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Women’s Health

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Question 1
Free
Multiple Choice

Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap test?

Choose correct answer/s
A

Lubricant

B

Speculum

C

Fixative agent

D

Gloves and eye protectors

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Question 2
Free
Multiple Choice

A 45-year-old patient asks how often she should have a mammogram. The most appropriate answer is

Choose correct answer/s
A

whenever she feels a lump.

B

every year beginning at age 40.

C

they are unnecessary until age 50.

D

every year if you have risk factors.

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Question 3
Free
Multiple Choice

While performing a self-breast exam, the patient notes an area on the right breast that is nodular, with some associated tenderness. This is a new onset finding because the exams were not problematic in the past. The left breast examination is unremarkable. The patient calls to report her findings to the clinical nurse because this is not her typical result. What action should the nurse perform next?

Choose correct answer/s
A

Refer the patient to an oncologist because the results are suspicious.

B

Ask the patient to come in for an office visit so that the findings can be validated but tell her that this information is within the normal range of presentation.

C

Have the patient wear a tight-fitting bra and tell her that the tenderness is associated with ovulation and will pass.

D

Have the patient repeat the self-breast exam in 2 weeks and call back with findings to provide a basis for comparison.

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Question 4
Free
Multiple Choice

Findings of a Pap smear exam denote atypical cells of undetermined significance (ASCUS). The Pap test is repeated at 6 months and the same finding of ASCUS is reported. Which therapeutic treatment option would the nurse expect the practitioner to order?

Choose correct answer/s
A

Mammography

B

Bone scan

C

Transvaginal ultrasound

D

Biopsy

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Question 5
Free
Multiple Choice

Which concern is included in the plan of care for the patient who receives HPV (human papillomavirus) vaccine?

Choose correct answer/s
A

It is available in oral form.

B

It involves a series of two injections.

C

Injections should be given over a 3-month period.

D

The vaccine (Gardasil) should not be given to any patient with a sensitivity to yeast.

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Question 6
Multiple Choice

Which are the most common sites of breast cancer metastasis?

Choose correct answer/s
A
Kidneys
B
Bones and liver
C
Heart and blood vessels
D
Skin
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Question 7
Multiple Choice

Which sexually transmitted disease can be treated and eradicated?

Choose correct answer/s
A
Herpes
B
AIDS
C
Chlamydia
D
Venereal warts
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Question 8
Multiple Choice

A benign breast condition that includes dilation and inflammation of the collecting ducts is known as

Choose correct answer/s
A
fibroadenoma.
B
ductal ectasia.
C
intraductal papilloma.
D
chronic cystic disease.
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Question 9
Multiple Choice

Which statement regarding primary dysmenorrhea is most accurate?

Choose correct answer/s
A
Primary dysmenorrhea is experienced by all women.
B
It is unaffected by oral contraceptives.
C
It occurs in young multiparous women.
D
It may be caused by excessive endometrial prostaglandin.
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Question 10
Multiple Choice

Which information should the nurse stress in teaching a patient how best to relieve the symptoms of premenstrual syndrome (PMS)?

Choose correct answer/s
A
Decrease her consumption of caffeine.
B
Drink a small glass of wine with her evening meal.
C
Decrease her fluid intake to prevent fluid retention.
D
Eat three large meals a day to maintain glucose levels.
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Question 11
Multiple Choice

A patient, age 49, confides in the nurse that she has started experiencing pain with intercourse. The patient asks, "Is there anything I can do about this?" The nurse's best response is

Choose correct answer/s
A
"No, it is part of the aging process."
B
"Water-soluble vaginal lubricants may provide relief."
C
"You need to be evaluated for a sexually transmitted disease."
D
"You may have vaginal scar tissue that is producing the discomfort."
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Question 12
Multiple Choice

Which patient is most likely to develop osteoporosis?

Choose correct answer/s
A
A 50-year-old patient on estrogen therapy
B
A 55-year-old patient with a sedentary lifestyle
C
A 65-year-old patient who walks 2 miles each day
D
A 60-year-old patient who takes supplemental calcium
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Question 13
Multiple Choice

A patient with a history of a cystocele should contact the physician if she experiences

Choose correct answer/s
A
backache.
B
constipation.
C
urinary frequency and burning.
D
involuntary loss of urine when she coughs.
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Question 14
Multiple Choice

Which specific instruction should the nurse teach to assist a patient to regain control of her urinary sphincter?

Choose correct answer/s
A
Perform Kegel exercises.
B
Void every hour while awake.
C
Drink 8 to 10 glasses of water each day.
D
Allow the bladder to become distended before voiding.
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Question 15
Multiple Choice

The physician diagnoses a 3-cm cyst in the ovary of a 28-year-old patient. You expect the initial treatment to include

Choose correct answer/s
A
initiating hormone therapy.
B
scheduling a laparoscopy to remove the cyst.
C
examining the patient after her next menstrual period.
D
aspirating the cyst and sending the fluid to pathology.
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Question 16
Multiple Choice

The drug of choice to treat a gonorrhea infection is

Choose correct answer/s
A
penicillin G (Pfizerpen).
B
tetracycline (Achromycin).
C
ceftriaxone (Rocephin).
D
acyclovir (Zovirax).
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Question 17
Multiple Choice

Which option could be used for the treatment and management of a patient who reports mild pain associated with a clinical diagnosis of fibrocystic breast disease?

Choose correct answer/s
A
Chamomile tea as a relaxant therapy
B
Danazol (Danocrine)
C
Tamoxifen (Nolvadex)
D
Over-the-counter nonsteroidal antiinflammatory drug (NSAID) therapy
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Question 18
Multiple Choice

Which treatment option minimizes the development of lymphedema in the surgical management of a patient with breast cancer?

Choose correct answer/s
A
Radical mastectomy procedure
B
Radiation therapy
C
Sentinel lymph node mapping
D
Ultrasound
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Question 19
Multiple Choice

You are taking care of a patient who has had a colporrhaphy. Which option would indicate a priority assessment during the postoperative period?

Choose correct answer/s
A
Documentation of a pessary in the operative procedure notes by the physician
B
Removal of vaginal packing as ordered by the physician
C
Use of a cell saver for transfusion therapy in the postoperative period
D
Order for removal of staples 2 to 3 days post-procedure
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Question 20
Multiple Choice

In reviewing genetic testing for a female patient, you note the presence of BRCA1, BRCA2, and CHEK2. How should these findings be interpreted?

Choose correct answer/s
A
There is no increased likelihood that the patient will develop breast or ovarian cancer.
B
There is an increased likelihood only for the development of breast cancer in a woman.
C
More information is needed to interpret these findings based on the patient's family history and the patient's current and past medical history.
D
A radical bilateral mastectomy is required as soon as possible, since the cancer may have already undergone sub-metastasis.
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