Question 1

A patient nervously explains that she has just become sexually active and has a rash. She quickly states that it can't be a sexually transmitted disease (STD) because "he used a condom." The nurse examines the patient and finds her vagina to be erythematous and edematous. Based on the data, which is the most likely cause for the patient's symptoms?

Accepted Answer

A)  HPV 
B)  Gonorrhea 
C)  Bacterial infection 
D)  Latex allergy

Question 2

The nurse is assessing a patient who is prescribed tamoxifen. Which adverse reaction will the nurse assess this client for based on this data?

Accepted Answer

A)  Ovarian suppression 
B)  Ovarian fibrosis 
C)  Infertility 
D)  Vaginal discharge

Question 3

The nurse is assessing a pregnant patient and notes a Chadwick sign. Which did the nurse inspect during the examination?

Accepted Answer

A)  A red cervix 
B)  A blue-tinged cervix 
C)  A pink cervix 
D)  A dilated cervix

Question 4

A gray vaginal discharge with an unpleasant fishy or musty odor is likely to be a symptom of which infection?

Accepted Answer

A)  Candidiasis 
B)  Trichomonas 
C)  Gonorrhea 
D)  Chlamydia

Question 5

The nurse is conducting a health history interview for a patient who presents with amenorrhea. Which questions are appropriate? Select all that apply.

Accepted Answer

A)  "What is your menstrual history?" 
B)  "What is your pregnancy history?" 
C)  "What is your sexual history?" 
D)  "Do you have pain when voiding?" 
E)  "Do you take showers or tub baths?"

Question 6

The nurse is conducting an assessment for a patient who is diagnosed with osteoporosis. Which clinical manifestation is associated with this disease process?

Accepted Answer

A)  Height loss 
B)  Weight loss 
C)  Amenorrhea 
D)  Depression

Question 7

A patient explains that her mother took diethylstilbestrol (DES) during her pregnancy. The nurse knows that this increases the patient's risk of which disease process?

Accepted Answer

A)  Uterine prolapse 
B)  Cervical/vaginal cancer 
C)  Endometriosis 
D)  Amenorrhea

Question 8

If the examiner had difficulty visualizing the cervix with initial insertion of the speculum, the examiner should close the blades and perform which action?

Accepted Answer

A)  Withdraw the speculum 2 to 3 cm and reinsert at a different angle. 
B)  Push the speculum farther into the vagina 4 to 6 cm and rotate the blades. 
C)  Remove the speculum and obtain a larger speculum. 
D)  Remove the speculum and document that the exam could not be completed.

Question 9

The nurse is conducting a reproductive assessment for a pregnant patient. Which findings does the nurse anticipate? Select all that apply.

Accepted Answer

A)  Uterine hypertrophy 
B)  Cervix softening 
C)  Black discoloration of the cervix 
D)  Presence of a mucus plug 
E)  Hardening of the vaginal walls

Question 10

The nurse is assessing a patient who is prescribed oral contraceptives. Which finding in the patient's health history increases the risk for stroke?

Accepted Answer

A)  High-salt diet 
B)  Alcoholism 
C)  Smoking 
D)  Active lifestyle

Question 11

The nurse is preparing a patient for a pelvic examination. Which patient position is most appropriate?

Accepted Answer

A)  Side-lying 
B)  Supine 
C)  Lithotomy 
D)  Prone

Question 12

After a 5 percent acetic acid wash is applied to the cervix, the cervix blanches white. Based on this data, which conclusion by the nurse is appropriate?

Accepted Answer

A)  Bacterial vaginosis 
B)  Monilial vaginitis 
C)  HPV 
D)  Cervical cancer

Question 13

Which action is appropriate when spreading cells from a cytobrush on a slide after a specimen is collected?

Accepted Answer

A)  Sliding the cytobrush back and forth 
B)  Using a rolling motion 
C)  Brushing the specimen on the slide vigorously 
D)  Lightly dabbing onto the slide

Question 14

The nurse is collecting a health history for a patient during a routine health maintenance visit. The patient states, "I am in menopause." Which conclusion by the nurse is most appropriate based on this data?

Accepted Answer

A)  The patient is no longer sexually active. 
B)  The patient has never had any children. 
C)  The patient has a sexually transmitted infection. 
D)  The patient has not had a menstrual period in a year.

Question 15

The nurse is conducting a health maintenance visit for an older adult patient. Which is an expected finding for this patient based on age?

Accepted Answer

A)  Enlarged clitoris 
B)  Copious vaginal secretions 
C)  Increased risk for vaginal infections 
D)  Decreased risk for painful intercourse

Question 16

The nurse is assessing the patient for clinical manifestations associated with premenstrual syndrome. Which question is appropriate?

Accepted Answer

A)  "How often do you have intercourse?" 
B)  "Are you able to achieve orgasm?" 
C)  "Do you experience bloating?" 
D)  "How many sexual partners have you had?"

Question 17

During the health history, the nurse should begin with questions about which topic?

Accepted Answer

A)  Sexual satisfaction 
B)  Self-care 
C)  Sexual practices 
D)  Symptoms

Exam 10: Assessing the Female Genitourinary System