NCLEX-PN
Disorders of the Female Reproductive System NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a 30-year-old nulliparous client who is complaining of severe dysmenorrhea. Which diagnostic test should the nurse prepare the client to undergo to determine the diagnosis?
Correct Answer: C
Rationale: Exploratory laparoscopy is used to diagnose conditions like endometriosis, a common cause of severe dysmenorrhea. Bimanual exam is nonspecific, pregnancy tests rule out ectopic pregnancy, and ovarian biopsy is invasive and unrelated.
Question 2 of 5
When the nurse does a physical assessment of this client, which technique is best for determining the extent of the prolapse?
Correct Answer: B
Rationale: Standing and bearing down makes a prolapsed uterus more visible, allowing accurate assessment of its extent.
Question 3 of 5
The school nurse is preparing a class on testicular cancer for male high school seniors. Which information regarding testicular self-examination should the nurse include?
Correct Answer: B
Rationale: Any lump detected during testicular self-examination requires prompt HCP evaluation to rule out cancer. Cool rooms, second-person confirmation, and discomfort are not recommended.
Question 4 of 5
The client has a diagnosis of rule-out Paget’s disease. Which test provides a definitive diagnosis of the disease?
Correct Answer: A
Rationale: Breast biopsy provides a definitive diagnosis for Paget’s disease by confirming malignant cells in the nipple/areola. Mammogram, ultrasound, and MRI are supportive but not confirmatory.
Question 5 of 5
Which gynecologic symptom reported by a female client is most suggestive of trichomoniasis?
Correct Answer: B
Rationale: Trichomoniasis typically causes frothy, foul-smelling vaginal discharge with itching, distinguishing it from other infections.