NCLEX-PN
Disorders of the Female Reproductive System NCLEX Questions Questions
Extract:
Question 1 of 5
If the client is asymptomatic and at low risk for breast cancer, the nurse would be correct in advising her to have a baseline mammogram at what age?
Correct Answer: C
Rationale: The American Cancer Society recommends that women at average risk for breast cancer begin annual mammograms at age 45, but a baseline mammogram may be considered at age 40-50 depending on guidelines. For low-risk, asymptomatic women, age 50 is often the standard starting point for routine screening.
Question 2 of 5
The client diagnosed with uterine cancer is complaining of lower back pain and unilateral leg edema. Which statement best explains the scientific rationale for these signs/symptoms?
Correct Answer: B
Rationale: Lower back pain and leg edema suggest pelvic lymph node involvement or metastasis, indicating cancer spread. Expected pain is vague, and treatment or radiation is less likely the cause.
Question 3 of 5
The 24-year-old female client presents to the clinic with lower abdominal pain on the left side she rates as a '9' on a 1-to-10 scale. Which diagnostic procedure should the nurse prepare the client for?
Correct Answer: D
Rationale: Severe left-sided pelvic pain suggests ovarian pathology (e.g., cyst, torsion); a pelvic sonogram is the initial diagnostic tool. CT is less specific, lumbar puncture is irrelevant, and appendectomy is premature.
Question 4 of 5
The nurse is caring for a 30-year-old nulliparous client who is complaining of severe dysmenorrhea. Which diagnostic test should the nurse prepare the client to undergo to determine the diagnosis?
Correct Answer: C
Rationale: Exploratory laparoscopy is used to diagnose conditions like endometriosis, a common cause of severe dysmenorrhea. Bimanual exam is nonspecific, pregnancy tests rule out ectopic pregnancy, and ovarian biopsy is invasive and unrelated.
Question 5 of 5
Which information should the nurse include in the discharge teaching for the client recovering from an abdominal hysterectomy?
Correct Answer: A
Rationale: Reporting vaginal bleeding or cramping is critical, as these may indicate complications like hemorrhage or infection. Vigorous exercise is contraindicated, prolonged sitting is unnecessary, and tub baths risk infection.