Assessment Of The Reproductive System

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Question 1
Free
Multiple Choice

A nurse palpates a small lump in a woman's breast. The most appropriate action by the nurse is to

Choose correct answer/s
A

ask the client if any relatives have had breast cancer.

B

document its characteristics and the position of the client.

C

refer the client for a same-day mammography.

D

tell the client to return next month for a repeat examination.

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Question 2
Free
Multiple Choice

When obtaining a sexual history from a female client, a nurse should first

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A

ask general questions regarding current sexual activity.

B

ask the client if she would like to talk about her sex life.

C

share his or her own feelings about sexuality.

D

tell the client that she should not be embarrassed.

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Question 3
Free
Multiple Choice

During history-taking on a client considering pregnancy, the nurse should inquire whether the client has ever had

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A

diphtheria.

B

mumps.

C

rubella.

D

typhoid fever.

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Question 4
Free
Multiple Choice

The nurse informs a client that the factor that places her at risk for cancer of the cervix is

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A

a mother who took diethylstilbestrol when pregnant with the client.

B

having a mother of Mediterranean heritage.

C

riding horseback since the client was a child.

D

using herbal remedies for her fertility problems.

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Question 5
Free
Multiple Choice

The nurse instructs a client that a normal observation during breast self-examination (BSE) is

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A

contour changes.

B

dimpling.

C

nipple deviation.

D

variation in breast size.

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Question 6
Multiple Choice

The nurse notices that a client performing a BSE is failing to palpate her breast and axillae completely. To improve her technique, the nurse should teach the client to

Choose correct answer/s
A
compress the nipple downward.
B
gently slide her fingers over the breast tissue.
C
palpate the breast using a systematic approach.
D
start her examination when standing.
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Question 7
Multiple Choice

When calling a woman to inform her that the results of her Pap smear are suspicious, the nurse should first

Choose correct answer/s
A
interpret the cytologic findings for the client.
B
provide an opportunity to discuss concerns and ask questions.
C
refer the client for further diagnostic evaluation by a physician.
D
schedule immediate retesting to validate the findings.
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Question 8
Multiple Choice

A female client scheduled for her first mammography needs the information that

Choose correct answer/s
A
no pain or discomfort is involved.
B
results are available within 60 days.
C
she cannot wear deodorant on the day of the test.
D
the procedure takes 15 to 30 minutes.
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Question 9
Multiple Choice

In discussing mammography with a client, the nurse would include the current recommendation that

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A
all females should have a baseline mammogram at menarche.
B
all females should have a baseline mammogram when they are 21.
C
mammograms should be done semi-annually in women over age 35.
D
mammograms should be done yearly in women over age 40.
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Question 10
Multiple Choice

The nurse obtaining a health history from a male client with a history of hypertension should ask the client about

Choose correct answer/s
A
renal functioning.
B
sexual functioning.
C
testicular problems.
D
voiding problems.
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Question 11
Multiple Choice

While physical examination of his reproductive system is being conducted, the client has an erection. The most appropriate action by the nurse is

Choose correct answer/s
A
advise the client to breathe through his mouth to relax.
B
leave the room and return when the exam is completed.
C
say nothing and stay while the exam is being conducted.
D
tell the client this reaction is normal and has no sexual meaning.
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Question 12
Multiple Choice

During palpation of a client's testes, the nurse notes a small, hard lump on the anterior aspect of one testis. The nurse's most appropriate action would be to

Choose correct answer/s
A
do nothing, since this is a normal finding.
B
palpate the groin for an associated hernia.
C
perform transillumination of the scrotum.
D
recommend the client take antibiotics.
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Question 13
Multiple Choice

The nurse observes a red glow during transillumination of a client's scrotum. The nurse would interpret this finding as

Choose correct answer/s
A
a hematoma.
B
a scrotal mass.
C
normal findings.
D
serous fluid.
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Question 14
Multiple Choice

The client who has a prostate-specific antigen (PSA) density of 0.13 ng/ml is considered to have

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A
a contaminated specimen.
B
the presence of cancer cells.
C
the need for a follow-up examination.
D
no risk for prostate cancer.
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Question 15
Multiple Choice

The nurse is teaching a client to perform testicular self-examination (TSE). The nurse is aware that this procedure is an example of

Choose correct answer/s
A
primary prevention.
B
quaternary prevention.
C
secondary prevention.
D
tertiary prevention.
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Question 16
Multiple Choice

The nurse teaches a client scheduled for semen examination that in order to provide an adequate sample, the client should

Choose correct answer/s
A
abstain from ejaculating 2 to 5 days before the test.
B
drink plenty of liquids for 24 hours before the test.
C
get plenty of sleep the night before the test.
D
increase intake of red meat 3 days before the test.
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Question 17
Multiple Choice

The nurse explains to a client undergoing her first gynecologic examination that the American Cancer Society recommends an annual Pap test for women (Select all that apply)

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A
every year until the woman experiences menopause.
B
once the woman reaches the age of 16.
C
starting at the age of 21 unless sexually active earlier.
D
who are or who have been sexually active.
E
who have been exposed to a sexually transmitted disease.
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