ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 69 : Assessment of the Reproductive System Questions
Question 1 of 5
A client is concerned about her irregular menstrual periods since she has increased her daily workouts at the gym to 2 hours each day. What is the nurse's best response?
Correct Answer: B
Rationale: A certain level of body fat is necessary to maintain regular menstrual cycles. Increased exercise can reduce body fat, potentially leading to irregular periods. This response educates the client on the relationship between exercise, body fat, and menstrual irregularities.
Question 2 of 5
A nurse and unlicensed assistive personnel (UAP) are helping with a procedure. Which task is appropriate for the UAP to perform?
Correct Answer: B
Rationale: The UAP can assist with positioning the client for the procedure, as this is within their scope of practice. Tasks such as witnessing the consent form, assessing allergies, and assessing pain are within the nurse's scope of practice and require professional judgment.
Question 3 of 5
A client is scheduled for a laparoscopy to remove endometriosis tissue. Which response by the client alerts the nurse of the need for further teaching?
Correct Answer: D
Rationale: The client's statement about returning to a normal routine in a few days indicates a need for further teaching, as recovery from laparoscopy typically requires avoiding strenuous activity for about a week to ensure proper healing.
Question 4 of 5
A 67-year-old male client had some serum tests performed during his annual examination. The nurse reviews his results, as follows: testosterone: 600 g/L, prostate-specific antigen: 10 mg/L, prolactin: 5 mg/L. What is the nurse's best action?
Correct Answer: D
Rationale: The prostate-specific antigen is increased from the normal range of 0 to 2.5 mg/L, which could indicate benign prostatic hyperplasia or prostate cancer. Further testing is required. The values of testosterone and prolactin are within normal range. If prolactin were increased, there would be a possibility of galactorrhea. An increase in testosterone could indicate a possible testicular tumor.
Question 5 of 5
A 72-year-old woman is being assessed by the nurse for an annual physical. Which finding is of concern to the nurse?
Correct Answer: C
Rationale: Vaginal bleeding in a 72-year-old postmenopausal woman is concerning and requires further investigation, as it may indicate serious conditions such as endometrial cancer. Mild vaginal dryness and occasional urinary incontinence are common in this age group, and a history of regular Pap smears is a positive finding.