Question 1

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 B

Question 2

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 of the following statements?

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. B

Question 3

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. D

Question 4

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

Question 5

Nurses should be aware of which of the following statements in relation to endometriosis?

Accepted Answer

A)  It is characterized by the presence and growth of endometrial tissue inside the uterus. 
B)  It is found more often in Black women than in White or Asian women. 
C)  It may worsen with repeated cycles or remain asymptomatic and disappear after menopause. 
D)  It is unlikely to affect sexual intercourse or fertility. 
A)  It is characterized by the presence and growth of endometrial tissue inside the uterus. 
B)  It is found more often in Black women than in White or Asian women. 
C)  It may worsen with repeated cycles or remain asymptomatic and disappear after menopause. 
D)  It is unlikely to affect sexual intercourse or fertility.

Question 6

When evaluating a patient whose primary complaint is amenorrhea,the nurse must be aware that lack of menstruation is most often the result of which of the following?

Accepted Answer

A)  Stress 
B)  Excessive exercise 
C)  Pregnancy 
D)  Eating disorders 
A)  Stress 
B)  Excessive exercise 
C)  Pregnancy 
D)  Eating disorders

Question 7

Which of the following should the nurse explain when providing education regarding breast care and fibrocystic changes in breasts?

Accepted Answer

A)  Fibrocystic changes are a disease of the milk ducts and glands in the breasts. 
B)  Fibrocystic changes are a premalignant disorder characterized by lumps found in the breast tissue. 
C)  Fibrocystic changes describe lumpiness with pain and tenderness in the breast tissue of healthy women during menstrual cycles. 
D)  Fibrocystic changes include lumpiness accompanied by tenderness after menses. 
A)  Fibrocystic changes are a disease of the milk ducts and glands in the breasts. 
B)  Fibrocystic changes are a premalignant disorder characterized by lumps found in the breast tissue. 
C)  Fibrocystic changes describe lumpiness with pain and tenderness in the breast tissue of healthy women during menstrual cycles. 
D)  Fibrocystic changes include lumpiness accompanied by tenderness after menses.

Question 8

What symptom described by a woman is characteristic of premenstrual syndrome (PMS)?

Accepted Answer

A)  "I feel irritable and moody when my period is supposed to start." 
B)  "I have lower abdominal pain beginning the third day of my menstrual period." 
C)  "I have nausea and headaches after my period starts, and they last 2 to 3 days." 
D)  "I have abdominal bloating and breast pain after a couple days of my period." 
A)  "I feel irritable and moody when my period is supposed to start." 
B)  "I have lower abdominal pain beginning the third day of my menstrual period." 
C)  "I have nausea and headaches after my period starts, and they last 2 to 3 days." 
D)  "I have abdominal bloating and breast pain after a couple days of my period."

Question 9

Which term 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 10

Which statement concerning cyclic perimenstrual pain and discomfort ( CPPD )is accurate?

Accepted Answer

A)  Premenstrual dysphoric disorder ( PMDD ) is a milder 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, poorly understood condition that may include many symptoms. 
D)  The causes of PMS have been well established. 
A)  Premenstrual dysphoric disorder ( PMDD ) is a milder 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, poorly understood condition that may include many symptoms. 
D)  The causes of PMS have been well established.

Question 11

What are the two primary areas of risk for sexually transmitted infections (STIs)?

Accepted Answer

A)  Sexual orientation and socioeconomic status 
B)  Age and educational level 
C)  Large number of sexual partners and race 
D)  Risky sexual behaviours and inadequate preventive health behaviours 
A)  Sexual orientation and socioeconomic status 
B)  Age and educational level 
C)  Large number of sexual partners and race 
D)  Risky sexual behaviours and inadequate preventive health behaviours

Question 12

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 practitioner would order which preparation for treatment?

Accepted Answer

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

Question 13

Fibrocystic changes in the breast most often appear in women in their 20s and 30s.The etiology is not known,but it may be an imbalance of estrogen and progesterone.The nurse who cares for these patients should be aware that treatment modalities are conservative.Which of the following is a modality that may provide relief?

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

The Jarisch-Herxheimer reaction is an acute febrile reaction associated with treatment for which one of the following STIs?

Accepted Answer

A)  Syphilis 
B)  Gonorrhea 
C)  Herpes simplex virus type 2 
D)  Human immunodeficiency virus 
A)  Syphilis 
B)  Gonorrhea 
C)  Herpes simplex virus type 2 
D)  Human immunodeficiency virus

Question 15

On vaginal examination of a 30-year-old woman,the nurse documents the following findings: profuse,thin,greyish white vaginal discharge with a "fishy" odour; complaint of pruritus.These findings lead the nurse to which diagnosis?

Accepted Answer

A)  Bacterial vaginosis (BV) 
B)  Candidiasis 
C)  Trichomoniasis 
D)  Gonorrhea 
A)  Bacterial vaginosis (BV) 
B)  Candidiasis 
C)  Trichomoniasis 
D)  Gonorrhea

Question 16

An essential component of counselling women on safe sex practices includes discussion about avoiding the exchange of body fluids.The physical barrier promoted for the prevention of sexually transmitted infections (STIs)and human immunodeficiency virus (HIV)is the condom.What 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 17

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

Accepted Answer

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

Question 18

What should the nurse be aware of with regard to dysfunctional uterine bleeding ( DUB )?

Accepted Answer

A)  It is most commonly caused by anovulation. 
B)  It most often occurs in middle age. 
C)  DUB should be the initial consideration for abnormal menstrual bleeding. 
D)  The most effective medical treatment involves steroids. 
A)  It is most commonly caused by anovulation. 
B)  It most often occurs in middle age. 
C)  DUB should be the initial consideration for abnormal menstrual bleeding. 
D)  The most effective medical treatment involves steroids.

Question 19

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 20

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.

Exam 6: Reproductive Health

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

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 of the following statements?

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

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

Nurses should be aware of which of the following statements in relation to endometriosis?

When evaluating a patient whose primary complaint is amenorrhea,the nurse must be aware that lack of menstruation is most often the result of which of the following?

Which of the following should the nurse explain when providing education regarding breast care and fibrocystic changes in breasts?

What symptom described by a woman is characteristic of premenstrual syndrome (PMS)?

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

Which statement concerning cyclic perimenstrual pain and discomfort ( CPPD )is accurate?

What are the two primary areas of risk for sexually transmitted infections (STIs)?

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 practitioner would order which preparation for treatment?

The Jarisch-Herxheimer reaction is an acute febrile reaction associated with treatment for which one of the following STIs?

On vaginal examination of a 30-year-old woman,the nurse documents the following findings: profuse,thin,greyish white vaginal discharge with a "fishy" odour; complaint of pruritus.These findings lead the nurse to which diagnosis?

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

What should the nurse be aware of with regard to dysfunctional uterine bleeding ( DUB )?

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

Which statement about the various forms of hepatitis is accurate?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

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: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

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, disability, 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 and Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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