Question 1

After a culdoscopy,the nurse should instruct the patient to:

Accepted Answer

A)  Clean the incision site daily with hydrogen peroxide. 
B)  Avoid vaginal intercourse. 
C)  Return to the clinic for suture removal in 7 days. 
D)  Use tampons. 
A)  Clean the incision site daily with hydrogen peroxide. 
B)  Avoid vaginal intercourse. 
C)  Return to the clinic for suture removal in 7 days. 
D)  Use tampons. B

Question 2

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.The nurse's most appropriate response would be:

Accepted Answer

A)  "Remember 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." 
A)  "Remember 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." A

Question 3

A nurse teaching a health class for 12- and 13-year-old girls about routine vaginal hygiene would include instruction to:

Accepted Answer

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. 
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. D

Question 4

The nurse is caring for a patient after a modified radical mastectomy for a breast tumor that has been determined to be positive for estrogen receptors (ER+)and has been placed on a protocol of tamoxifen.The patient then asks the nurse,"Do you think I should take this medication?" Which of the following statements is the most appropriate?

Accepted Answer

A)  "Tamoxifen will probably not be effective because your tumor was ER+." 
B)  "If I were you, I would do what the physician recommends." 
C)  "I think that you should take tamoxifen, because the tumor was ER+." 
D)  "Tamoxifen is an option to consider, because your tumor was ER+." 
A)  "Tamoxifen will probably not be effective because your tumor was ER+." 
B)  "If I were you, I would do what the physician recommends." 
C)  "I think that you should take tamoxifen, because the tumor was ER+." 
D)  "Tamoxifen is an option to consider, because your tumor was ER+."

Question 5

A patient makes an appointment with her gynecologist because she is having difficulty conceiving.The laboratory test that the nurse anticipates the physician to order is:

Accepted Answer

A)  Complete blood count 
B)  Progesterone level 
C)  Prothrombin time 
D)  Erythrocyte count 
A)  Complete blood count 
B)  Progesterone level 
C)  Prothrombin time 
D)  Erythrocyte count

Question 6

The nurse who is demonstrating breast self-examination to a patient points out that the most common area in the breast for tumors to occur is:

Accepted Answer

A)  Under the nipple 
B)  Upper outer quadrant 
C)  Six o'clock position 
D)  Axillary lymph nodes. 
A)  Under the nipple 
B)  Upper outer quadrant 
C)  Six o'clock position 
D)  Axillary lymph nodes.

Question 7

After a hysterectomy,the nurse assessing for abnormal bleeding would:

Accepted Answer

A)  Record the number of perineal pads used. 
B)  Assess vital signs every 8 hours. 
C)  Place the patient's bed in a high Fowler position. 
D)  Apply an abdominal binder. 
A)  Record the number of perineal pads used. 
B)  Assess vital signs every 8 hours. 
C)  Place the patient's bed in a high Fowler position. 
D)  Apply an abdominal binder.

Question 8

The nurse teaching a seminar on breast cancer lists the signs that would alert a woman to the possibility of a tumor.Those signs include:

Accepted Answer

A)  Dimpling 
B)  Nipple discharge 
C)  Thickening of tissue 
D)  Red bruise 
E)  Dry rash around nipple 
A)  Dimpling 
B)  Nipple discharge 
C)  Thickening of tissue 
D)  Red bruise 
E)  Dry rash around nipple

Question 9

The nurse instructing a patient on breast self-examination explains to the patient that the best time of the month to perform a breast self-examination is:

Accepted Answer

A)  Before the menstrual period 
B)  During the menstrual period 
C)  After the menstrual period 
D)  On the first day of the month 
A)  Before the menstrual period 
B)  During the menstrual period 
C)  After the menstrual period 
D)  On the first day of the month

Question 10

The nurse is aware that a tumor determined to be ER+ indicates that the tumor needs ____________________ for growth.

Accepted Answer

Estrogen
A tumor tha

Question 11

The nurse cautions the patient who is taking danazol (Danocrine),an androgenic steroid for the treatment of menorrhagia,to be prepared for the side effect of:

Accepted Answer

A)  Heavy menses 
B)  Masculinizing 
C)  Acnelike skin eruptions 
D)  Anemia 
A)  Heavy menses 
B)  Masculinizing 
C)  Acnelike skin eruptions 
D)  Anemia

Question 12

The nurse explains that the causes for menorrhagia include:

Accepted Answer

A)  Hormonal dysfunction 
B)  Tumors 
C)  Coagulation disorders 
D)  Endometrial hyperplasia 
E)  Excessive exercising 
A)  Hormonal dysfunction 
B)  Tumors 
C)  Coagulation disorders 
D)  Endometrial hyperplasia 
E)  Excessive exercising

Question 13

The 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.The nurse recognizes this as a common sign of:

Accepted Answer

A)  Pelvic inflammatory disease (PI
D)  
B)  Trichomonas vaginalis infection 
C)  Atrophic vaginitis 
D)  Candida albicans infection 
A)  Pelvic inflammatory disease (PI
D)  
B)  Trichomonas vaginalis infection 
C)  Atrophic vaginitis 
D)  Candida albicans infection

Question 14

A patient tells the nurse that she is afraid of getting cervical cancer because her mother died of cervical cancer.The most appropriate response by the nurse would be:

Accepted Answer

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." 
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."

Question 15

A mastectomy care plan should address psychosocial problems of the patient.This should be directed toward:

Accepted Answer

A)  Caring for the wound and dressings. 
B)  Finding an appropriate support group. 
C)  Educating for methods for controlling edema. 
D)  Helping the patient express feelings and concerns. 
A)  Caring for the wound and dressings. 
B)  Finding an appropriate support group. 
C)  Educating for methods for controlling edema. 
D)  Helping the patient express feelings and concerns.

Question 16

The nurse recommends that a annual mammogram be performed for women older than ___________ years of age:

Accepted Answer

A)  35 
B)  40 
C)  45 
D)  50 
A)  35 
B)  40 
C)  45 
D)  50

Question 17

A female student,seen in the campus clinic,states that she uses feminine hygiene douches every day and after intercourse.The best response from the nurse would be:

Accepted Answer

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." 
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."

Question 18

Because small nonnodal metastases may be present,______________ is recommended after a lumpectomy.

Accepted Answer

Radiation
Radiation is recomme

Question 19

A 16-year-old girl seen in the student health clinic has been diagnosed with Trichomonas vaginalis and given medication for the infection.The nurse explains that the girl's sexual partner:

Accepted Answer

A)  Will require a 1-day treatment with the same drug. 
B)  Will not develop the infection or require treatment. 
C)  Will be treated, although he is asymptomatic. 
D)  Is required by law to be examined by a physician. 
A)  Will require a 1-day treatment with the same drug. 
B)  Will not develop the infection or require treatment. 
C)  Will be treated, although he is asymptomatic. 
D)  Is required by law to be examined by a physician.

Question 20

When the nurse read that the patient's breast tumor is a stage II,the nurse realizes that the tumor is:

Accepted Answer

A)  Is smaller than 2 cm, with no positive lymph node involvement and no metastasis evident. 
B)  Measures between 2 and 5 cm, with no positive lymph node involvement and no metastasis evident. 
C)  Is larger than 5 cm, with no positive lymph node involvement and no metastasis evident. 
D)  Measures between 2 and 5 cm, with positive axillary lymph node involvement and metastasis evident. 
A)  Is smaller than 2 cm, with no positive lymph node involvement and no metastasis evident. 
B)  Measures between 2 and 5 cm, with no positive lymph node involvement and no metastasis evident. 
C)  Is larger than 5 cm, with no positive lymph node involvement and no metastasis evident. 
D)  Measures between 2 and 5 cm, with positive axillary lymph node involvement and metastasis evident.

Exam 47: Female Reproductive Disorders

After a culdoscopy,the nurse should instruct the patient to:

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.The nurse's most appropriate response would be:

A nurse teaching a health class for 12- and 13-year-old girls about routine vaginal hygiene would include instruction to:

A patient makes an appointment with her gynecologist because she is having difficulty conceiving.The laboratory test that the nurse anticipates the physician to order is:

The nurse who is demonstrating breast self-examination to a patient points out that the most common area in the breast for tumors to occur is:

After a hysterectomy,the nurse assessing for abnormal bleeding would:

The nurse teaching a seminar on breast cancer lists the signs that would alert a woman to the possibility of a tumor.Those signs include:

The nurse instructing a patient on breast self-examination explains to the patient that the best time of the month to perform a breast self-examination is:

The nurse is aware that a tumor determined to be ER+ indicates that the tumor needs ____________________ for growth.

The nurse cautions the patient who is taking danazol (Danocrine),an androgenic steroid for the treatment of menorrhagia,to be prepared for the side effect of:

The nurse explains that the causes for menorrhagia include:

The 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.The nurse recognizes this as a common sign of:

A patient tells the nurse that she is afraid of getting cervical cancer because her mother died of cervical cancer.The most appropriate response by the nurse would be:

A mastectomy care plan should address psychosocial problems of the patient.This should be directed toward:

The nurse recommends that a annual mammogram be performed for women older than ___________ years of age:

A female student,seen in the campus clinic,states that she uses feminine hygiene douches every day and after intercourse.The best response from the nurse would be:

Because small nonnodal metastases may be present,______________ is recommended after a lumpectomy.

A 16-year-old girl seen in the student health clinic has been diagnosed with Trichomonas vaginalis and given medication for the infection.The nurse explains that the girl's sexual partner:

When the nurse read that the patient's breast tumor is a stage II,the nurse realizes that the tumor is:

The Health Care System

Patient Care Settings

Legal and Ethical Considerations

The Leadership Role of the Licensed Practical Nurse

The Nurse-Patient Relationship

Cultural Aspects of Nursing Care

The Nurse and the Family

Health and Illness

Nutrition

Developmental Processes

The Older Patient

The Nursing Process and Critical Thinking

Inflammation, infection, and Immunity

Fluids and Electrolytes

Pain Management

First Aid, emergency Care, and Disaster Management

Surgical Care

Intravenous Therapy

Shock

Falls

Immobility

Confusion

Incontinence

Loss, death, and End-Of-Life Care

The Patient With Cancer

The Patient With an Ostomy

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Acute Respiratory Disorders

Chronic Respiratory Disorders

Hematologic Disorders

Immunologic Disorders

Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive Tract Disorders

Disorders of the Liver, gallbladder, and Pancreas

Urologic Disorders

Connective Tissue Disorders

Fractures

Amputations

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes Mellitus and Hypoglycemia

Male Reproductive Disorders

Sexually Transmitted Infections

Skin Disorders

Eye and Vision Disorders

Ear and Hearing Disorders

Nose, sinus, and Throat Disorders

Psychologic Responses to Illness

Psychiatric Disorders

Substance-Related Disorders

Filters