NCLEX-PN
Female Reproductive System NCLEX Questions Questions
Extract:
Question 1 of 5
The client had a mastectomy for cancer of the breast and asks the nurse about a TRAM flap procedure. Which information should the nurse explain to the client?
Correct Answer: B
Rationale: TRAM flap uses abdominal tissue for breast reconstruction. Saline sacs describe implants, mouth tissue isn’t used for nipples, and breast size is limited by available tissue.
Question 2 of 5
When a client with a transurethral resection of the prostate (TURP) complains of bladder discomfort and a feeling of urgency to void, which nursing action is best to take first?
Correct Answer: A
Rationale: Ensuring catheter patency addresses the most likely cause of discomfort (blockage or clots) and prevents complications like bladder distension.
Question 3 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for clients on a gynecology surgery floor. Which intervention cannot be delegated to the UAP?
Correct Answer: C
Rationale: Monitoring peri-pad count involves assessing bleeding, requiring nursing judgment. Emptying catheters, assisting to the bathroom, and encouraging ambulation are within UAP scope.
Question 4 of 5
Which statement best describes the responsibility of the public health nurse regarding sexually transmitted diseases?
Correct Answer: C
Rationale: Public health nurses educate clients on legal reporting requirements for STDs, ensuring compliance. Partner notification is often handled by health departments, treatment is physician-driven, and statistical analysis is secondary.
Question 5 of 5
The client diagnosed with cancer of the prostate tells the nurse, 'I caused this by being promiscuous when I was young and now I have to pay for my sins.' Which statement is the nurse’s most therapeutic response?
Correct Answer: B
Rationale: Reflecting the client’s guilt validates emotions and encourages discussion, a therapeutic approach. Questioning causation, dismissing behavior, or suggesting AIDS testing is less supportive.