Questions 33

NCLEX-PN

NCLEX-PN Test Bank

Female Reproductive Disorders NCLEX Questions Quizlet Questions

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Question 1 of 5

The client who had a right modified radical mastectomy four (4) years before is being admitted for a cardiac work-up for chest pain. Which intervention is most important for the nurse to implement?

Correct Answer: C

Rationale: Post-mastectomy, the affected arm is at risk for lymphedema; avoiding venipuncture or BP on that arm is critical. Chemotherapy history is less urgent, Adriamycin relates to cardiotoxicity but not immediate care, and chest wall exam is secondary.

Question 2 of 5

On the basis of this client's age, which statement by the nurse is the best explanation for the client's discomfort?

Correct Answer: D

Rationale: Postmenopausal vaginal dryness due to decreased mucus production is a common cause of painful intercourse in older women.

Question 3 of 5

The nurse correctly teaches a couple that immediately after a vasectomy, it is best to continue using an alternative birth control method for which time period?

Correct Answer: C

Rationale: Sperm may remain in the vas deferens for up to 12 weeks post-vasectomy, requiring alternative contraception until azoospermia is confirmed.

Question 4 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.

Question 5 of 5

Before the physician performs the vaginal examination, which nursing intervention is most important?

Correct Answer: A

Rationale: Having a female nurse present ensures the client's comfort and adheres to ethical standards, providing a chaperone during the examination.

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