NCLEX-PN
Female Reproductive Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client in the gynecology clinic asks the nurse, 'What are the risk factors for developing cancer of the cervix?' Which statement is the nurse's best response?
Correct Answer: A
Rationale: Early sexual activity and multiple partners increase HPV exposure, the primary risk for cervical cancer. Diet and birth control are not direct risks, Chlamydia is secondary, and Pap smears detect, not prevent, cancer.
Question 2 of 5
The nurse enters the room of a 24-year-old client diagnosed with testicular cancer. The fiancée of the client asks the nurse, 'Will we be able to have children?' Which is the nurse’s best response?
Correct Answer: C
Rationale: Sperm banking is recommended before testicular cancer treatment (e.g., orchiectomy, chemotherapy) to preserve fertility. Normal fertility is unlikely, sterility is not guaranteed, and discussing with the fiancée avoids privacy issues but is less proactive.
Question 3 of 5
When counseling a female client with a new diagnosis of genital herpes, which statement by the nurse is accurate?
Correct Answer: D
Rationale: Genital herpes infection may confer some immunity to neonates via maternal antibodies, reducing severe neonatal herpes risk.
Question 4 of 5
The nurse in the gynecology clinic is assessing the 50-year-old client who has had four (4) children and is complaining of having lower abdominal pressure and fatigue along with some urinary incontinence. Which instruction should the nurse teach the client?
Correct Answer: D
Rationale: Kegel exercises strengthen pelvic floor muscles, reducing stress incontinence and pelvic pressure from multiparity. Peri-pads are palliative, avoiding laughter/sneezing is impractical, and hysterectomy is premature.
Question 5 of 5
The client is diagnosed with breast cancer and is considering whether to have a lumpectomy or a more invasive procedure, a modified radical mastectomy. Which information should the nurse discuss with the client?
Correct Answer: B
Rationale: Discussing feelings about radiation and chemotherapy is key, as lumpectomy often requires radiation, while mastectomy may involve chemotherapy. Anesthesia fears, mandatory reconstruction, and family history are less relevant to the procedure choice.