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EDAPT: NCLEX Readiness: Physiological
Adaptation Part 6 Questions and Answers
Latest Update
The nurse is caring for a client with painful menstruation (dysmenorrhea).
For each question, identify if the question relates to primary or secondary
dysmenorrhea. Ans: Primary Dysmenorrhea:
Is the pain more severe during the first few days of your period?
Secondary Dysmenorrhea:
Has the pain worsened with age?
Have you been diagnosed with any pelvic conditions?
Is intercourse painful?
Does the pain last for more than 2 days?
The nurse is caring for a client with endometriosis. Match each healthcare
provider prescription with the rationale. Ans: Oral contraceptive pills once
daily - Causes regression of the endometrial tissue
Ibuprofen 800 mg twice daily - Relieves pain
Laparoscopy scheduled for tomorrow - Removes or destroys the endometrial
tissue outside of the uterus
A nurse is discussing risk factors for breast cancer with a female client who
asks what causes breast cancer. For each risk factor, match the risk factor to
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, 2 | Page
the causative agent. Ans: Early menarche and late menopause - Long
menstrual history
Nulliparity - Prolonged exposure to unopposed estrogen
Obesity - Fat cells store estrogen
Exposure to ionizing radiation - Damages DNA
A nurse in a clinic is reviewing the medical records of four clients. Which
breast assessment should the nurse immediately report to the provider as
suspicious for breast cancer? Ans: Hard, irregularly-shaped, immobile mass
in the upper quadrant of the left breast that is not painful
A nurse is caring for a client who is one day postoperative from a total
abdominal hysterectomy to treat ovarian cancer. Which nursing action is
most important? Ans: Encourage ambulation as much as tolerated.
Highlight each symptom that is likely related to premenstrual syndrome.
Ans: Bloating
Headaches
Insomnia
Increased anxiety
Jeanine is diagnosed with premenstrual syndrome since her symptoms
occur in the __________ phase of the menstrual cycle and resolve __________.
Ans: Luteal
After the start of menses
The nurse provides education to Jeanine about pharmacologic and
nonpharmacologic strategies to treat premenstrual syndrome. For each
strategy, identify if it is a pharmacologic or nonpharmacologic strategy.
Ans: Pharmacologic:
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, 3 | Page
Ibuprofen
Oral contraceptives
Selective serotonin reuptake inhibitors
Nonpharmacologic:
Stress management
Healthy diet
Exercise
Jeanine asks the nurse if there are any vitamins, minerals, or herbal
supplements that may help with her symptoms. Which should the nurse
recommend that Jeanine take regularly? Select all that apply. Ans: Calcium
Magnesium
Vitamin B6
The nurse is providing education to a client who is newly diagnosed with
endometriosis, which occurs when endometrial tissue grows __________ the
uterus causing pain. Endometriosis increases the client's risk for __________
and can cause __________ problems. Ans: Outside
Ovarian cancer
Fertility
A nurse at a community health fair is reviewing the health questionnaires of
four females. Which client should the nurse identify as having the highest
risk of developing breast cancer? Ans: 62-year-old, obese, never been
pregnant, using hormone replacement therapy
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The nurse is caring for a client receiving brachytherapy after a right breast
lumpectomy. For each nursing action, indicate if the action is indicated, non-
essential, or contraindicated. Ans: Indicated:
Cluster nursing care to minimize exposure to the radiation source.
Wear a radiation dosimeter badge to measure exposure.
Non-Essential:
Do not allow visitors while the radiation implant is in use.
Contraindicated:
Provide continuity of care by assigning the same nurse to care for the client
each day.
If multiple clients are receiving brachytherapy, the same nurse should care
for all clients.
The nurse is caring for a client with cervical cancer who has a sealed
radiation implant that has dislodged and is found lying in the bed. What are
the two priority actions of the nurse? Ans: Pick up the implant with long-
handled forceps and place in a lead container.
Contact the healthcare provider immediately.
A nurse is caring for a client who is 17 years old and has never had a
menstrual period. The nurse explains that this is called __________
__________ and is most likely caused by __________. Ans: Primary
Amenorrhea
Anovulation
Highlight the risk factors in Barbara's medical record for ovarian cancer.
Ans: Age 65
© 2025 All rights reserved
EDAPT: NCLEX Readiness: Physiological
Adaptation Part 6 Questions and Answers
Latest Update
The nurse is caring for a client with painful menstruation (dysmenorrhea).
For each question, identify if the question relates to primary or secondary
dysmenorrhea. Ans: Primary Dysmenorrhea:
Is the pain more severe during the first few days of your period?
Secondary Dysmenorrhea:
Has the pain worsened with age?
Have you been diagnosed with any pelvic conditions?
Is intercourse painful?
Does the pain last for more than 2 days?
The nurse is caring for a client with endometriosis. Match each healthcare
provider prescription with the rationale. Ans: Oral contraceptive pills once
daily - Causes regression of the endometrial tissue
Ibuprofen 800 mg twice daily - Relieves pain
Laparoscopy scheduled for tomorrow - Removes or destroys the endometrial
tissue outside of the uterus
A nurse is discussing risk factors for breast cancer with a female client who
asks what causes breast cancer. For each risk factor, match the risk factor to
© 2025 All rights reserved
, 2 | Page
the causative agent. Ans: Early menarche and late menopause - Long
menstrual history
Nulliparity - Prolonged exposure to unopposed estrogen
Obesity - Fat cells store estrogen
Exposure to ionizing radiation - Damages DNA
A nurse in a clinic is reviewing the medical records of four clients. Which
breast assessment should the nurse immediately report to the provider as
suspicious for breast cancer? Ans: Hard, irregularly-shaped, immobile mass
in the upper quadrant of the left breast that is not painful
A nurse is caring for a client who is one day postoperative from a total
abdominal hysterectomy to treat ovarian cancer. Which nursing action is
most important? Ans: Encourage ambulation as much as tolerated.
Highlight each symptom that is likely related to premenstrual syndrome.
Ans: Bloating
Headaches
Insomnia
Increased anxiety
Jeanine is diagnosed with premenstrual syndrome since her symptoms
occur in the __________ phase of the menstrual cycle and resolve __________.
Ans: Luteal
After the start of menses
The nurse provides education to Jeanine about pharmacologic and
nonpharmacologic strategies to treat premenstrual syndrome. For each
strategy, identify if it is a pharmacologic or nonpharmacologic strategy.
Ans: Pharmacologic:
© 2025 All rights reserved
, 3 | Page
Ibuprofen
Oral contraceptives
Selective serotonin reuptake inhibitors
Nonpharmacologic:
Stress management
Healthy diet
Exercise
Jeanine asks the nurse if there are any vitamins, minerals, or herbal
supplements that may help with her symptoms. Which should the nurse
recommend that Jeanine take regularly? Select all that apply. Ans: Calcium
Magnesium
Vitamin B6
The nurse is providing education to a client who is newly diagnosed with
endometriosis, which occurs when endometrial tissue grows __________ the
uterus causing pain. Endometriosis increases the client's risk for __________
and can cause __________ problems. Ans: Outside
Ovarian cancer
Fertility
A nurse at a community health fair is reviewing the health questionnaires of
four females. Which client should the nurse identify as having the highest
risk of developing breast cancer? Ans: 62-year-old, obese, never been
pregnant, using hormone replacement therapy
© 2025 All rights reserved
, 4 | Page
The nurse is caring for a client receiving brachytherapy after a right breast
lumpectomy. For each nursing action, indicate if the action is indicated, non-
essential, or contraindicated. Ans: Indicated:
Cluster nursing care to minimize exposure to the radiation source.
Wear a radiation dosimeter badge to measure exposure.
Non-Essential:
Do not allow visitors while the radiation implant is in use.
Contraindicated:
Provide continuity of care by assigning the same nurse to care for the client
each day.
If multiple clients are receiving brachytherapy, the same nurse should care
for all clients.
The nurse is caring for a client with cervical cancer who has a sealed
radiation implant that has dislodged and is found lying in the bed. What are
the two priority actions of the nurse? Ans: Pick up the implant with long-
handled forceps and place in a lead container.
Contact the healthcare provider immediately.
A nurse is caring for a client who is 17 years old and has never had a
menstrual period. The nurse explains that this is called __________
__________ and is most likely caused by __________. Ans: Primary
Amenorrhea
Anovulation
Highlight the risk factors in Barbara's medical record for ovarian cancer.
Ans: Age 65
© 2025 All rights reserved
