NCLEX-PN
Disorders of the Female Reproductive System NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with ovarian cancer has had eight (8) courses of chemotherapy. Which laboratory data warrant immediate intervention by the nurse?
Correct Answer: D
Rationale: Urinalysis with 100 WBCs indicates a urinary tract infection, requiring immediate intervention in a chemotherapy patient at risk for sepsis. Other values are within normal ranges.
Question 2 of 5
Today, the physician orders that the client's catheter can be removed. Which action is most important for the nurse to perform first?
Correct Answer: C
Rationale: Deflating the balloon is essential to safely remove the catheter without causing trauma to the urethra.
Question 3 of 5
The client who is scheduled to have a breast biopsy with sentinel node dissection states, 'I don't understand. What does a sentinel node biopsy do?' Which scientific rationale should the nurse use to base the response?
Correct Answer: A
Rationale: Sentinel node biopsy involves injecting dye to identify the first lymph node(s) draining the tumor, assessing cancer spread. Removing all draining nodes is outdated, manual palpation is not specific, and visual inspection alone is insufficient.
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
The client frequently finds lumps in her breasts, especially around her menstrual period. Which information should the nurse teach the client regarding breast self-care?
Correct Answer: C
Rationale: Lumps around the menstrual period are often fibrocystic changes, a benign condition. Teaching monthly breast self-examination empowers monitoring for changes. Assuming benignity without follow-up is unsafe, dietary changes are secondary, and suggesting surgery is premature.