Deck 40: Nursing Assessment of the Patient With Reproductive Disorders

Question 1

The nurse is performing an assessment of a female patient's breasts. Which findings indicate the need for further assessment? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) One breast is shaped differently from the other.
B) The breasts do not display prominent veins.
C) The nipples are a light tan in color.
D) There is clear discharge from one nipple.
E) There is an area of dimpled skin on one breast.

Answer 1

One breast is shaped differently from the other.
There is clear discharge from one nipple.
There is an area of dimpled skin on one breast.

Question 2

During an assessment, a female patient asks why the nurse is "feeling her armpit." Which responses are appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) "I'm counting your ribs."
B) "Don't you feel your own armpits?"
C) "Breast tissue extends into this area."
D) "I'm assessing hair distribution in this area."
E) "The armpits should be part of your breast self-exam."

Answer 2

"Breast tissue extends into this area."
"The armpits should be part of your breast self-exam."

Question 3

The nurse is conducting a presentation to a group of women concerning menopause. Which statements by a participant indicate good understanding of the process? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) "Lubrication for intercourse will not be as necessary after menopause."
B) "My risk for vaginal infections is reduced once my estrogen levels decrease during menopause."
C) "My ovaries will shrink in size after menopause."
D) "The hair under my arms will thicken."
E) "I can expect my pubic hair to turn gray."

Answer 3

"My ovaries will shrink in size after menopause."
"I can expect my pubic hair to turn gray."

Question 4

During a physical examination, a male patient reports discharge from the urinary meatus. The discharge is not visible to the nurse. What is the first action the nurse would ask the patient to take?

A) Continue to watch for other signs of a sexually transmitted infection STI).
B) Return to the clinic when the discharge occurs.
C) Strip the penis to bring discharge to the meatus for culture.
D) Go to the emergency department for further testing.

Question 5

A patient presents to the emergency department with swelling and pain in his scrotum. The nurse anticipates dysfunction in which structures? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) Testes
B) Vas deferens
C) Epididymis
D) Seminal vesicle
E) Prostate

Question 6

A patient is having a routine prostate examination. Which question is an important part of this examination?

A) "Do you have polyuria in the morning?"
B) "Do you take laxatives or stool softeners?"
C) "Do you have difficulty with urination?"
D) "Do you experience constipation?"

Question 7

During a vaginal examination of a 33-year-old patient, a nontender mass at the posterolateral portion of the labia majora is noted. The nurse anticipates which diagnosis?

A) Rectocele
B) Fistula
C) Bartholin cyst
D) Cyst of the Skene's gland

Question 8

The nurse is preparing to examine a male patient's reproductive organs. What nursing actions are part of preparing for this examination? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) Secure a private examination room.
B) Use clean hands for the examination.
C) Ask the patient to lie down on the exam table.
D) Ask the patient put on a gown.
E) Make sure the room temperature is cool.

Question 9

The nurse is preparing to obtain a sexual history from a male patient. Which question is of the highest importance in this assessment?

A) "Do you engage in same-sex activity?"
B) "Do you have sex frequently?"
C) "Do you enjoy sexual intercourse?"
D) "Do you engage in masturbation?"

Question 10

The nurse is providing instruction to a patient who has been diagnosed with prostate cancer. Which statement by the patient would indicate understanding of the nurse's instruction?

A) "The prostate gland is where sperm are formed."
B) "The prostate gland is located at the neck of my bladder."
C) "The prostate gland produces semen."
D) "The prostate gland is normally very small, only about a quarter of an inch long."

Question 11

The nurse is assisting the health care provider with a routine prostate examination. The nurse could assist the patient to which positions for this examination? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) On the left side with right knee drawn up
B) Leaning over the examination table
C) Standing in the most comfortable position
D) On the right side with both knees flexed
E) In the lithotomy position

Question 12

The nurse is assessing the medication history of a patient with an enlarged prostate. The nurse would inquire about the use of which herbal supplement?

A) Ginkgo
B) Saw palmetto
C) Green tea
D) Fish oil

Question 13

The nurse is reviewing the laboratory analysis of a female patient's hormones. Increases in which hormone levels would indicate ovulation is occurring?

A) Estrogen
B) Luteinizing hormone
C) Progesterone
D) Gonadotropin-releasing hormone

Question 14

While obtaining a social history on a male patient regarding patterns of alcohol use, the nurse becomes aware that the patient may have a drinking problem. The nurse continues assessing the patient using the CAGE questionnaire. Which questions would the nurse ask? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) "Have you ever felt annoyed by criticism of your drinking?"
B) "Have you ever felt the desire to stop drinking?"
C) "Have you ever taken a drink first thing in the morning?"
D) "Have you ever felt the need to cut down on drinking?"
E) "Have you ever felt guilty about drinking?"

Question 15

The nurse is assessing for a left inguinal hernia in a male patient. Which technique should the nurse use?

A) Palpate for a structure that feels like a "bag of worms."
B) Use the left forefinger to examine the inguinal ring.
C) Ask the patient to cough during the assessment.
D) Have the patient face a table and lean over it.

Question 16

A female patient is admitted with a painful swelling in the perineal body. Where would the nurse look to assess this lesion?

A) Between the anus and the fourchette
B) Just lateral to the urethral meatus
C) Just anterior to the clitoris
D) Just anterior to the opening to the vagina

Question 17

During a routine breast examination of a patient, the nurse notes a small amount of nipple discharge. What nursing actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) Tell the patient she may have cancer.
B) Send the specimen to the lab.
C) Ask the patient if she has noticed discharge before.
D) Collect a specimen on a slide.
E) Document the finding.

Question 18

A patient is having a breast examination and is asked by the nurse to position her arms at her sides, then to press her hands to her hips. The patient asks why she has to perform so many different positions for the examination. What rationale would the nurse provide for this request?

A) Several positions pull ligaments, causing dimpling if a tumor is present.
B) Having the patient move facilitates a neurological assessment along with the breast examination.
C) These movements help to determine the patient's state of balance.
D) These movements help test motor strength.

Question 19

A 40-year-old male has reported to the clinic with complaints of impotence. The nurse is reviewing the patient's health history. Which statements by the patient warrant further investigation? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) "I take medications to control my blood pressure."
B) "I had the mumps when I was a boy."
C) "I had a vasectomy 4 years ago."
D) "I have had diabetes for several years."
E) "My wife has a history of cervical cancer."

Question 20

A patient with a menstrual cycle of 28 days asks about the timing of ovulation. The nurse would respond that ovulation would most likely occur on which days?

A) 14 to 16
B) 20 to 22
C) 10 to 1
D) 1 to 2

Question 21

Which statement by a patient offers the nurse information about moliminal symptoms?

A) "I have headaches if I don't eat regularly."
B) "When I was pregnant, my feet and ankles were swollen every day."
C) "My last boyfriend gave me hepatitis."
D) "I get terrible cramps with my periods."

Question 22

The nurse is instructing a female patient about changes in sexual functioning that may result from the aging process. Which nursing diagnoses would the nurse incorporate into the plan of care for this patient regarding sexual intercourse? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) Risk for Injury
B) Risk for Infection
C) Impaired Skin Integrity
D) Altered Tissue Perfusion
E) Alteration in Comfort

Question 23

On assessment the nurse notes that a patient's urinary opening is on the ventral side of the penis. How should the nurse document this finding?

A) Hypospadias
B) Hydrocele
C) Cryptorchidism
D) Varicocele

Question 24

During a routine pelvic examination, the nurse instructs the patient to bear down. The nurse explains that this motion makes it easier to assess for which conditions? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

A) Rectoceles
B) Prolapsed uterus
C) Vaginal tumors
D) Ovarian cysts
E) Cystoceles

Question 25

The patient asks why the nurse is asking questions about her mother's obstetrical history. Which rationale for this questioning should the nurse provide?

A) "If your mother smoked while she was pregnant with you, your risk of lung cancer is higher."
B) "Use of medications to prevent miscarriage may have an impact on your health."
C) "The government wants to know for a genetic study."
D) "If your mother had bleeding after delivery, you should avoid aspirin if you become pregnant."

Question 26

A young adult male asks the nurse about the recommended frequency of testicular self-exams. How should the nurse respond?

A) "The more frequently exams are performed, the more beneficial they are."
B) "You should have been taught to self-examine starting at age 1
C) "Not all experts believe that testicular self-examination is necessary or beneficial for young men."
D) "It is essential that you perform this exam each month."

Question 27

A 20-year-old female asks the nurse when she should begin having pelvic examinations. Which question should the nurse ask before responding?

A) "Are you on any medications?"
B) "Do you have a boyfriend?"
C) "Are you sexually active?"
D) "Are you asking because you think you are pregnant?"

Question 28

A female patient who is experiencing hot flashes during menopause asks the nurse how long they will last. Which information should the nurse provide?

A) Hot flashes do not occur after the first year of menopause.
B) Hot flashes usually occur once a month.
C) The patient may have hot flashes for up to 5 years.
D) Hot flashes generally disappear after the first 2 years of menopause.

Question 29

During assessment, the nurse notes a third nipple about 4 inches below the patient's costal margin. What nursing action is indicated?

A) Ask the patient when this nipple appeared.
B) Document this normal variant.
C) Discuss the finding with the health care provider because these nipples are commonly malignant.
D) Look for additional nipples on the patient's back.

Question 30

Which precautions should the nurse conducting an assessment of the reproductive system take to avoid the cremasteric reflex?

A) Ask the patient to cough during the exam for inguinal hernia.
B) Ask the patient to breathe in slowly through the nose and out through the mouth.
C) Conduct the examination in a warm room.
D) Lubricate the finger used for the prostate exam.