAIDs). D) Aspirin.

Answer 113

C) Nonsteroidal antiinflammatory drugs (NSAIDs).

Question 114

``` After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines that the teaching was successful when the woman identifies which hormone produced as being the basis for pregnancy tests? A)  Human placental lactogen (hPL) B)  Estrogen (estriol) C)  Progesterone (progestin) D)  Human chorionic gonadotropin (hCG) ```

Answer 114

D)  Human chorionic gonadotropin (hCG)

Question 115

``` When describing an episode, the victim reports that she attempted to calm her partner down to keep things from escalating. This behavior reflects which phase of the cycle of violence? A) Battering B) Honeymoon C) Tension-building D) Reconciliation ```

Answer 115

C) Tension-building

Question 116

57- When a woman who has been raped is admitted to the emergency department, which nursing intervention has priority? 1. Contact family members. 2. Create a safe, secure atmosphere for the woman. 3. Assure the woman that everything will be all right. 4. Explain exactly what will need to be done to preserve legal evidence.

Answer 116

2. Create a safe, secure atmosphere for the woman.

Question 117

The nurse is assessing a couple who have come to the health care facility because they have been unable to conceive a child. When assessing the woman, the nurse would identify which factor as increasing the woman's risk for infertility? a. endometriosis b. age of 25 years c. dysmenorrhea d. patent fallopian tubes

Answer 117

a. endometriosis

Question 118

A client has been diagnosed with cervical cancer during her second trimester of pregnancy. She decides to delay treatment until after the baby is born. The nurse prepare her for birth by explaining the birth will most likely be: a. via cesarean section. b. vaginally. c. per her choice. d. induced at 37 weeks.

Answer 118

a. via cesarean section.

Question 119

The nurse is caring for a client and her partner who are considering a future pregnancy. The client reports her last two pregnancies ended in stillbirth related to an underlying genetic disorder. What response by the nurse is mostappropriate? a. “You should contact a geneticist after you become pregnant to closely watch your condition.” b. “Your risk of repeated occurrences likely increases with future pregnancies.” c. “You are strong to consider such an undertaking.” d. “Consultation with a genetic counselor before you become pregnant would likely be beneficial.”

Answer 119

d. “Consultation with a genetic counselor before you become pregnant would likely be beneficial.”

Question 120

The nurse is teaching a client about fertility and the various phases of the menstrual cycle. The nurse should point out that ovulation usually occurs on which day of a 28-day cycle? a. 1 b. 10 c. 12 d. 14

Answer 120

d. 14

Question 121

A group of nursing students are reviewing information about mastitis and its causes. The students demonstrate understanding of the information when they identify which of the following as the most common cause?

Answer 121

S. aureus

Question 122

When describing programs for breast cancer screening, the nurse include breast self-examination (BSE). Which of the following most accurately reflects the current thinking about breast self-examination? A) BSE is essential for early breast cancer detection. B) A woman performing BSE has breast awareness. C) BSE plays a minimal role in detecting breast cancer D) A clinical breast exam has replaced BSE.

Answer 122

B) A woman performing BSE has breast awareness.

Question 123

33- After a mastectomy, many patients experience lymphedema. What action can the patient take to minimize this problem? a. Keep the arm elevated as much as possible. b. Take Lasix, 20 mg twice daily as ordered. c. Use a sling during the day to rest the arm. d. Avoid exercising the arm for several weeks.

Answer 123

a. Keep the arm elevated as much as possible.

Question 124

Which client should the nurse document as exhibiting signs and symptoms of primary dysmenorrhea? 1. 17-year-old, has never had a menstrual cycle. 2. 19-year-old, regular menses for 5 years that have suddenly become painful. 3. 14-year-old, irregular menses for 1 year, experiences cramping every cycle. 4. 16-year-old, had regular menses for 4 years, but has had no menses in 4 months.

Answer 124

3. 14-year-old, irregular menses for 1 year, experiences cramping every cycle.

Question 125

A nurse is speaking to a local women’s group about the various types of cancer affecting the female reproductive tract. The nurse explains that ovarian cancer is the leading cause of death from gynecologic malignancies based on the understanding that this type of cancer: a. spreads more easily than other female reproductive cancers. b. arises from extremely rare types of cells that are resistant to treatment. c. typically manifests with vague symptoms resulting in late diagnosis. d. is closely associated with highly resistant sexually transmitted infections.

Answer 125

c. typically manifests with vague symptoms resulting in late diagnosis.

Question 126

A number of inherited diseases can be detected in utero by amniocentesis. Which disease can be detected by this method? a. diabetes mellitus b. trisomy 21 c. phenylketonuria d. impetigo

Answer 126

b. trisomy 21

Question 127

23- The nurse is preparing an education session for women on prevention of urinary tract infections (UTIs). Which statement should be included? 1. Lower urinary tract infections rarely occur in women. 2. Back pain often develops with a lower urinary tract infection. 3. The most common causative organism of cystitis is Escherichia coli. 4. Wiping from back to front after a bowel movement will help prevent a UTI.

Answer 127

3. The most common causative organism of cystitis is Escherichia coli.

Question 128

50- The nurse manager is interviewing nurses for a position in an infertility clinic. Which statement best indicates that the interviewee understands the role of the nurse when working with infertile clients? 1. “This position is an assistant to the physician during diagnostic testing for infertility.” 2. “My job will be teaching clients how to take their medications and scheduling tests.” 3. “I will both teach and support families struggling with emotions as they attempt to become pregnant.” 4. “Many of my duties will involve forming therapeutic relationships with clients struggling with infertility.”

Answer 128

3. “I will both teach and support families struggling with emotions as they attempt to become pregnant.”

Question 129

A client is diagnosed with an enterocele. The nurse interprets this condition as: A) Protrusion of the posterior bladder wall downward through the anterior vaginal wall B) Sagging of the rectum with pressure exerted against the posterior vaginal wall C) Bulging of the small intestine through the posterior vaginal wall D) Descent of the uterus through the pelvic floor into the vagina

Answer 129

C) Bulging of the small intestine through the posterior vaginal wall

Question 130

An intrauterine device has been inserted into a client as a requested birth control method. What is an advantage of intrauterine devices (IUDs)? a. decreased incidence of tubal pregnancies b. decreased incidence of pelvic inflammatory disease c. continuous protection without client's active participation d. protection against sexually transmitted infections

Answer 130

c. continuous protection without client's active participation

Question 131

``` A woman comes to the clinic complaining that she has little sexual desire. As part of the clients evaluation, the nurse would anticipate the need to evaluate which hormone level? A)  Progesterone B)  Estrogen C)  Gonadotropin-releasing hormone D)  Testosterone ```

Answer 131

D)  Testosterone

Question 132

``` An instructor is describing the development of cervical cancer to a group of students. The instructor determines that the teaching was successful when the students identify which area as most commonly involved? A) Internal cervical os B) Junction of the cervix and fundus C) Squamous-columnar junction D) External cervical os ```

Answer 132

C) Squamous-columnar junction

Question 133

45- What is characteristic of the primary stage syphilis? a. Chancre. b. Alopecia. c. Pruritus. d. Dry skin.

Answer 133

a. Chancre.

Question 134

2- The nurse is presenting a session on intimate partner violence. Which statement indicates a need for further education? 1. “The ‘honeymoon period’ follows an episode of violence.” 2. “Everyone experiences anger and hitting in a relationship.” 3. “Abusers can be either husbands or boyfriends or wives or girlfriends.” 4. “My daughter is not to blame for the violence in her marriage.”

Answer 134

2. “Everyone experiences anger and hitting in a relationship.”

Question 135

A woman is scheduled for an anterior and posterior colporrhaphy as treatment for a cystocele. When the nurse is explaining this treatment to the client, which of the following descriptions would be most appropriate to include? A) This procedure helps to tighten the vaginal wall in the front and back so that your bladder and urethra are in the proper position. B) Your uterus will be removed through your vagina, helping to relieve the organ that is putting the pressure on your bladder. C) This is a series of exercises that you will learn to do so that you c a n strengthen your bladder muscles. D) These are plastic devices that your physician will insert into your vagina to provide support to the uterus and keep it in the proper position.

Answer 135

A) This procedure helps to tighten the vaginal wall in the front and back so that your bladder and urethra are in the proper position.

Question 136

Assessment of a female client reveals a thick, white vaginal discharge. She also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has: A) Trichomoniasis B) Bacterial vaginosis C) Candidiasis D) Genital herpes simplex 34-Uterus prolapse

Answer 136

C) Candidiasis

Question 137

73- Complementary therapy is the use of traditional medication with the addition of nonprescription herbs. True o False

Answer 137

True

Question 138

``` A woman comes to the clinic for a routine checkup. A history of exposure to which of the following would alert the nurse that she is at increased risk for cervical cancer? A) Hepatitis B) Human papillomavirus C) Cytomegalovirus D) Epstein-Barr virus ```

Answer 138

B) Human papillomavirus

Question 139

67- Which instruction should increase the comfort of a patient who is recovering from prostatitis? a. Avoid bathing for 2 days. b. Exercise. c. Take stool softeners. d. Limit fluid intake.

Answer 139

c. Take stool softeners.

Question 140

``` 5 A client has an abnormal Pap smear that is classified as ASC-US. Based on the nurses understanding of this classification, the nurse would expect which of the following? A) Immediate colposcopy B) Testing for HPV C) Repeat Pap smear in 4 to 6 months D) Cone biopsy ```

Answer 140

C) Repeat Pap smear in 4 to 6 months

Question 141

``` A nurse is reading a journal article about care of the woman with pelvic organ prolapse. The nurse would expect to find information related to w h i c h o f t h e following? (Select all that apply.) A) Rectocele B) Fecal incontinence C) Cystocele D) Urinary incontinence E) Enterocele ```

Answer 141

A) Rectocele C) Cystocele E) Enterocele

Question 142

When assessing a client, a nurse determines that the client has a rectocele based on which finding? a. protrusion of the bladder wall through the anterior vaginal wall b. bulging of the small intestine through the posterior vaginal wall c. sagging of the rectum, which pushes against or into the posterior vaginal wall d. downward movement of the uterus through the pelvic floor and into the vagina

Answer 142

c. sagging of the rectum, which pushes against or into the posterior vaginal wall

Question 143

The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which of the following activities would deviate from the characteristics of family-centered care? A)Softening unpleasant information or prognoses B) Evaluating and changing the nursing plan of care C) Collaborating with the child and family as equals D)Showing respect for the familys beliefs and wishes

Answer 143

A)Softening unpleasant information or prognoses

Question 144

A client comes to the genitourinary clinic with very mild symptoms of pelvic organ prolapse (POP) that has just started in the last several days. What would be the treatment of choice for this client? a. surgery b. Kegel exercises c. nothing d. colpexin sphere

Answer 144

b. Kegel exercises

Question 145

A client in her second trimester of pregnancy asks the nurse for information regarding certain oral medications to induce a miscarriage. What information should this client be given about such medications? a. They are available only in the form of suppositories. b. They can be taken only in the first trimester. c. They present a high risk of respiratory failure. d. They are considered a permanent end to fertility.

Answer 145

b. They can be taken only in the first trimester.

Question 146

6- The nurse learns that a client from a different country and culture was married to her first cousin before moving to the United States. The couple is expecting their first child in 4 months. What should the nurse consider when counseling this client? 1. Birth control. 2. Carrier testing. 3. Pregnancy termination. 4. Legal issues in the United States.

Answer 146

2. Carrier testing.

Question 147

The client has just been diagnosed with cervical cancer, and after discussing her options with her primary care provider and husband she chooses to have cryotherapy. What does this procedure do? a. removes a section of cervical tissue b. destroys abnormal cervical tissue by freezing it with liquid nitrogen c. destroys diseased cervical tissue by using a focused beam to vaporize it d. uses a cold knife (surgical scapel) to remvove tissue

Answer 147

b. destroys abnormal cervical tissue by freezing it with liquid nitrogen

Question 148

A woman diagnosed with breast cancer is to receive trastuzumab. Which of the following would the nurse incorporate into the explanation about how this drug works? A) It blocks the effect of the HER-2/neu protein inhibiting the growth of cancer cells. B) The drug blocks the conversion of androgens to estrogens C) It interferes with hormone receptors that allow estrogen to enter a cell D) The drug ultimately attacks areas where micro metastasis has occurred.

Answer 148

A) It blocks the effect of the HER-2/neu protein inhibiting the growth of cancer cells.

Question 149

``` After teaching a group of pregnant women about breast-feeding, the nurse determines that the teaching was successful when the group identifies which hormone as important for the production of breast milk after childbirth? A)Placental estrogen B)  Progesterone C)  Gonadotropin-releasing hormone D)  Prolactin ```

Answer 149

D)  Prolactin

Question 150

The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His parents are out of town on vacation, and the child is staying with a neighbor. Which action would be the priority? A)Getting telephone consent with two people listening to the verbal consent B) Providing emergency care without parental consent C) Contacting the childs aunt or uncle to obtain their consent D)Advocating for termination of parental rights for this situation

Answer 150

A)Getting telephone consent with two people listening to the verbal consent

Question 151

A nurse is caring for a pregnant woman in her third trimester. The woman is HIV positive and voices concerns about passing the infection on to her baby. What is the nurse's best response? a. "There is nothing you can do. You will just have to wait and see if your baby is born HIV positive." b. "If you are taking antiretroviral medications and you don't breastfeed your baby, you greatly reduce the risk of perinatal transmission of the disease." c. "Do you have other children? Your baby has a one-in-four chance of having HIV at birth, so if you have three other children who are not HIV positive, then this one will be HIV positive." d. "Perinatal transmission of the virus is a real fear. Would you like to talk to a social worker?"

Answer 151

b. "If you are taking antiretroviral medications and you don't breastfeed your baby, you greatly reduce the risk of perinatal transmission of the disease."

Question 152

41- A patient has been diagnosed with herpes simplex virus, type 2 (HSV type 2). What instruction should the nurse provide? a. Avoid telling anyone about the condition. b. Wear close-fitting undergarments. c. Wash towels and personal items daily. d. Soak the sores with peroxide every day.

Answer 152

c. Wash towels and personal items daily.

Question 153

41- A patient has been diagnosed with herpes simplex virus, type 2 (HSV type 2). What instruction should the nurse provide? a. Avoid telling anyone about the condition. b. Wear close-fitting undergarments. c. Wash towels and personal items daily. d. Soak the sores with peroxide every day.

Answer 153

c. Wash towels and personal items daily.

Question 154

Working at the college health care clinic, the nurse recognizes the importance of educating students that the human papillomavirus has been confirmed to be the cause of essentially all cases of which type of cancer? a. cervical b. uterine c. ovarian d. vaginal

Answer 154

a. cervical

Question 155

A nurse is providing education to a woman about screening for breast cancer. The woman has no symptoms and no family history of breast cancer. Which recommendation would the nurse make based on the guidelines from the American Cancer Society? a. biennial mammography beginning at age 50 b. annual mammogram beginning at age 40 c. clinical breast exam starting at age 30 d. no breast self-exam

Answer 155

b. annual mammogram beginning at age 40

Question 156

``` When developing a presentation for a local community organization on violence, the nurse is planning to include statistics on intimate partner abuse and its effects on children. In what percentage of the cases in which a parent is abused are the children battered also? A) 50% to 75% B) 25% to 50% C) 10% to 25% D) Less than 5% ```

Answer 156

A) 50% to 75%

Question 157

After the nurse teaches a client about ways to reduce the symptoms of premenstrual syndrome, which client statement indicates a need for additional teaching? A) I will make sure to take my estrogen supplements a week before my period. B) I’ve signed up for an aerobic exercise class three times a week. C) I'll cut down on the amount of coffee and colas I drink. D) I quit smoking about a month ago, so that should help.

Answer 157

A) I will make sure to take my estrogen supplements a week before my period.

Question 158

Which test would be most appropriate for detecting a yeast infection in a client with irritation of the vagina and vulva? a. enzyme-linked immunosorbent assay test b. hormone receptor assay test c. microscopic examination of a swab sampling d. transvaginal ultrasound screening test

Answer 158

c. microscopic examination of a swab sampling

Question 159

With regard to dysmenorrhea, nurses should be aware that: a) It is more common in older women b) It is more common in leaner women who exercise strenuously. c) Symptoms can begin at any point in the ovulatory cycle. d) Pain usually occurs in the suprapubic area or lower abdomen.

Answer 159

d)Pain usually occurs in the suprapubic area or lower abdomen.

Question 160

``` A client comes to the clinic with abdominal pain. Based on her history the nurse suspects endometriosis. The nurse expects to prepare the client for which of the following to confirm this suspicion? A)Pelvic examination B) Transvaginal ultrasound C) Laparoscopy D) Hysterosalpingogram ```

Answer 160

C) Laparoscopy

Question 161

A nurse is preparing a presentation for a health fair about preventing breast cancer. Which suggestion would the nurse include? a. delaying having children until after age 30 b. maintaining an ideal weight c. opting for estrogen only replacement therapy during menopause d. increasing the intake of caffeinated drinks

Answer 161

b. maintaining an ideal weight

Question 162

13- Which client should be treated with ceftriaxone (Rocephin) IM and doxycycline (Vibramycin) by mouth? 1. A pregnant client with syphilis. 2. A nonpregnant client with gonorrhea and chlamydial infection. 3. A pregnant client with gonorrhea and a yeast infection. 4. A nonpregnant client with chlamydial infection and trichomoniasis.

Answer 162

2. A nonpregnant client with gonorrhea and chlamydial infection.

Question 163

A client presents with vulvar itching and diffuse green vaginal discharge. Upon evaluation, she is prescribed metronidazole. What is the paramount nursing intervention in discharge planning? a. Instruct the client not to drink alcohol with this treatment. b. Counsel the client to refrain from sex for one week. c. Advise the client to take medication with a glass of milk. d. Reassure the client further STI testing is not indicated.

Answer 163

a. Instruct the client not to drink alcohol with this treatment.

Question 164

When teaching a group of postmenopausal women about hot flashes and night sweats, the nurse would address which primary cause? a. poor dietary intake b. estrogen deficiency c. active lifestyle d. changes in vaginal pH

Answer 164

b. estrogen deficiency

Question 165

``` After teaching a group of nursing students about the different types of chemotherapeutic agents used to treat breast cancer, the instructor determines that the teaching was successful when the students identify which of the following as an example of a selective estrogen receptor modulator (SERM)? (Select all that apply.) A) Tamoxifen B) Letozole C) Raloxifene D) Exemestane E) Anastrozole ```

Answer 165

A) Tamoxifen | C) Raloxifene

Question 166

38- A nurse collecting data on the reproductive system from a female patient is told that the patient has a vaginal discharge that is cottage cheese–like in appearance. What should the nurse recognize this as a common sign of? a. Pelvic inflammatory disease (PID). b. Trichomonas vaginalis infection. c. Atrophic vaginitis. d. Candida albicans infection.

Answer 166

d. Candida albicans infection.

Question 167

12- The physician has prescribed metronidazole (Flagyl) for a woman diagnosed with trichomoniasis. What should the nurse include when teaching about this medication? 1. “It will turn your urine orange.” 2. “This medication could produce drowsiness.” 3. “Both partners must be treated with the medication.” 4. “Alcohol does need to be avoided while taking this medication.”

Answer 167

4. “Alcohol does need to be avoided while taking this medication.”

Question 168

``` A client is diagnosed with pelvic inflammatory disease (PID). When reviewing the clients medical record, which of the following would the nurse expect to find? (Select all that apply.) A) Oral temperature of 100.4 degrees F B) Dysmenorrhea C) Dysuria D) Lower abdominal tenderness E) Discomfort with cervical motion F) Multiparity ```

Answer 168

B) Dysmenorrhea C) Dysuria D) Lower abdominal tenderness E) Discomfort with cervical motion

Question 169

A nurse is conducting a presentation for a local women's group about pelvic organ prolapse. When describing the different types, which information would the nurse incorporate into the description of a cystocele? a. sagging of the rectum, pushing against or into the posterior vaginal wall b. protrusion of the bladder wall through the anterior vaginal wall c. bulging of the small intestine through the posterior vaginal wall d. downward movement of the uterus through the pelvic floor and into the vagina

Answer 169

b. protrusion of the bladder wall through the anterior vaginal wall

Question 170

66- A male student comes to the campus clinic complaining of painful scrotal edema, nausea, vomiting, chills, and fever. What should the nurse recognize these signs and symptoms as being associated with? a. UTI. b. Epididymitis. c. Urethritis. d. Cystitis.

Answer 170

b. Epididymitis.

Question 171

``` A group of students are reviewing the process of breast milk production. The students demonstrate understanding when they identify which hormone as responsible for milk let-down? A)  Prolactin B)  Estrogen C)  Progesterone D)  Oxytocin ```

Answer 171

D)  Oxytocin

Question 172

When describing the process of fertilization, the nurse would explain that it normally occurs in which structure? a. endometrium b. vagina c. cervix d. fallopian tube

Answer 172

d. fallopian tube

Question 173

``` When assessing a client with suspected breast cancer, which of the following would the nurse expect to find? A) Painful lump B) Absence of dimpling C) Regularly shaped mass D) Nipple retraction ```

Answer 173

D) Nipple retraction

Question 174

58- From genetic testing a client learns of having a X-linked recessive genetic disorder. Which health problem would be explained by this finding? 1. Infertility. 2. Hemophilia A. 3. Beta-thalassemia. 4. Tay-Sachs disease.

Answer 174

2. Hemophilia A.

Question 175

A 42-year-old woman is scheduled for a mammogram. Which of the following would the nurse include when teaching the woman about the procedure? A) The room will be darkened throughout the procedure. B) Each breast will be firmly compressed between two plates. C) Make sure to refrain from eating or drinking after midnight. D) A small needle will be inserted to get a sample for evaluation.

Answer 175

B) Each breast will be firmly compressed between two plates.

Question 176

49- The nurse is creating a care plan for a client who is unable to conceive as a consequence of endometriosis. Which statement accurately reflects a nursing diagnosis that may apply to the care of this client? 1. Acute pain related to dysuria and renal pain secondary to endometriosis. 2. Compromised family coping related to depression secondary to infertility. 3. Infertility related to endometrial inflammation and adhesions secondary to endometriosis. 4. Hyperandrogenism related to elevated serum androgen levels secondary to endometriosis.

Answer 176

2. Compromised family coping related to depression secondary to infertility.

Question 177

``` A woman is scheduled for diagnostic testing to evaluate for endometrial cancer. The nurse would expect to prepare the woman for which of the following? A) CA-125 testing B) Transvaginal ultrasound C) Pap smear D) Mammography ```

Answer 177

B) Transvaginal ultrasound

Question 178

A middle-aged woman is seen in the OB/GYN clinic and reports abdominal bloating, fatigue, abdominal pain, urinary frequency, and constipation. She also says that she had lost 24 pounds in the last month without trying to lose. For which disease should the primary care provider screen this client? a. pelvic organ prolapse (POP) b. ovarian cancer c. breast cancer d. fibroids

Answer 178

b. ovarian cancer

Question 179

5- A genetic screening test completed on a newborn is found to be positive. What should the nurse anticipate the next action will be for this infant? 1. Scheduling for diagnostic testing. 2. Discussing the need for major intervention. 3. Nothing, since further action is not necessary. 4. Instructing the parents on expression of the genetic disorder.

Answer 179

1. Scheduling for diagnostic testing.

Question 180

A nurse is engaged in providing family-centered care for a woman and her family. The nurse is providing instrumental support with which activity? A)  Explaining to the woman and family what to expect during the birth process. B)  Assisting the woman in breathing techniques to cope with labor contractions. C)  Reinforcing the woman's role as a mother after birth D)  Helping the family obtain extra financial help for prescribed phototherapy

Answer 180

D)  Helping the family obtain extra financial help for prescribed phototherapy

Question 181

During a wellness visit to the clinic, a woman asks the nurse if there is anything she can doto reduce her risk for developing breast c a n c e r . Which of the following would the nurse most likely include? (Select all that apply.) A) Eating three servings of fruit daily B) Keeping weight gain under 11 pounds after age 18 C) Eating at least seven portions of complex carbohydrates daily D) Limiting the intake of refined sugar products E) Using salt liberally when cooking

Answer 181

B) Keeping weight gain under 11 pounds after age 18 C) Eating at least seven portions of complex carbohydrates daily D) Limiting the intake of refined sugar products

Question 182

69- The nurse is reviewing the embryonic primary germ layers with a group of students. Which structures should the nurse identify as being formed from the mesoderm? Select all that apply. 1. Nails. 2. Liver. 3. Spleen. 4. Muscles. 5. Skeleton.

Answer 182

3. Spleen. 4. Muscles. 5. Skeleton.

Question 183

When reviewing the medical record of a client diagnosed with endometriosis, which of the following would the nurse identify as a risk factor for this woman? A)  Low fat in the diet B)  Age of 14 years for menarche C)  Menstrual cycles of 24 days D)  Short menstrual flow

Answer 183

C)  Menstrual cycles of 24 days

Question 184

39- Which medication is used to stimulate or mimic actions of natural pituitary gonadotropins in the treatment of infertility? a. Estrogen only (diethylstilbestrol). b. Danazol (Danocrine). c. Clomiphene citrate (Clomid). d. Raloxifene (Evista).

Answer 184

c. Clomiphene citrate (Clomid).

Question 185

``` A woman has opted to use the basal body temperature method for contraception. The nurse instructs the client that a rise in basal body temperature indicates which of the following? A) Onset of menses B) Ovulation C) Pregnancy D) Safe period for intercourse ```

Answer 185

B) Ovulation

Question 186

31- A nurse is assessing a young man who is being treated for sterility and inquires whether the young man had any common childhood disease that may be the cause of sterility. What childhood disease might result in sterility? a. Mumps. b. Chicken pox. c. Measles. d. Scarlet fever.

Answer 186

a. Mumps.

Question 187

What is the term that refers to a woman who has never been pregnant? a. gravida b. parity c. nulligravida d. multigravida

Answer 187

c. nulligravida

Question 188

A woman and her partner have been trying to conceive for over 2 years without success. Ultrasound imaging reveals scarring of her fallopian tubes, which appears to be the primary cause of subfertility. What is the most likely cause of the scarring? a. pelvic inflammatory disease b. ruptured appendix c. abdominal surgery d. Turner syndrome

Answer 188

a. pelvic inflammatory disease

Question 189

A nurse is caring for a female client who has a history of recurring vulvovaginal candidiasis. Which instruction should the nurse include in the teaching session with the client? a. Use superabsorbent tampons. b. Douche the affected area regularly. c. Wear white, 100% cotton underpants. d. Increase intake of carbonated drinks.

Answer 189

c. Wear white, 100% cotton underpants.

Question 190

37- A female student, seen in the campus clinic, states that she uses feminine hygiene douches every day and after intercourse. What is the best response from the nurse? a. “Douching has been used as an effective means of birth control for years.” b. “Commercially prepared douches will neutralize the female vaginal tract.” c. “Douching should only be done when ordered by a physician or nurse practitioner.” d. “Douching protects the vaginal tract from microorganisms.”

Answer 190

c. “Douching should only be done when ordered by a physician or nurse practitioner.”

Question 191

53- What should the gynecology clinic nurse recommend for the client experiencing premenstrual syndrome (PMS)? 1. “Increase your consumption of red meat when you feel symptoms, and eat three large meals per day.” 2. “Engage in aerobic activity often throughout the month, and continue exercising when your symptoms begin.” 3. “Decrease your dietary intake of dairy and soy slightly during the month, and especially during your days of bleeding.” 4. “Eat more chocolate and drink more caffeine beginning a week prior to when your menstrual cycle bleeding should begin.”

Answer 191

2. “Engage in aerobic activity often throughout the month, and continue exercising when your symptoms begin.”

Question 192

A small amount of breast milk is obtained for culture and sensitivity testing from a client with mastitis. The nurse would expect the results to identify which organism as the most likely cause? a. Chlamydia trachomatis b. group A streptococcus c. Escherichia coli d. Staphylococcus aureus

Answer 192

d. Staphylococcus aureus

Question 193

A nurse is teaching personal hygiene care techniques to a client with genital herpes. Which statement by the client indicates the teaching has been effective? a. “I will wear loose cotton underwear.” b. “I will apply a water-based lubricant to my lesions.” c. “I should rub rather than scratch in response to itching.” d. “I can pour hydrogen peroxide and water over my lesions.”

Answer 193

a. “I will wear loose cotton underwear.”

Question 194

47- A patient who has undergone treatment for herpes simplex virus type 2 (HSV type 2) expresses relief that she is cured. What should the nurse include in her teaching? a. Daily douches of Burow solution are needed. b. HSV is permanently cured by acyclovir (Zovirax). c. Sexual partners are now safe from infection from her. d. HSV lies dormant and can be triggered without any sexual contact.

Answer 194

d. HSV lies dormant and can be triggered without any sexual contact.

Question 195

A woman using the cervical mucus ovulation method of fertility awareness reports that her cervical mucus looks like egg whites. The nurse interprets this a s which of the following? A) Spinnbarkeit mucus B) Purulent mucus C) Postovulatory mucus D) Normal preovulation mucus 30-Epididymitis

Answer 195

A) Spinnbarkeit mucus

Question 196

A 12-year-old girl expresses concern to the nurse because she has not begun her period yet, whereas almost all of her friends have already begun menstruating. She asks when the nurse thinks she will begin her period. The nurse notes that the girl has grown 6 inches in the past year and a half and has developed breast buds and pubic hair in the past year. Which response would be best for the nurse to give the girl? a. "Your body is giving a lot of signs that you will probably start your period in no more than a year, which is completely normal." b. "It looks like you are a late bloomer! It's difficult to say when you'll get your period; some girls start as late as age 17." c. "Most girls have already begun their period by your age. We should run a few tests to make sure you don't have a hormone problem." d. "The age that you start your period is highly genetic; ask your mother when she began her period."

Answer 196

a. "Your body is giving a lot of signs that you will probably start your period in no more than a year, which is completely normal."

Question 197

After teaching nursing students about the basic concepts of family centered care, the instructor determines that the teaching was successful when the students state which of the following? A)Childbirth affects the entire family, and relationships will change. B) Families are not capable of making health care decisions for themselves. C) Mothers are the family members affected by childbirth. D)Childbirth is a medical procedure.

Answer 197

A)Childbirth affects the entire family, and relationships will change.

Question 198

``` A postmenopausal woman with uterine prolapse is being fitted with a pessary. The nurse would be most alert for which side effect? A)  Increased vaginal discharge B)  Urinary tract infection C)  Vaginitis D)  Vaginal ulceration ```

Answer 198

D)  Vaginal ulceration

Question 199

51- A client is diagnosed with a uterine prolapse. Which treatments should the nurse prepare to discuss with this client? 1. Oophorectomy. 2. Kegel exercises. 3. Cervical cerclage. 4. Topical antibiotics.

Answer 199

2. Kegel exercises.

Question 200

An elderly woman is seen in the clinic reporting a lesion on her labia majora and states that she has experienced some bleeding and itching as well. She states that this has been going on for approximately three months. She tells the nurse that she has not been to a health care provider in over 10 years. What diagnosis would the nurse expect the primary care provider to make? a. cervical cancer b. vaginal cancer c. vulvar cancer d. polyps

Answer 200

c. vulvar cancer

Question 201

``` A nurse is working with a victim of intimate partner violence and helping her develop a safety plan. Which of the following would the nurse suggest that the woman take with her? (Select all that apply.) A) Drivers license B) Social security number C) Cash D) Phone cards E) Health insurance cards ```

Answer 201

A) Drivers license B) Social security number C) Cash E) Health insurance cards

Question 202

When a woman is pregnant she often craves specific things, like pickles or ice cream. There is one craving that is associated with iron deficiency anemia and should be reported to the registered nurse if it occurs. What is this craving called? a. Chocolate mania b. Carnivorous craving c. Pica craving d. Lactose mania

Answer 202

c. Pica craving

Question 203

44- A pregnant patient with HSV type 2 has a Herp-Test performed in the physician’s office 1 day before she is due to deliver by cesarean section. The test result is negative. What should the nurse know this means? a. The delivery must be by cesarean section. b. The patient must start on an antiviral protocol today. c. The baby will have to have antiviral medication 24 hours after birth. d. The delivery may be accomplished vaginally.

Answer 203

d. The delivery may be accomplished vaginally.

Question 204

After teaching a group of nursing students about the issue of informed consent. Which of the following, if identified by the student, would indicate an understanding of a violation of informed consent? A)Performing a procedure on a 15-year-old without consent B) Serving as a witness to the signature process C) Asking whether the client understands what she is signing D)Getting verbal consent over the phone for emergency procedures

Answer 204

A)Performing a procedure on a 15-year-old without consent

Question 205

15- A woman of Korean descent has just given birth to a son. Her partner wishes to give her sips of hot broth from a thermos they brought with them. They have refused your offer of ice chips or other cold drinks for the client. What should the nurse do? 1. Explain to the client that she can have the broth if she will also drink cold water or juice. 2. Encourage the client to have the broth, after the nurse takes it to the kitchen and boils it first. 3. Explain to the couple that food is not allowed to be brought from home, but that the nurse will make hot broth for them. 4. Encourage the partner to feed the client sips of their broth. Ask if the client would like you to bring her some warm water to drink as well.

Answer 205

4. Encourage the partner to feed the client sips of their broth. Ask if the client would like you to bring her some warm water to drink as well.

Question 206

The nurse is reviewing with a group of high school students that the hypothalamus, pituitary gland, and gonads all contribute to hormonal regulation of the female reproductive system. Based on this information, what is the specific hormone that functions primarily during pregnancy? a. estradiol b. estriol c. estrone d. progesterone

Answer 206

d. progesterone

Question 207

43- A patient at the outpatient clinic is reluctant to identify her sexual contacts. Why is the reporting of contacts essential? a. Slows transmission and spread of infections. b. Increases public awareness. c. Increases state funding for treatment. d. Collects data for research.

Answer 207

a. Slows transmission and spread of infections.

Question 208

64- Which family might find cord blood banking to be especially useful? 1. A family with a history of leukemia. 2. A family with a history of infertility. 3. A family that wishes to select the sex of a future child. 4. A family that wishes to avoid a future intrauterine fetal surgery.

Answer 208

1. A family with a history of leukemia.

Question 209

A client who has come to the clinic is diagnosed with endometriosis. Which of the following would the nurse expect the physician to prescribe as a first-line treatment? A)  Progestins B)  Antiestrogens C)  Gonadotropin-releasing hormone analogues D)  NSAIDs

Answer 209

D)  NSAIDs

Question 210

A nurse is explaining to a client that pessaries have been used through the ages as a nonsurgical means of treating pelvic organ prolapse. The nurse describes the pessaries of today as being primarily constructed of: a. silicone. b. rubber. c. porcelain. d. metal.

Answer 210

a. silicone.

Question 211

A 40-year-old client arrives at the community health center experiencing a strange, dragging feeling in the vagina. She stated that “at times it feels as if there is a lump” there as well. Which condition do these symptoms indicate? a. urinary incontinence b. endocervical polyps c. pelvic organ prolapse d. uterine fibroids

Answer 211

c. pelvic organ prolapse

Question 212

9- In preparation for teaching a women’s community center class about physiologic changes during menopause, the nurse is preparing a handout for students. Which information should the nurse include in this teaching? 1. Due to changes in estrogen levels, the labia minora increase in size after menopause. 2. The ovaries remain small after puberty, but they increase in size following menopause. 3. After menopause, the endometrium continues to undergo monthly degeneration and renewal. 4. Ovarian secretion of estrogen decreases between the ages of 45 and 55, after which point ovulatory activity ceases.

Answer 212

4. Ovarian secretion of estrogen decreases between the ages of 45 and 55, after which point ovulatory activity ceases.

Question 213

A nurse is working to develop a health education program f o r a l o c a l community to address breast cancer awareness. Which of the following would the nurse expect to include when describing this problem to the group? Select all that apply. A) White women have higher rates of breast cancer than African American women. B) African American women are more likely to die from breast cancer at any age. C) Survival at any stage is worse among white women. D) Women living in South America have the highest rates of breast cancer. E) Breast cancer is the leading cause of cancer mortality in women.

Answer 213

A) White women have higher rates of breast cancer than African American women. B) African American women are more likely to die from breast cancer at any age.

Question 214

The community health nurse presents information to an elementary school parents' association about the vaccines available for both preteen boys and girls. The nurse determines the presentation a success when the parents identify which STI as having an available vaccine? a. human papillomavirus (HPV) b. human immunodeficiency virus (HIV) c. genital herpes simplex virus (HSV) d. chlamydia

Answer 214

a. human papillomavirus (HPV)

Question 215

65- Which practices characterize the basic competencies related to evidence-based practice? 1. Clinical practice no supported by data. 2. Clinical practice that does not promotes quality. 3. Clinical practice supported by intuitive evidence. 4- Clinical practice that provides a useful approach to problem solving.

Answer 215

4- Clinical practice that provides a useful approach to problem solving.

Question 216

70- A nurse teaching a seminar on breast cancer lists the signs that would alert a woman to the possibility of a tumor. What should those signs include? Select all that apply. a. Dimpling. b. Nipple discharge. c. Thickening of tissue. d. Red bruise. e. Dry rash around nipple.

Answer 216

a. Dimpling. b. Nipple discharge. c. Thickening of tissue. e. Dry rash around nipple.

Question 217

``` A woman with breast cancer is undergoing chemotherapy. Which of the following side effects would the nurse interpret as being most serious? A) Vomiting B) Hair loss C) Fatigue D) Myelosuppression ```

Answer 217

D) Myelosuppression

Question 218

A nurse is preparing a class for a group of women at a family planning clinic about contraceptives. When describing the health benefits of oral contraceptives, which of the following would the nurse most likely include? (Select all that apply.) A)  Protection against pelvic inflammatory disease B)  Reduced risk for endometrial cancer C)  Decreased risk for depression D) Reduced risk for migraine headaches E) Improvement in acne

Answer 218

A)  Protection against pelvic inflammatory disease B)  Reduced risk for endometrial cance E) Improvement in acne

Question 219

``` During a prenatal class for a group of new mothers, the nurse is describing the hormones produced by the placenta. Which of the following would the nurse include? (Select all that apply.) A)  Prolactin B)  Estriol C)  Relaxin D)  Progestin E)  Human chorionic somatomammotropin ```

Answer 219

B)  Estriol C)  Relaxin D)  Progestin E)  Human chorionic somatomammotropin

Question 220

27- As a community nurse you are educating a group of young men on preventing testicular cancer. What is a correct statement by a participant regarding a testicular exam? 1- "The best time to perform a self-exam is after a shower." 2- "The testicle should feel hard but firm." 3- "The testicle may have minor lumps or swelling due to monthly hormonal changes." 4- "I perform a self-testicular exam once every 6 months."

Answer 220

1- "The best time to perform a self-exam is after a shower."

Question 221

``` A nurse is describing the criteria needed for the diagnosis of premenstrual dysphoric disorder (PMDD). Which of the following would the nurse include a s a mandatory requirement for the diagnosis? A) Appetite changes B) Sleep difficulties C) Persistent anger D) Chronic fatigue ```

Answer 221

C) Persistent anger

Question 222

Which of the following statements best indicates that a client has taken self-care measures to reduce her risk for cervical cancer? A) I’ve really cut down on the amount of caffeine I drink every day. B) I’ve thrown out all my bubble baths and just use soap and water now. C) Every time I have sexual intercourse, I douche. D) My partner always uses a condom when w e h a v e s e x u a l intercourse.

Answer 222

D) My partner always uses a condom when w e h a v e s e x u a l intercourse.

Question 223

76- The characteristics of vitamins are that they are needed in big doses, can be manufactured by the body, do not regulate metabolic functions in the cell, and are classified as carbohydrates. True of False

Answer 223

False

Question 224

``` A nursing instructor is describing the hormones involved in the menstrual cycle to a group of nursing students. The instructor determines the teaching was successful when the students identify follicle- stimulating hormone as being secreted by which of the following? A)  Hypothalamus B)  Anterior pituitary gland C)  Ovaries D)  Corpus luteum ```

Answer 224

B)  Anterior pituitary gland

Question 225

Which stage of syphilis occurs when the infected person has no signs or symptoms of syphilis? a. primary b. latency c. secondary d. tertiary

Answer 225

b. latency

Question 226

21- Which diagnostic test should the nurse question if prescribed for a client with pelvic inflammatory disease (PID)? 1. RPR (rapid plasma reagin). 2. Throat culture for streptococcus A. 3. Vaginal culture for Neisseria gonorrhoeae. 4. CBC (complete blood count) with differential.

Answer 226

2. Throat culture for streptococcus A.

Question 227

``` After teaching a group of students about premenstrual syndrome, the instructor determines that additional teaching is needed when the students identify which of the following as a prominent assessment finding? A) Bloating B) Tension C) Dysphoria D) Weight loss ```

Answer 227

D) Weight loss

Question 228

``` A nurse is assessing a female client and suspects that the client may have endometrial polyps based on which of the following? A) Bleeding after intercourse B) Vaginal discharge C) Bleeding between menses D) Metrorrhagia ```

Answer 228

D) Metrorrhagia

Question 229

Down syndrome may occur because of a translocation defect. This means the: a. infant inherits chromosomal material from only one parent. b. parents have a chromosomal pattern that is exactly alike. c. additional chromosome was inherited because it was attached to a normal chromosome. d. parents are such close relatives that their genes are incompatible.

Answer 229

c. additional chromosome was inherited because it was attached to a normal chromosome.

Question 230

``` A nurse is presenting a discussion on sexual violence at a local community college. When describing the incidence of sexual violence, the nurse would identify that a woman has which chance of experiencing a sexual assault in her lifetime? A)  One in three B)  One in six C)  Two in 15 D)  Three in 20 ```

Answer 230

B)  One in six

Question 231

The nurse is developing a plan of care for a woman with breast cancer who is scheduled to undergo breast conserving surgery. The nurse interprets this as which of the following? A) Removal of nipple and areolar area B) Lump removal followed by radiation C) Entire breast removal without lymph nodes D) Axillary lymph node removal

Answer 231

B) Lump removal followed by radiation

Question 232

A nurse is required to assess a client reporting unusual vaginal discharge for bacterial vaginosis. For which classic manifestation of this condition should the nurse assess? a. characteristic “stale fish” odor b. heavy yellow discharge c. dysfunctional uterine bleeding d. erythema in the vulvovaginal area

Answer 232

a. characteristic “stale fish” odor

Question 233

When a nurse is counseling a woman for primary dysmenorrhea, which nonpharmacologic intervention might be recommended? A) Increasing the intake of red meat and simple carbohydrates2-intimate partner violence B) Reducing the intake of diuretic foods such as peaches and asparagus C) Temporarily substituting physical activity for a sedentary lifestyle D) Using a heating pad on the abdomen to relieve cramping.

Answer 233

D) Using a heating pad on the abdomen to relieve cramping.

Question 234

A newly pregnant 41-year-old woman is requesting genetic testing of the baby. She is concerned that due to her age the baby has an increased risk for which condition? a. Down syndrome b. Patau syndrome c. cystic fibrosis d. muscular dystrophy

Answer 234

a. Down syndrome

Question 235

``` A group of students are reviewing information about benign and malignant breast masses. The students demonstrate understanding when they identify which of t h e following as indicating a benign breast mass. (Select all the apply.) A) Painless B) Unilateral location C) Firm consistency D) Absence of dimpling E) Fixed to chest wall ```

Answer 235

C) Firm consistency | D) Absence of dimpling