Questions and All Correct Answers
2025-2026 Updated.
Which of the following terms refers to difficult of painful sexual intercourse?
a.) dyspareunia
b.) dysmenorrhea
c.) amenorrhea
d.) endometriosis - Answer :A
Dyspareunia is a common problem of aged women. Amenorrhea refers to the absence of
menstrual flow. Dysmenorrhea refers to painful menstrual flow. Endometriosis is a condition in
which endometrial tissue seeds into other areas of the pelvis.
While examining the introitus, the nurse practitioner asks the patient to "bear down." The
nursing student observing the examination knows that the nurse practitioner is assessing the
patient for which of the following conditions?
a.) human papillomavirus (HPV)
b.) female genital mutilation
c.) colorectal cancer
d.) uterine prolapse - Answer Answer: D
The introitus is the vaginal orifice. Uterine prolapse occurs when the cervix and uterus descend
under pressure through the vaginal canal and can be seen at the introitus. To identify such
protrusions, the examiner asks the patient to "bear down." Examination for colorectal cancer
does not improve when the patient bears down. Examination for female genital mutilation does
not improve when the patient bears down. The pap smear reveals atypical cells; the liquid
method allows for HPV testing. This procedure does not require the patient to bear down.
Which of the following is the recommended health screening diagnostic testing for women 19-
39 years of age?
a.) pap smear
b.) cholesterol and lipid profile
c.) bone mineral density testing
d.) mammography - Answer Answer: A
, A pap smear is recommended for women 19-39 years of age, as well as for women 40 years of
age and older. Mammography is recommended for health screening for women 40 years of age
and older. A cholesterol and lipid profile is recommended for women 40 years of age and older.
Bone mineral density testing is recommended for women 40 years of age and older.
Cone biopsy is a term used to describe a procedure in which cervical tissue is removed as result
of detection of abnormal cells. Which of the following statements made by the patient
demonstrates that the patient undergoing a cone biopsy understands the discharge
instructions?
a.) "I will need to use a menstrual pad to capture the moisture as my cervix unfreezes."
b.) "I will use a sitz bath to relieve pain caused by the sutures."
c.) "I will avoid having sexual relations until I see the doctor again."
d.) "I will require a repeat conization in 2 weeks about the edema subsides." - Answer
Answer: C
Cone biopsy is a procedure done to remove abnormal cervical tissue. The nurse of primary
provider provides guidelines regarding postoperative sexual activity, bathing, and other
activities. Because open tissue may be potentially exposed to HIV and other pathogens, the
patient is cautioned to avoid intercourse until healing is complete and verified at follow-up.
Routine repeat cone biopsy is not normally indicated. Perineorrapahy refers to the sutural repair
of perineal lacerations; sutures are not required with a cone biopsy. Cryotherapy refers to
descruction of tissue by freezing; no freezing is involved with a cone biopsy.
Fertility studies for men include a semen analysis to determine sperm count, sperm motility,
and abnormal sperm. Which of the following tests can also be performed to determine
infertility?
a.) blood test for luteinizing hormone (LH)
b.) needle biopsy of prostatic tissue
c.) cystoscopy
d.) prostat-specific antigen (PSA) assay test - Answer Answer: A
A decrease in the blood level of LH may be responsible for decreased testosterone production
and infertility. A needle biopsy of prostatic tissue is obtained to diagnose a definitive cancer of
the prostate. The PSA assay is a blood test that detects prostate cancer.
A female patient experienced a severe reduction in body fat by extreme caloric restriction and
exercise. Which of the following female reproductive abnormalities could she acquire as a result
of the reduction in body fat?