Question 1

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 2

The patient asks the nurse,"Will the laparoscopy be painful?" The nurse replies:

Accepted Answer

A)  "You will probably have some pain below the rib cage and around the shoulder." 
B)  "Most patients state that the procedure is painless during and afterward." 
C)  "You may have some mild-to-moderate pain around the umbilicus and in the back." 
D)  "Every person is different. It's difficult to say whether you'll have pain." 
A)  "You will probably have some pain below the rib cage and around the shoulder." 
B)  "Most patients state that the procedure is painless during and afterward." 
C)  "You may have some mild-to-moderate pain around the umbilicus and in the back." 
D)  "Every person is different. It's difficult to say whether you'll have pain."

Question 3

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 4

The nurse is aware that the medication used to stimulate or mimic actions of natural pituitary gonadotropins in the treatment of infertility is:

Accepted Answer

A)  Estrogen only (diethylstilbestrol) 
B)  Danazol (Danocrine) 
C)  Clomiphene citrate (Clomid) 
D)  Raloxifene (Evista) 
A)  Estrogen only (diethylstilbestrol) 
B)  Danazol (Danocrine) 
C)  Clomiphene citrate (Clomid) 
D)  Raloxifene (Evista)

Question 5

After a mastectomy,many patients experience lymphedema.To minimize this problem,the nurse can instruct the patient to:

Accepted Answer

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. 
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.

Question 6

Conjugated estrogen (Premarin)is indicated for treatment of menopause.Before administering the medication to a woman who has just had a hysterectomy,the nurse should explain the side effects,which are:

Accepted Answer

A)  Breakthrough bleeding 
B)  Hypotension 
C)  Arthralgia 
D)  Skin rash 
A)  Breakthrough bleeding 
B)  Hypotension 
C)  Arthralgia 
D)  Skin rash

Question 7

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.

Question 8

The nurse explains that the causes for menorrhagia include: (Select all that apply.)

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 9

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."

Exam 47: Female Reproductive Disorders

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 patient asks the nurse,"Will the laparoscopy be painful?" The nurse replies:

The nurse is aware that the medication used to stimulate or mimic actions of natural pituitary gonadotropins in the treatment of infertility is:

After a mastectomy,many patients experience lymphedema.To minimize this problem,the nurse can instruct the patient to:

Conjugated estrogen (Premarin)is indicated for treatment of menopause.Before administering the medication to a woman who has just had a hysterectomy,the nurse should explain the side effects,which are:

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

The nurse explains that the causes for menorrhagia include: (Select all that apply.)

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:

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