Deck 22: Female Genitourinary System

Question 1

The nurse is reviewing the prescriptions of a client experiencing a decreased libido. Which medication should the nurse be concerned with?

A) Codeine.
B) Estradiol.
C) Levothyroxine.
D) Progesterone.

Answer 1

Codeine.

Question 2

The nurse reviewing a client's medical record notes documentation of a nontender protrusion into the anterior vaginal wall. Which condition does the nurse suspect based on this data?

A) Inflammation of the Skene gland.
B) Prolapsed uterus.
C) Rectocele.
D) Cystocele.

Answer 2

Cystocele.

Question 3

The nurse is preparing to inspect the external genitalia of an obese female client. Which finding should the nurse be prepared to document?

A) Ecchymosis.
B) Edematous labia.
C) Reddened genitalia.
D) Excoriated labia majora.

Answer 3

Edematous labia.

Question 4

The nurse is preparing to assess a client experiencing PMS. Which findings should the nurse anticipate? Select all that apply.

A) Cramping.
B) Spotting.
C) Headache.
D) Breast engorgement.
E) Irritability.

Question 5

The nurse reviewing a client's record notes there is a protrusion into the posterior vaginal wall. Based on this data, which condition does the nurse suspect?

A) Ovarian cyst.
B) Bartholin gland infection.
C) Cystocele.
D) Rectocele.

Question 6

During the examination of a client's perineum, the nurse notes reddened areas on the labia and white curd-like vaginal discharge. Which condition should the nurse suspect?

A) Contact dermatitis.
B) Yeast infection.
C) Herpes infection.
D) Venereal warts.

Question 7

The nurse observes bulging over the femoral artery during an assessment. Which diagnosis should the nurse suspect?

A) Aneurysm.
B) Femoral hernia.
C) Swollen lymph node.
D) Hematomata.

Question 8

The nurse is discussing the segments of the uterus with a client. Which information should the nurse include? Select all that apply.

A) Ovaries.
B) Cervix.
C) Fundus.
D) Corpus.
E) Fallopian tubes.

Question 9

A client asks the nurse what is the purpose of the Bartholin's gland. Which information should the nurse provide the client?

A) Secrete fluid to lubricate the vagina.
B) Secrete white blood cells.
C) Produce mucus to be released into the vagina.
D) Produce acid to protect against bacteria.

Question 10

The nurse notes that a client's pubic area is excoriated. Which should the nurse further assess the client for?

A) Gonorrhea.
B) Genital warts.
C) Contact dermatitis.
D) Herpes simplex virus.

Question 11

The nurse is assessing the urethral opening of a female client. Which findings should the nurse recognize are associated with a urinary tract infection? Select all that apply.

A) Discharge.
B) Foul odor.
C) Redness.
D) Inflammation.
E) Leaking urine.

Question 12

A 28-year-old female client asks the nurse how often she should have a Pap smear. Which information should the nurse provide?

A) "You should have a Pap test annually."
B) "You should have a Pap test every 3 years."
C) "You should have a Pap test and an HPV test annually."
D) "You should have a Pap test and an HPV test every 5 years."

Question 13

The nurse is preparing to assess a female client's external genitalia. Which structures will the nurse anticipate including in the documentation? Select all that apply.

A) Vagina.
B) Cervix.
C) Clitoris.
D) Labia majora.
E) Labia minora.

Question 14

The nurse notes that a client's clitoris is elongated. Which hormonal imbalance should the nurse suspect is occurring?

A) Estrogen.
B) Progesterone.
C) Testosterone.
D) Luteinizing hormone.

Question 15

The nurse is preparing to interview a client with uterine fibroids. Which question should the nurse initially ask the client?

A) "Are you experiencing any pelvic pressure?"
B) "Are you experiencing any vaginal itching?"
C) "Have you experienced an abnormal bleeding?"
D) "Have you experienced an abnormal vaginal discharge?"

Question 16

The nurse notes that the client's Bartholin's gland is reddened, inflamed, and tender and warm to palpation. Based on the findings, which additional infection should the nurse anticipate testing the client for?

A) Gonorrhea.
B) Candidiasis.
C) Herpes simplex virus.
D) Urinary tract infection.

Question 17

The nurse is examining a female client and notes a greenish discharge with a foul odor. Which diagnosis does the nurse anticipate?

A) Trichomoniasis.
B) Herpes infection.
C) Gonorrhea.
D) Bacterial vaginosis.

Question 18

The nurse is examining the external genitalia of a female client and notes raised, cauliflower-shaped papules. Based on this data, which condition does the nurse suspect?

A) Genital warts.
B) Herpes infection.
C) Bartholin abscess.
D) Contact dermatitis.

Question 19

The nurse notes that a client's progesterone level is 15 ng/ml. Which should the nurse interpret the finding as in relation to the menstrual cycle?

A) Midcycle.
B) Preovulatory.
C) Menstruating.
D) Menopausal.

Question 20

The nurse is reviewing the symptoms of ovarian cancer with a client. Which symptoms should the nurse include? Select all that apply.

A) Ascites.
B) Abdominal bloating.
C) Abnormal vaginal bleeding.
D) Menstrual irregularities.
E) Increased urination.

Question 21

A parent of a 14-year-old female asks the nurse about the HPV vaccine. Which information should the nurse include in the teaching?

A) "Your daughter will need one dose of the vaccine."
B) "Your daughter will need three doses of the vaccine."
C) "Your daughter will need two doses of the vaccine."
D) "Your daughter will need to be vaccinated when she becomes sexually active."

Question 22

The nurse is examining an adult female and notes thick, coarse pubic hair covering the pubis and extending to the thighs. Which action by the nurse is the most appropriate based on this data?

A) Ask the client if she has started menstruation.
B) Report the findings to the healthcare provider.
C) Document the findings as normal.
D) Ask the client if she is sexually active.

Question 23

The nurse is interviewing a female client who reports a frothy, yellow-green discharge. Based on this data, which condition does the nurse suspect?

A) Vaginitis.
B) Trichomoniasis.
C) Gonorrhea.
D) Chlamydia.

Question 24

The nurse is examining a client with a gonorrheal infection. Which is the priority action by the nurse?

A) Counsel regarding safe sex practices.
B) Obtain history of sexual contacts.
C) Obtain a culture.
D) Document the findings.

Question 25

The nurse examining an adolescent female notes sparse pubic hair. Based on this data, which action by the nurse is appropriate?

A) Ask the client if she is menstruating.
B) Examine the client for breast buds.
C) Report the findings to the healthcare provider.
D) Document the findings as abnormal.

Question 26

The nurse is examining the external genitalia of a female client and notes small vesicular lesions that are painful. Based on this data, which condition does the nurse suspect?

A) Genital warts.
B) Herpes infection.
C) Bartholin abscess.
D) Contact dermatitis.

Question 27

The nurse is caring for an adolescent female client who has come to the clinic for an annual physical examination. Which question does the nurse plan to include in the data collection process?

A) "Do you have a boyfriend?"
B) "Do you need birth control?"
C) "Are you attracted to boys?"
D) "Are you sexually active at this time?"

Question 28

The nurse is reviewing the risk factors for uterine cancer with a client. Which should the nurse include in the teaching?

A) Smoking.
B) Obesity.
C) Multiple sexual partners.
D) Sexually transmitted infections.

Question 29

The nurse is examining the external genitalia of a female client and notes draining papules. Based on this data, which condition does the nurse suspect?

A) Genital warts.
B) Herpes infection.
C) Syphilitic lesion.
D) Contact dermatitis.

Question 30

The nurse is reviewing the symptoms of an ovarian cyst with a client. Which should the nurse include? Select all that apply.

A) Lower back pain.
B) Loss of appetite.
C) Pelvic pain.
D) Pain during intercourse.
E) Change in bowel habits.