Question 1

Which statement is accurate?

Accepted Answer

A)  Premenstrual dysphoric disorder (PMD
D) is a severe form of premenstrual syndrome (PMS)and more common in younger women. 
B)  Secondary dysmenorrhea is more intense and medically significant than primary dysmenorrhea. 
C)  Premenstrual syndrome is a complex but clearly understood condition that may include many symptoms. 
D)  The causes of PMS have been well established. 
A)  Premenstrual dysphoric disorder (PMD
D) is a severe form of premenstrual syndrome (PMS)and more common in younger women. 
B)  Secondary dysmenorrhea is more intense and medically significant than primary dysmenorrhea. 
C)  Premenstrual syndrome is a complex but clearly understood condition that may include many symptoms. 
D)  The causes of PMS have been well established. A

Question 2

During her annual gynecological checkup,a woman states that recently she has been experiencing cramping and pain during her menstrual periods.The nurse would use which term to document this complaint?

Accepted Answer

A)  Amenorrhea 
B)  Dysmenorrhea 
C)  Dyspareunia 
D)  Premenstrual syndrome (PMS) 
A)  Amenorrhea 
B)  Dysmenorrhea 
C)  Dyspareunia 
D)  Premenstrual syndrome (PMS) B

Question 3

Which medication does the Public Health Agency of Canada recommend for the treatment of patients with human papillomavirus (HPV)?

Accepted Answer

A)  Miconazole ointment 
B)  Topical podofilox 0.5% solution or gel 
C)  Penicillin given intramuscularly (IM)for two doses 
D)  Metronidazole by mouth 
A)  Miconazole ointment 
B)  Topical podofilox 0.5% solution or gel 
C)  Penicillin given intramuscularly (IM)for two doses 
D)  Metronidazole by mouth B

Question 4

A woman has a thick,white,lumpy,cottage cheese-like discharge,with patches on her labia and in her vagina.She complains of intense pruritus.The nurse would anticipate which preparation for treatment?

Accepted Answer

A)  Fluconazole 
B)  Tetracycline 
C)  Clindamycin 
D)  Acyclovir 
A)  Fluconazole 
B)  Tetracycline 
C)  Clindamycin 
D)  Acyclovir

Question 5

What does a woman most likely have when she experiences a breast mass that is not well delineated and is nonpalpable,immobile,and nontender?

Accepted Answer

A)  Fibroadenoma 
B)  Lipoma 
C)  Intraductal papilloma 
D)  Mammary duct ectasia 
A)  Fibroadenoma 
B)  Lipoma 
C)  Intraductal papilloma 
D)  Mammary duct ectasia

Question 6

When planning care for a woman who has been diagnosed as having uterine fibroids,what is important for the nurse to know?

Accepted Answer

A)  Fibroids are malignant tumours of the uterus that require radiation or chemotherapy. 
B)  Fibroids will increase in size during the perimenopausal period. 
C)  Menorrhagia is a common finding in women with uterine fibroids. 
D)  The woman is unlikely to become pregnant as long as the fibroids are in her uterus. 
A)  Fibroids are malignant tumours of the uterus that require radiation or chemotherapy. 
B)  Fibroids will increase in size during the perimenopausal period. 
C)  Menorrhagia is a common finding in women with uterine fibroids. 
D)  The woman is unlikely to become pregnant as long as the fibroids are in her uterus.

Question 7

A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years.She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months.What are these symptoms most likely related to?

Accepted Answer

A)  Endometriosis 
B)  PMS 
C)  Primary dysmenorrhea 
D)  Secondary dysmenorrhea 
A)  Endometriosis 
B)  PMS 
C)  Primary dysmenorrhea 
D)  Secondary dysmenorrhea

Question 8

Which viral sexually transmitted infection is characterized by a primary infection followed by recurrent episodes?

Accepted Answer

A)  Herpes simplex virus (HSV)-2 
B)  Human papillomavirus (HPV) 
C)  Human immunodeficiency virus (HIV) 
D)  Cytomegalovirus (CMV) 
A)  Herpes simplex virus (HSV)-2 
B)  Human papillomavirus (HPV) 
C)  Human immunodeficiency virus (HIV) 
D)  Cytomegalovirus (CMV)

Question 9

Management of primary dysmenorrhea often requires a multifaceted approach.What is the optimal pharmacological therapy for pain relief for dysmenorrhea?

Accepted Answer

A)  Acetaminophen 
B)  Oral contraceptives (OCPs) 
C)  Nonsteroidal anti-inflammatory drugs (NSAIDs) 
D)  Aspirin 
A)  Acetaminophen 
B)  Oral contraceptives (OCPs) 
C)  Nonsteroidal anti-inflammatory drugs (NSAIDs) 
D)  Aspirin

Question 10

A 25-year-old single female comes to the gynecologist's office for a follow-up visit related to her abnormal Papanicolaou (Pap)smear.The test revealed that the patient has human papillomavirus (HPV).The patient asks,"What is that? Can you get rid of it?" What is the basis for the nurses' response?

Accepted Answer

A)  Provide reassurance that it can be frozen and it will fall off. 
B)  Explain that HPV stands for "human papillomavirus" and is a sexually transmitted infection (STI). 
C)  Explain that HPV is a type of early human immunodeficiency virus (HIV)and is usually fatal. 
D)  Explain transmission from the current partner,who needs to be tested as well. 
A)  Provide reassurance that it can be frozen and it will fall off. 
B)  Explain that HPV stands for "human papillomavirus" and is a sexually transmitted infection (STI). 
C)  Explain that HPV is a type of early human immunodeficiency virus (HIV)and is usually fatal. 
D)  Explain transmission from the current partner,who needs to be tested as well.

Question 11

Nafarelin (Synarel)200 mg BID per nasal spray currently is used as a treatment for mild-to-severe endometriosis.What patient teaching should the nurse tell the woman who is taking this medication?

Accepted Answer

A)  It stimulates the secretion of gonadotropin-releasing hormone (GnRH),thereby stimulating ovarian activity. 
B)  It should be sprayed into one nostril every other day. 
C)  It should be injected into subcutaneous tissue BID. 
D)  It can cause her to experience some hot flashes and vaginal dryness. 
A)  It stimulates the secretion of gonadotropin-releasing hormone (GnRH),thereby stimulating ovarian activity. 
B)  It should be sprayed into one nostril every other day. 
C)  It should be injected into subcutaneous tissue BID. 
D)  It can cause her to experience some hot flashes and vaginal dryness.

Question 12

When a nurse is counselling a woman for primary dysmenorrhea,which nonpharmacological intervention might be recommended?

Accepted Answer

A)  Increase the intake of red meat and simple carbohydrates. 
B)  Reduce the intake of diuretic foods,such as peaches and asparagus. 
C)  Temporarily substitute physical activity for a sedentary lifestyle. 
D)  Use a heating pad on the abdomen to relieve cramping. 
A)  Increase the intake of red meat and simple carbohydrates. 
B)  Reduce the intake of diuretic foods,such as peaches and asparagus. 
C)  Temporarily substitute physical activity for a sedentary lifestyle. 
D)  Use a heating pad on the abdomen to relieve cramping.

Question 13

Which is a modality that may provide relief for women with fibrocystic breast changes?

Accepted Answer

A)  Diuretic administration 
B)  Including caffeine daily in the diet 
C)  Increased vitamin C supplementation 
D)  Application of cold packs to the breast as necessary 
A)  Diuretic administration 
B)  Including caffeine daily in the diet 
C)  Increased vitamin C supplementation 
D)  Application of cold packs to the breast as necessary

Question 14

Which is the most important aspect of a discussion related to health promotion and condom use that the nurse should be aware of?

Accepted Answer

A)  Strategies to enhance condom use 
B)  Choice of colours and special features 
C)  Leaving the decision up to the male partner 
D)  Places to safely carry condoms 
A)  Strategies to enhance condom use 
B)  Choice of colours and special features 
C)  Leaving the decision up to the male partner 
D)  Places to safely carry condoms

Question 15

What is a recommended treatment for human papillomavirus (HPV)?

Accepted Answer

A)  Acyclovir 
B)  Ofloxacin 
C)  Podophyllin 
D)  Penicillin 
A)  Acyclovir 
B)  Ofloxacin 
C)  Podophyllin 
D)  Penicillin

Question 16

While interviewing a 31-year-old woman before her routine gynecological examination,the nurse collects data about the patient's recent menstrual cycles.The nurse should collect additional information when the woman makes which statement?

Accepted Answer

A)  The woman says her menstrual flow lasts 5 to 6 days. 
B)  She describes her flow as very heavy. 
C)  She reports that she has had a small amount of spotting midway between her periods for the past 2 months. 
D)  She says the length of her menstrual cycle varies from 26 to 29 days. 
A)  The woman says her menstrual flow lasts 5 to 6 days. 
B)  She describes her flow as very heavy. 
C)  She reports that she has had a small amount of spotting midway between her periods for the past 2 months. 
D)  She says the length of her menstrual cycle varies from 26 to 29 days.

Question 17

Which refers to an alteration in cyclic bleeding that occurs between periods of menstruation?

Accepted Answer

A)  Oligomenorrhea 
B)  Menorrhagia 
C)  Leiomyoma 
D)  Metrorrhagia 
A)  Oligomenorrhea 
B)  Menorrhagia 
C)  Leiomyoma 
D)  Metrorrhagia

Question 18

Which statement about the various forms of hepatitis is accurate?

Accepted Answer

A)  A vaccine exists for hepatitis C,but not for hepatitis B. 
B)  Hepatitis A is acquired by eating contaminated food or drinking polluted water. 
C)  Hepatitis B is less contagious than human immunodeficiency virus (HIV). 
D)  The incidence of hepatitis C is decreasing. 
A)  A vaccine exists for hepatitis C,but not for hepatitis B. 
B)  Hepatitis A is acquired by eating contaminated food or drinking polluted water. 
C)  Hepatitis B is less contagious than human immunodeficiency virus (HIV). 
D)  The incidence of hepatitis C is decreasing.

Question 19

Which diagnostic test is used to confirm a suspected diagnosis of breast cancer?

Accepted Answer

A)  Mammogram 
B)  Ultrasound 
C)  Fine-needle aspiration (FN
A)  
D)  CA 15-3 
A)  Mammogram 
B)  Ultrasound 
C)  Fine-needle aspiration (FN
A)  
D)  CA 15-3

Question 20

What do most laboratory tests focus on to detect the human immunodeficiency virus (HIV)?

Accepted Answer

A)  HIV virus 
B)  HIV antibodies 
C)  CD4 counts 
D)  CD8 counts 
A)  HIV virus 
B)  HIV antibodies 
C)  CD4 counts 
D)  CD8 counts

Exam 7: Reproductive Health

Which statement is accurate?

During her annual gynecological checkup,a woman states that recently she has been experiencing cramping and pain during her menstrual periods.The nurse would use which term to document this complaint?

Which medication does the Public Health Agency of Canada recommend for the treatment of patients with human papillomavirus (HPV)?

A woman has a thick,white,lumpy,cottage cheese-like discharge,with patches on her labia and in her vagina.She complains of intense pruritus.The nurse would anticipate which preparation for treatment?

What does a woman most likely have when she experiences a breast mass that is not well delineated and is nonpalpable,immobile,and nontender?

When planning care for a woman who has been diagnosed as having uterine fibroids,what is important for the nurse to know?

A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years.She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months.What are these symptoms most likely related to?

Which viral sexually transmitted infection is characterized by a primary infection followed by recurrent episodes?

Management of primary dysmenorrhea often requires a multifaceted approach.What is the optimal pharmacological therapy for pain relief for dysmenorrhea?

A 25-year-old single female comes to the gynecologist's office for a follow-up visit related to her abnormal Papanicolaou (Pap)smear.The test revealed that the patient has human papillomavirus (HPV).The patient asks,"What is that? Can you get rid of it?" What is the basis for the nurses' response?

Nafarelin (Synarel)200 mg BID per nasal spray currently is used as a treatment for mild-to-severe endometriosis.What patient teaching should the nurse tell the woman who is taking this medication?

When a nurse is counselling a woman for primary dysmenorrhea,which nonpharmacological intervention might be recommended?

Which is a modality that may provide relief for women with fibrocystic breast changes?

Which is the most important aspect of a discussion related to health promotion and condom use that the nurse should be aware of?

What is a recommended treatment for human papillomavirus (HPV)?

While interviewing a 31-year-old woman before her routine gynecological examination,the nurse collects data about the patient's recent menstrual cycles.The nurse should collect additional information when the woman makes which statement?

Which refers to an alteration in cyclic bleeding that occurs between periods of menstruation?

Which statement about the various forms of hepatitis is accurate?

Which diagnostic test is used to confirm a suspected diagnosis of breast cancer?

What do most laboratory tests focus on to detect the human immunodeficiency virus (HIV)?

Contemporary Perinatal and Pediatric Nursing in Canada

The Family and Culture

Community Care

Perinatal Nursing in Canada

Health Promotion

Health Assessment

Infertility, Contraception, and Abortion

Preconception, Genetics, Conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Nursing Care of the Family During Labour and Birth

Pain Management During Labour

Fetal Health Surveillance During Labour

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Infants with Gestational Age Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Pediatric Nursing in Canada

Family, Social, Cultural, and Religious Influences on Children’s Health

Developmental Influences on Child Health Promotion

Communication, History, Physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, Complex Conditions, and End-of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological or Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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