Deck 37: Assessment of the Reproductive System

Question 1

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

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.

Answer 1

a mother who took diethylstilbestrol when pregnant with the client.

Question 2

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

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.

Answer 2

perform transillumination of the scrotum.

Question 3

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

A) renal functioning.
B) sexual functioning.
C) testicular problems.
D) voiding problems.

Answer 3

sexual functioning.

Question 4

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

A) a hematoma.
B) a scrotal mass.
C) normal findings.
D) serous fluid.

Question 5

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

A) diphtheria.
B) mumps.
C) rubella.
D) typhoid fever.

Question 6

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

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.

Question 7

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

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.

Question 8

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

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.

Question 9

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

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.

Question 10

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

A) contour changes.
B) dimpling.
C) nipple deviation.
D) variation in breast size.

Question 11

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

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

Question 12

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

A) primary prevention.
B) quaternary prevention.
C) secondary prevention.
D) tertiary prevention.

Question 13

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)

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.

Question 14

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

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.

Question 15

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

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.

Question 16

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

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.

Question 17

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

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.