Deck 47: Nursing Assessment: Reproductive System

Question 1

The following patients call the outpatient clinic.Which phone call should the nurse return first?

A) A 44-year-old patient who has bloody discharge after a hysteroscopy earlier today
B) A 64-year-old patient who is experiencing shoulder pain after a laparoscopy yesterday
C) A 34-year-old patient who is short of breath after pelvic computed tomography (CT) with contrast
D) A 54-year-old patient who has severe breast tenderness following a needle aspiration breast biopsy

Answer 1

A 34-year-old patient who is short of breath after pelvic computed tomography (CT) with contrast

Question 2

Which finding from the nurse's physical assessment of a 42-year-old male patient should be reported to the health care provider?

A) One testis hangs lower than the other.
B) Genital hair distribution is diamond shaped.
C) Clear discharge is present at the penile meatus.
D) Inguinal lymph nodes are nonpalpable bilaterally.

Answer 2

Clear discharge is present at the penile meatus.

Question 3

An 18-year-old female patient who has been admitted to the emergency department after a motor vehicle crash is scheduled for chest and abdominal x-rays.Which information is most important to report to the health care provider before the x-rays are obtained?

A) Severity of abdominal pain
B) Positive result of hCG test
C) Blood pressure 172/88 mm Hg
D) Temperature 102.1° F (38.9° C)

Answer 3

Positive result of hCG test

Question 4

A 44-year-old patient in the sexually transmitted infection clinic has a positive Venereal Disease Research Laboratory (VDRL)test,but no chancre is visible on assessment.The nurse will plan to send specimens for

A) gram stain.
B) cytologic studies.
C) rapid plasma reagin (RPR) agglutination.
D) fluorescent treponemal antibody absorption (FTA-Abs).

Question 5

A 24-year-old female says she wants to begin using oral contraceptives.Which information from the nursing assessment is most important to report to the health care provider?

A) The patient quit smoking 5 months previously.
B) The patient's blood pressure is 154/86 mm Hg.
C) The patient has not been vaccinated for rubella.
D) The patient has chronic iron-deficiency anemia.

Question 6

A 22-year-old patient reports her concern about not having a menstrual period for the past 7 months.Which statement by the patient indicates a possible related factor to the amenorrhea?

A) "I drink at least 3 glasses of nonfat milk every day."
B) "I run 7 to 8 miles every day to keep my weight down."
C) "I was treated for a sexually transmitted infection 2 years ago."
D) "I am not sexually active but currently I have an IUD."

Question 7

A 68-year-old male patient tells the nurse that he is worried because he does not respond to sexual stimulation the same way he did when he was younger.The nurse's best response to the patient's concern is which of the following?

A) "Interest in sex frequently decreases as men get older."
B) "Many men need additional sexual stimulation with aging."
C) "Erectile dysfunction is a common problem with older men."
D) "Tell me more about how your sexual response has changed."

Question 8

Which information shown in the accompanying figure and obtained by the nurse about a 72-year-old man who is complaining of erectile dysfunction is most important to communicate to the health care provider?

A) Recent knee surgery
B) Low position of left testis
C) Pulse and blood pressure level
D) Use of antihypertensive drugs

Question 9

After scheduling a patient with a possible ovarian cyst for ultrasound,the nurse will teach the patient that she should

A) expect to receive IV contrast during the procedure.
B) drink several glasses of fluids before the procedure.
C) experience mild abdominal cramps after the procedure.
D) discontinue taking aspirin for 7 days before the procedure.

Question 10

A 49-year-old man who has type 2 diabetes,high blood pressure,hyperlipidemia,and gastroesophageal reflux tells the nurse that he has had recent difficulty in achieving an erection.Which of the following drugs from his current medications list may cause erectile dysfunction (ED)?

A) Ranitidine (Zantac)
B) Atorvastatin (Lipitor)
C) Propranolol (Inderal)
D) Metformin (Glucophage)

Question 11

The nurse will plan to teach a 51-year-old man who is scheduled for an annual physical exam about a(n)

A) increased risk for testicular cancer.
B) possible changes in erectile function.
C) normal decreases in testosterone level.
D) prostate specific antigen (PSA) testing.

Question 12

A couple is scheduled to have a Huhner test for infertility.In preparation for the test,the nurse will instruct the couple about

A) being sedated during the procedure.
B) determining the estimated time of ovulation.
C) experiencing shoulder pain after the procedure.
D) refraining from intercourse before the appointment.

Question 13

A woman calls the clinic because she is having an unusually heavy menstrual flow.She tells the nurse that she has saturated three tampons in the past 2 hours.The nurse estimates that the amount of blood loss over the past 2 hours is _____ mL.

A) 20 to 30
B) 30 to 40
C) 40 to 60
D) 60 to 90

Question 14

After a 26-year-old patient has been treated for pelvic inflammatory disease,the nurse will plan to teach about

A) use of hormone therapy (HT).
B) irregularities in the menstrual cycle.
C) changes in secondary sex characteristics.
D) possible difficulty with becoming pregnant.

Question 15

Which question should the nurse ask when assessing a 60-year-old patient who has a history of benign prostatic hyperplasia (BPH)?

A) "Have you noticed any unusual discharge from your penis?"
B) "Has there been any change in your sex life in the last year?"
C) "Has there been a decrease in the force of your urinary stream?"
D) "Have you been experiencing any difficulty in achieving an erection?"

Question 16

The nurse explains to a 37-year-old patient being prepared for colposcopy with a cervical biopsy that the procedure

A) involves dilation of the cervix and biopsy of the tissue lining the uterus.
B) will take place in a same-day surgery center so that local anesthesia can be used.
C) requires that the patient have nothing to eat or drink for 6 hours before the procedure.
D) is similar to a speculum examination of the cervix and should result in little discomfort.

Question 17

The nurse is assessing the sexual-reproductive functional health pattern of a 32-year-old woman.Which question is most useful in determining the patient's sexual orientation and risk factors?

A) "Do you have sex with men, women, or both?"
B) "Which gender do you prefer to have sex with?"
C) "What types of sexual activities do you prefer?"
D) "Are you heterosexual, homosexual, or bisexual?"

Question 18

A 19-year-old patient calls the school clinic and tells the nurse,"My menstrual period is very heavy this time.I have to change my tampon every 4 hours." Which action should the nurse take next?

A) Tell the patient that her flow is not unusually heavy.
B) Schedule the patient for an appointment later that day.
C) Ask the patient how heavy her usual menstrual flow is.
D) Have the patient call again if the heavy flow continues.

Question 19

The nurse is providing teaching by telephone to a patient who is scheduled for a pelvic examination and Pap test next week.The nurse instructs the patient that she should

A) shower, but not take a tub bath, before the examination.
B) not have sexual intercourse the day before the Pap test.
C) avoid douching for at least 24 hours before the examination.
D) schedule to have the Pap test just after her menstrual period.