Deck 27: Women’s Health

Question 1

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

A) backache.
B) constipation.
C) urinary frequency and burning.
D) involuntary loss of urine when she coughs.

Answer 1

urinary frequency and burning.

Question 2

Which sexually transmitted disease can be treated and eradicated?

A) Herpes
B) AIDS
C) Chlamydia
D) Venereal warts

Answer 2

Chlamydia

Question 3

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?

A) Mammography
B) Bone scan
C) Transvaginal ultrasound
D) Biopsy

Answer 3

Biopsy

Question 4

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

A) Radical mastectomy procedure
B) Radiation therapy
C) Sentinel lymph node mapping
D) Ultrasound

Question 5

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?

A) Chamomile tea as a relaxant therapy
B) Danazol (Danocrine)
C) Tamoxifen (Nolvadex)
D) Over-the-counter nonsteroidal antiinflammatory drug (NSAID) therapy

Question 6

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

A) Lubricant
B) Speculum
C) Fixative agent
D) Gloves and eye protectors

Question 7

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

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.

Question 8

Which patient is most likely to develop osteoporosis?

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

Question 9

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

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

Question 10

Which are the most common sites of breast cancer metastasis?

A) Kidneys
B) Bones and liver
C) Heart and blood vessels
D) Skin

Question 11

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?

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.

Question 12

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

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.

Question 13

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

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.

Question 14

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

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.

Question 15

Which statement regarding primary dysmenorrhea is most accurate?

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.

Question 16

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

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.

Question 17

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

A) fibroadenoma.
B) ductal ectasia.
C) intraductal papilloma.
D) chronic cystic disease.

Question 18

The drug of choice to treat a gonorrhea infection is

A) penicillin G (Pfizerpen).
B) tetracycline (Achromycin).
C) ceftriaxone (Rocephin).
D) acyclovir (Zovirax).

Question 19

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

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.

Question 20

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

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."

Question 21

While interviewing a 48-year-old patient during her annual physical examination, the nurse learns that she has never had a mammogram. The American Cancer Society recommends annual mammography screening starting at age 40. Before the nurse encourages this patient to begin annual screening, it is important for her to understand the reasons why women avoid testing. These reasons include which of the following? (Select all that apply.)

A) Fear of x-ray exposure
B) Expense of the procedure
C) Reluctance to hear bad news
D) Having heard that the test is painful
E) Belief that lack of family history makes this test unnecessary

Question 22

Healthy People 2020 goals directed at women's health issues focus on which areas? (Select all that apply.)

A) Increased screening for cervical and colorectal cancers
B) Reduction of cancer survivor rate based on clinical management treatment
C) Decreased morbidity and mortality related to breast cancer
D) Reduction in hospitalization for hip fractures in the older female population
E) Reduction in deaths associated with cardiovascular causes such as stroke and coronary artery disease (CAD)

Question 23

A 38-year-old patient presents to the clinic office complaining of increased bilateral tenderness of her breasts prior to the onset of menses. On questioning the patient, this presentation has occurred off and on for several years; however, the pain has increased. Physical examination reveals lumpy areas bilaterally on the upper outer quadrants of each breast tissue. The areas of concern are approximately 2 cm in size. Based on this assessment, which diagnostic testing would be necessary? (Select all that apply.)

A) Ultrasound examination
B) Open biopsy
C) Fine-needle aspiration (FNA) biopsy
D) CBC with differential
E) Mammogram