NCLEX-PN
Disorders of the Female Reproductive System NCLEX Questions Questions
Extract:
Question 1 of 5
The client who is scheduled to have a breast biopsy with sentinel node dissection states, 'I don't understand. What does a sentinel node biopsy do?' Which scientific rationale should the nurse use to base the response?
Correct Answer: A
Rationale: Sentinel node biopsy involves injecting dye to identify the first lymph node(s) draining the tumor, assessing cancer spread. Removing all draining nodes is outdated, manual palpation is not specific, and visual inspection alone is insufficient.
Question 2 of 5
If the client is asymptomatic and at low risk for breast cancer, the nurse would be correct in advising her to have a baseline mammogram at what age?
Correct Answer: C
Rationale: The American Cancer Society recommends that women at average risk for breast cancer begin annual mammograms at age 45, but a baseline mammogram may be considered at age 40-50 depending on guidelines. For low-risk, asymptomatic women, age 50 is often the standard starting point for routine screening.
Question 3 of 5
The client is diagnosed with metastatic prostate cancer to the bones. Which nursing intervention should the nurse implement?
Correct Answer: C
Rationale: Bone metastasis increases constipation risk (e.g., from analgesics); a bowel regimen prevents complications. TURP is for obstruction, bed elevation is irrelevant, and sexual function is secondary.
Question 4 of 5
The client diagnosed with uterine cancer is complaining of lower back pain and unilateral leg edema. Which statement best explains the scientific rationale for these signs/symptoms?
Correct Answer: B
Rationale: Lower back pain and leg edema suggest pelvic lymph node involvement or metastasis, indicating cancer spread. Expected pain is vague, and treatment or radiation is less likely the cause.
Question 5 of 5
Which information should the nurse include in the discharge teaching for the client recovering from an abdominal hysterectomy?
Correct Answer: A
Rationale: Reporting vaginal bleeding or cramping is critical, as these may indicate complications like hemorrhage or infection. Vigorous exercise is contraindicated, prolonged sitting is unnecessary, and tub baths risk infection.