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
The nurse is developing a teaching plan for a client who is scheduled for her first Papaniccolous test. What instructions by the nurse is the most important?
Correct Answer: D
Rationale: In order to prevent false interpretation, the client must not douche or have sexual intercourse for at least 24 hours before the Pap smear. Timing is important, with the test scheduled between the client's menstrual periods so that the menstrual flow does not interfere with laboratory analysis. The specimens are placed on a glass slide and sent to the laboratory for examination and cannot be interpreted immediately.
Question 2 of 5
The nurse is assessing the reproductive history of a 68-year-old postmenopausal woman. Which finding is cause for immediate action by the nurse?
Correct Answer: C
Rationale: Vaginal bleeding is not normal for the postmenopausal woman and requires immediate action to investigate potential serious conditions such as endometrial cancer. Vaginal dryness and leakage of urine are common findings in adults of this age range. Pap tests may not be needed for women over 65 who have had regular cervical cancer screening with normal results.
Question 3 of 5
The nurse is reviewing discharge instructions with a client who has just experienced an endometrial biopsy. Which finding should be reported to the health care provider immediately?
Correct Answer: B
Rationale: Chills and fever could indicate an infection and should be reported immediately to the health care provider. Mild cramping, spotting, and fatigue are normal findings after an endometrial biopsy.
Question 4 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 5 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.