NCLEX Questions on Female Reproductive System

Extract:

Question 1 of 5

The client has had a total abdominal hysterectomy for cancer of the uterus. Which discharge instruction should the nurse teach?

Correct Answer: B

Rationale: Pelvic rest (no intercourse, tampons) prevents complications post-hysterectomy until HCP clearance. HRT is individualized, driving is restricted initially, and bleeding is abnormal.

Question 2 of 5

The charge nurse is making rounds on the genitourinary surgery floor. Which action by the primary nurse warrants immediate intervention?

A. The nurse elevates the scrotum of a client who has had an orchiectomy. B. The nurse encourages the client to cough, although he complains of pain. C. The nurse empties the client’s JP drain and leaves it rounded. D. The nurse asks the UAP to empty a catheter drainage bag.

Correct Answer: B

Rationale: Encouraging coughing despite pain risks complications (e.g., bleeding) post-surgery; pain control is needed first. Scrotal elevation, JP drain management, and UAP delegation are appropriate.

Question 3 of 5

The nurse is admitting a client diagnosed with trichomoniasis. Which assessment data support this diagnosis?

A. Odorless, white, curdlike vaginal discharge. B. Strawberry spots on the vaginal surface and itching. C. Scant white vaginal discharge and dyspareunia. D. Purulent discharge from the endocervix and pelvic pain.

Correct Answer: B

Rationale: Trichomoniasis causes strawberry spots (petechiae) on the vagina and itching due to inflammation. Curdlike discharge is candidiasis, scant discharge/dyspareunia is nonspecific, and purulent discharge suggests PID.

Question 4 of 5

The client has had a total abdominal hysterectomy for cancer of the uterus. Which discharge instruction should the nurse teach?

A. The client should take HRT every day to prevent bone loss. B. The client should practice pelvic rest until seen by the HCP. C. The client can drive a car as soon as she is discharged from the hospital. D. The client should expect some bleeding after this procedure.

Correct Answer: B

Rationale: Pelvic rest (no intercourse, tampons) prevents complications post-hysterectomy until HCP clearance. HRT is individualized, driving is restricted initially, and bleeding is abnormal.

Question 5 of 5

The nurse is caring for a client diagnosed with uterine cancer who has been receiving systemic therapy for six (6) months. Which intervention should the nurse implement first?

A. Determine which antineoplastic medication the client has received. B. Ask the client if she has had any problems with mouth ulcers at home. C. Administer the biologic response modifier filgrastim (Neupogen). D. Encourage the client to discuss feelings about having cancer.

Correct Answer: B

Rationale: Mouth ulcers are a common chemotherapy side effect, requiring immediate assessment to manage pain and infection risk. Medication history, filgrastim administration, and emotional support are secondary.

NCLEX Questions on Female Reproductive System | Nurselytic

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