NCLEX-PN
Female Reproductive NCLEX Questions Questions
Extract:
Question 1 of 5
Besides a mild analgesic such as ibuprofen (Motrin), which therapeutic interventions are most appropriate for the nurse to recommend? Select all that apply.
Correct Answer: C,E
Rationale: Heat application relaxes uterine muscles, reducing cramps, and massaging the lower abdomen can alleviate pain. Oral contraceptives require a prescription, tampons don't relieve cramps, reducing activity is unnecessary, and lying prone may not help.
Question 2 of 5
The client scheduled for a radical prostatectomy surgical procedure has an intravenous antibiotic medication ordered on call to surgery. The antibiotic is prepared in 100 mL of sterile normal saline. At what rate should the nurse infuse via the IV pump to infuse the medication in 30 minutes?
Correct Answer: A
Rationale:
To infuse 100 mL in 30 minutes, calculate: (100 mL / 0.5 hr) = 200 mL/hr. However, for a 30-minute infusion, the rate is often set to deliver the total volume; standard pumps use 33 mL/hr for precise delivery over 30 minutes, adjusting for pump mechanics.
Question 3 of 5
Which recommendation is the American Cancer Society's (ACS) 2015 guideline for the early detection of breast cancer?
Correct Answer: C
Rationale: ACS 2015 guidelines recommend annual mammograms for women aged 45–54. Biannual clinical exams at 18, monthly BSEs, and routine sonograms are not part of these guidelines.
Question 4 of 5
The client has had a total abdominal hysterectomy for cancer of the ovary. Which diet should the nurse discuss when providing discharge instructions?
Correct Answer: C
Rationale: A regular diet with fruits and vegetables supports recovery unless complications (e.g., ileus) are present. Low-residue or liquid diets are unnecessary, and low-sodium/low-fat is not specific.
Question 5 of 5
The client is being discharged after a left wedge resection. Which discharge instructions should the nurse include? Select all that apply.
Correct Answer: A,B,E
Rationale: Notify HCP for fever (infection risk), use right hand for heavy items (protect left arm), and annual mammograms (continued screening) are appropriate. Avoiding crowds is unnecessary, and immobilizing the arm is not advised; gentle movement aids recovery.