Question 1

During history-taking on a client considering pregnancy, the nurse should inquire whether the client has ever had

Accepted Answer

A)  diphtheria. 
B)  mumps. 
C)  rubella. 
D)  typhoid fever. 
A)  diphtheria. 
B)  mumps. 
C)  rubella. 
D)  typhoid fever. C

Question 2

In discussing mammography with a client, the nurse would include the current recommendation that

Accepted Answer

A)  all females should have a baseline mammogram at menarche. 
B)  all females should have a baseline mammogram when they are 21. 
C)  mammograms should be done semi-annually in women over age 35. 
D)  mammograms should be done yearly in women over age 40. 
A)  all females should have a baseline mammogram at menarche. 
B)  all females should have a baseline mammogram when they are 21. 
C)  mammograms should be done semi-annually in women over age 35. 
D)  mammograms should be done yearly in women over age 40. D

Question 3

The client who has a prostate-specific antigen (PSA) density of 0.13 ng/ml is considered to have

Accepted Answer

A)  a contaminated specimen. 
B)  the presence of cancer cells. 
C)  the need for a follow-up examination. 
D)  no risk for prostate cancer. 
A)  a contaminated specimen. 
B)  the presence of cancer cells. 
C)  the need for a follow-up examination. 
D)  no risk for prostate cancer. D

Question 4

The nurse is teaching a client to perform testicular self-examination (TSE). The nurse is aware that this procedure is an example of

Accepted Answer

A)  primary prevention. 
B)  quaternary prevention. 
C)  secondary prevention. 
D)  tertiary prevention. 
A)  primary prevention. 
B)  quaternary prevention. 
C)  secondary prevention. 
D)  tertiary prevention.

Question 5

The nurse instructs a client that a normal observation during breast self-examination (BSE) is

Accepted Answer

A)  contour changes. 
B)  dimpling. 
C)  nipple deviation. 
D)  variation in breast size. 
A)  contour changes. 
B)  dimpling. 
C)  nipple deviation. 
D)  variation in breast size.

Question 6

When calling a woman to inform her that the results of her Pap smear are suspicious, the nurse should first

Accepted Answer

A)  interpret the cytologic findings for the client. 
B)  provide an opportunity to discuss concerns and ask questions. 
C)  refer the client for further diagnostic evaluation by a physician. 
D)  schedule immediate retesting to validate the findings. 
A)  interpret the cytologic findings for the client. 
B)  provide an opportunity to discuss concerns and ask questions. 
C)  refer the client for further diagnostic evaluation by a physician. 
D)  schedule immediate retesting to validate the findings.

Question 7

The nurse explains to a client undergoing her first gynecologic examination that the American Cancer Society recommends an annual Pap test for women (Select all that apply)

Accepted Answer

A)  every year until the woman experiences menopause. 
B)  once the woman reaches the age of 16. 
C)  starting at the age of 21 unless sexually active earlier. 
D)  who are or who have been sexually active. 
E)  who have been exposed to a sexually transmitted disease. 
A)  every year until the woman experiences menopause. 
B)  once the woman reaches the age of 16. 
C)  starting at the age of 21 unless sexually active earlier. 
D)  who are or who have been sexually active. 
E)  who have been exposed to a sexually transmitted disease.

Question 8

A female client scheduled for her first mammography needs the information that

Accepted Answer

A)  no pain or discomfort is involved. 
B)  results are available within 60 days. 
C)  she cannot wear deodorant on the day of the test. 
D)  the procedure takes 15 to 30 minutes. 
A)  no pain or discomfort is involved. 
B)  results are available within 60 days. 
C)  she cannot wear deodorant on the day of the test. 
D)  the procedure takes 15 to 30 minutes.

Question 9

The nurse obtaining a health history from a male client with a history of hypertension should ask the client about

Accepted Answer

A)  renal functioning. 
B)  sexual functioning. 
C)  testicular problems. 
D)  voiding problems. 
A)  renal functioning. 
B)  sexual functioning. 
C)  testicular problems. 
D)  voiding problems.

Question 10

During palpation of a client's testes, the nurse notes a small, hard lump on the anterior aspect of one testis. The nurse's most appropriate action would be to

Accepted Answer

A)  do nothing, since this is a normal finding. 
B)  palpate the groin for an associated hernia. 
C)  perform transillumination of the scrotum. 
D)  recommend the client take antibiotics. 
A)  do nothing, since this is a normal finding. 
B)  palpate the groin for an associated hernia. 
C)  perform transillumination of the scrotum. 
D)  recommend the client take antibiotics.

Question 11

The nurse informs a client that the factor that places her at risk for cancer of the cervix is

Accepted Answer

A)  a mother who took diethylstilbestrol when pregnant with the client. 
B)  having a mother of Mediterranean heritage. 
C)  riding horseback since the client was a child. 
D)  using herbal remedies for her fertility problems. 
A)  a mother who took diethylstilbestrol when pregnant with the client. 
B)  having a mother of Mediterranean heritage. 
C)  riding horseback since the client was a child. 
D)  using herbal remedies for her fertility problems.

Question 12

The nurse observes a red glow during transillumination of a client's scrotum. The nurse would interpret this finding as

Accepted Answer

A)  a hematoma. 
B)  a scrotal mass. 
C)  normal findings. 
D)  serous fluid. 
A)  a hematoma. 
B)  a scrotal mass. 
C)  normal findings. 
D)  serous fluid.

Question 13

The nurse teaches a client scheduled for semen examination that in order to provide an adequate sample, the client should

Accepted Answer

A)  abstain from ejaculating 2 to 5 days before the test. 
B)  drink plenty of liquids for 24 hours before the test. 
C)  get plenty of sleep the night before the test. 
D)  increase intake of red meat 3 days before the test. 
A)  abstain from ejaculating 2 to 5 days before the test. 
B)  drink plenty of liquids for 24 hours before the test. 
C)  get plenty of sleep the night before the test. 
D)  increase intake of red meat 3 days before the test.

Question 14

When obtaining a sexual history from a female client, a nurse should first

Accepted Answer

A)  ask general questions regarding current sexual activity. 
B)  ask the client if she would like to talk about her sex life. 
C)  share his or her own feelings about sexuality. 
D)  tell the client that she should not be embarrassed. 
A)  ask general questions regarding current sexual activity. 
B)  ask the client if she would like to talk about her sex life. 
C)  share his or her own feelings about sexuality. 
D)  tell the client that she should not be embarrassed.

Question 15

While physical examination of his reproductive system is being conducted, the client has an erection. The most appropriate action by the nurse is

Accepted Answer

A)  advise the client to breathe through his mouth to relax. 
B)  leave the room and return when the exam is completed. 
C)  say nothing and stay while the exam is being conducted. 
D)  tell the client this reaction is normal and has no sexual meaning. 
A)  advise the client to breathe through his mouth to relax. 
B)  leave the room and return when the exam is completed. 
C)  say nothing and stay while the exam is being conducted. 
D)  tell the client this reaction is normal and has no sexual meaning.

Question 16

The nurse notices that a client performing a BSE is failing to palpate her breast and axillae completely. To improve her technique, the nurse should teach the client to

Accepted Answer

A)  compress the nipple downward. 
B)  gently slide her fingers over the breast tissue. 
C)  palpate the breast using a systematic approach. 
D)  start her examination when standing. 
A)  compress the nipple downward. 
B)  gently slide her fingers over the breast tissue. 
C)  palpate the breast using a systematic approach. 
D)  start her examination when standing.

Question 17

A nurse palpates a small lump in a woman's breast. The most appropriate action by the nurse is to

Accepted Answer

A)  ask the client if any relatives have had breast cancer. 
B)  document its characteristics and the position of the client. 
C)  refer the client for a same-day mammography. 
D)  tell the client to return next month for a repeat examination. 
A)  ask the client if any relatives have had breast cancer. 
B)  document its characteristics and the position of the client. 
C)  refer the client for a same-day mammography. 
D)  tell the client to return next month for a repeat examination.

Exam 37: Assessment of the Reproductive System

During history-taking on a client considering pregnancy, the nurse should inquire whether the client has ever had

In discussing mammography with a client, the nurse would include the current recommendation that

The client who has a prostate-specific antigen (PSA) density of 0.13 ng/ml is considered to have

The nurse is teaching a client to perform testicular self-examination (TSE). The nurse is aware that this procedure is an example of

The nurse instructs a client that a normal observation during breast self-examination (BSE) is

When calling a woman to inform her that the results of her Pap smear are suspicious, the nurse should first

The nurse explains to a client undergoing her first gynecologic examination that the American Cancer Society recommends an annual Pap test for women (Select all that apply)

A female client scheduled for her first mammography needs the information that

The nurse obtaining a health history from a male client with a history of hypertension should ask the client about

During palpation of a client's testes, the nurse notes a small, hard lump on the anterior aspect of one testis. The nurse's most appropriate action would be to

The nurse informs a client that the factor that places her at risk for cancer of the cervix is

The nurse observes a red glow during transillumination of a client's scrotum. The nurse would interpret this finding as

The nurse teaches a client scheduled for semen examination that in order to provide an adequate sample, the client should

When obtaining a sexual history from a female client, a nurse should first

While physical examination of his reproductive system is being conducted, the client has an erection. The most appropriate action by the nurse is

The nurse notices that a client performing a BSE is failing to palpate her breast and axillae completely. To improve her technique, the nurse should teach the client to

A nurse palpates a small lump in a woman's breast. The most appropriate action by the nurse is to

Health Promotion and Disease Prevention

Health Assessment

Critical Thinking

Complementary and Alternative Therapies

Ambulatory Health Care

Acute Health Care

Critical Care

Home Health Care

Long-Term Care

Rehabilitation

Clients with Fluid Imbalances

Clients with Electrolyte Imbalances

Acid-Base Balance

Clients Having Surgery

Perspectives in Genetics

Perspectives in Oncology

Clients with Cancer

Clients with Wounds

Perspectives on Infectious Disease and Bioterrorism

Clients with Pain

Perspectives in Palliative Care

Clients with Sleep and Rest Disorders and Fatigue

Clients with Psychosocial and Mental Health Concerns

Clients with Substance Abuse Disorders

Assessment of the Musculoskeletal System

Management of Clients with Musculoskeletal Disorders

Management of Clients with Musculoskeletal Trauma or Overuse

Assessment of Nutrition and the Digestive System

Management of Clients with Malnutrition

Management of Clients with Ingestive Disorders

Management of Clients with Digestive Disorders

Assessment of Elimination

Management of Clients with Intestinal Disorders

Management of Clients with Urinary Disorders

Management of Clients with Renal Disorders

Management of Clients with Renal Failure

Management of Men with Reproductive Disorders

Management of Women with Reproductive Disorders

Management of Clients with Breast Disorders

Management of Clients with Sexually Transmitted Infections

Assessment of the Endocrine and Metabolic Systems

Management of Clients with Thyroid and Parathyroid Disorders

Management of Clients with Adrenal and Pituitary Disorders

Management of Clients with Diabetes Mellitus

Management of Clients with Exocrine Pancreatic and Biliary Disorders

Management of Clients with Hepatic Disorders

Assessment of the Integumentary System

Management of Clients with Integumentary Disorders

Management of Clients with Burn Injury

Assessment of the Vascular System

Management of Clients with Hypertensive Disorders

Management of Clients with Vascular Disorders

Assessment of the Cardiac System

Management of Clients with Structural Cardiac Disorders

Management of Clients with Functional Cardiac Disorders

Management of Clients with Dysrhythmias

Management of Clients with Myocardial Infarction

Assessment of the Respiratory System

Management of Clients with Upper Airway Disorders

Management of Clients with Lower Airway and Pulmonary Vessel

Management of Clients with Parenchymal and Pleural Disorders

Management of Clients with Acute Pulmonary Disorders