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N110 Reproductive > NCLEX Questions > Flashcards

NCLEX Questions Flashcards

1
Q

A patient visits her physician because of an increase in her abdominal girth and dyspnea during the past month as a result of pressure on her diaphragm. She is diagnosed as having cancer of the ovaries. These two clinical manifestations result from:

  1. Development of ascites
  2. Metastasis to the bowel
  3. Dilation of the alveoli
  4. Bladder distension
A
  1. Development of ascites
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2
Q

A 30-year-old premenopausal patient asks the nurse the most appropriate time of the month to do her self-examination of the breasts. The most appropriate reply by the nurse would be:

  1. During her menstruation
  2. 7 to 8 days after conclusion of the menstrual period
  3. the same day each month
  4. the 26th day of the menstrual cycle
A
  1. 7 to 8 days after conclusion of the menstrual period
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3
Q

A 52-year-old patient has ductal cell carcinoma of the left breast. Adter a modified radical mastectomy, a Davol drain is in place in the left axillary region. The main purpose of this drain is to:

  1. control numbness of her left incisional site
  2. improve her ability to perform range-of-motion exercises on her affected side
  3. facilitate drainage and prevent formation of a hematoma
  4. prevent postoperative phlebitis in her affected arm
A
  1. facilitate drainage and prevent formation of a hematoma
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4
Q

A 35-year-old patient received a vasectomy. Teaching for this patient should include that:

  1. the procedure is reversible if he later changes his mind
  2. he should abstain from sexual intercourse until the incision is completely healed
  3. he should apply warm compresses to the scrotum four times a day
  4. he should return to the physician at regular intervals for sperm counts
A
  1. he should return to the physician at regular intervals for sperm counts
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5
Q

A 44-year-old patient is admitted for an abdominal hysterectomy. She is instructed that she will have a Foley catheter in place post-operatively. She asks the nurse how many days she will have the catheter in place. The best response by the nurse would be that:

  1. the indwelling catheter will probably remain in place for 1 week.
  2. the indwelling catheter will be removed after you are fully awake from the anesthesia.
  3. the indwelling catheter will generally remain in place 1 to 2 days after surgery.
  4. the indwelling catheter will remain in place for a few days post-discharge.
A
  1. the indwelling catheter will generally remain in place 1 to 2 days after surgery.
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6
Q

A 60-year-old patient had a vaginal hysterectomy for a prolapsed uterus. The nurse is aware that patients undergoing pelvic surgery are more susceptible to certain postoperative complications, and thus adjusts postoperative interventions to prevent:

  1. wound dehiscence
  2. wound infection
  3. atelectasis and hypostatic pneumonia
  4. venous stasis and thrombophlebitis
A
  1. venous stasis and thrombophlebitis
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7
Q

A 49-year-old obese diabetic patient has had a total abdominal hysterectomy. On the second post-operative day, the patient complains of increased pain in the operative site. She states, “It feels like something suddenly popped.” With the symptoms presented, it would be likely that when the nurse removes the abdominal dressing she may note that:

  1. the wound has purulent exudate
  2. dehiscence has occurred
  3. the wound is indurated and tender
  4. the would is well approximated
A
  1. dehiscence has occurred
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8
Q

A 20-year-old patient goes to the physician’s office with vaginal pruritis, burning, dull pelvic pain, and purulent vaginal discharge. A diagnostic test reveals she has chlamydia. The nurse goes over the medication schedule carefully with the patient. Another important nursing intervention to achieve satisfactory patient outcome would be:

  1. encourage her to have her sexual partner(s) seek medical care as soon as possible to avoid reinfection of the patient.
  2. recommend she abstain from sexual contact while lesions are present.
  3. provide social and emotional support because the edematous, draining lymph nodes may be disturbing to the patient’s self image.
  4. educate the patient that the causative organism is a spirochete that gains entrance into the body during sexual intercourse.
A
  1. encourage her to have her sexual partner(s) seek medical care as soon as possible to avoid reinfection of the patient.
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9
Q

A 40-year-old patient had a right modified radical mastectomy with wide resection of the axillary lymph nodes. Which interventions are encouraged in the postoperative care for the patient? (Select all that apply)

  1. encourage turning, deep breathing, coughing and use of incentive spirometry.
  2. take blood pressure readings on her right arm.
  3. assess for excessive exudates on the dressing.
  4. administer an oral analgesic every 4 hours as needed for pain.
A
  1. encourage turning, deep breathing, coughing and use of incentive spirometry.
  2. assess for excessive exudates on the dressing.
  3. administer an oral analgesic every 4 hours as needed for pain.
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10
Q

A 23-year-old man is diagnosed with gonorrhea. Because of statements made in his patient interview, the nurse has established a nursing diagnosis of noncompliance. Which is the most effective way to overcome noncompliance for this patient?

  1. telephone follow up
  2. case finding
  3. single-dose treatment of ceftriaxone (Rocephin) IM
  4. extensive patient education program
A
  1. single-dose treatment of ceftriaxone (Rocephin) IM
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11
Q

The nurse is teaching a group of teenagers about contraception and sexually transmitted infections (STIs). The nurse asks the students if they know which is the most prevalent STI. They are surprised to learn it is:

  1. syphilis
  2. chlamydial infection
  3. gonorrhea
  4. herpes genitalis
A
  1. chlamydial infection
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12
Q

A 73-year-old patient comes to the physician’s office with the complaint of constant seepage of feces from her vagina, causing her embarrassment due to soilage and odor. These are signs of:

  1. rectovaginal fistula
  2. vesicovaginal fistula
  3. urethrovaginal fistula
  4. rectocele
A
  1. rectovaginal fistula
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13
Q

The American Cancer Society recommends that women have an annual screening mammography beginning at age:

  1. 21
  2. 35
  3. 40
  4. 52
A
  1. 40
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14
Q

The first lymph node most likely to drain the cancerous site in a breast cancer patient is known as the:

  1. axillary node
  2. contaminated node
  3. primary node
  4. sentinal node
A
  1. sentinal node
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15
Q

While discussing risk factors for breast cancer with a group of women, the nurse stresses that the greatest risk factor for breast is:

  1. being a woman over the age of 50.
  2. experiencing menstruation for 40 years or more.
  3. using estrogen replacement therapy during menopause
  4. have a paternal grandmother with postmenopausal breast cancer.
A
  1. being a woman over the age of 50.
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16
Q

Postoperatively the nurse teaches the patient with a modified radical mastectomy to prevent lymphedema by:

  1. using a sling to keep the arm flexed at the side.
  2. exposing the arm to sunlight to increase circulation.
  3. wrapping the arm with elastic bandages during the night.
  4. avoiding unnecessary trauma (e.g. venipuncture, blood pressure) to the arm on the operative side.
A
  1. avoiding unnecessary trauma (e.g. venipuncture, blood pressure) to the arm on the operative side.
17
Q

A patient diagnosed with breast cancer has been offered the treatment choice of breast conservation surgery with radiation or a modified radical mastectomy. When questioned by the patient about these options, the nurse informs the patient that the lumpectomy with radiation:

  1. preserves the normal appearance and sensitivity of the breast.
  2. provides a shorter treatment period with fewer long-term complications.
  3. has about the same 10-year survival rate as the modified radical mastectomy.
  4. reduces the fear and anxiety that accompany the diagnosis and treatment of cancer.
A
  1. has about the same 10-year survival rate as the modified radical mastectomy.
18
Q

The nurse plans early and frequent ambulation for the patient who has undergone an abdominal hyterectomy to: (select all that apply)

  1. prevent urinary retention.
  2. prevent deep-vein thrombosis.
  3. relieve abdominal distension.
  4. maintain a sense of normalcy.
A
  1. prevent deep-vein thrombosis.

3. relieve abdominal distension.

19
Q

On the second postoperative day, a 63-year-old patient who had an abdominal hysterectomy complains of gas pains and abdominal distention. The patient has not had a bowel movement since surgery. Which nursing intervention will best stimulate peristalsis and relieve distention?

  1. offering carbonated beverages.
  2. encouraging ambulation at least QID.
  3. administering a 1000 mL soapsuds enema.
  4. applying an abdominal binder.
A
  1. encouraging ambulation at least QID.
20
Q

A 40-year-old patient has a history of multiple births in the past 15 years. She has been hospitalized for surgery to repair a cystocele. The nurse knows a cystocele presents symptoms of:

  1. rectal pressure
  2. constipation
  3. hemorrhoids
  4. urinary frequency
A
  1. urinary frequency
21
Q

The PAP test is done as a diagnostic test for:

  1. cervical cancer
  2. cancer of the breast
  3. pelvic inflammatory disease
  4. ovarian cancer
A
  1. cervical cancer
22
Q

The first significant sign of toxic shock syndrome that a patient will exhibit is:

  1. sudden high fever
  2. vaginal hemorrhage
  3. foul vaginal odor
  4. sudden hypertension
A
  1. sudden high fever
23
Q

Lower abdominal and lower back pain that increases in severity during menstruation is a sign of the following disorder:

  1. cervical polyp
  2. ovarian tumor
  3. endometriosis
  4. uterine cancer
A
  1. endometriosis
24
Q

Osteoporosis is a disorder commonly seen in post-menopausal women; the dietary supplement recommended for this condition is:

  1. calcium and vitamin D
  2. phosphorus and vitamin D
  3. vitamins D and C
  4. vitamins A and D
A
  1. calcium and vitamin D
25
Q

The patient who has had a history of many pelvic inflammatory infections often seeks medical care for:

  1. vaginal discharge
  2. infertility
  3. hemorrhage
  4. dyspareunia
A
  1. infertility
26
Q

The woman at highest risk for toxic shock syndrome is the woman who:

  1. experiences multiple sexual contacts
  2. inserts tampons with her fingers
  3. suffers untreated chronic PID
  4. experiences multiple abortions
A
  1. inserts tampons with her fingers
27
Q

A 20-year-old patient goes to a neighborhood clinic because she has purulent discharge. The physician suspects that the patient has gonorrhea. The nurse instructs the patient to empty her bladder before the pelvic examination. The chief purpose of this instruction is to:

  1. prevent possible rupture of a distended bladder
  2. visualize the vaginal canal more easily
  3. aid in the assessment of the pelvic organs
  4. enable the pelvic organs to resume their normal position
A
  1. aid in the assessment of the pelvic organs
28
Q

The patient is to have a Pap smear. The nurse can prepare her for the test by educating her to:

  1. use a mild vinegar douche the night before the test
  2. abstain from intercourse 24 hours before the test
  3. take a warm tub bath the night before the test
  4. save a first-voided AM urine specimen
A
  1. abstain from intercourse 24 hours before the test
29
Q

The patient’s husband tells the nurse that his wife, who has been diagnosed with inoperable ovarian cancer, is talking about dying and fear of death. He asks the nurse for suggestions to help his wife. Which response by the nurse would be most helpful?

  1. The patient will probably die of another disease before she dies of ovarian cancer.
  2. Talk of death is normal at this time, but will diminish in the future.
  3. The patient is expressing an acceptance of utilizing hospice care.
  4. It is perfectly normal to want to talk about death. It is most helpful to support her by listening.
A
  1. It is perfectly normal to want to talk about death. It is most helpful to support her by listening.
30
Q

The American Cancer Society recommends that the human papillomavirus (HPV) vaccine against types 6, 11, 16, 18 be routinely given at what age to reduce the incidence of cervical cancer? (Select All That Apply)

  1. Ages 11 to 12 years
  2. Ages 13 to 18 years to catch up on mixed vaccine
  3. 24 to 26 years
  4. 30 to 35 years
A
  1. Ages 11 to 12 years

2. Ages 13 to 18 years to catch up on mixed vaccine

N110 Reproductive (2 decks)

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