Cervical Cancer - HESI Case Study -
NRSG357 Exam Questions and Answers
Graded A+
The registered nurse (RN) reviews the client's history and notes that Mrs. Sailor's
last Papanicolau (Pap) smear was 5 years ago.
What information is most important for the RN to obtain to determine Mrs. Sailor's
risk for cervical cancer? (Select all that apply).
a) Previous use of hormone replacement therapy
b) History of sexual partners
c) Past gynecological surgical procedures
d) Abuse of alcohol or drugs
e) Age with first pregnancy - Correct answer--History of sexual partners
-Age with first pregnancy
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,The healthcare provider (HCP) assesses Mrs. Sailor and collects a cervical smear
for a PAP test. Mrs. Sailor is asked to come back to the clinic in 2 weeks for the
results of the examination and laboratory tests.
When developing a plan of care to reduce the risks for cervical cancer, the RN
recognizes that primary prevention should include which intervention?
a) Implement PAP smears for high-risk populations
b) Provide community education
c) Notify partners and trace contacts
d) Set up a cervical cancer support group - Correct answer-Provide community
education
Mrs. Sailor returns to the clinic 2 weeks later, at which time the HCP informs Mrs.
Sailor that her Pap smear was abnormal and another Pap smear is done. When the
client visits the clinic the following week for the results of the Pap smear, which
was also abnormal, the HCP refers Mrs. Sailor to a gynecologist for an
endocervical biopsy. After the HCP leaves the examination room, the client starts
to cry and states, "I don't understand the reason for the biopsy."
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, After speaking with the RN, Mrs. Sailor understands that the endocervical biopsy
will be done by cervical conization to allow for microscopic examination of the
cervical tissue. She is scheduled for cervical conization in 2 days.
How should the RN response to the client?
a) Instruct the client that this procedure is part of the routine diagnostics
b) Refer the client back to the HCP for further information
c) Ask the client about her understanding of the ab - Correct answer-Ask the client
about her understanding of the abnormal pap smear result
When Mrs. Sailor asks the RN where the biopsy will take place, how should the
RN respond?
a) The HCP's office
b) The hospital
c) Emergent care center
d) Outpatient surgery cetner - Correct answer-The HCP's office
The biopsy results confirm primary endocervical adenocarcinoma, stage II. Mrs.
Sailor is scheduled for a radical hysterectomy, bilateral salpingo-oophorectomy,
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
NRSG357 Exam Questions and Answers
Graded A+
The registered nurse (RN) reviews the client's history and notes that Mrs. Sailor's
last Papanicolau (Pap) smear was 5 years ago.
What information is most important for the RN to obtain to determine Mrs. Sailor's
risk for cervical cancer? (Select all that apply).
a) Previous use of hormone replacement therapy
b) History of sexual partners
c) Past gynecological surgical procedures
d) Abuse of alcohol or drugs
e) Age with first pregnancy - Correct answer--History of sexual partners
-Age with first pregnancy
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,The healthcare provider (HCP) assesses Mrs. Sailor and collects a cervical smear
for a PAP test. Mrs. Sailor is asked to come back to the clinic in 2 weeks for the
results of the examination and laboratory tests.
When developing a plan of care to reduce the risks for cervical cancer, the RN
recognizes that primary prevention should include which intervention?
a) Implement PAP smears for high-risk populations
b) Provide community education
c) Notify partners and trace contacts
d) Set up a cervical cancer support group - Correct answer-Provide community
education
Mrs. Sailor returns to the clinic 2 weeks later, at which time the HCP informs Mrs.
Sailor that her Pap smear was abnormal and another Pap smear is done. When the
client visits the clinic the following week for the results of the Pap smear, which
was also abnormal, the HCP refers Mrs. Sailor to a gynecologist for an
endocervical biopsy. After the HCP leaves the examination room, the client starts
to cry and states, "I don't understand the reason for the biopsy."
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, After speaking with the RN, Mrs. Sailor understands that the endocervical biopsy
will be done by cervical conization to allow for microscopic examination of the
cervical tissue. She is scheduled for cervical conization in 2 days.
How should the RN response to the client?
a) Instruct the client that this procedure is part of the routine diagnostics
b) Refer the client back to the HCP for further information
c) Ask the client about her understanding of the ab - Correct answer-Ask the client
about her understanding of the abnormal pap smear result
When Mrs. Sailor asks the RN where the biopsy will take place, how should the
RN respond?
a) The HCP's office
b) The hospital
c) Emergent care center
d) Outpatient surgery cetner - Correct answer-The HCP's office
The biopsy results confirm primary endocervical adenocarcinoma, stage II. Mrs.
Sailor is scheduled for a radical hysterectomy, bilateral salpingo-oophorectomy,
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
