NCLEX-PN
Female Reproductive Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The female client has a mother who died from ovarian cancer and a sister diagnosed with ovarian cancer. Which recommendations should the nurse make regarding early detection of ovarian cancer?
Correct Answer: B
Rationale: High familial risk warrants transvaginal ultrasound and CA-125 every 6 months for early detection. Prophylactic oophorectomy is a personal choice, MRI is not standard, and sigmoidoscopy is unrelated.
Question 2 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 3 of 5
The nurse in the gynecology clinic is assessing a 14-year-old client who reports being sexually active. Which information should the nurse teach the client? Select all that apply.
Correct Answer: B,C,D
Rationale: Teaching birth control, STD prevention, and condom use empowers the sexually active teen. Parental notification depends on jurisdiction, antibiotics are irrelevant without infection, and parenting classes are premature.
Question 4 of 5
The client is diagnosed with a rectovaginal fistula which is to be managed medically. Which information should the nurse teach the client prior to discharge?
Correct Answer: B
Rationale: A low-residue diet reduces fecal output, aiding healing of a rectovaginal fistula. Douching risks infection, ice packs are ineffective, and binders are unrelated.
Question 5 of 5
Which laboratory test should the nurse expect for the client to rule out the diagnosis of syphilis?
Correct Answer: B
Rationale: RPR-CT is a standard screening test for syphilis, detecting antibodies. Vaginal cultures, Gram stains, and immunological assays are not specific for syphilis.