Question 1
When teaching clients about the risk factors of cervical cancer, what would the nurse
identify as the most important risk factor?
A. Late childbearing
B. Human papillomavirus (HPV)
C. Postmenopausal bleeding
D. Tobacco use
CORRECT ANSWER
ANS: B Rationale: HPV is the most salient risk factor for cervical cancer, exceeding the
risks posed by smoking, late childbearing, and postmenopausal bleeding.
Question 2
The nurse is providing preoperative education for a client diagnosed with
endometriosis. A hysterectomy has been scheduled. What education topic should the
nurse be sure to include for this client?
A. Menstrual periods will continue to occur for several months, some of them
heavy.
B. Normal activity will be permitted within 48 hours following surgery.
C. After a hysterectomy, hormone levels remain largely unaffected.
D. The bladder must be emptied prior to surgery and a catheter may be placed
during surgery.
1
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,CORRECT ANSWER
ANS: D Rationale: The intestinal tract and the bladder need to be empty before the client
is taken to the OR to prevent contamination and injury to the bladder or intestinal tract.
The client is informed that their periods are now over, but the client may have a slightly
bloody discharge for a few days. The client is instructed to avoid straining, lifting, or
driving until the surgeon permits the client to resume these activities. The client's
hormonal balance is upset, which usually occurs in reproductive system disturbances.
The client may experience depression and heightened emotional sensitivity to people
and situations.
Question 3
A client with ovarian cancer is admitted to the hospital for surgery and the nurse is
completing the client's health history. What clinical manifestation would the nurse expect
to assess? Select all that apply.
A. Fish-like vaginal odor
B. Increased abdominal girth
C. Fever and chills
D. Lower abdominal pelvic pain
E. Pleuritic chest pain
CORRECT ANSWER
ANS: B, D Rationale: Clinical manifestations of ovarian cancer include enlargement of the
abdomen from an accumulation of fluid and pelvic pain. Flatulence and feeling full after
a light meal are significant symptoms. In bacterial vaginosis, a fish-like odor, which is
noticeable after sexual intercourse or during menstruation, occurs as a result of a rise in
the vaginal pH. Fever, chills, and pleuritic chest pain are atypical.
Question 4
A 36-year-old female client is being evaluated for fibroids with accompanying
symptoms of menorrhagia, chronic constipation, abdominal pain and pressure. The client
2
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,is a very busy lawyer who wants children and requests that any treatments be
accomplished on an outpatient basis. What is the best treatment option for this client?
A. Magnetic resonance-guided focused ultrasound surgery.
B. Hysteroscopic resection of myomas
C. Abdominal myomectomy
D. Uterine artery embolization
CORRECT ANSWER
ANS: B Rationale: Overall goals of treating a client that has fibroids and wants children
should be conservative. Hysteroscopic resection of myomas is when a laser is used
through a hyteroscope passed through the cervix with no incision or overnight stay
needed. All of the choices are alternatives to a hysterectomy when the client has
excessive bleeding (menorrhagia) due to fibroids. Magnetic resonance-guided focused
ultrasound surgery (MRgFUS) is when ultrasonic energy is passed through the abdominal
wall to target and destroy fibroids. Although a non-invasive outpatient procedure, it is
only approved for premenopausal women who do not want children. Abdominal
myometry is the surgical removal of uterine fibroids and not an outpatient procedure.
Uterine artery embolization (UAE) involves injecting polyvinyl alcohol particles into blood
vessels that supply the fibroid. Infrequent but serious complications are associated with
this procedure. Caution is especially warranted if the client desires to have children.
Question 5
A client has been diagnosed with endometriosis. When planning this client's care, the
nurse should prioritize what nursing diagnosis?
A. Anxiety related to risk of transmission
B. Acute pain related to misplaced endometrial tissue
C. Ineffective tissue perfusion related to hemorrhage
D. Excess fluid volume related to abdominal distention
CORRECT ANSWER
ANS: B Rationale: Symptoms of endometriosis vary but include dysmenorrhea,
dyspareunia, and pelvic discomfort or pain. Dyschezia (pain with bowel movements) and
radiation of pain to the back or leg may occur. Ineffective tissue perfusion is not
3
@https://www.stuvia.com/user/thestudyvault
, associated with endometriosis and there is no plausible risk of fluid overload.
Endometriosis is not transmittable.
Question 6
A female client is being evaluated due to increased menstrual bleeding and
dysmenorrhea. A history and physical suggest the diagnosis of endometriosis rather than
uterine fibroids. What finding would support the diagnosis of endometriosis?
A. Genetic predisposition
B. Menstrual cycle longer than 35 days
C. Familial predisposition
D. Having multiple children at a younger age.
CORRECT ANSWER
ANS: C Rationale: Clients with endometriosis often have a familiar predisposition to the
condition. It is more common in women whose close female relatives are affected.
Endometriosis carries a high incidence among clients who bear children late and among
those who have fewer children. Factors that may increase the likelihood of
endometriosis include a shorter menstrual cycle (less than every 27 days). Uterine
fibroids are genetically predisposed. It is estimated that by the age of 50, up to 70% of
Caucasian women and 80% of African-American women will experience uterine fibroids.
Question 7
A female client with large uterine fibroids is scheduled for a hysterectomy next month
and is started on leuprolide. The client requests information about the medication's
route, duration of treatment and any side effects. What is the nurse's best response?
A. This medical regimen will consist of weekly subcutaneous injections.
B. This is a medication that works best if taken consistently over a long period of
time.
C. The medication induces a temporary menopause-like environment in the body.
4
@https://www.stuvia.com/user/thestudyvault
When teaching clients about the risk factors of cervical cancer, what would the nurse
identify as the most important risk factor?
A. Late childbearing
B. Human papillomavirus (HPV)
C. Postmenopausal bleeding
D. Tobacco use
CORRECT ANSWER
ANS: B Rationale: HPV is the most salient risk factor for cervical cancer, exceeding the
risks posed by smoking, late childbearing, and postmenopausal bleeding.
Question 2
The nurse is providing preoperative education for a client diagnosed with
endometriosis. A hysterectomy has been scheduled. What education topic should the
nurse be sure to include for this client?
A. Menstrual periods will continue to occur for several months, some of them
heavy.
B. Normal activity will be permitted within 48 hours following surgery.
C. After a hysterectomy, hormone levels remain largely unaffected.
D. The bladder must be emptied prior to surgery and a catheter may be placed
during surgery.
1
@https://www.stuvia.com/user/thestudyvault
,CORRECT ANSWER
ANS: D Rationale: The intestinal tract and the bladder need to be empty before the client
is taken to the OR to prevent contamination and injury to the bladder or intestinal tract.
The client is informed that their periods are now over, but the client may have a slightly
bloody discharge for a few days. The client is instructed to avoid straining, lifting, or
driving until the surgeon permits the client to resume these activities. The client's
hormonal balance is upset, which usually occurs in reproductive system disturbances.
The client may experience depression and heightened emotional sensitivity to people
and situations.
Question 3
A client with ovarian cancer is admitted to the hospital for surgery and the nurse is
completing the client's health history. What clinical manifestation would the nurse expect
to assess? Select all that apply.
A. Fish-like vaginal odor
B. Increased abdominal girth
C. Fever and chills
D. Lower abdominal pelvic pain
E. Pleuritic chest pain
CORRECT ANSWER
ANS: B, D Rationale: Clinical manifestations of ovarian cancer include enlargement of the
abdomen from an accumulation of fluid and pelvic pain. Flatulence and feeling full after
a light meal are significant symptoms. In bacterial vaginosis, a fish-like odor, which is
noticeable after sexual intercourse or during menstruation, occurs as a result of a rise in
the vaginal pH. Fever, chills, and pleuritic chest pain are atypical.
Question 4
A 36-year-old female client is being evaluated for fibroids with accompanying
symptoms of menorrhagia, chronic constipation, abdominal pain and pressure. The client
2
@https://www.stuvia.com/user/thestudyvault
,is a very busy lawyer who wants children and requests that any treatments be
accomplished on an outpatient basis. What is the best treatment option for this client?
A. Magnetic resonance-guided focused ultrasound surgery.
B. Hysteroscopic resection of myomas
C. Abdominal myomectomy
D. Uterine artery embolization
CORRECT ANSWER
ANS: B Rationale: Overall goals of treating a client that has fibroids and wants children
should be conservative. Hysteroscopic resection of myomas is when a laser is used
through a hyteroscope passed through the cervix with no incision or overnight stay
needed. All of the choices are alternatives to a hysterectomy when the client has
excessive bleeding (menorrhagia) due to fibroids. Magnetic resonance-guided focused
ultrasound surgery (MRgFUS) is when ultrasonic energy is passed through the abdominal
wall to target and destroy fibroids. Although a non-invasive outpatient procedure, it is
only approved for premenopausal women who do not want children. Abdominal
myometry is the surgical removal of uterine fibroids and not an outpatient procedure.
Uterine artery embolization (UAE) involves injecting polyvinyl alcohol particles into blood
vessels that supply the fibroid. Infrequent but serious complications are associated with
this procedure. Caution is especially warranted if the client desires to have children.
Question 5
A client has been diagnosed with endometriosis. When planning this client's care, the
nurse should prioritize what nursing diagnosis?
A. Anxiety related to risk of transmission
B. Acute pain related to misplaced endometrial tissue
C. Ineffective tissue perfusion related to hemorrhage
D. Excess fluid volume related to abdominal distention
CORRECT ANSWER
ANS: B Rationale: Symptoms of endometriosis vary but include dysmenorrhea,
dyspareunia, and pelvic discomfort or pain. Dyschezia (pain with bowel movements) and
radiation of pain to the back or leg may occur. Ineffective tissue perfusion is not
3
@https://www.stuvia.com/user/thestudyvault
, associated with endometriosis and there is no plausible risk of fluid overload.
Endometriosis is not transmittable.
Question 6
A female client is being evaluated due to increased menstrual bleeding and
dysmenorrhea. A history and physical suggest the diagnosis of endometriosis rather than
uterine fibroids. What finding would support the diagnosis of endometriosis?
A. Genetic predisposition
B. Menstrual cycle longer than 35 days
C. Familial predisposition
D. Having multiple children at a younger age.
CORRECT ANSWER
ANS: C Rationale: Clients with endometriosis often have a familiar predisposition to the
condition. It is more common in women whose close female relatives are affected.
Endometriosis carries a high incidence among clients who bear children late and among
those who have fewer children. Factors that may increase the likelihood of
endometriosis include a shorter menstrual cycle (less than every 27 days). Uterine
fibroids are genetically predisposed. It is estimated that by the age of 50, up to 70% of
Caucasian women and 80% of African-American women will experience uterine fibroids.
Question 7
A female client with large uterine fibroids is scheduled for a hysterectomy next month
and is started on leuprolide. The client requests information about the medication's
route, duration of treatment and any side effects. What is the nurse's best response?
A. This medical regimen will consist of weekly subcutaneous injections.
B. This is a medication that works best if taken consistently over a long period of
time.
C. The medication induces a temporary menopause-like environment in the body.
4
@https://www.stuvia.com/user/thestudyvault
