Questions 33

NCLEX-PN

NCLEX-PN Test Bank

Female Reproductive Disorders NCLEX Questions Quizlet Questions

Extract:


Question 1 of 5

The client has failed to conceive after many attempts over a three (3)-year time period and asks the nurse, 'I have tried everything. What should I do now?' Which statement is the nurse’s best response?

Correct Answer: A

Rationale: Referring to an infertility specialist is proactive, addressing potential medical causes. Emotional support is secondary, adoption is premature, and blaming nerves is unhelpful.

Question 2 of 5

The female client presents to the gynecologist’s office for the fifth time with an ovarian cyst and is scheduled for an exploratory laparoscopy. The client asks the nurse, 'Why do I need to have another surgery? The other cysts have all been benign.' Which statement is the nurse’s best response?

Correct Answer: B

Rationale: Persistent ovarian cysts require evaluation to rule out malignancy or complications, despite prior benign findings. Suggesting inevitable cancer is inaccurate, minimizing pain is dismissive, and addressing fear is secondary.

Question 3 of 5

The nurse writes a client problem of 'anxiety related to potential sexual dysfunction' for a client diagnosed with cancer of the prostate. Which intervention should the nurse implement?

Correct Answer: D

Rationale: A private area facilitates open discussion of sexual dysfunction fears, reducing anxiety. HCP referral, spousal discussion, or false reassurance are less therapeutic.

Question 4 of 5

The 30-year-old male client diagnosed with germinal cell carcinoma of the testes asks the nurse, 'What chance do I have? Should I end it all now?' Which response by the nurse indicates an understanding of the disease process?

Correct Answer: B

Rationale: Germinal cell carcinoma has a high cure rate with treatment (e.g., orchiectomy, chemotherapy), offering good survival chances. Religious references, pessimism, or vague statistics are less appropriate.

Question 5 of 5

Which steps should the nurse provide clients who choose to perform breast self-examination (BSE) according to the American Cancer Society (ACS) guidelines? Rank in order of performance.

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Lie flat on the bed with a rolled towel placed under the scapula; perform palpation of each breast.
Pinch each nipple to see if fluid can be expressed.
With the breasts exposed, stand in front of a mirror and examine the breasts from front and each side.
In the shower, soap the breasts, and perform palpation in a systematic manner on each breast.
Find a private place where the self-examination can be performed.

Correct Answer: E,C,A,D,B

Rationale: ACS BSE steps: 1) Find a private place; 2) Visually inspect in mirror (front/sides); 3) Palpate lying down with towel; 4) Palpate in shower; 5) Check nipples for discharge.

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