Ricci Chapter 8 - Test Bank - 4th Edition || Exact Solutions
100%.
1. A 58-year-old client comes to the clinic for evaluation. After obtaining the client's history, the
nurse suspects endometrial cancer. Which information would lead the nurse to this suspicion?
A. use of oral contraceptives between ages 18 and 25
B. onset of painless, bright red postmenopausal bleeding
C. menopause occurring at age 46
D. use of intrauterine device for 3 years Correct Answer: B
Rationale: Any episode of bright red painless bleeding occurring after menopause needs to be
investigated. Abnormal uterine bleeding in postmenopausal women should be regarded with
suspicion. Oral contraceptive use is associated with cervical cancer. Late menopause (after age
52) is associated with endometrial cancer. Use of an intrauterine device is not associated with
endometrial cancer.
2. A woman is to have a Papanicolaou test. When teaching the woman about this test, the nurse
would emphasize which instruction to the client?
A. "Refrain from sexual intercourse for 1 week before the test."
B. "Wear cotton panties on the day of the test."
C. "Avoid taking any medications for 24 hours."
D. "Do not douche for 48 hours before the test." Correct Answer: D
Rationale: The nurse should instruct the woman not to douche for 48 hours before the test to
prevent washing away cervical cells, which might be abnormal. Sexual intercourse should be
avoided for 48 hours before the test. Wearing cotton panties is unrelated to preparation for a
Papanicolaou test. Medications do not need to be withheld before the test.
3. A woman comes to the clinic for a routine checkup. After obtaining the client's history, the
nurse identifies that the client is at increased risk for cervical cancer based on her history of
exposure to which virus?
A. hepatitis
B. human papillomavirus
C. cytomegalovirus
D. Epstein-Barr virus Correct Answer: B
Rationale: Human papillomavirus is a major causative factor for cervical cancer. Hepatitis,
cytomegalovirus, and Epstein-Barr virus are not associated with the development of cervical
cancer.
4. A client is scheduled to have a Papanicolaou test. After the nurse teaches the client about the
Papanicolaou test, which client statement indicates successful teaching?
A. "I need to douche the night before with a mild vinegar solution."
B. "I will take a bath first thing that morning to make sure I'm clean."
C. "I will not engage in sexual intercourse for 48 hours before the test."
D. "I will get a clean urine specimen when I first wake up the morning of the test." Correct
Answer: C
Rationale: The woman should refrain from sexual intercourse for 48 hours before the test
because sperm can obscure the specimen. Douching should be avoided for 48 hours before the
, test to prevent washing away cervical cells, which might be abnormal. Although a bath is an
appropriate hygiene measure, it is not required before a Papanicolaou test. Collecting a urine
specimen also is not necessary.
5. Which finding obtained during a client history would the nurse identify as increasing a client's
risk for ovarian cancer?
A. multiple sexual partners
B. consumption of a high-fat diet
C. underweight
D. grand multiparity (more than five children) Correct Answer: B
Rationale: Risk factors for ovarian cancer include a high-fat diet, obesity, nulliparity, early
menarche, late menopause, and increasing age. Having multiple sexual partners is a risk factor
for cervical cancer.
6. A client is scheduled for cryosurgery to remove some abnormal tissue on the cervix. The nurse
teaches the client about this treatment, explaining that the tissue will be removed by which
method?
A. freezing
B. cutting
C. burning
D. irradiating Correct Answer: A
Rationale: Cryosurgery destroys abnormal cervical tissue by freezing. Conization involves
cutting out a cone-shaped section of tissue. Laser therapy destroys cervical tissue by using
highenergy
light to burn it off. Radiation therapy involves irradiating the tissue for destruction.
7. Which statement best indicates that a client has taken self-care measures to reduce her risk for
cervical cancer?
A. "I've really cut down on the amount of caffeine I drink every day."
B. "I've thrown out all my bubble baths and just use soap and water now."
C. "Every time I have sexual intercourse, I douche."
D. "My partner always uses a condom when we have sexual intercourse." Correct Answer: D
Rationale: Unprotected sexual intercourse is a risk factor for cervical cancer. Use of barrier
methods of contraception such as condoms is a key measure for reducing the risk for cervical
cancer. Cessation of smoking and drinking alcohol, not caffeine, also are effective measures for
risk reduction. Eliminating irritants such as bubble baths is a general measure to reduce perineal
irritation and urinary tract infections. Douching has no effect on risk reduction for cervical
cancer.
8. A client is suspected of having endometrial cancer. The nurse would most likely prepare the
client for which procedure to confirm the diagnosis?
A. transvaginal ultrasound
B. colposcopy
C. Papanicolaou test
D. endometrial biopsy Correct Answer: D
Rationale: An endometrial biopsy is the procedure of choice to make the diagnosis of
100%.
1. A 58-year-old client comes to the clinic for evaluation. After obtaining the client's history, the
nurse suspects endometrial cancer. Which information would lead the nurse to this suspicion?
A. use of oral contraceptives between ages 18 and 25
B. onset of painless, bright red postmenopausal bleeding
C. menopause occurring at age 46
D. use of intrauterine device for 3 years Correct Answer: B
Rationale: Any episode of bright red painless bleeding occurring after menopause needs to be
investigated. Abnormal uterine bleeding in postmenopausal women should be regarded with
suspicion. Oral contraceptive use is associated with cervical cancer. Late menopause (after age
52) is associated with endometrial cancer. Use of an intrauterine device is not associated with
endometrial cancer.
2. A woman is to have a Papanicolaou test. When teaching the woman about this test, the nurse
would emphasize which instruction to the client?
A. "Refrain from sexual intercourse for 1 week before the test."
B. "Wear cotton panties on the day of the test."
C. "Avoid taking any medications for 24 hours."
D. "Do not douche for 48 hours before the test." Correct Answer: D
Rationale: The nurse should instruct the woman not to douche for 48 hours before the test to
prevent washing away cervical cells, which might be abnormal. Sexual intercourse should be
avoided for 48 hours before the test. Wearing cotton panties is unrelated to preparation for a
Papanicolaou test. Medications do not need to be withheld before the test.
3. A woman comes to the clinic for a routine checkup. After obtaining the client's history, the
nurse identifies that the client is at increased risk for cervical cancer based on her history of
exposure to which virus?
A. hepatitis
B. human papillomavirus
C. cytomegalovirus
D. Epstein-Barr virus Correct Answer: B
Rationale: Human papillomavirus is a major causative factor for cervical cancer. Hepatitis,
cytomegalovirus, and Epstein-Barr virus are not associated with the development of cervical
cancer.
4. A client is scheduled to have a Papanicolaou test. After the nurse teaches the client about the
Papanicolaou test, which client statement indicates successful teaching?
A. "I need to douche the night before with a mild vinegar solution."
B. "I will take a bath first thing that morning to make sure I'm clean."
C. "I will not engage in sexual intercourse for 48 hours before the test."
D. "I will get a clean urine specimen when I first wake up the morning of the test." Correct
Answer: C
Rationale: The woman should refrain from sexual intercourse for 48 hours before the test
because sperm can obscure the specimen. Douching should be avoided for 48 hours before the
, test to prevent washing away cervical cells, which might be abnormal. Although a bath is an
appropriate hygiene measure, it is not required before a Papanicolaou test. Collecting a urine
specimen also is not necessary.
5. Which finding obtained during a client history would the nurse identify as increasing a client's
risk for ovarian cancer?
A. multiple sexual partners
B. consumption of a high-fat diet
C. underweight
D. grand multiparity (more than five children) Correct Answer: B
Rationale: Risk factors for ovarian cancer include a high-fat diet, obesity, nulliparity, early
menarche, late menopause, and increasing age. Having multiple sexual partners is a risk factor
for cervical cancer.
6. A client is scheduled for cryosurgery to remove some abnormal tissue on the cervix. The nurse
teaches the client about this treatment, explaining that the tissue will be removed by which
method?
A. freezing
B. cutting
C. burning
D. irradiating Correct Answer: A
Rationale: Cryosurgery destroys abnormal cervical tissue by freezing. Conization involves
cutting out a cone-shaped section of tissue. Laser therapy destroys cervical tissue by using
highenergy
light to burn it off. Radiation therapy involves irradiating the tissue for destruction.
7. Which statement best indicates that a client has taken self-care measures to reduce her risk for
cervical cancer?
A. "I've really cut down on the amount of caffeine I drink every day."
B. "I've thrown out all my bubble baths and just use soap and water now."
C. "Every time I have sexual intercourse, I douche."
D. "My partner always uses a condom when we have sexual intercourse." Correct Answer: D
Rationale: Unprotected sexual intercourse is a risk factor for cervical cancer. Use of barrier
methods of contraception such as condoms is a key measure for reducing the risk for cervical
cancer. Cessation of smoking and drinking alcohol, not caffeine, also are effective measures for
risk reduction. Eliminating irritants such as bubble baths is a general measure to reduce perineal
irritation and urinary tract infections. Douching has no effect on risk reduction for cervical
cancer.
8. A client is suspected of having endometrial cancer. The nurse would most likely prepare the
client for which procedure to confirm the diagnosis?
A. transvaginal ultrasound
B. colposcopy
C. Papanicolaou test
D. endometrial biopsy Correct Answer: D
Rationale: An endometrial biopsy is the procedure of choice to make the diagnosis of
